Upper blepharoplasty is a representative midlife cosmetic procedure and one of the most commonly performed anti-aging surgeries.
Upper blepharoplasty is a surgery that directly removes the skin of the eyelids to address sagging eyelid skin, and it is also referred to as ‘midlife double eyelid surgery’ or ‘midlife double eyelid surgery.’

The upper eyelid skin removed during upper blepharoplasty
However, because upper blepharoplasty is a method that directly removes eyelid skin, it is better not to remove too much skin during surgery.
In particular, when the distance between the eyes and eyebrows is already short, upper blepharoplasty can make that distance even shorter and cause problems such as a heavier-looking upper eyelid area.
Because the distance between the eyes and eyebrows is closely related to changes in appearance after middle age, it is advisable to observe this carefully during eye surgery.
‘The shortened distance between the eyes and eyebrows after upper blepharoplasty’
From the mid-40s onward, eyelid sagging begins, so many people consider upper blepharoplasty at this age.
And recently, because many people are aware that upper blepharoplasty can make the upper eyelid area look heavier, clinics are definitely removing less skin than in the past.

The shortened distance between the eyes and eyebrows after upper blepharoplasty. Forehead lift review in the 40s. Real model with consent for disclosure.
This is a woman in her mid-40s who recently underwent upper blepharoplasty.
She said that after upper blepharoplasty, the sagging eyelid skin improved, but she often heard that the distance between her eyes and eyebrows became shorter and that her image looked stronger.
She thought upper blepharoplasty would reduce the heaviness of the upper eyelid area, but instead she said it looked a little more swollen.
‘Skin thickness of the upper eyelid’
The skin of the upper eyelid is very thin near the eyelashes, but it becomes thicker as it moves upward. So it is thinnest near the eyelashes and thickest just below the eyebrow.

Changes in the thickness of upper eyelid skin
When some of the upper eyelid skin is removed through upper blepharoplasty, thin skin and thick skin directly meet in proportion to the amount of skin removed, and this can become a cause of appearance changes in eye surgery after middle age.
Also, the more thick skin is cut away, the more it meets even thicker upper skin, so it is better not to remove too much skin during upper blepharoplasty.

Skin removed by upper blepharoplasty. Difference in skin thickness. Distance between the eyes and eyebrows
‘Forehead lift after upper blepharoplasty’
If the appearance has become stronger and the distance between the eyes and eyebrows has become shorter after upper blepharoplasty, a forehead lift may be worth considering.
When the distance between the eyes and eyebrows is short and the upper eyelid area looks heavy, the eyebrows themselves need to be lifted upward, so a forehead lift that raises the forehead and eyebrows together may be a good solution.

The Pentafix forehead lift method. Forehead lift review in the 40s. Endoscopic forehead lift review.
Endoscopic forehead lift is a surgery that lifts the forehead and eyebrows using small incisions inside the scalp, and because an endoscope is used, it has the advantage of a faster recovery period.
Through the endoscope, the periosteum and retaining ligaments can be carefully dissected, and high-definition endoscopic visualization makes it possible to avoid damage to nerves or blood vessels.
In addition, it can cut the muscles that pull the eyebrows downward between the glabella and the eyebrows (corrugator muscle, depressor supercilii muscle, procerus muscle), which has the advantage of longer-lasting results.

Fixation in endoscopic forehead lift. Fixation method for Pentafix forehead lift. Endotine fixation. Bone tunneling fixation. Temporal fascia fixation.
When some eyelid skin has been removed through upper blepharoplasty, the goal of a forehead lift is to restore the distance between the eyes and eyebrows to the pre-blepharoplasty state and relieve the heaviness of the upper eyelid area.
Because eyelid skin has already been removed, there is a risk of creating an overly large double eyelid, so it is necessary to secure it with appropriate tension.
One advantage of Endotine fixation is that the fixation strength can be adjusted in forehead lift. It can be fixed very strongly, but it can also be fixed with about 70–80% of the force.
After securing the basic fixation force through Endotine, a bone tunneling (bone tunnelling, cortical tunnel) method may also be added as a supplement to adjust the shape of the eyebrows.
In addition, extra fixation can be added to the strong tissue on the outer side, called the temporal fascia, to create more lifting force on the outer side.

Pentafix forehead lift trademark registered with the Korean Intellectual Property Office
‘Before-and-after comparison of endoscopic forehead lift’

Endoscopic forehead lift review. Forehead lift review in the 40s. Pentafix forehead lift review
Before the forehead lift, the distance between the eyes and eyebrows was short and the upper eyelid area looked heavy, but after the forehead lift, you can see that the upper eyelid area has become thinner.
A greater distance between the eyes and eyebrows, rather than a shorter one, helps create a brighter image after middle age.
The Pentafix forehead lift is a surgical method that allows for a quick recovery through endoscopic dissection and has the advantage of long-lasting results due to secure fixation.

Review on day 10 after forehead lift surgery. Forehead lift recovery period. Forehead lift swelling.

Forehead lift surgery review. Forehead lift review. Forehead lift in the 40s. Endoscopic forehead lift review.