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What Types Are Suitable for Upper Blepharoplasty?

MIHO Plastic Surgery · 미호성형외과의원 : 전문의 4인의 눈 코 바른성형 · October 27, 2025

What Types Are Suitable for Upper Blepharoplasty? As the eyelids sag more and more over time, not only can your expression look less pleasant, but you may also feel discomfort when...

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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: MIHO Plastic Surgery

Original post date: October 27, 2025

Translated at: April 23, 2026 at 1:32 AM

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

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As the eyelids sag more and more over time,

not only can your expression look less pleasant,

but you may also feel discomfort

when looking straight ahead.

In such cases, it is important to find the right

solution for improvement.

Because there are several ways to help correct

sagging eyelids caused by aging, it is wise

to first identify which type applies to you.

If only the drooping portion needs to be removed,

a brow lift may be appropriate.

If you want to renew the shape of a blurred eyelid line,

upper blepharoplasty

can be the right option.

What Types Are Suitable for Upper Blepharoplasty? image 2

If the idea of creating a double eyelid line itself

feels burdensome or seems somewhat

unsuitable for you, help can be provided by

performing a brow lift, which involves making

an incision in the skin below the eyebrow and

dissecting the stretched tissue.

Through fixation to the periosteum,

steps are taken to prevent it from losing strength again,

which can restore a blocked field of vision and

make the eye shape look clearer.

There is a positive aspect in that improvement is possible

without creating a double eyelid, while preserving

your usual impression, but if the distance between

the eyes and the eyebrows was originally narrow,

it may instead make you look older.

In such cases,

upper blepharoplasty

is used to create a natural result.

What Types Are Suitable for Upper Blepharoplasty? image 3

Upper blepharoplasty is similar to the method of

creating a new double eyelid line, but it differs

in the amount of skin that is dissected.

Because aging skin and weakened

muscles can cause the outer corners of the eyes to close

and become irritated, the correction process relatively

often involves removing stretched skin.

When the outer corners droop and are covered by

tissues that have lost elasticity, wrinkles also appear

deeper and you look older, so it is necessary to remove

a proper amount to make the eyes look brighter

and more youthful.

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Compared with simply creating a double eyelid,

this procedure requires greater delicacy because it is

performed by dissecting and fixing the problem area,

considering multiple factors and predicting the outcome

as the area settles into a new design.

Double eyelid lines also come in many forms, such as

in-line, in-out line, out-line, and hidden double eyelids,

and because the shape that blends naturally with each

person is different, the appropriate scope of improvement

is first determined in a way that does not feel awkward

and does not damage the original image.

As people get older, anyone can experience similar

problems, so if you have lived a long time without a double

eyelid, it is most important to make a decision while

considering these characteristics.

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In general, the procedure removes weakened muscles

and then creates the double eyelid line according to the

design that was discussed and decided in advance,

and the average procedure time is about one hour.

The operation involves making an incision, removing the

skin of the eyelid that has lost elasticity and is causing

problems, and then suturing it appropriately. Through this

process, the eyes can be improved so they look clearer,

do not cover the pupils, and appear more lively,

addressing both a youthful appearance and discomfort

in daily life.

What Types Are Suitable for Upper Blepharoplasty? image 6

Upper blepharoplasty can help resolve a variety of

inconveniences while also improving appearance by one step

in cases where wrinkles around the eyes stand out due to

drooping skin, or where irritation occurs beyond that,

or where the drooping eyelids and sagging eyelashes

poke the inside of the eye, causing stinging and frequent

tearing.

If you have had a double-eyelid-free eye shape, you should

keep in mind that it may take some time to adapt.

During recovery, swelling may make the thickness look

somewhat exaggerated, so you need to keep in mind that it

may settle gradually over about 6 months to 1 year and

allow yourself some patience.

What Types Are Suitable for Upper Blepharoplasty? image 7

If it is difficult to have an adjustment period, you can also

consider planning for a hidden double eyelid rather than a

more visible shape, so that the eye shape becomes clearer

while preserving your original impression, which does not

differ greatly from your usual appearance.

Because the process of shaping the eyes is complex and

delicate enough that even small differences can make the

image look different, you should discuss it directly with the

surgeon who has long clinical experience in handling such

cases and make a careful decision. Only then can you receive

the result you actually expected and wanted.

What Types Are Suitable for Upper Blepharoplasty? image 8

When performing upper blepharoplasty,

the anesthesia plan may be applied slightly differently

depending on how the procedure is planned.

It is usually applied in a way that places as little burden as

possible, but there are also cases where general anesthesia

must be performed because correction is also needed in

other areas. In such cases, you must clearly hear and decide

based on the explanation of any possible future issues.

During general anesthesia, there is a risk that malignant

hyperthermia may occur due to various substances such as

muscle relaxants and inhaled anesthetics, leading to muscle

rigidity, decreased oxygen saturation, and increased body

temperature. It is necessary to check how well such

situations are handled before making a decision.

What Types Are Suitable for Upper Blepharoplasty? image 9

Several options have been proposed, but among them,

dantrolene is a medication that has a particularly positive

effect in preventing malignant hyperthermia in advance.

It is not prepared everywhere, so if this is a concern, please

also check whether the necessary equipment and dantrolene

are available so that emergency situations can be addressed

quickly.

How well the post-procedure care program is managed is

also important, so it would be best to determine whether the

facility properly takes care of the later stages as well before

making a decision.

What Types Are Suitable for Upper Blepharoplasty? image 10

Through this article,

we looked at whether the seemingly similar symptoms

are the type that requires upper blepharoplasty or not.

Because each person wants something different, such as

a noticeably changed impression or, on the contrary,

correcting only the excess tissue while keeping the existing

image, the appropriate method for each person can only vary

depending on the situation.

If symptoms such as excessive fat accumulation in the upper

eyelid area that requires fat removal, or orbital fat protruding

below the eyes that makes you look older, are also present,

you should combine other options such as lower blepharoplasty

and create a helpful plan. I hope you will carefully identify

the applicable type and make the proper corrections.

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