Recently, news of broadcaster Ahn Seon-young’s eye surgery has renewed interest in eye surgery for middle-aged people.
According to reports, she underwent upper blepharoplasty to improve drooping eyelids along with ptosis correction.

Ahn Seon-young eye surgery. Ahn Seon-young eye operation. Ahn Seon-young ptosis correction. Source: media report
This is actually a very typical combination in eye surgery for people in their 40s and 50s.
So unlike double-eyelid surgery for people in their 20s, how should eye surgery for people in their 40s and 50s be approached?
- The basic foundation of middle-aged eye surgery is “upper blepharoplasty” -
As people enter their 40s and 50s, the first change that usually appears is drooping eyelids.
Simply creating a double-eyelid line is not enough; the loosened skin must also be removed to achieve a natural result.
The procedure performed at this stage is upper blepharoplasty.
It is similar to incisional double-eyelid surgery, but the key point is forming a double-eyelid line while removing sagging skin.
That is why it is often called “middle-aged double-eyelid surgery.”
✔ Key points

Upper blepharoplasty. Upper eyelid surgery. Ptosis correction surgery. Ptosis correction. Blepharoptosis correction surgery.
- Ptosis correction only when truly necessary -
Another important factor in eye surgery is the strength used to open the eyes (whether ptosis is present).
In the following cases, ptosis correction is considered together with the surgery.
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When multiple eyelid folds appear
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Uneven eyes with different sizes on the left and right
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When the forehead muscles are used to open the eyes
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When the upper eyelids look sunken and weak
Ptosis correction is not only a surgery to make the eyes “look clearer,” but since it is needed for various reasons, sufficient consultation before surgery is necessary.
- The impression is only complete when the under-eye area is also addressed -
If only the upper eye area is improved and the under-eye area is left untreated, the overall impression can look awkward.
For under-eye surgery in people in their 40s and 50s, the approach differs depending on the individual condition of the under-eye area.
- If there is little skin sagging → under-eye fat repositioning

Under-eye fat repositioning method. Under-eye fat repositioning. Internal fixation under-eye fat repositioning.
- If there is significant skin sagging → lower blepharoplasty

Lower blepharoplasty method. 4th-generation lower blepharoplasty. Suprift. SOOF lift. Quaddplus lower blepharoplasty trademark registered with the Korean Intellectual Property Office
In particular, what matters in both procedures is a design that preserves the aegyo-sal.
Keeping the aegyo-sal intact helps avoid an artificial look and creates a naturally more youthful appearance.
- Real case example and key summary of eye surgery for people in their 40s and 50s -
This is a case of a woman in her 40s who underwent eye surgery, facial fat grafting, and jawline liposuction.

Double-eyelid surgery in the 40s. Double-eyelid surgery in the 40s. Eye corner surgery in the 40s. Eye surgery review in the 40s. Real model with consent for public release.

Before-and-after eye surgery in the 40s. Eye surgery review in the 40s. Double-eyelid surgery review in the 40s. Under-eye fat repositioning in the 40s. Eye corner surgery review in the 40s. Real model with consent for public release.
Middle-aged eye surgery is not simply about “creating a line.”
It is a process of comprehensively correcting structural changes caused by aging.
✔ Resolve sagging skin with upper blepharoplasty
✔ Supplement function with ptosis correction when needed
✔ Improve the under-eye area as well
✔ Preserve aegyo-sal for a natural, youthful effect

Ahn Seon-young eye surgery. Ahn Seon-young double-eyelid surgery. Ahn Seon-young eye operation. Source: media report.