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Upper & Lower Blepharoplasty for Eye Wrinkles: A Complete Guide

■ 김종서 성형외과 · 2019년 05월 19일

As we age, drooping eyelids or puffiness under the eyes can make us look older than we are, and in more severe cases, may even interfere with clear vision. Eye wrinkle surgery corrects the eyelid and under-eye skin and fat that have sagged due to aging.

At Kim Jongseo Plastic Surgery (Apgujeong, Seoul), we apply four methods — upper blepharoplasty, lower blepharoplasty, brow lift (incision above or below the eyebrow), and dark circle filler — depending on the area and condition involved. Below, we summarize which method may be considered for which case.

What Surgery Is Recommended for Drooping Eyelids?

When eyelid skin loses elasticity with age and begins to droop, upper blepharoplasty may be suitable. In more severe cases, even the outer corners of the eyes can sag, which may make it harder to see clearly and can make the person look older. In addition, the habit of raising the eyebrows to compensate for drooping eyelids and outer corners can deepen forehead wrinkles over time. Upper blepharoplasty removes and tightens the sagging skin, so a clearer, more defined eye shape can be expected.

When Is Lower Blepharoplasty Performed?

As aging progresses, fat beneath the eyes can bulge, deepening under-eye wrinkles and making dark circles appear more pronounced. In such cases, lower blepharoplasty removes sagging skin and excess fat and reduces wrinkles, so a more youthful eye area can be expected. Results vary by individual.

How Is a Brow Lift Different From Upper Blepharoplasty?

A brow lift is a procedure that makes an incision above or below the eyebrow to lift sagging skin. It is similar to upper blepharoplasty, but differs in that it can improve sagging skin without creating a double eyelid.

The incision location is determined by the distance between the eyes and eyebrows. If the distance is narrow, an incision is made above the eyebrow to remove sagging skin and lift and correct it; depending on the case, a non-incisional method that simply lifts the skin without cutting is also possible. If the distance is sufficient, an incision is made below the eyebrow to remove sagging skin and lift and correct it, which may also help improve irritation or chafing around the eyes.

What Causes Dark Circles, and Can Filler Help?

Dark circles refer to the symptom of the under-eye area appearing dark. Causes include a genetically or acquired hollowing of the under-eye tissue that creates a shadow effect, increased melanin pigment and pigmentation, thin under-eye skin that allows subcutaneous veins to show through, protrusion or hollowing of under-eye fat, and under-eye wrinkles caused by aging.

Dark circle filler is a non-surgical procedure that fills in hollowed areas to improve shadowing, and the degree of effect may vary depending on the underlying cause.

How Do I Determine the Right Method for Me?

The right method depends on the degree of eyelid drooping, the distance between the eyes and eyebrows, and the condition of the under-eye area, so it is best to decide after a consultation with a specialist. You can find information about the surgeon on the About the Doctor page, and for any questions, please contact us through Book a Consultation.

Consultation Information

Kim Jongseo Plastic Surgery (Apgujeong, Seoul) · 2F Apgujeong Building, 842 Nonhyeon-ro, Gangnam-gu, Seoul · 02-3416-0070 (after hours 070-4027-0070) · Book a Consultation

This article is provided for informational purposes only. The effects and recovery period of any surgery or procedure may vary by individual. As side effects may occur with any medical procedure, please consult thoroughly with a specialist beforehand.

Detailed Procedure Materials

The material below is procedure information from our previous website (surgery.co.kr). Before-and-after photo results may vary by individual, and all medical procedures carry the possibility of side effects.

Kim Jongseo Plastic Surgery incisional eye wrinkle removal material