2026-05-25
Middle-Aged Male Eye Surgery (Incisional Ptosis Correction, Under-Eye Fat Repositioning)
A case study of a 40s male patient who improved his tired appearance and severe asymmetry through incisional ptosis correction and under-eye fat repositioning.

* Basic Information
# Male in his 40s
# Eye-opening strength: Congenitally lacking on the right side. Severe asymmetry present.
# Skin sagging: Significant
# Skin thickness: Moderate
# Impression: Appears swollen and tired due to bulging under-eye fat
* Consultation
# The patient visited to improve a sleepy and tired impression caused by weak eye-opening strength. In particular, the right eye is congenitally weak, leading to severe asymmetry.
# Regarding the crease, he mentioned that a ‘monolid’ look where the line is barely visible or a very thin ‘inner double eyelid’ would be acceptable. Most men want to avoid a ‘greasy’ or overly heavy look.
# We also decided to perform under-eye fat repositioning to address the bulging fat and create a more refreshed appearance.
* Surgical Plan
# Incisional Ptosis Correction
# Under-Eye Fat Repositioning

* Post-operative Progress
# The patient is satisfied as it is now much easier to open his eyes compared to before, and the eyes appear larger and more symmetrical.
# In male eye surgery, it is crucial to achieve a natural change without looking greasy.
# Male eye surgery can be customized according to preference: ‘1. A look where the line is completely invisible, 2. A shape that is hidden at the inner corner and widens toward the back, 3. A shape where a slight line is visible like an inner double eyelid from the start, 4. A distinct in-out or out-line,’ etc.
# Ptosis correction is a functional surgery. Those who struggle to open their eyes often suffer from headaches and forehead wrinkles, so it is recommended to consult with a board-certified plastic surgeon.
# Bulging under-eye fat can give a swollen and tired impression. This can be resolved relatively easily without scarring through the conjunctiva inside the eye, making it a low-burden solution for those with minimal skin sagging.
Consultation and surgery should be performed by a board-certified plastic surgeon!
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
When should middle-aged men consider eye surgery?
It is mainly considered when you want to improve a sleepy or tired impression due to insufficient strength to open your eyes. It is also effective, especially when under-eye fat makes your impression look dull.
Can male eye surgery avoid looking 'greasy' or unnatural?
Yes, it is possible. It is important for male eye surgery to pursue natural changes without ever looking 'greasy' or unnatural. Various line shapes can be created according to individual preferences.
What effects can I expect from ptosis correction?
Ptosis correction is a functional surgery that improves the discomfort of those who have difficulty opening their eyes. After surgery, it becomes easier to open your eyes and can help improve headaches or forehead wrinkles.
Does under-eye fat repositioning surgery leave scars?
No, it is usually performed through the conjunctiva inside the eye, so it can be resolved relatively simply without visible external scars. It is particularly less burdensome for those with less skin sagging.
How is the double eyelid line determined during male eye surgery?
Various shapes can be created according to your preference. Everything from a monolid (no visible line) to a line that is hidden inside and widens towards the back, a thin inner double eyelid, or a clear in-out line is possible.