Middle-Aged Eye Surgery (Subbrow Lift, Lower Blepharoplasty)

* Basic Information

# Female in her 60s

# Medical History: No specific issues

# Current Condition

- Thin skin with significant sagging

- Bulging under-eye fat creating a tired appearance

* 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 if performing ‘Upper Blepharoplasty alone’ (a method of removing sagging skin while creating a double eyelid), as it can make the puffiness of the brow area 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.

# Regarding the lower eyes, it is crucial to reposition the bulging fat pockets and use orbicularis oculi muscle suspension to prevent ectropion and ensure long-lasting results.

* Surgical Plan

# Subbrow Lift

# Lower Blepharoplasty

* Surgical Process and Progress

# Efforts were made to resolve the sagging as much as possible through a subbrow lift.

# 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 securely suspended to prevent complications like ectropion or easy recurrence.

# We also did not forget to create a natural ‘aegyo-sal’ (lower eyelid roll). 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 depending on the individual, and caution is required.

Frequently Asked Questions

Is upper blepharoplasty alone insufficient for middle-aged eye surgery?

Yes, if only upper blepharoplasty is performed, the eyelids may appear more puffy, or a rustic and fierce-looking double eyelid crease may be created, so caution is needed. In this case, it is recommended to consider a sub-brow lift together.

What effects can be expected from a sub-brow lift?

A sub-brow lift is a method that resolves sagging upper eyelid skin by lifting it from under the eyebrow. It not only excises the skin but also helps to maximize the improvement of sagging through periosteal fixation and maintain the effect for a long time.

What is the method to prevent ectropion during lower blepharoplasty?

To prevent ectropion during lower blepharoplasty, it is important to ensure secure orbicularis oculi muscle suspension fixation. This can prevent the occurrence of ectropion after lower eyelid fat repositioning and ensure the surgical effect lasts for a long time.

Can natural aegyo-sal (cute undereye fat) also be created after lower blepharoplasty?

Yes, creating natural aegyo-sal is also an important consideration during lower blepharoplasty. If the under-eye area is too flat, it can make one look older, so creating natural aegyo-sal can create a younger and more vibrant impression.

What are the possible side effects after middle-aged eye surgery?

After middle-aged eye surgery, complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur. These side effects can vary from person to person, so sufficient consultation and caution are required before surgery.