2026-05-25
Middle-Aged Eye Surgery (Subbrow Lift, Lower Blepharoplasty)
A case study of a 60-year-old female patient who underwent a subbrow lift and lower blepharoplasty to correct sagging eyelids and under-eye bags.

* Basic Information
# Female in her 60s
# Medical History: Currently taking aspirin
# 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, as well as bulging and wrinkles under the eyes.
# Caution is required if performing ‘Upper Blepharoplasty only’ (a method of removing sagging skin while creating a double eyelid fold). This can make the puffiness of the upper eyelid more prominent and may result in a tacky or fierce-looking double eyelid.
# It was decided to address the sagging skin by lifting it from beneath the eyebrow.
# For the under-eye area, it is crucial to reposition the bulging fat pockets and perform orbicularis oculi muscle suspension to prevent ectropion (eyelid turning outward) and ensure long-lasting results.
* Surgical 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 previously hidden double eyelid line has been revealed!
# 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 suspension must be performed securely to prevent complications such as ectropion or easy recurrence.
# We also did not forget to create a natural ‘aegyo-sal’ (lower eyelid fullness) during the lower blepharoplasty. If the under-eye area is too flat, it can actually make a person look older.
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from rich experience.
Dr. Young-moon Yoo, Representative Director of Vibe Plastic Surgery
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery, and caution is required as results vary by individual.
Frequently Asked Questions
When is a sub-brow lift necessary?
A sub-brow lift is considered when there is significant sagging of the skin on the upper eyelid. This method is particularly suitable when upper blepharoplasty alone might make the eyelid appear too bulky or create an unsophisticated impression, by lifting the sagging skin from beneath the eyebrow.
What are the important considerations for lower blepharoplasty?
During lower blepharoplasty, it is crucial to reposition the bulging fat pockets, prevent ectropion through orbicularis oculi muscle suspension fixation, and ensure the surgical effects last for a long time. Additionally, creating natural-looking aegyo-sal (under-eye fat) should not be overlooked.
Why choose a sub-brow lift instead of upper blepharoplasty?
If only upper blepharoplasty is performed, the bulkiness of the eyelid might become more prominent, or an unsophisticated and fierce-looking double eyelid might be created. A sub-brow lift helps achieve natural improvement by lifting the sagging skin from beneath the eyebrow.
How can I maintain the effects of a sub-brow lift for a long time?
During a sub-brow lift, it is important not only to excise the skin but also to perform periosteal fixation to prevent re-sagging. Efforts should be made to ensure the surgical effects last for a long time through this method.
Can ectropion be prevented after lower blepharoplasty?
Yes, it can be prevented. The text mentions that in the case of lower blepharoplasty, firm orbicularis oculi muscle suspension fixation is necessary to prevent ectropion or easy recurrence.