There are several ways to address sagging skin of the upper eyelid.
The most commonly performed method is upper blepharoplasty, but there are also other options such as a forehead lift and brow lift.
Upper blepharoplasty is an eye plastic surgery method in which the sagging skin is removed from just above the eyelid. In East Asians, the surgery is often completed by creating a double eyelid, which is why it is also known as a “middle-aged double eyelid” procedure.

Method of upper blepharoplasty surgery
Upper blepharoplasty is a good way to directly address sagging skin of the upper eyelid, but it may feel uncomfortable for people who find the creation of a double eyelid burdensome.
In particular, for people who have lived without a double eyelid for many years, the appearance of a newly created double eyelid can feel unfamiliar.
The surgical method of a brow lift
A brow lift refers to a surgical method that addresses sagging upper eyelid skin by removing the drooping skin from the lower part of the eyebrow.

Skin excision location for a brow lift
First, the surgery begins by designing the appropriate amount of skin to remove from the lower part of the eyebrow, and then excising the skin.
Beneath the skin is a muscle layer called the orbicularis oculi. Part of this muscle must be removed and fixed in place for the brow lift to be effective.

Periorbital periosteum and facial retaining ligaments
Around the eyes, there are retaining ligaments that are firmly attached along the orbital bone. It is necessary to fix the orbicularis oculi muscle, which needs lifting, to these firm retaining ligaments and the periosteum.
This work can improve the lifting effect and help prolong the duration of the brow lift.
In some cases, when the upper eyelid area is hollow, the tissue beneath the orbicularis oculi is dissected to access the fat pocket in the upper eyelid, and the fat pocket is opened to reduce the sunken appearance.
Before and after brow lift surgery

Brow lift review. Male brow lift review.
For middle-aged men, if the eyes did not originally have double eyelids, upper blepharoplasty can feel burdensome.
Although it resolves sagging skin of the eyelid, the creation of a double eyelid changes the image of the face, so for middle-aged men who may find it difficult to adjust to the appearance of a double eyelid, this can be a good option for upper eyelid skin sagging.

Brow lift review. Before and after brow lift surgery.
Some women also dislike the creation or change of a double eyelid through upper blepharoplasty.
Of course, if you want a double eyelid or do not mind creating one, upper blepharoplasty is a suitable choice. However, if that is not the case, choosing a brow lift can also be a good option.
There are several ways to address sagging skin of the upper eyelid, and a brow lift, which removes skin below the eyebrow and lifts and fixes the muscle, is one of the good surgical methods.