Middle-Aged Eye Surgery: Lower Blepharoplasty for Wrinkle and Fat Removal

In middle-aged eye surgery, the two most important areas of improvement are the upper and lower eyelids. The skin under the eyes, specifically the lower eyelids, is particularly thin and delicate, making it prone to faster and more noticeable signs of aging than other areas, often requiring improvement.

Aging under the eyes leads to a decrease in skin elasticity, causing under-eye wrinkles. When the fat layer surrounding the under-eye area loosens, the resulting protrusion of under-eye fat creates shadows, giving a tired impression, and in severe cases, can even cause dark circles.

Lower blepharoplasty is an excellent method to improve these under-eye changes. So, what should be considered to enhance the effectiveness of lower blepharoplasty for middle-aged individuals?

[ ‘Lower Blepharoplasty’ Expected to Remove Under-Eye Wrinkles and Fat… Thorough Pre-Consultation is Crucial ]

The skin under the eyes is one of the thinnest areas of the face, and it easily loses elasticity as aging progresses.

When the skin and muscles around the eyes sag, the lower eyelids droop, creating wrinkles and grooves, and the under-eye fat can become thick and saggy.

This not only makes one look older than their actual age but also creates shadows under the eyes, leading to a tired and stern impression. It can also cause discomfort in daily life.

There are various methods to address such under-eye aging, depending on individual symptoms and causes, including lower eyelid sagging surgery, under-eye fat removal, and under-eye fat repositioning.

Dr. Kim Jong-myung (a full member of the Korean Society of Plastic and Reconstructive Surgeons) of Gangnam Diva Plastic Surgery stated, ‘Since there are various treatment methods for under-eye aging depending on individual symptoms and causes, customized improvement is necessary.’ He added, ‘It is important to thoroughly confirm the feasibility, method, and potential side effects of the procedure through sufficient prior consultation.’

▶ ‘Lower Blepharoplasty’: A Representative Method for Improving Under-Eye Skin Sagging and Dark Circles ◀

Among these, lower blepharoplasty is a surgical method that can simultaneously improve under-eye wrinkles, skin sagging, and dark circles.

Lower blepharoplasty is a procedure that involves incising the under-eye area to remove and reposition bulging fat, creating a more youthful eye appearance.

The amount of skin to be removed is determined by considering the condition of the sagging skin and the shape of the fat, followed by the design of the procedure.

In this procedure, an incision is made along the lash line to the outer corner of the eye, and the sagging muscle is pulled and fixed to the fascia, then sutured internally.

Dr. Kim Jong-myung explained, ‘By excising an appropriate amount of sagging skin, under-eye wrinkles and muscle laxity are simultaneously improved, providing a lifting effect. Additionally, repositioning the under-eye fat restores a smooth and appropriately voluminous under-eye area.’ He added, ‘The incision for the procedure is minimized, and by incising the fascia on the inner side of the eye, scars are not visible, swelling is minimized, and the recovery period is relatively short.’

▶ Lower Blepharoplasty + Lateral Canthopexy… More Effective Improvement for Under-Eye Sagging ◀

When lateral canthopexy is performed together with lower blepharoplasty, depending on the symptoms, it can more effectively improve under-eye sagging.

Lateral canthopexy is a surgery that fixes the sagging skin tissue and muscles around the outer corner of the eye to the outer orbital periosteum.

Dr. Kim Jong-myung stated, ‘Lateral canthopexy reduces the risk of ectropion (eversion of the eyelid) that can occur during lower blepharoplasty. This method can also address severe under-eye sagging or dark circles that are difficult to resolve with lower blepharoplasty alone.’

He also added, ‘To more effectively improve under-eye fat removal and under-eye skin sagging with lower blepharoplasty, it is advisable to combine it with appropriate procedures such as under-eye fat removal or repositioning, or lateral canthopexy.’ He concluded, ‘Rather than focusing on low prices or costs, consulting with a specialist who has extensive surgical expertise and proceeding with the procedure is one of the ways to enhance treatment effectiveness and satisfaction.’

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