Differences Between Upper Blepharoplasty and Brow Lift Under the Eyebrows

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this is Obje Plastic Surgery Clinic.

Upper blepharoplasty

Upper blepharoplasty is a surgery that removes sagging skin in people who do not have a double eyelid, or who have a low crease,

and creates a new double eyelid line.

It improves sagging skin while at the same time creating a double eyelid line, turning sleepy, drooping eyes into a clearer-looking eye shape.

However, if the amount of sagging skin is too great and a large amount of skin must be removed, the skin covering the double eyelid may become thicker, which can sometimes lead to eyes that look unnatural and harsh, as many people commonly imagine.

Brow lift under the eyebrows

On the other hand, a brow lift under the eyebrows is a surgery that improves drooping eyelids by removing the skin directly below the eyebrows.

Because it can improve drooping eyelids while preserving your own eyes as they are, after surgery the result is not an unnatural or harsh-looking eye, but a natural appearance that keeps your own eyes.

However, since it literally removes only the sagging skin, it is not a surgery that creates a double eyelid line.

Therefore, if the existing double eyelids are asymmetrical or if the strength to open the eyes is insufficient, it has the disadvantage that improvement can be difficult.

And because the sagging skin is removed within the limited space between the eyebrows and the eyes, it can improve eyelid drooping to some extent, but it cannot completely correct it 100%, and some drooping may remain even after surgery.

As many patients in their 40s and older visit the clinic because their upper eyelids are sagging, for those who already have a thin hidden double eyelid, those who do not have a double eyelid at all, and even those who already have a double eyelid but want a clearer-looking eye, or those whose eye-opening strength is weak and need it strengthened, upper blepharoplasty is strongly recommended.

In the case of upper blepharoplasty, there are no cases that are strictly impossible, but there is an important factor that predicts whether the post-surgical shape will look more beautiful or whether it will become a slightly heavy and harsh-looking double eyelid. That factor is 'skin thickness.'

The skin that covers the double eyelid line should be thin for the result to be a natural and clear double eyelid shape.

People with thicker skin, compared with those with thinner skin, may end up with a slightly heavier double eyelid appearance after surgery.

So when the skin sags so much that, with upper blepharoplasty alone, too much skin would need to be removed, a possible option is to first address the sagging to some degree through a brow lift under the eyebrows or a forehead brow lift, and then undergo upper blepharoplasty.

Doing only upper blepharoplasty does not mean that all cases will improve.

In actual consultations with patients, there are some people whose eye-opening strength is especially weak.

It may be congenital, or it may gradually weaken with age, but even when they open their eyes as wide as possible, the black pupils are not fully visible and are often covered. In such cases, surgery to strengthen the eye-opening force becomes necessary, which is also called upper eyelid muscle surgery or eye shape correction surgery.

Many people know it by the term eye shape correction.

It refers to creating a clearer eye shape rather than a stuffy one by strengthening the ability to open the eyes.

Among patients, there are also some whose upper eye area is sunken and who look tired.

In such cases, while performing upper blepharoplasty, it may be necessary to release the fat that has been pulled back and restore it downward,

and if the hollowing remains significant even after the fat is repositioned, additional fat grafting may also be needed.

Which eyes are suitable for upper blepharoplasty? As mentioned earlier, upper blepharoplasty is suitable for people who do not have a double eyelid or who have a low crease.

Simply creating a double eyelid line also lifts a certain amount of skin together when opening the eyes, so it helps improve sagging skin.

It is also suitable for people whose skin is not thick and is rather thin.

Naturally, people with thin skin tend not to have the skin that covers the double eyelid become much thicker after surgery, and the result looks natural.

Which eyes are suitable for a brow lift under the eyebrows? A brow lift under the eyebrows is a surgery that improves only skin sagging.

Therefore, it is suitable for people who already have a clear double eyelid line,

or for those whose double eyelid line is hidden because sagging skin covers the back part of the crease and it is no longer visible.

It may also lead to higher satisfaction for people whose skin is very thick and who are likely to end up with an unnatural, harsh-looking eye if they undergo upper blepharoplasty.

In cases of severe sagging, procedures such as upper blepharoplasty or a brow lift under the eyebrows alone may make it difficult to see a noticeable effect.

What is the solution when sagging is severe? Especially for people whose eyebrows themselves have drooped significantly, performing upper blepharoplasty after first lifting the eyebrows with a forehead brow lift may produce better results.

If a brow lift under the eyebrows is done first to improve eyelid sagging to some extent, and then upper blepharoplasty is performed, it is possible to create a natural double eyelid that does not look harsh.

Today, we looked at upper blepharoplasty and brow lift under the eyebrows, which help improve droopy eyes, a concern for many people these days.

Even if the eyes appear droopy in the same way, the appropriate method can differ depending on the 'thickness of the skin,' so please visit our clinic and receive a detailed consultation.