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Considering lower blepharoplasty for under-eye sagging?

ATOP Plastic Surgery · 에이탑성형외과 · May 26, 2025

Considering lower blepharoplasty for under-eye sagging? Living gracefully as you age is something everyone hopes for. Changes such as natural wrinkles and sagging skin are unavoida...

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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: ATOP Plastic Surgery

Original post date: May 26, 2025

Translated at: May 1, 2026 at 10:54 AM

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

Considering lower blepharoplasty for under-eye sagging? image 1

Living gracefully as you age is something everyone hopes for. Changes such as natural wrinkles and sagging skin are unavoidable and happen to everyone, but whether these signs make you look youthful or older depends on how you manage and improve them. In particular, the skin around the eyes, where the skin is thin, ages quickly, so many middle-aged people undergo lower blepharoplasty for under-eye sagging, and there are also many reviews of Atop Plastic Surgery. There are various methods for improving drooping eyelids, such as double eyelid surgery, brow lift surgery, and lower blepharoplasty for the under-eye area, so it is best to apply the appropriate method according to the cause and condition.

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Middle age when incision double eyelid surgery is needed

Incision double eyelid surgery is, as the name suggests, a procedure that creates an artificial double eyelid line by incising the eyelid skin. It is one of the surgeries considered by people who want lower blepharoplasty for under-eye sagging, but in fact, it is more suitable for cases where the skin has stretched from frequent use of double eyelid tape or glue, rather than when there are drooping symptoms caused by aging.

In the case of upper blepharoplasty, the tissue of the drooping eyelid itself is removed, which corresponds to lower blepharoplasty for under-eye sagging, but the purpose of incision double eyelid surgery itself is to create a double eyelid line. Therefore, the amount of eyelid skin removed is relatively smaller than in upper blepharoplasty. If you are a middle-aged person considering incision double eyelid surgery, it may be more helpful for those whose ptosis is not severe or who do not have major functional problems, and for those whose main goal is simply to create a double eyelid. It is a good idea to confirm through consultation whether this is the surgery you need.

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Brow lift surgery, improving the eye area without visible scars

Among lower blepharoplasty procedures related to eyebrow lifting, there is a procedure called a brow lift. This can help improve drooping eyes by pulling up sagging skin and muscle without affecting the existing double eyelid line. It helps relieve eyelid drooping that was somewhat difficult to improve with conventional upper blepharoplasty, allowing the eyes to regain a clearer appearance.

As aging progresses and the eyelids sag, the eyes can look sleepy and tired. Conversely, lifting drooping eyelids can create a sharper, more defined look. In a brow lift, the incision is made along the lower brow line below the eyebrow, and after recovery, the incision line tends to blend into the eyebrow hair and is not easily noticeable. In other words, because the scar is less visible, it may help those who feel burdened by lower blepharoplasty. This surgery can improve the eyes into a naturally youthful look without incision double eyelid surgery. The change is natural, with little impression of looking strong or severe.

Considering lower blepharoplasty for under-eye sagging? image 4

A brow lift refers to making an incision below the eyebrow, while an incision above the eyebrow is called an upper brow lift. For these brow lift procedures, that is, eyebrow lifting, it is important to analyze the shape of the eyes and eyebrows and apply the appropriate method accordingly. A plan should be made by assessing various factors such as skin thickness, the distance between the eyes and eyebrows, and the degree of eye drooping in order to correct the eyes.

Considering lower blepharoplasty for under-eye sagging? image 5

Creating firmness under the eyes with lower blepharoplasty

The symptom of drooping eyes does not occur only in the eyelids; it also occurs under the eyes. As the muscles under the eyes weaken and the strength of the orbital septum decreases, the fat it was supporting also begins to sag. As a result, the fat under the eyes becomes puffy and uneven, and wrinkles become more noticeable. Dark circles appear, making the face look dull or not bright, which is why lower blepharoplasty becomes necessary to improve this.

Lower blepharoplasty is performed by removing and repositioning sagging skin and fat caused by aging. The skin is incised to remove excessively protruding fat and reposition the remaining fat. It is important to make the smallest possible incision without damaging the orbicularis muscle, because this helps prevent a complication of lower blepharoplasty in which the skin under the eyes turns outward. This complication is called ectropion, and if too much is cut under the eyes and the orbicularis muscle is damaged, the lower eyelid can turn outward, so caution is needed.

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Types that need lower blepharoplasty for the under-eye area

Middle-aged people often consider cosmetic surgery because of drooping eyes that appear with age. They worry that they no longer look youthful, but instead look older, sleepy, tired, and not sharp. However, if functional problems accompany these cosmetic concerns, surgery can be even more helpful.

Under-eye sagging or fat bulging does not cause functional problems, but the eyelids are a different matter. In cases of ptosis, it is not just the eyelid skin that is drooping; the muscle that opens the eyes is also weak. As a result, people may strain their forehead and try to lift their eyes, and the sagging eyelids and eyebrows can irritate the eyes, potentially causing reduced vision. If such functional problems are present, consider lower blepharoplasty without delaying it any longer.

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Various types of middle-aged eye surgery require a different approach from ordinary eye surgery. Compare several reviews of Atop Plastic Surgery, and of course check the surgical methods and solutions that are right for you. At the same time, I hope you can proceed safely with a clinic that also considers psychological factors such as fear of surgery, pain, and worries about slow recovery when planning the procedure.

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