When upper eyelid sagging occurs, it can make you look older aesthetically and can also become inconvenient in daily life because of the sagging skin.
The sagging skin of the upper eyelids can obstruct your field of vision, and it can also cause skin irritation at the outer corner of the eyes.
There are three main ways to address upper eyelid sagging, and it is best to decide which surgical method to choose after having a thorough consultation with a plastic surgery specialist.
'Types of Surgery That Correct Upper Eyelid Sagging'
Surgery to correct upper eyelid sagging can be broadly divided into three types.
First, 'upper blepharoplasty' (upper eyelid surgery), which removes skin around the double-eyelid crease
Second, 'eyebrow lift', which removes skin below the eyebrow
Third, 'forehead lift', which lifts the forehead and the skin around the eyes from inside the scalp
'What Is Upper Blepharoplasty?'
Upper blepharoplasty is a surgical method that directly removes the skin of the sagging eyelid. Because a double eyelid is created in the area where the scar forms after the skin is removed, it is commonly called a 'middle-aged double-eyelid surgery.'

Skin removal in upper blepharoplasty (upper eyelid surgery)
The advantage of upper blepharoplasty is that because it directly removes the eyelid skin, it has the benefit of resolving the various discomforts caused by skin sagging most effectively.
Also, if ptosis is present, eyelid correction surgery (ptosis correction) can be performed together with upper blepharoplasty, and if there is hollowing of the eyelids, upper eyelid fat repositioning can also be done.
However, if too much sagging skin is removed, the upper eyelid area may become bulky and the distance between the eyes and eyebrows may become shorter, which can make the image look stronger.
'What Is an Eyebrow Lift?'
An eyebrow lift is a surgery that removes and lifts the sagging eyelid skin from below the eyebrow.

Skin removal in an eyebrow lift
The advantage of an eyebrow lift is that, since it lifts the sagging skin without creating a double eyelid, the result is natural and there is little change in appearance.
However, because the eyelid skin is not directly removed, the maintenance period may be somewhat shorter, and since the incision is made below the eyebrow, people with sparse eyebrows sometimes undergo semi-permanent eyebrow tattooing later.
'What Is a Forehead Lift?'
A forehead lift is a surgery that uses endoscopy through small incisions inside the scalp to lift the forehead and eyelid skin.

Incision location for a forehead lift

Endoscopic dissection in a forehead lift
The advantage of a forehead lift is that it can lift the forehead, eyebrows, and eyelid skin all at once, and it can lift the entire upper part of the face without leaving incisions on visible areas.
However, because it does not directly lift the eyelid skin, if there is a lot of eyelid skin sagging, the results may be better when it is performed together with upper blepharoplasty or an eyebrow lift.
'Choosing a Surgical Method When the Upper Eyelid Sags'
Since each of the three surgical methods above has its own advantages and disadvantages, it is best to decide which surgery to choose after sufficient consultation.

Choosing a surgical method for upper eyelid sagging
First, you need to decide whether you want to improve the sagging skin while also creating a double eyelid or not. If you want double-eyelid surgery, it is best to choose upper blepharoplasty. However, if the distance between the eyes and eyebrows is wide, upper blepharoplasty alone may be fine, but if the distance is narrow, it is better to add a forehead lift along with upper blepharoplasty.
If you do not want to create a double eyelid, it is better to choose surgeries such as an eyebrow lift or a forehead lift that bring indirect changes to the eyes.
If you simply want to resolve only the sagging skin of the eyelids, you can choose an eyebrow lift. If you want to address overall skin sagging of the forehead, temples, eyelids, and bridge of the nose, you can choose a forehead lift.
'Before and After Upper Blepharoplasty'

Upper blepharoplasty review
'Before and After Eyebrow Lift'

Eyebrow lift review
'Before and After Forehead Lift'

Forehead lift review
'Before and After Adding a Forehead Lift to Upper Blepharoplasty'

Review of upper blepharoplasty and forehead lift

Review of upper blepharoplasty and forehead lift. This is a real model who agreed to be 공개.
Because there are various ways to surgically treat upper eyelid sagging, you may feel confused. However, if you consult while considering your own skin sagging condition, desired results, and image, and choose the appropriate surgical method, you can achieve good results.