2026-05-25
Natural Middle-Aged Eye Surgery (Subbrow Lift, Lower Blepharoplasty)
A case study of a 70-year-old female patient who achieved a natural, rejuvenated look through a subbrow lift and lower blepharoplasty to address sagging lids and under-eye bags.
* Basic Information
# Female in her 70s
# Medical History: None
# Current Condition
- Habit of raising eyebrows due to sagging skin on the upper eyelids
- Tired appearance caused by bulging fat under the eyes
* Consultation
# The patient visited the clinic planning for surgery due to significant sagging of the upper eyelid skin, along with bulging and wrinkles under the eyes.
# Caution is required when performing ‘upper blepharoplasty alone’ (a method of removing sagging skin while creating a double eyelid), as it can make the puffiness of the upper lid more prominent and result in a tacky or harsh-looking double eyelid.
# It was decided to address the sagging skin by lifting it from beneath the eyebrows.
# For the under-eye area, it is crucial to reposition the bulging fat pockets and use orbicularis oculi muscle suspension to prevent ectropion and ensure long-lasting results.
* Plan
# Subbrow Lift
# Lower Blepharoplasty
* Post-operative Progress
# We aimed to resolve the sagging as much as possible through a subbrow lift. By lifting the sagging skin, the hidden inner double eyelid line has been revealed!
# Furthermore, when performing a subbrow lift, it is important not just to excise the skin but to perform periosteal fixation to prevent re-sagging and ensure the effects last a long time.
# In the case of lower blepharoplasty, the orbicularis oculi muscle must be firmly suspended to prevent complications such as ectropion or easy recurrence.
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from rich experience.
Dr. Yoo Young-moon, Representative Director of Vibe Plastic Surgery
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.
Frequently Asked Questions
Is it not good to only perform upper blepharoplasty for middle-aged eye surgery?
No, if only upper blepharoplasty is performed alone, the eyelids may appear more bulging, and a tacky or fierce-looking double eyelid crease may be created, so caution is needed. Instead, a sub-brow lift can be considered.
In what cases is a sub-brow lift necessary?
A sub-brow lift is necessary when there is significant sagging of the eyelid skin, leading to a habit of raising the eyebrows, or when upper blepharoplasty alone is expected to produce unnatural results. It naturally improves sagging skin by lifting it from under the eyebrow.
What effects can be expected from lower blepharoplasty?
Lower blepharoplasty can improve a tired-looking impression by repositioning the bulging fat pads under the eyes and improving wrinkles. Additionally, orbicularis oculi muscle suspension fixation can prevent ectropion and maintain the effect for a long time.
How long do the effects of a sub-brow lift last?
When performing a sub-brow lift, if periosteal fixation is performed along with skin excision, the effects can be maintained for a long time without sagging again.
How can ectropion be prevented after lower blepharoplasty?
During lower blepharoplasty, firm orbicularis oculi muscle suspension fixation must be performed to prevent ectropion or easy recurrence.
What should be considered when consulting for middle-aged eye surgery?
For middle-aged eye surgery, the appropriate surgical method varies depending on the individual's eye condition and degree of skin sagging. Therefore, it is important to consult sufficiently with an experienced plastic surgeon to create a plan that suits you.