The Secret to a Youthful Eye Shape in Middle Age! Rewind Lower Blepharoplasty

In the past, plastic surgery was thought to be the exclusive domain of younger people, but today it has expanded to middle-aged and older adults as well. In particular, as interest continues to grow in anti-aging procedures that improve sagging around the eyes and face, and deep wrinkles, I will explain the 'Rewind lower blepharoplasty,' which can improve various issues such as eyelid sagging, hollowing under the eyes, protruding under-eye fat, and tear trough formation.

As we age, gravity causes the skin to sag downward and the soft tissue to diminish, making the underlying bone structure more visible.

To improve these sagging and hollowing issues, the appropriate approach is to do the opposite of that process: lifting and restoring volume.

In the past, lower blepharoplasty was performed by removing and cutting away tissue, which could instead make the expression appear harsher.

However, Rewind lower blepharoplasty preserves the natural three-dimensional contour under the eyes and handles the fat in various ways so that changes such as hollowing do not occur even 10 years later.

Because each person has different conditions around the eyes, the procedure is performed using the ideal method after carefully assessing the upper eyelids, facial contours, the amount of fat, and the pattern of fat protrusion.

>> The human face has multiple fat compartments divided into separate sections.

Among them, SOOF is a fat compartment located below the eyes, and it is the area addressed during lower blepharoplasty. Since it lies beneath the orbicularis oculi muscle that surrounds the eye, the surgery must be performed with minimal incision to the orbicularis oculi muscle and without damaging the facial nerves that are distributed in a complex pattern.

(In this process, excessive incision can interfere with blinking, and if nerves are damaged, numbness in the face or associated movements caused by abnormal neural connections may occur. This is why the surgical team’s skill and know-how are important.)

Rewind lower blepharoplasty procedure

STEP 01. An incision is made below the eyes

STEP 02. The orbicularis oculi muscle is incised (Core technique 1 >> Preserving the orbicularis oculi muscle)

The orbicularis oculi muscle is the muscle responsible for blinking, and it must be preserved as much as possible to maintain its function. A longer incision may make surgery easier, but at our clinic, a small incision is used to preserve nerves, maintain tension, and prevent the under-eye pulling sensation.

STEP 03. The tissue is dissected deeply (Core technique 2 >> Complete separation of the SOOF)

Since the under-eye area is where many facial nerves pass, it is very difficult to dissect this area and go deeply downward. With JW Jeongwon’s technical expertise, deep dissection is possible, which broadens the range of lifting and leads to a more definite improvement.

STEP 04. The fat is repositioned and removed (Core technique 3 >> Fat management)

① The protruding under-eye fat is lifted to improve sagging.

② Fat in the inner portion is moved down toward the tear trough to create volume.

③ If the outer fat is removed, the cheekbone may appear more prominent, so it is left untouched.

STEP 05. The under-eye aegyo-sal is created (Core technique 4 >> Orbicularis oculi fixation (OOM Sling))

This surgery ties the orbicularis oculi muscle to the bone to clearly define the border of the aegyo-sal, making the eye area look softer and lifting the midface for a more youthful appearance. In addition, the tension under the eyes becomes firmer, helping prevent creasing. Because the degree of eye protrusion and bone position differs from person to person, the eye shape can vary greatly depending on where and how the muscle is fixed, so it is important to predict this accurately and perform the surgery accordingly.

STEP 06. The remaining skin is excised after tightening (Core technique 5 >> Skin excision)

If too much is removed, the eyes may not close completely, which can cause eye irritation.

Taking blinking into consideration, the skin is left in a way that preserves the shape and is then precisely excised.

Aging continues over time, so elasticity may decline compared with right after surgery. That is why it is important to make a surgical plan that considers not only the visible issues, but also the appearance 10 years later. JW Jeongwon Plastic Surgery’s Rewind lower blepharoplasty is a procedure whose technical expertise has been recognized by having a paper presented on the topic of “the only incision-based lower blepharoplasty in Asia” and being selected and published in PRS, the most authoritative journal in the United States.

In addition, through various research activities, papers, and academic activities, we continue to build deeper and broader knowledge and expertise.

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