2026-05-24
Think Twice Before Getting Upper Blepharoplasty! (Endoscopic Brow Lift, Lower Blepharoplasty + Midface Lift)
A case study of a woman in her 50s achieving a youthful, natural look through an endoscopic brow lift and midface lift instead of traditional upper blepharoplasty.
* Basic Information
# Female in her 50s
# Current Concerns
- As I age, my eyebrows are sagging, and I have to lift them to see, which worsens asymmetry and makes me look grumpy.
- The area under my eyes is bulging and hollow, making me look older and constantly tired.
* Consultation
- Since the forehead and eyes cannot be considered separately, we planned to address eyebrow and eyelid sagging as well as forehead wrinkles through an endoscopic brow lift.
- Because the brow lift resolves much of the eyelid sagging, a simple ‘natural adhesion’ non-incisional double eyelid surgery is sufficient to create the desired line.
- We decided to combine lower blepharoplasty with a midface lift to reinforce the anterior cheek area for a more youthful appearance.
* Surgical Plan
- Endoscopic Brow Lift
- Natural Adhesion (Non-incisional Double Eyelid Surgery)
- Lower Blepharoplasty & Midface Lift
* Post-operative Progress
1. By securing space between the eyebrows and eyes through a brow lift, the patient’s impression looks much brighter than before, and a clear double eyelid line was created using only natural adhesion. Additionally, as forehead and frown lines are smoothed out, the forehead contour becomes softer and more aesthetic.
2. Many middle-aged patients first think of upper blepharoplasty when their eyelids sag. However, if done hastily, it can drastically change one’s impression in an unflattering way. Please check my videos to understand why I advise against getting upper blepharoplasty without careful consideration.
3. In the case of lower blepharoplasty, combining it with a midface lift while firmly performing orbicularis oculi muscle suspension creates volume in the front cheeks, resulting in a much younger look.
4. Natural results are the most important factor in anti-aging surgery. If the change in impression is too drastic, it can be burdensome and difficult for the patient to adjust to!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from rich experience.
Dr. Yoo Young-moon, Representative Director of Vibe Plastic Surgery
Vibe Plastic Surgery complies with all 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 depending on the individual, so caution is required.
Frequently Asked Questions
Why should upper blepharoplasty not be rushed?
Yes, because your impression can change significantly. When considering upper blepharoplasty due to drooping eyelids, it's important to approach it carefully, as a hasty decision can lead to a drastic change in your appearance, which might be unsettling.
In what cases is endoscopic forehead lift necessary?
Yes, it is effective for improving drooping eyebrows and eyelids, and forehead wrinkles. Endoscopic forehead lift helps resolve drooping eyebrows and eyelids and improve forehead wrinkles, securing space between the eyes and eyebrows and brightening the overall impression.
What effects can be achieved by combining lower blepharoplasty and mid-face lift?
Yes, you can achieve fuller cheeks and a more youthful appearance. Combining lower blepharoplasty and mid-face lift can create volume in the front cheeks, improving the problem of puffy and hollow-looking undereyes, and creating a much younger-looking impression.
What is the most important aspect of anti-aging surgery?
Yes, natural results are the most important. If the change in impression before and after anti-aging surgery is too significant, it can be burdensome for the patient and difficult to adapt to, so it's important to aim for natural improvement.
Can natural adhesion be combined with other procedures?
Yes, it can be combined with other procedures. It is specifically mentioned that after drooping eyebrows and eyelids are improved with endoscopic forehead lift, clear double eyelid lines can be created with natural adhesion alone.