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[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play?

안병준성형외과의원 · 안병준의 눈이야기 · July 10, 2025

​ What Is Upper Eyelid Surgery? Upper eyelid surgery is a procedure that improves various problems caused by drooping upper eyelids. As people age, the skin of the eyelids becomes...

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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: 안병준성형외과의원

Original post date: July 10, 2025

Translated at: April 20, 2026 at 3:47 PM

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

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 1

What Is Upper Eyelid Surgery?

Upper eyelid surgery is a procedure that improves various problems caused by drooping upper eyelids.

As people age, the skin of the eyelids becomes looser,

and the muscles and fat also sag downward,

which can narrow the field of vision

and make the eyes feel tired.

Upper eyelid surgery improves this sagging,

helps create a clearer eye shape,

and also reduces functional discomfort.

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 2

What Is Lower Eyelid Surgery?

Lower eyelid surgery is a procedure that improves

the signs of aging in the lower eyelids.

It typically addresses under-eye fat bulging out,

wrinkles under the eyes caused by loose skin,

dark circles, and sagging skin.

It is not simply about removing fat;

depending on the case, it may involve fat repositioning

or methods that help restore skin elasticity.

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 3

Why Is the Term “Middle-Age Eye Surgery” Used These Days?

Recently, instead of distinguishing between 'upper eyelid surgery' and 'lower eyelid surgery,'

many people talk about them under the broader concept of

'middle-age eye surgery.'

The reasons are as follows:

Because aging of the entire eye area progresses at the same time.

The upper and lower eyelids affect each other,

so improving only one area often creates imbalance.

Psychological changes and lifestyle changes

As we enter the era of 100-year lifespans, people in their 50s and 60s are

no longer considered ‘old age,’ but rather a time to

start a second stage of life.

As social activity, activity levels, and interest in appearance increase,

the demand for eye surgery after middle age is also rising.

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 4

Difference Between Having Surgery and Not Having Surgery

CategoryWithout SurgeryWith Surgery
Eye shapeSagging and looks heavyClear and defined impression
VisionUpper area is blockedWider field of vision
FatigueEyes get tired easilyImproved ability to open the eyes
ImpressionLooks tired or olderLooks clear and lively
MakeupEye makeup smudges or does not apply wellMakeup goes on neatly

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 5

Is Upper and Lower Eyelid Surgery Necessary for Your Parents’ Generation?

If your parents have significantly drooping eyelids,

under-eyes that look sunken,

or say that their field of vision feels blocked, it may be worth considering.

Not only for appearance,

but because it can also help with functional aspects such as

improving vision and relieving eye fatigue.

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 6

What You Must Know Before Surgery

Consultation is essential to confirm whether the surgery is appropriate for your eye condition

It is necessary to determine whether the issue is simply loose skin or a decline in muscle function.

Check for existing medical conditions

If you have high blood pressure, diabetes, dry eye syndrome, or similar conditions, you should inform the doctor in advance.

Stop taking medications before surgery

In particular, medications with a risk of bleeding,

such as aspirin and omega-3, should be stopped several days beforehand.

Consider the recovery period

Suture removal, swelling, and bruising will gradually improve.

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 7

How to Care for Yourself After Surgery

Cold compress

For the first 2–3 days, it is important to reduce swelling and bruising with cold compresses.

Switch to warm compresses

After that, warm compresses help circulation

and promote faster recovery.

Do not rub your eyes

Until the sutures are removed, you should not touch or

rub your eyes.

No alcohol, no smoking

These affect recovery speed and wound healing.

Light walking is allowed

Activities that help blood circulation without overexertion

can aid recovery.

Regular follow-up visits

You need to visit the clinic on the scheduled dates

to monitor the healing progress of the surgical area.

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 8

Closing

"Upper eyelid and lower eyelid surgery are procedures that can go beyond simple cosmetic surgery

and also provide functional improvement.

They may be a choice for the eye health of aging parents,

and they can also be a meaningful change for those

starting a second stage of life after middle age."

[Middle-Age Eye Surgery] After Middle Age, What Roles Do Upper and Lower Eyelid Surgery Play? image 9

Plastic Surgery Specialist

Ahn Byung-jun

\

Graduated from Kyung Hee University College of Medicine

Board-certified plastic surgeon at Kyung Hee University Medical Center

Full member of the Korean Society of Plastic and Reconstructive Surgeons

Full member of the Korean Society for Aesthetic Plastic Surgery

Full member of the Korean Association of Plastic Surgeons

Full member of the Korean Cleft Palate-Craniofacial Association

Full member of the Korean Medical Association

Full member of the Asian Pacific Section of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery

Full member of the Seoul Gangnam District Medical Association

Former Head of the Department of Plastic Surgery at Daerim St. Mary's Hospital

Former Head of the Department of Plastic Surgery at Myongji St. Mary's Hospital

Former Ethics Committee Member of the Korean Association of Plastic Surgeons

Chairman of Public Relations, Korean Society for Aesthetic Plastic Surgery

Thesis / Scholarship

Academic papers and conference activities

2011 European Society of Ophthalmic Plastic and Reconstructive Surgery (ESOPRS)

2012 The 11th Japan-Korea Congress of Plastic and Reconstructive Surgery

2013 Korean Society of Plastic and Reconstructive Surgeons (PRSK)

2014 Eyelid correction SCIE (APS) paper published

2014 American Society for Aesthetic Plastic Surgery (ASAPS)

2016 sunken SCIE (jcd) paper published

2016 Korean Society for Aesthetic Plastic Surgery textbook authored

2016 American Society for Aesthetic Plastic Surgery (ASAPS) Las Vegas

2016 British Association of Aesthetic Plastic Surgeons (BAAPS) London

2017 American Society for Aesthetic Plastic Surgery (ASAPS) San Diego

2018 Korean Society of Plastic and Reconstructive Surgeons (PRSK)

2018 Oriental Society of Aesthetic Plastic Surgery (OSAPS) Bali, Indonesia

2018 Plastic Surgery The Meeting (PSTM) Chicago

2019 Korean Society for Aesthetic Plastic Surgery (KAPS)

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※ This post is content provided for the purpose of medical information, not for commercial purposes,

in accordance with Article 56, Paragraph 1 of the Medical Service Act,

and is intended to help patients understand the procedure.

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