When Is Lower Eyelid Surgery Needed for Midlife Under-Eye Sagging?

Hello. We are Mary Plastic Surgery Clinic, pursuing natural and beautiful changes.

As our bodies age, they naturally go through the aging process.

Among them, the skin tissue around the eyes is thin and sensitive, so it is one of the areas where aging progresses especially quickly.

As aging progresses, various problems tend to appear around the eyes.

As the skin and soft tissue weaken, wrinkles form, and sagging can occur, which may obstruct vision and affect the eyes, creating functional problems as well.

In particular, the under-eye area can look even more aged as the fat itself protrudes and shadows form beneath the eyes.

For these reasons, many people consider midlife under-eye sagging surgical methods such as under-eye fat repositioning or lower eyelid surgery.

However, if surgery is performed without accurate information and understanding, side effects may occur. So it is best to fully understand which midlife under-eye sagging surgical method is right for you before making a choice.

What are the surgical methods for midlife under-eye sagging?

✅ Under-eye fat repositioning

Under-eye fat repositioning is a method used to improve the symptom of fat protruding under the eyes because excess fat accumulates with age and the supporting tissue becomes weaker.

Through the conjunctiva, the excessively protruding fat is repositioned to hollow areas, or removed if necessary, improving both under-eye volume and shadowing at the same time.

Because the procedure is performed through the conjunctiva inside the eye, no external scar is visible, which can reduce concern about scarring.

✅ Lower eyelid surgery

Lower eyelid surgery is a procedure in which an incision is made along the lower lash line close to the outer corner of the eye, and the bulging fat is repositioned.

After appropriately removing loose skin and muscle, the area is sutured, which can help improve wrinkles under the eyes.

However, these two midlife under-eye sagging surgical methods should be chosen differently depending on the need.

Under-eye fat repositioning is relatively suitable for people who still have some skin elasticity and whose main concerns are under-eye sagging and shadowing. Lower eyelid surgery is better for cases where wrinkle removal due to aging is needed or sagging has become more severe.

That is why under-eye fat repositioning involves removal and repositioning of under-eye fat, while lower eyelid surgery also includes wrinkle improvement, fat removal, and removal of excess skin.

The incision sites are also different, so the appropriate midlife under-eye sagging surgical method can be considered according to the patient’s under-eye condition.

Advantages of Mary’s lower eyelid surgery

In general, there is a misconception that this kind of lower eyelid surgery has few side effects.

However, if lower eyelid surgery is performed without being tailored to the individual and excessive tissue is removed, problems such as ectropion may occur.

Ectropion is a condition in which the conjunctival surface is exposed because too much of the outer skin is removed and sagging occurs, causing the conjunctival area to turn outward.

This can not only make the face look more tired, but also lead to dry eye syndrome as moisture from the conjunctiva evaporates.

Therefore, to prevent such side effects, it is advisable to receive a customized procedure at a place with sufficient surgical experience.

At Mary Plastic Surgery Clinic, a tiny incision leaves almost no scar and helps restore under-eye volume, so a more youthful look can be expected.

With this kind of lower eyelid surgery, some people think that removing under-eye volume will also reduce the fullness under the eyes, but because the remaining fat tissue is repositioned and firmly fixed through careful design, a naturally plump yet smoother appearance can be expected.

With 1:1 customized care

At Mary Plastic Surgery Clinic, the clinic director, a board-certified plastic surgeon with extensive surgical experience, carefully analyzes each patient’s condition and provides guidance only on the midlife under-eye sagging surgical method that is truly necessary.

All procedures are planned on a 1:1 customized basis from the analysis, and are carried out only after sufficient consultation.

This helps reduce concerns about side effects such as ectropion or recurrence.

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