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place good at eye plastic surgery # types of double eyelid surgery # drooping eyelids # bright eye shape # sunken eye surgery # eye asymmetry correction # wrinkles above the eyes # drooping eyebrows # senior double eyelid surgery
Young-looking eye shape blepharoplasty
What is upper blepharoplasty (upper eyelid drooping surgery)?
This is a surgery that improves an aged, downward-sagging upper eyelid (upper eyelid drooping) into a more attractive shape, helping the eyes look younger while also addressing eye fatigue and visual obstruction.
Indications for upper blepharoplasty
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When the eyelids sag so much that they feel heavy and tired
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When the eyelids droop and cover the pupils, causing visual impairment
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When sagging eyelids make a person look older
If the skin of the upper eyelid has sagged, upper blepharoplasty should be performed to remove the excess skin.
This is done to remove the loose skin and create a more natural double eyelid line.
Upper blepharoplasty has a broader meaning that includes double eyelid surgery.
If there is already an existing double eyelid line, the line is preserved and only the loose skin above it is removed.
For those without a double eyelid line, a natural line is created.
Upper blepharoplasty (upper eyelid drooping surgery) procedure
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 1](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/d9989b171960df7046cdb3be58752d4c002b8683a074bac672ed9429eef4b94e.png)
- Before surgery, the width of skin to be removed is determined.
At this stage, the amount of skin remaining is measured by pinching it, and the upper eyelid skin is marked with special ink before anesthesia.
If the outer part of the eye is more sagging, the design includes an additional 5 mm to 10 mm beyond the outer canthus.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 2](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/b56e58befb4ef600d1f3fd94494c2500b4c42509a823578c6084233bd0c28042.png)
- Local anesthesia is administered along the planned design line.
Because local anesthesia is performed under sedation, there is no pain at all during the anesthesia.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/ec559d9f7ace03dbe08135f0763eba1b6323c8ee153e9acae5f8c08c5e4ac683.png)
- After anesthesia, an incision is made in the skin along the design line.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/89232118912faa60e13f5d5ff5652ab59b624254867b3b29e1742ae71dc6f5fc.png)
- After the incision, the skin tissue inside the incision line is excised.
Sometimes the muscle layer is also removed together.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/ffbe96906420cce21f440fdcb31168a5aa8ece12f7add21d55f1c998661e165c.png)
- If there is a lot of fat, orbital fat may also be removed.
If double eyelids are desired after fat removal, a three-point suture may also be performed at about three points to create the crease.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 6](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/2431a77aef0bce8a487589d3a3aebf817545867036af99e067b30275b3adaa7a.png)
- Finally, the skin is sutured.
To minimize scarring, the stitches are placed closely at 1 mm intervals.
After suturing is complete, the area is disinfected and the patient goes home.
The stitches are removed after 4 to 5 days.
Postoperative care for upper blepharoplasty (upper eyelid drooping surgery)
- For the first 3 days after surgery, apply cold compresses with the cool pack provided by the hospital for 2 to 3 hours a day for 3 days only.
The cold compresses may be done continuously for 2 hours, or divided into 20 to 30 minute sessions.
It is usually convenient to do this before going to sleep.
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Visit the clinic 1 to 2 days after surgery to disinfect the surgical site.
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Visit on the 4th or 5th day after surgery to remove the stitches from the surgical site.
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After stitch removal, you may wash your face and apply makeup, and you may also shower or use a sauna or jjimjilbang.
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Swelling after surgery varies by person, and it usually subsides to some extent within 7 to 14 days.
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Avoid alcohol and smoking for about a week after surgery.
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Return to the clinic one month after surgery for follow-up.
Examples of upper blepharoplasty (upper eyelid drooping surgery)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 7](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/2213b471a4376cfde17eb92afc91b9bccb56ab5ceb290703833153b719f518b9.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 8](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/56bcc3b89970d8e2979afb1eccd0c7b7cb6784c66b8625a5bbef9bb5c4a860c6.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 9](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/a79808c05a60ba1467cfec62ad5480a2dc0fe6e0b9543bc218417430cffba7ac.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 10](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/70f576d81b96f0f1da44c5d52afcc0a14cb835bbbd638db466f12d6994f0d2d1.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 11](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/5d2443eb68cb74d15cc80801b61249c26c5520fd1bc9817a408a157c4683d250.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 12](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/c8a1172b0dea995f07c159a9d96b011d67faea9a5730a215b61870f5297da716.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 13](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/5d1a9c1cc313c8ad1aa943ea626b39b7885bcd9cbe9ef7050d7e03ef960f8b18.jpg)
Young-looking eye shape blepharoplasty
What is lower blepharoplasty (under-eye wrinkle removal surgery)?
