2026-05-24
30s Woman’s Concerns: ‘Facial Sagging & Square Face Shape’ 1. Lower Blepharoplasty & Midface Lift 2. Mini SMAS Lift by VIBE Plastic Surgery Dr. Yoo Young-moon
A case study of a woman in her late 30s addressing midface sagging and a square face shape through combined Lower Blepharoplasty, Midface Lift, and Mini SMAS Lift.

Hello.
I am Dr. Yoo Young-moon, Director of VIBE Plastic Surgery.
Today, I would like to introduce a case involving a female patient in her late 30s who underwent 1. Lower Blepharoplasty & Midface Lift and 2. Mini SMAS Lift to improve midface sagging and achieve a more youthful appearance.
Despite her age, this patient had significant concerns about premature skin sagging and drooping cheeks that caused her facial contour to appear increasingly square, as well as a tired overall impression.
The late 30s is a period when under-eye fat protrusion and sagging of the front cheekbones and midface gradually begin to appear. Therefore, a more natural and effective anti-aging approach is required.
✔ Patient’s Primary Concerns
Under-eye hollowness + fat protrusion making the eye area look constantly tired
Severe cheek sagging causing midface volume to shift downward → resulting in a square-shaped face
Prominent nasolabial folds and Indian bands contributing to an aged appearance
Frequently told she looks like she is in her late 40s despite being in her 30s
In such cases, fillers or lasers alone have limitations. A sophisticated lifting procedure that correctly elevates the fundamental structure is more effective.
✨ Surgery Plan
1. Lower Blepharoplasty + Midface Lift
▶ What kind of surgery is it?
Lower blepharoplasty to address under-eye fat protrusion and fine wrinkles
Midface lift to simultaneously elevate sagging front cheekbones and cheeks
Both procedures can be performed through a single incision, minimizing the burden of scarring
▶ Surgical Effects
Fundamental midface lifting involving the skin, fat, and muscle layers
Removal of under-eye fat + improvement of the tear trough
Restoration of volume in sunken front cheekbones
Alleviation of nasolabial folds and Indian bands
Immediate transformation of a tired look into a youthful image
▶ Recommended for
Those with simultaneous under-eye fat protrusion, hollowness, and wrinkles
Those who feel the limits of fillers or lasers
Those in their 30s to early 40s who want a natural youthful effect
2. Mini SMAS Lift
▶ What kind of surgery is it?
This procedure involves a shorter incision than a traditional facelift but directly pulls the SMAS (Superficial Muscular Aponeurotic System) layer, which is the core of lifting.
Minimal incision around the ears
Sufficient lifting effect even with a short incision by pulling the SMAS layer three-dimensionally
Advantages include natural results and a short recovery period
▶ Surgical Effects
Improvement of lower cheek sagging
Refinement of the jawline
Improvement of bumpy jowls and cheek fat
Transformation of a wide, square-looking lower face into a V-line
Manageable recovery allowing return to daily life in about 2 to 3 days
▶ Recommended for
Those with sagging who are burdened by large incisions or traditional facelifts
Office workers or mothers who want quick recovery and natural lifting
Those in their 30s or 40s considering early-stage lifting
Those who feel their facial line is collapsing and becoming wider like a square
💡 Why is the combination of these two surgeries effective?
✔ Addresses midface sagging + lower face sagging at once
Simultaneously improves the ‘entire axis of sagging’ from the eye area to the front cheekbones, cheeks, and jawline
Lifting results where the mid and lower face connect naturally
✔ Restores overall facial balance
By resolving the sagging:
The face appears smaller
The contours are refined
The face returns to a healthy and vibrant impression suitable for one’s age.
✔ Solves fundamental structural problems that fillers/thread lifts cannot
Unlike procedures that only fix the surface, this lifts the SMAS layer and midface skeletal structure together, resulting in longer-lasting and much more natural results.








📌 Key Post-Surgery Changes
A face that looked wide and square is improved to be slim
The tired under-eye impression disappears, replaced by a bright and youthful eye area
Restoration of youthful facial lines through natural volume recovery
Definitive lifting effect even with small incisions
The jawline is cleanly refined as sagging is reduced even in the side profile
🔍 Summary: Highly recommended for
✔ Those in their 30s or 40s who have:
Simultaneous under-eye hollowness and fat protrusion
Severe midface hollowness such as nasolabial folds and Indian bands
A square-looking face due to facial sagging
A face that looks heavy and tired
A desire for natural and long-lasting lifting
In these cases, the combination of 1. Lower Blepharoplasty & Midface Lift and 2. Mini SMAS Lift is highly suitable.
🌿 Ensure recovery with VIBE Plastic Surgery’s ‘Wellness Program’!
At VIBE, we don’t just monitor progress after surgery; we operate a ‘Recovery Program’ to increase the speed of recovery and the quality of results.
✔ Swelling Injections
Rapidly reduces surgical swelling and inflammatory reactions to improve recovery speed
✔ Swelling Laser (LED/High Frequency, etc.)
Promotes tissue regeneration and helps absorb bruising and swelling for natural recovery
✔ Hyperbaric Oxygen Therapy
Increases oxygen supply to tissues, effective for surgical site regeneration, edema reduction, and pain relief
The patient also experienced a fast and stable recovery through this program.
🌿 VIBE Plastic Surgery appeared on the medical specialty channel ‘After the Rain’ (Bi-on-di), which has 2 million subscribers, to discuss anti-aging surgery. If you are curious about anti-aging procedures, please take a look!
Consultations and surgeries should be performed by a plastic surgery specialist!
VIBE that comes from rich experience
Dr. Yoo Young-moon, Representative Director of VIBE Plastic Surgery
VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and vary by individual, so caution is required.