2022-07-25
The Importance of Upper and Lower Blepharoplasty Proportion in Middle-Aged Eye Surgery and Ptosis Correction
Learn why balancing upper and lower blepharoplasty is crucial for natural, effective results in middle-aged eye surgery, avoiding common pitfalls and side effects.


The eyes, which are the central part of the face and account for about 80% of a person's impression, and the surrounding skin are very thin and move a lot.
Therefore, changes around the eyes make the face look older than deep forehead wrinkles or nasolabial folds.
Wrinkles form more easily and are more noticeable, making the progression of aging clearly visible without filtration. For the improvement of the eye area,
middle-aged eye surgery has always been a topic of interest.
So, before middle-aged eye surgery or middle-aged ptosis correction, what aspects should be carefully considered, and how should consultations and surgeries be conducted?
We will explore the importance of balancing the proportion of upper and lower blepharoplasty for middle-aged eye surgery and ptosis correction without side effects, with Dr. Kim Jong-myung of Diva Plastic Surgery.

As people enter middle age, it is common for the eyelids to sag to the point of covering the eyes, and for under-eye fat to become lumpy and protrude.
If dark circles are also severe, it not only makes one look older but also lifeless and tired.
In severe cases, it can even create an impression of being full of resentment.
Therefore, an increasing number of middle-aged individuals are considering plastic surgery, especially eye surgery, to change their rapidly changing appearance and regain confidence.
They also wonder which surgery to undergo and how to achieve maximum results with a short recovery period and reasonable cost.
The biggest reason why people want middle-aged eye surgery but hesitate is likely the fear of side effects or an unnatural look after the surgery.
This often occurs because eye surgery is often limited to thinking about upper eyelid surgery, or blepharoplasty.
It is easy to misunderstand that upper blepharoplasty has the greatest effect because it creates a double eyelid line that wasn't there before.
However, eye surgery can be considered the most complex type of plastic surgery.
As one ages, the elasticity of the lower eyelid decreases, and the fat pockets surrounding the under-eye fat also stretch, causing the under-eye fat to protrude.
Additionally, the tear trough deepens below the protruding fat.
Therefore, if you desire aesthetically satisfying surgical results, it is essential to carefully consider lower blepharoplasty along with under-eye fat repositioning.
Especially for middle-aged surgery where skin elasticity has decreased, delicacy is paramount.
This is because the maximum effect can only be achieved by delicately correcting sagging skin, protruding fat, and even fine eye muscles according to the individual's condition.
In cases where the under-eye area is sagging and the tear trough is shallow, satisfactory under-eye correction can be achieved with simple lower blepharoplasty alone.
If the under-eye area appears shadowed and dark due to bulging fat without skin sagging, under-eye fat repositioning through conjunctival incision may be more effective.
This is because it can create a younger and brighter impression.
However, if lower eyelid sagging is severe and under-eye fat is prominent, caution is needed as lower blepharoplasty, which repositions under-eye fat below the tear trough and lifts the sagging mid-face, may be necessary.
In other words, even if the lower eyelid is sagging, the degree and state of sagging, the condition of the eyelid skin, the degree of under-eye fat protrusion, the degree of shadowing, and the desired eye shape must be considered.
It is important to remember that it is crucial to proceed with surgery after fully considering the detailed differences and various factors for each individual.
The most important part is not to make a hasty decision.
Eye surgery is the most common type of plastic surgery and seems like something anyone can do.
While eye surgery seems to have good results for everyone, did you know that it also has a high rate of revision surgery?
Middle-aged eye surgery is challenging even for specialists, as it requires accurately understanding each individual's eye condition and the relationship with surrounding structures before proceeding.
This is why you should decide on surgery only after a thorough consultation with a plastic surgeon who has clinical experience, knowledge, and know-how to analyze and apply the points mentioned above.
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