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Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic

PIAF Plastic Surgery & Dermatology Clinic Jamsil · 1:1 프라이빗 맞춤진료, 잠실 피아프 성형외과 피부과 · September 2, 2025

Hello. Piaf Clinic I am Jin-Young Lim, the chief director. “My upper eyelids sagged down and blocked my field of vision, which was stressful...” “People around me said I looked old...

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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: September 2, 2025

Translated at: April 20, 2026 at 2:51 PM

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

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 1

Hello.

Piaf Clinic

I am Jin-Young Lim, the chief director.

“My upper eyelids sagged down and blocked my field of vision, which was stressful...”

“People around me said I looked older...”

You may be considering upper eyelid surgery with thoughts like these.

Many middle-aged people look into upper eyelid surgery because their eyelids start to sag as they age.

However, if you are middle-aged, there is a high chance that you should consider not only upper eyelid surgery,

but also lower eyelid surgery.

Why is that?

Because the causes of upper eyelid issues and lower eyelid issues are the same.

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 2

“What’s the difference?”

Below, starting with the reasons why eyelids sag,

I will explain the realistic reasons why you should also consider lower eyelid surgery.

At the end, I’ve also written down one helpful tip to keep in mind when choosing a clinic,

so please focus for just 3 minutes and read to the end. I hope it will be very helpful.

Why do eyelids sag? It has to do with OO. Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery

First, let me explain why the upper eyelid sags.

The reason the eyelid droops is aging.

Unlike when we are young, as we get older, many changes occur in the body.

Skin sagging and the appearance of more wrinkles are typical examples.

The upper eyelid is no different.

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 3

When we open our eyes, a muscle called the levator palpebrae superioris is used unconsciously.

This muscle is also called the "eyelid lifting muscle."

As the name suggests, it is the muscle that lifts the eyelid covering the eye.

The problem is that as we age, this muscle can weaken.

In simple terms, the strength used to open the eyes becomes weaker, so you cannot open them properly.

In addition, the skin and fat tissue around the eyes also sag due to aging.

At this time, the stretched skin covers the eyeball and narrows the field of vision.

In other words, the reason the upper eyelid sags can be seen as a combination of factors:

muscle, skin, and fat affected by aging.

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 4

Then how is Konkuk University upper eyelid surgery performed?

First, strengthen the weakened muscle (the eyelid lifting muscle).

Second, remove the skin that has unnecessarily stretched and is covering the eyeball.

Third, remove or reposition the fat around the upper eyelid.

That is how it is performed.

Next, I will explain the realistic reasons why middle-aged people should also consider lower eyelid surgery.

Why should you also consider lower eyelid surgery?

Just as the cause of upper eyelid issues is aging,

the cause of lower eyelid issues is also aging.

What does this mean?

It means that middle-aged people often experience problems with both upper and lower eyelids at the same time.

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 5

Just as the muscles, skin, and fat that make up the upper eyelid sag,

the tissues that make up the lower eyelid can droop in the same way.

Let me explain in a little more detail.

First, the eyes are surrounded by "orbital fat," which acts like a cushion.

You can think of orbital fat as something that helps reduce impact when the eye receives a shock.

The problem occurs as we age, when the "orbital septum" that holds the orbital fat becomes weaker.

The orbital septum can be thought of as a fence.

It firmly holds the orbital fat in place so it does not move outward.

What if the orbital septum becomes loose?

The orbital fat protrudes, and as a result, the puffy fat under the eyes bulges out.

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 6

In addition, as we age, collagen and elastin in the skin decrease.

In particular, collagen is a component that is responsible for skin elasticity.

When this collagen becomes insufficient, what happens to skin that used to be firm?

It naturally stretches and sags.

Fat, skin, and muscle can also be weakened by aging.

Then how is lower eyelid surgery performed?

I think you can probably get the idea now.

Like Konkuk University upper eyelid surgery, excess skin is removed, weakened muscles are reinforced,

and the bulging fat under the eyes is repositioned.

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 7

You can think of it as smoothing out an uneven surface.

Now I think you understand, at least a little, why middle-aged people considering upper eyelid surgery also need to think about lower eyelid surgery.

Now, lastly, I’ll cover "one tip that can be helpful when choosing a clinic."

Tip for choosing a clinic? Do not fall into just 3 traps. Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery

In most cases, people choose a clinic based on the following 3 criteria.

A place close to home, a place with many reviews, a place running a promotion...

But more fundamentally important than these 3 is choosing a place that recommends customized surgery while considering the overall harmony of your eyes and face.

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 8

In other words, you should visit a clinic that offers customized solutions, not a factory-style approach.

"Doctor, how can I find such a place?"

It is simpler than you might think.

Visit at least 3 clinics and get examined.

Then, during the examination process, you can see whether they work in a factory-like way,

or whether they carefully understand each individual face.

For example, whether they closely examine things like the degree of skin and muscle sagging, the distribution of fat in surrounding tissues, and even how your impression will change after surgery...

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 9

Please observe these things carefully.

Of course, right now this may not feel very real,

but if you trust my advice and visit several places, I think you will get a sense of it.

In any case,

I hope this article has been very helpful for middle-aged people considering Konkuk University upper eyelid surgery.

Konkuk University Upper Eyelid Surgery? Realistic Reasons You Should Also Consider Lower Eyelid Surgery - Piaf Clinic image 10

This has been Jin-Young Lim, Chief Director of Piaf Clinic.

Thank you for reading this long post.

Related column

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Piaf Clinic
Main number: 02-420-8883

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