2026-05-25
Middle-Aged Eye Surgery: Enhancing Beauty Naturally with a ‘Did She or Didn’t She?’ Look!
A case study of a 50s female patient achieving natural rejuvenation through sub-brow lifting and under-eye fat repositioning.
* Basic Information
- Female in her 50s
- Medical History: Non-incisional ptosis correction several years ago
# Current Condition
- Experiencing discomfort due to sagging eyelid skin
- Under-eye fat is bulging, making the face look tired
* Consultation
- The patient visited the clinic planning surgery due to sagging and hollowing of the upper eyelids, as well as bulging and wrinkles under the eyes.
- Since the distance between the eyebrows and eyes is favorable and there is slight hollowing in the eyelid area, a sub-brow lift was planned.
- Regarding the under-eye area, since skin sagging was not severe, we decided to approach through the conjunctiva to reposition the bulging fat pockets without excising any skin.
- Additionally, to alleviate the tear trough, a PRP injection was planned to regenerate the dermis.
* Surgical Plan
- Sub-brow Lift
- Under-eye Fat Repositioning
* Post-operative Progress
- We aimed to naturally resolve the eyelid sagging through a sub-brow lift.
- When performing a sub-brow lift, it is crucial not just to excise the skin but to perform periosteal fixation to prevent re-sagging and ensure long-lasting results.
- By repositioning the under-eye fat, we addressed the bulging while simultaneously using PRP injections to aid skin regeneration and improve the sunken appearance under the eyes.
Consultations and surgeries should be performed by a board-certified plastic surgeon!
VIBE coming from rich experience.
Dr. Yeong-mun Yu, Representative Director of Vibe Plastic Surgery
Vibe Plastic Surgery complies with all medical laws. These before-and-after photos were taken under identical conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and can vary by individual, so caution is required.
Frequently Asked Questions
How can sagging eyelids in middle age be improved?
Sagging eyelids can be improved through a sub-brow lift. By incising below the eyebrow and pulling up the sagging skin, the eyelid sagging is naturally resolved, and the effect can be maintained for a long time through periosteal fixation.
In what cases is lower eyelid fat repositioning necessary?
It is necessary when bulging under-eye fat makes you look tired or deep tear troughs make you look hollow. It involves accessing through the conjunctiva to reposition the bulging fat pockets and using PRP injections to aid skin regeneration.
What are the advantages of a sub-brow lift?
A sub-brow lift is particularly effective when the distance between the eyebrow and the eye is appropriate and there is hollowing in the upper eyelid. It not only excises skin but also uses periosteal fixation to prevent re-sagging, allowing the effect to last longer.
How do PRP injections help with lower eyelid surgery?
PRP injections help with dermal regeneration to alleviate tear troughs. When performed with lower eyelid fat repositioning, they create a synergistic effect in resolving puffiness and improving the hollow appearance under the eyes.
Is lower eyelid fat repositioning possible without skin incision?
Yes, it is possible. If skin sagging is not severe, it can be performed by accessing through the conjunctiva to reposition the bulging fat pockets without cutting the skin.