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Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic

PIAF Plastic Surgery & Dermatology Clinic Jamsil · 1:1 프라이빗 맞춤진료, 잠실 피아프 성형외과 피부과 · May 7, 2025

​ ​ Hello. ​ This is Lim Jin-young, Chief Director of Piap Clinic. ​ Are you troubled these days by eyelids that are gradually sagging? ​ Your eyes may also look smaller than befor...

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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: PIAF Plastic Surgery & Dermatology Clinic Jamsil

Original post date: May 7, 2025

Translated at: April 20, 2026 at 4:24 PM

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

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 1

Hello.

This is Lim Jin-young,

Chief Director of Piap Clinic.

Are you troubled these days by eyelids that are gradually sagging?

Your eyes may also look smaller than before.

And your expression may seem somehow lethargic.

When your face in the mirror feels unfamiliar, that feeling is probably not just a matter of appearance.

It is only natural for your mind to become complicated as well.

That is why many people start considering surgery, thinking, “I can’t leave it like this.”

But once it comes time to take the next step, it is not easy.

“Jamshil upper eyelid surgery or Jamshil lower eyelid surgery?”

It can also be hard to tell which method is right for you...

And you may worry that your expression will look unnatural.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 2

That is okay.

Today I will walk you through all of those concerns one by one.

So that both your eyes and your mind can feel lighter.

Upper eyelid? Lower eyelid? I don’t really know the difference.

That is right.

The names of the two surgeries can be confusing.

In cases like this, think of it simply.

If the area above the eyes is sagging, it is “upper eyelid surgery.”

If the lower area is puffy or hollow, it is “lower eyelid surgery.”

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 3

First, let’s look at Jamshil upper eyelid surgery.

This is a surgery performed when the upper eyelid sags significantly,

or becomes so heavy that it is difficult to open.

The skin of our eyelids is actually very thin and delicate.

But as we age, skin elasticity declines, causing it to loosen and sag.

In some cases, the function of the muscles that open the eyes may also weaken.

Then the eyelids gradually begin to droop.

In severe cases, it can block the field of vision, and the area may look smaller, changing the overall impression.

At this point, a compensatory reaction occurs, where you unconsciously strain your forehead in an effort to open your eyes wider.

As a result, forehead wrinkles deepen, and the eyebrows may gradually rise higher.

Jamshil upper eyelid surgery helps correct this process.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 4

It removes loose skin.

If needed, it also reinforces weakened muscles to help the eyes open more comfortably and clearly.

Now let’s look at Jamshil lower eyelid surgery.

This surgery is suitable for people whose under-eye area is puffy or hollow,

and who often hear things like:

“You look tired.”

“You look older.”

Under the eyes, there is a fat pocket called the orbital septum.

When this shifts forward or hollows out, a boundary appears and it can look like a shadow.

That is why the face may seem dark or look like it has dark circles.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 5

In this case, Jamshil lower eyelid surgery removes bulging fat or repositions it into hollow areas to create a smoother line.

If needed, the skin or muscles are also tightened, helping create a much more lively and youthful impression.

But there is something important to keep in mind.

It is not easy to say definitively, “This method is the right one.”

The eyes are not a structure that can be simply divided into “upper” and “lower.”

The eyelids, fat, muscles, and skin are all connected, so touching just one area can change the entire impression.

It is like a puzzle.

If even one piece is off, the whole picture can look strange, right?

The eyes are the same.

That is why diagnosis is truly important.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 6

The shape of the eyes, skin thickness, amount and location of fat, muscle strength, and even eyebrow position.

All of these must be examined carefully in order to fit the right puzzle pieces together.

So if you are wondering which surgery is right for you?

The best approach is to receive an accurate diagnosis from a medical professional.

But if you have surgery, won’t it be obvious? I’m worried it will look too unnatural.

This is a question many people ask.

And it is truly an important point.

In the past, there were many surgeries aimed at making the eyes look bigger and more distinct.

But things are different now.

People want more of the following:

“A natural-looking eye that does not look surgically altered”

“A design that does not look awkward even as I age”

I also think that is a much wiser direction.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 7

Jamshil lower eyelid surgery and upper eyelid surgery ultimately aim to restore the area around the eyes closer to how it looked before aging.

It feels like gently dusting off layers of time that have built up.

But this is not as easy as it sounds.

The skin around the eyes is extremely thin and sensitive, so if it is handled even a little too aggressively?

The expression may look stiff, or discomfort may occur when closing the eyes.

In severe cases, your expression when smiling can also look unnatural.

That is why something more important than the surgery itself exists.

It is the delicacy of the design and technique.

It is not simply about cutting away skin.

The entire structure around the eyes.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 8

Fat, muscles, conjunctiva, and the tarsal plate all need to be considered and designed in a harmonious way.

For example, if you remove all the fat just because it is bulging,

it may actually make the area look hollow and more aged.

That is why these days, rather than removing fat completely, repositioning it after shaping it is used more often.

The same applies to Jamshil upper eyelid surgery.

If too much skin is removed, the eyes may look smaller.

And an unintended artificial double eyelid may also form.

That is why there are things that must be checked before surgery.

The strength of the eyelid muscles, the degree of eyeball exposure, and the extent of skin sagging.

By analyzing these accurately, you need to find a design that suits your face naturally.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 9

In the end, the key point is this.

Not what you do, but how you do it.

Even with the same materials, the atmosphere of a building changes completely depending on who designs it and how it is built, right?

The eyes are the same.

If you want a natural and comfortable recovery?

It is not too late to discuss it thoroughly and make a careful decision.^^

Finally, let me summarize.

Just because your eyelids sag does not mean surgery is always necessary.

But if you have functional discomfort, or if the face you see in the mirror no longer feels like you?

That may be a signal.

And whether it is Jamshil upper eyelid surgery or Jamshil lower eyelid surgery, what matters is finding the method that is exactly right for you.

So rather than worrying alone, please seek help from a medical professional.

Then the decision will become much easier.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 10

Thank you for reading this long post today.

This has been Lim Jin-young, Chief Director of Piap Clinic.

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 11

Recommended column to read together

Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 12

Piap Clinic
Main number: 02-420-8883

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Jamshil Upper Eyelid Surgery vs. Lower Eyelid Surgery, Including Things to Check Before Surgery - Piap Clinic image 14

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