Middle-Aged Eye Surgery Through Plastic Surgery: Comprehensive Consideration of Aging and Skin Condition

As the 'Opal Generation', born during the baby boom era, enters middle age, they are emerging as a key economic force. Equipped with economic power, the Opal Generation spares no expense in investing in themselves across various fields such as health and beauty, living with an enthusiasm comparable to younger generations.

They are also proactive in restoring not only their inner but also their outer youth. Consequently, there's a growing demand for middle-aged eye surgery, which can simultaneously improve aging phenomena like wrinkles and sagging that make one look older, as well as the resulting decline in physical function. Middle-aged eye surgery, often called a representative 'youthful look' surgery, aims for functional and aesthetic improvement of the eye area due to skin sagging. It includes procedures such as upper blepharoplasty, lower blepharoplasty, and under-eye fat removal and repositioning.

Senile ptosis, a condition where the eyelids sag, can be improved through upper blepharoplasty. When the upper eyelid sags due to reduced skin elasticity, the strength to open the eyes becomes insufficient, which can worsen forehead wrinkles or expression lines. Eyelashes may also curl inward, poking the eye and obstructing vision. Upper blepharoplasty removes sagging skin, fat, muscle, and subcutaneous fat, then connects the levator palpebrae superioris muscle to the skin, thereby improving wrinkles and skin sagging caused by droopy eyelids and tightening the eye-opening muscle to prevent recurrence.

Lower blepharoplasty, a surgery to improve sagging under the eyes, can address under-eye wrinkles and fat that result from the lower eyelid sagging. Through an incision below the eyelashes, sagging skin and fat under the eyes are removed, and the loose skin is pulled and sutured to the outer corner of the eye, improving under-eye aging. Removing protruding fat under the eyes can achieve the effect of dark circle surgery, and fixing the loosened muscle to the fascia can also provide the effect of under-eye wrinkle removal surgery.

If there is excessive fat under the eyes due to aging or congenital factors, under-eye fat removal can brighten the under-eye area. Bulging fat under the eyes can cause dark circles or deep wrinkles, making one look dark and dull. By removing under-eye fat through a minimal incision in the conjunctiva inside the lower eyelid, a smooth under-eye area and a brighter impression can be achieved.

In cases of excessive or insufficient under-eye fat, or when under-eye fat protrudes, under-eye fat repositioning can appropriately redistribute the fat. Fat is repositioned through a minimal incision in the conjunctiva inside the eyelid, and bulging fat is removed while the 'aegyo-sal' (under-eye fat roll) is reconstructed, correcting the eyes to a youthful and bright appearance.

Middle-aged eye surgery, which aims for aesthetic and functional improvement by addressing aging, requires setting an appropriate improvement direction based on the overall degree of facial aging to achieve a natural youthful effect. Excessive improvement can instead give an awkward and artificial impression, so it is advisable to perform customized surgery considering the degree of aging and skin condition.

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