May Trends in Middle-Aged Eye Surgery: What Are the Key Points of Upper and Lower Blepharoplasty and Under-Eye Fat Repositioning? [Gangnam Eye Surgery Specialist, Note Plastic Surgery, Director Lee Bo-hyeong]

5월 중년 눈성형 트렌드, 상하안검 눈밑지방재배치 수술 핵심은? [강남 눈성형 잘하는 곳 노트성형외과 이보형원장]

Looking youthful means a face that appears younger than one’s actual age, and because it gives off a young and lively impression, it is a beauty standard preferred by many people. In particular, the eyes are considered the key to a youthful appearance. No matter how youthful other facial features may be, if drooping eyelids, under-eye fat, or under-eye wrinkles stand out, it can easily make a person look older. For this reason, eye surgery for a youthful appearance continues to be mentioned as a trend in middle-aged cosmetic surgery.

Recently, as many people have been looking into eye surgery for their parents ahead of May, Family Month, experts say that to increase satisfaction with middle-aged cosmetic surgery, it is important to pay attention to the differences and effects of the various eye surgery methods. The representative methods for youthful-looking eye surgery in middle age are upper blepharoplasty, lower blepharoplasty, and under-eye fat repositioning. As people age, eyelid sagging becomes more severe and wrinkles around the eyes become more noticeable, and these changes around the eyes can create a tired-looking impression. In severe cases, moisture and skin irritation around the eyes can interfere with vision and lead to functional problems such as ptosis. In such cases, upper blepharoplasty can help.

Upper blepharoplasty involves making an incision in the eyelid skin according to a customized design by the medical team and removing excess skin and fat to create eyes that look both youthful and refreshed. Since the orbicularis oculi muscle is pulled, fixed to the conjunctiva, and sutured during the procedure, a clearer eye-correction effect can be expected. To increase satisfaction with upper blepharoplasty, it must be performed carefully by comprehensively considering the degree of eyelid sagging, the extent of muscle laxity, the need for double eyelid improvement, the amount of eyelid fat, skin condition, and any history of previous surgery.

Next, if the skin under the eyes is severely stretched and fat has accumulated, causing under-eye wrinkles and sagging, lower blepharoplasty is appropriate. Lower blepharoplasty is a method that removes unnecessary under-eye fat and sagging skin while pulling and fixing the loosened muscle. By removing under-eye fat, it creates a flatter and cleaner under-eye area, and by firmly tightening the skin under the eyes, it can improve under-eye sagging and wrinkles.

If the under-eye sagging is not severe, under-eye fat repositioning can help. Under-eye fat repositioning redistributes protruding fat to sunken areas, creating a smooth and natural under-eye line. The incision is made through the conjunctiva inside the eye, so there is no external scar even after under-eye fat grafting. Under-eye fat repositioning can offer a natural youthful effect without worrying about scars.

Lee Bo-hyeong, Director of Note Plastic Surgery in Seoul and a board-certified plastic surgeon, said, "Middle-aged eye surgery is a high-difficulty procedure that goes beyond simply removing wrinkles around the eyes and must also improve the sagging skin tissue caused by aging. In particular, for middle-aged patients, if complications occur, it is difficult to perform revision eye surgery, so it is better to achieve a definite improvement with a single middle-aged eye surgery.

When choosing a good clinic for middle-aged eye surgery, rather than judging only by under-eye fat repositioning costs or upper blepharoplasty prices, it is important to accurately assess individual skin elasticity, eyelid sagging, the degree of under-eye wrinkles, the extent of under-eye fat protrusion, the need for eye-correction surgery, and the need for under-eye fat grafting, and then decide on the most appropriate eye surgery method. To do this, one should choose a specialist with extensive experience in under-eye fat removal and grafting procedures, as well as know-how in upper and lower blepharoplasty and abundant knowledge of eye anatomy," he explained.

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