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Middle-Age Eye Surgery for Sagging and Drooping Eyes

Objet Plastic Surgery · 오브제성형외과의원 · December 20, 2023

One of the most common concerns in middle age is sagging, puffy eyes. ​ As people get older, a decrease in skin elasticity and the appearance of wrinkles are natural effects of agi...

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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: Objet Plastic Surgery

Original post date: December 20, 2023

Translated at: April 23, 2026 at 4:18 AM

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

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One of the most common concerns in middle age is

sagging, puffy eyes.

As people get older,

a decrease in skin elasticity

and the appearance of wrinkles

are natural effects of aging,

but in a time when the length of working life has increased,

signs that make someone look older

are not especially welcome.

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✓ Middle-age eye surgery

✓ Sagging, puffy under eyes

Today, I want to talk about

these three keywords.

Even if you are not actively working,

the desire to look younger

is common to everyone.

The reason wrinkles around the eyes

stand out more clearly

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Because the skin around the eyes is thin and delicate, wrinkles appear much more prominently than in other areas, which can make the under-eye area look puffed up.

The fundamental reason is that orbital fat is located around the eyes.

When orbital fat protrudes downward,

Middle-Age Eye Surgery for Sagging and Drooping Eyes image 5

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In front of the orbital fat,

there is a tough tissue called the septum,

which helps keep it stably in place.

However, as we age,

if the septum loses elasticity and stretches,

the orbital fat can protrude forward or downward,

creating a fat pouch under the eyes.

As a result,

✓ under-eye puffiness,

✓ tear troughs

✓ Indian bands

can occur.

What are tear troughs and Indian bands?

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The area under both eyes becomes deeply hollowed,

and diagonal wrinkles form.

This happens because of the facial retaining ligaments.

Retaining ligaments play a role in

maintaining and stabilizing the position of the skin and muscle layers.

When retaining ligaments stretch due to aging,

tear troughs and Indian bands

can appear.

Under-eye puffiness

Under-eye hollows

Indian bands

A middle-age eye surgery that addresses them all:

lower blepharoplasty

Lower blepharoplasty involves

✓ cutting the retaining ligaments attached to the bone

✓ tightening the stretched septum

✓ repositioning protruding under-eye fat

✓ pulling and fixing the loosened muscle

✓ removing the excess skin

Lower blepharoplasty side effects

✓ Swelling may occur.

Cold compresses are needed to manage this.

✓ Ectropion

This is a condition in which the eyelid turns outward. It can occur when too much tissue is removed, or when a hematoma develops after surgery, or when scarring is excessive. In particular, the likelihood is even higher in patients with protruding eyes or in cases where under-eye elasticity has significantly decreased.

Lower blepharoplasty

When swelling and bruising disappear

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In most cases, they disappear after about 2 weeks,

and you can go out again.

Dry eye symptoms may temporarily worsen,

but they will heal naturally.

Obje's know-how for preventing ectropion

Not only simple skin incision,

but muscle fixation may also be necessary,

so be sure to have充分 consultation with the doctor before surgery.

Dr. Kim Hyun-jo, a board-certified plastic surgeon at Obje,

who specializes in middle-age youthful plastic surgery,

carefully examines each patient's

skin condition and anatomical structure

before planning and performing the surgery.

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In the case of lower blepharoplasty,

it is a method that improves skin sagging and lifts the skin

to address eye-related concerns that can occur in middle age.

However, if the same standardized surgery is performed for everyone,

side effects may occur,

so the necessary approach should be discussed according to each person's situation,

and you should choose the method that is right for you.

■ View Dr. Kim Hyun-jo's profile for middle-age youthful plastic surgery

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