This is a surgery that improves an aged, downward-sagging lower eyelid into a more attractive shape,
making the under-eye area look brighter and younger while giving an improved impression.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 14](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/da5661527591cefa3890cea2dc54493830a63e37921f95da1a42b6ede351c0d2.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 15](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/915979dac401270fa4ddb2516905e0919b0a6cf35470ade1f3e21aa607a51bca.jpg)
If the eyelids are sagging, lower blepharoplasty should be performed to remove some of the eyelid skin.
This is because the sagging eyelid cannot simply be left as it is and operated on.
An incision is made in the skin, an appropriate amount of skin is removed along the designed line, and the skin is sutured.
During surgery, fat may also be removed or repositioned to correct hollow areas at the same time.
Indications for lower blepharoplasty (under-eye wrinkle removal surgery)
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When there are many wrinkles on the lower eyelids
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When the skin looks saggy because of wrinkles
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When wrinkles make you look much older
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When there are dark circles
Lower blepharoplasty (under-eye wrinkle removal surgery) procedure
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 16](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/a923e3d707043d50858dab53bd5da247255c26c5b370c3f1d0f58663657f1a8e.jpg)
- Before anesthesia, the area is marked with special ink just below the eyelashes, and local anesthesia is administered under sedation.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 17](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/1e77478b14f0470f595cba503fb5a1110686cfd79e4074cb9dea0e42aa2552d3.jpg)
- After local anesthesia, an incision is made along the design line.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 18](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/44f4824cf894031469c4b06f84ce866316929bd0576746d82d648f46b836b20d.jpg)
- A sufficient dissection is made between the muscle layer and the fat layer down to below the wrinkle line, lifting the muscle and skin.
If there is a lot of fat, fat repositioning is performed by pulling the fat downward to fill hollow areas and fixing it with sutures to smooth the area.
Fat repositioning can only be applied when there is a lot of fat; it cannot be applied when there is little fat or when the eye area is already hollow.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 19](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/8c9773b775b260a5fa169eb15173facc71fc669fbbf0a810e7887348da4692c.jpg)
- The skin is pulled upward and outward with forceps to flatten the wrinkles, and the remaining skin is measured.
The amount to be removed is determined by designing based on the remaining skin.
To prevent the skin from sagging again, it is fixed to the periosteum at the outer canthus.
This is called lateral canthopexy.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 20](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/cd7c10c6e34c19eab66d7b0d8801a126f097c84bf43d4cee716ff0dd3346486d.jpg)
- An appropriate amount of skin is removed along the design line.
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 21](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/8957e7e0c495b1edb5d3ea83d6e1bb943b709e0522842605dce17112670b0ffc.jpg)
- After skin removal, the skin is carefully sutured with fine thread.
After suturing is complete, the area is disinfected, a flesh-colored bandage is applied, and the patient goes home.
The stitches are removed after 4 to 5 days.
Examples of lower blepharoplasty (under-eye wrinkle removal surgery)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 22](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/18093d40d25b83d83b3b4bd489c93835197f179ec13b36ca38e2ff6a03036123.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 23](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/33327c0feab5206c5e47ea901684ccee3bab0b538f6e6888955ec286bf1d3745.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 24](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/3dba16a6510694fe23e985d92368952259dfcb588ac8c86a0e2eca48ac852304.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 25](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/8399c1f8ada0221b8db2df3f203cf8731d63b29bf3d9aa3ef4983aa68ef2f1fc.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 26](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/fb14e8791126e1464a2c33f76689e30c3df894a790337b4c7900d5a834e552e1.jpg)
![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 27](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/9462b08ae4dff2eaaa441f3bacb8363cc92baefd8076fecc3f9aa274295e35d9.jpg)
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![[Duhan Plastic Surgery Ophthalmic Surgery] - [Upper Blepharoplasty, Lower Blepharoplasty] image 33](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/f98b721498/naver_blog/gimlet1124/assets/by_hash/89909c577bffcf206753abfe403d291b6c17b8828fd26cbd6e2df79af137b90b.jpg)
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Postoperative care after lower blepharoplasty (under-eye wrinkle removal surgery)
- Apply cold compresses with the cool pack provided by the hospital for 3 days after surgery.
Do this for 2 hours a day for 3 days.
The cold compresses may be done continuously for 2 hours, or divided into 20 to 30 minute sessions.
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Visit the clinic 1 to 2 days after surgery to disinfect the surgical site.
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Visit on the 4th or 5th day after surgery to remove the stitches from the surgical site.
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After stitch removal, you may wash your face and apply makeup, and you may also shower or use a sauna or jjimjilbang.
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Swelling after surgery varies from person to person, and it usually subsides to some extent within 7 to 14 days.
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Avoid alcohol and smoking for about a week after surgery.
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Visit the clinic one month after surgery for follow-up.
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http://www.duhans.com