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What Is the Right Eyelid Surgery Method for People in Their 40s and 50s?

리본성형외과 · 리본성형외과 · September 12, 2024

Hello. We are Re:本 Plastic Surgery, greeting you from Exit 1 of Sinsa Station. When people think of “eyelid surgery for middle age,” many imagine upper blepharoplasty or lower blep...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 리본성형외과

Original post date: September 12, 2024

Translated at: April 25, 2026 at 7:56 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Hello. We are Re:本 Plastic Surgery, greeting you from Exit 1 of Sinsa Station.

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When people think of “eyelid surgery for middle age,” many imagine upper blepharoplasty or lower blepharoplasty.

However, there are many types of surgery that middle-aged patients often undergo, and different procedures exist depending on the shape and condition of the eyes.

Sometimes, when a different procedure is recommended from the one a person originally looked into, they may feel surprised.

For example, if you came in looking into upper blepharoplasty, but after checking the actual eye shape, the degree of sagging, and the condition of the eyes, we explain options such as ptosis correction or brow lift surgery, some people feel surprised or uneasy.

Even for the same upper blepharoplasty, the detailed procedure may differ depending on the patient’s needs and the current condition of the eyes.

Today, I will introduce the various types of eyelid surgery commonly performed by middle-aged patients.

Upper Blepharoplasty

Upper blepharoplasty is a surgery that improves drooping eyelids by removing excess skin from the sagging eyelids and tightening the weakened muscle.

  • For those whose upper eyelid skin sagging is severe and makes them look older
  • When sagging has disturbed the double eyelid line
  • In situations where drooping eyelids are obstructing vision

This is a procedure that can be considered in such cases.

After surgery, it may help improve problems with restricted vision, and it can also make the eyes appear clearer and more lively.

In addition, it can help improve other functional issues as well, such as eyelashes poking the eyes and irritation around the eye area.

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Brow Lift Surgery

A brow lift is recommended when skin sagging is so severe that too much tissue would need to be removed with upper blepharoplasty alone.

A brow lift is a surgery that lifts the covered area and sagging tissue based on the lower edge of the eyebrow.

After that, the double eyelid line is refined using the buried suture method to create a softer and more stable impression.

However, it is difficult to say that this surgery is suitable for everyone.

A certain distance between the eyebrow and the eye must be secured for the surgery to be possible.

Otherwise, the gap may become too narrow, which can make the overall impression look awkward.

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Ptosis Correction

Ptosis correction is surgery to correct blepharoptosis.

Blepharoptosis refers to a condition in which the eyes droop because the muscles that open the eyes are weak.

As aging causes the skin to sag, the muscles beneath the skin can loosen, reducing the strength needed to lift the eyelids.

Therefore, if the eyes are half-closed or feel limp and droopy, or if a person excessively uses the forehead or eyebrows to open the eyes, this is a method to correct it.

Ptosis correction is not something that can be done in every case; surgery is determined when the eyelid covers more than 2 mm of the black part of the eye.

The procedure is performed by strengthening the levator muscle of the eyelid.

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Lower Blepharoplasty

Lower blepharoplasty is a surgery that improves excessively protruding under-eye area.

As people age, skin elasticity decreases, causing the skin to become thinner and sag.

When the orbital fat around the eyes collects under the eyes and bulges outward, dark circles become more noticeable and the overall impression can look darker and older.

At this time, lower blepharoplasty can redistribute the protruding fat and improve sagging skin, creating a livelier and younger-looking impression.

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Under-Eye Fat Repositioning

If the sagging or wrinkles under the eyes are not severe and you only want to improve the bulging area, we recommend under-eye fat repositioning.

Under-eye fat repositioning is a method in which only the fat is repositioned by making an incision in the conjunctiva on the inside of the eyelid.

It can be performed on people whose under-eye elasticity is still present and who do not have severe wrinkles or sagging.

Because the skin hidden by the eyelashes is incised, the incision site is not exposed after the procedure, and the surgery also finishes quickly.

However, if elasticity has significantly decreased and wrinkles are deep, lower blepharoplasty involving a skin incision may be more helpful than this.

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How Do You Choose the Procedure That Is Right for You?

As such, the direction and method of surgery are applied differently depending on the patient’s eyelids, fat, muscles, structural features of the eyes, and degree of aging.

Everyone has different eye shapes, degrees of skin sagging, and fat positions.

You can truly solve your concerns only when you find a place that understands these differences and offers solutions tailored to them.

If you go to a clinic that simply formalizes “middle-aged eye surgery” as “upper blepharoplasty, lower blepharoplasty,” you may end up with the wrong result, so extra caution is needed.

Therefore, when choosing a plastic surgery clinic, you should look for one with extensive experience and high expertise in a wide range of cases across different age groups.

Re:本 Plastic Surgery has remained at the same location near Sinsa Station under the same name for more than 20 years.

If you have any questions about middle-aged eye surgery, you are welcome to visit Re:本 Plastic Surgery.

Through a careful diagnosis, we will clearly assess your condition and guide you to the surgery that best suits you.

Thank you.

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