2026-06-04
Middle-Aged Eye Surgery: Solving Sagging Eyes and Under-Eye Fat with Upper and Lower Blepharoplasty
Eyelid sagging and under-eye fat protrusion that occur with age not only create a tired impression but also cause functional problems such as obstructed vision. Based on a deep anatomical understanding, Chief Director Han Kyu-nam of 345 Plastic Surgery's middle-aged eye surgery completes a natural, clear, and youthful eye shape through upper blepharoplasty, lower blepharoplasty, and non-incisional upper blepharoplasty.

Why Middle-Aged Eye Surgery is Necessary: Changes Due to Aging
As time passes, our eye area is the first to show signs of aging. When eyelid skin sags, it not only creates a heavy and tired impression but also causes functional discomforts such as maceration at the outer corners of the eyes or a narrowed field of vision. Additionally, as the orbicularis oculi muscle (the muscle surrounding the eye) weakens, the inner orbital fat (fat around the eye) pushes forward, causing the under-eye area to become bumpy and making dark circles appear more severe.
345 Plastic Surgery's middle-aged eye surgery accurately diagnoses these causes of aging to meticulously correct not only the visible wrinkles but also the internal muscles and fat.

Recommended Candidates for 345 Middle-Aged Eye Surgery
- Those whose eyelid skin has sagged, blurring the double eyelid line and emphasizing wrinkles
- Those whose sagging skin covers the pupils, making the eyes look heavy and small
- Those who use their eyebrow or forehead muscles to open their eyes due to weakened eye-opening muscles (ptosis symptoms)
- Those who have a tired impression due to bulging under-eye fat
Upper & Lower Blepharoplasty: Fundamental Correction of Sagging Skin and Muscles
The core of middle-aged eye surgery is not simply cutting away skin, but tightening the inner muscles weakened by aging to increase the longevity of the results.

1. Upper Eyelid Surgery (Upper Blepharoplasty)
The sagging eyelid skin is excised, and fat is removed or repositioned as needed. This creates a clear eye shape and helps secure the field of vision. 345 pursues a natural, youthful effect by correcting not only the external skin but also tightening the inner muscles at the same time.
2. Lower Eyelid Surgery (Lower Blepharoplasty)
An incision is made along the inner conjunctiva or the eyelash line to reposition the protruding orbital fat and pull the sagging skin tight. By smoothing out the bumpy under-eye area, it helps alleviate dark circles and improves the impression to look brighter.
Non-Incisional Upper Blepharoplasty: For Quick Recovery Without Worrying About Scars
If the skin sagging is not severe or the double eyelid line is low, improvement is possible without an incision. Non-incisional upper blepharoplasty is performed through microscopic holes, leaving almost no visible scars. Its advantages include less swelling and a shorter recovery period compared to traditional incisional methods.

| Category | Incisional Upper Blepharoplasty | Non-Incisional Upper Blepharoplasty |
|---|---|---|
| Candidates | Severe sagging and thick skin | Mild sagging and desire for a natural line |
| Surgical Method | Skin incision and tissue removal | Thread fixation through microscopic slits |
| Recovery Period | Relatively long (7-10 days) | Fast (3-5 days) |
| Scarring | Incision line present (fades over time) | Almost none |
345 Plastic Surgery's Unique Safety and Aftercare System
Chief Director Han Kyu-nam establishes a personalized surgical plan based on the know-how accumulated through over 3,000 anti-aging surgery cases. He meticulously considers functional problems beyond simple aesthetic purposes.

- 24-Hour CCTV Operation: We provide a transparent surgical environment free from worries about ghost surgeries, and guardians can view the footage at any time.
- 345 Doctor Call Service: Within 24 hours after surgery, the Chief Director personally calls to check on your progress, relieve any anxiety, and monitor your condition.
- Family Consultations: Parents and children can attend consultations together to discuss the most suitable direction for improvement.

Middle-aged eye surgery provides value beyond simply looking younger. If you want to resolve the functional discomfort of your eyes caused by aging and regain a confident impression, please make your decision through a thorough consultation with an experienced specialist.
Frequently Asked Questions
Who needs middle-aged eye surgery?
Yes, it is recommended for those whose eyelids droop and obstruct their vision, or whose under-eye fat protrudes, making them look tired. Upper and lower blepharoplasty can also be helpful for those whose double eyelid lines have become blurred due to aging, or who have ptosis where they open their eyes using their forehead muscles.
What is the difference between upper blepharoplasty and lower blepharoplasty?
Upper blepharoplasty is a surgery that excises the sagging skin of the upper eyelid and corrects the muscles, while lower blepharoplasty is a surgery that repositions protruding fat under the eyes and tightens sagging skin. The key to both surgeries is to address not only the outer skin but also the weakened inner muscles due to aging.
How long is the recovery period for non-incisional upper blepharoplasty?
It usually takes about 3 to 5 days. Recovery is faster compared to the incisional method, which takes 7 to 10 days, and it has the advantage of leaving almost no visible scars and less swelling as it is fixed with thread through tiny holes. However, it is suitable for cases where skin sagging is not severe.
How is post-operative care managed?
Within 24 hours after the surgery, the chief surgeon personally calls to check on the patient's condition. At Samsaoh Plastic Surgery, this is called the '345 Doctor Call Service,' and it is conducted to alleviate patient anxiety and carefully monitor their progress.
Should I not worry about ghost surgery?
Yes, you can rest assured. We operate 24-hour CCTV to provide a transparent surgical environment free from worries about ghost surgery, and we have a system in place that allows guardians to view it at any time if they wish.