
Hello.
This is Lim Jin-young, the chief director of Piap Clinic.
The feeling that the area around your eyes
isn't the same as before.
Hearing people around you often say
that you look tired.
And the discomfort of your eyelids sagging,
which makes your field of vision feel cramped.
When you have these concerns,
what many people search for is
"mid-age eye correction."
But as you look into the surgery,
another concern naturally comes up.
It is the choice between
"incisional vs. non-incisional."
Some people say that incisional surgery provides
a definite effect...
While others say that
non-incisional surgery is enough.

With information like this varying so much,
you may have felt unsure about
which method to choose.
So today, I’d like to explain the answer to this concern
and the advantages and disadvantages of each method.
I hope this post helps you find the most suitable
eye correction method for you.
As people reach middle age,
why does eye correction become necessary?
The truth is, the reason is more complex
than you might think.
After middle age,
the tissues around the eyes begin to change
together in various ways.
First, as the elasticity of the eyelid skin decreases,
the area covering the eyes gradually becomes larger.
As a result, the eyes naturally appear smaller,
and the overall impression becomes more heavy.
But is this phenomenon really only
a skin issue?

No, more important invisible changes
are happening underneath.
The muscle that plays the role of opening the eyes.
In other words, the strength of the
levator palpebrae superioris muscle
itself weakens,
or the connective tissue linked to the muscle
becomes loose.
As a result, the force used to open the eyes decreases.
On the outside, it may just look like
"the eyes are sagging?"...
But in fact, the muscle itself is no longer
functioning properly.
As a result, what happens?
The eyelids gradually begin to cover the field of vision.

Unconsciously, you start using the forehead muscles too
in an effort to open your eyes.
Because of this, a vicious cycle begins,
with more wrinkles forming around the eyes
and on the forehead.
In severe cases, excessive tension develops,
making the eyes feel tired all day long.
Some people also develop tension headaches.
So it’s fair to say that, rather than simply saying
the eyes are "sagging," the functional discomfort
is quite significant.
But when this kind of discomfort appears,
what many people think of first is
"double eyelid surgery."
The eyes have sagged,
and the impression has become dull...
So people think,
"Wouldn’t it get better if I remake the double eyelids?"
But the problem is this.
Double eyelid surgery is a method for designing
the line that is visible on the outside.

So it cannot improve the opening force itself.
In other words, it leaves the functional problem as it is
while only refining the appearance.
In such cases,
the symptoms may seem to improve temporarily.
But over time, the eyes may sag again,
or the impression may even become awkward.
That’s why eye changes after middle age
cannot be addressed well by simply making
the outside look pretty.
In many cases, mid-age eye correction is needed,
which restores the function of opening the eyes as well.
If the function of the levator palpebrae superioris muscle
is reinforced through eye correction,
or the loosened tissues are tidied up?
The eyes can be improved to look much more lively
and defined.
Then should it be incisional,
or non-incisional?
By this point, I think you probably have some understanding
of the need for surgery.
But after deciding on surgery,
another concern begins.

That is, for mid-age eye correction,
incisional vs. non-incisional—
which method should you choose?
In fact, if you spend time online,
you’ll often see questions like these.
"Does incisional surgery leave a scar?"
"Non-incisional surgery hurts less, right?"
"Which method is better?"
The answer to this is clear.
It depends on the patient’s eye condition.
As the name suggests, the incisional method
involves making an incision in the skin
and directly accessing the inner tissues.
In particular, if the skin has sagged a lot
or the muscle strength is weak,
the incisional method is appropriate.
Of course, because an incision is made,
a fine scar may remain at first.

However, for most people,
it gradually becomes less noticeable over time.
For example, think of a sagging curtain.
If the curtain rod is tilted,
and the fabric is stretched and dragging on the floor?
Simply pulling on the fabric alone would be difficult to fix.
In that case, you’d need to straighten the rod as well,
and if necessary, trim the fabric too.
The incisional method is exactly this kind of
"fundamental repair."
It carefully corrects sagging skin, weakened muscles,
and even the position of the fat.
Because of this, the eyes become more defined,
and the effect lasts longer.
On the other hand, the non-incisional method
uses threads to pull the muscles without making an incision.
So recovery is faster and there is almost no scarring,
which are its advantages.
However, because it uses threads,
you should keep in mind that its durability may be shorter
than the incisional method.

Then in what cases can it be considered?
It is suitable when the skin sagging is not severe
or when muscle function has not weakened significantly.
Simply put, if the curtain itself is fine
and you only need to slightly adjust the ring position?
There’s no need to dismantle the whole structure.
The non-incisional method is such a case.
In the end, what matters is not the surgical method itself.
It is finding the method that fits your condition perfectly.
Because each of us has different eyes.
The degree of sagging, muscle strength,
skin thickness, and the direction of wrinkles.
Nothing is the same.

So it is best to carefully analyze the structure of your eyes
and determine which mid-age eye correction method
is most appropriate right now.
For this, it would be best to receive
sufficient consultation with the medical staff.
So far, we’ve looked at the "mid-age eye correction
incisional vs. non-incisional" methods.
The most important thing is to find the method
that best suits your eye condition.
Don’t be swayed by phrases like
"guaranteed fast recovery" or
"surgery without scars"...
Take a little more time.
But choose a direction that allows you to
feel a definite change.
That is the best choice.

Only this kind of choice will help you live the next 10 or 20 years
with greater confidence.
This was Lim Jin-young,
Chief Director of Piap Clinic.

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| Main phone number: 02-420-8883 |
