(Middle-aged) Upper Eyelid Surgery and Lower Eyelid Surgery at the Same Time

| As we age and the skin gradually loses elasticity, sagging also occurs. These symptoms are natural changes caused by aging, but deepening wrinkles and skin that has lost its firmness can cause significant stress. When the eyelids sag and wrinkles appear under the eyes, you may look tired and create an image with severe dark circles, even giving a prematurely aged impression. That is why upper eyelid and lower eyelid surgery are performed to create a clean, more youthful look. |

< Candidates for upper eyelid surgery >

1. When sagging eyelids hide the double eyelids

2. When sagging eyelids interfere with your field of vision

3. When drooping skin presses down and the eyelashes poke the eyes

4. When you use your forehead muscles to open your eyes, causing many wrinkles on the forehead and around the eyes

| After making an incision, removing the stretched skin tissue and unnecessary fat, and tightening and suturing the skin, the eye area can be improved to look clearer and neater. In this case, before surgery, the drooping eyelids made the double eyelids barely visible, and the patient was lifting the sagging skin with the forehead, causing deep forehead wrinkles. The double eyelid line was visible toward the front, but the sagging skin covered the outer corner area, so the double eyelid line was not visible. At our clinic, by removing the sagging eyelid skin, the eyelids become naturally visible, and the forehead no longer needs to be raised to compensate for the drooping eyelids, resulting in many aesthetic and functional benefits. |

| You can also see that wrinkles around the eyes are prominent, and after upper eyelid surgery, wrinkle improvement around the eyes can be achieved as well. Even when the eyes are closed, the double eyelid line looks much cleaner. There is a slight scar visible, but it will continue to improve over the next six months. By assessing the degree of eyelid sagging and the condition of any unnecessary stretched muscle, the wrinkles of the drooping eyelid can be removed, and the strength used to open the eyes can be naturally adjusted to create a clearer, more defined eye appearance. |

< Candidates for lower eyelid surgery >

1. When wrinkles under the eyes are severe, making the area look shadowed

2. When sagging under the eyes is severe, with many wrinkles and a more aged appearance

3. When the fat under the eyes bulges and the dark circles make you look tired

| This procedure is performed when the skin under the eyes sags and the fat bulges out, creating a dark impression due to wrinkles and dark circles, or making you look older. |

| As you age, the skin sags significantly and the fat under the eyes becomes more prominent, causing the under-eye skin to stretch and wrinkle. If only lower eyelid fat repositioning is performed, the bulging under the eyes can be reduced, but the wrinkles under the eyes will remain. After lower eyelid surgery, which addresses the sagging skin and fat under the eyes, the previously prominent bulging and wrinkles under the eyes can be seen to have disappeared. |

| If too much skin is removed in an attempt to completely eliminate wrinkles, lower eyelid ectropion, where the lower eyelid turns outward, may occur. Lower eyelid surgery at Ralee Plastic Surgery is performed with careful design, so even in the post-surgery photos, there is no sign of the lower eyelid turning outward. The severe under-eye bulging has improved significantly, and the wrinkles under the eyes have also disappeared. The incision scar under the eye can also be seen to have healed cleanly in the before-and-after results above. |