2026-06-04
Upper and Lower Blepharoplasty Differences and Precautions: Natural Improvement with Anti-Aging Eye Surgery
We explore in detail the characteristics of upper and lower blepharoplasty, which improve sagging eyelids and under-eye bulges caused by aging. Including suitable candidates for each surgery and side effects to watch out for, such as ectropion (eyelid turning outward), we propose a customized eye surgery solution to create a natural, youthful impression.
Upper and Lower Blepharoplasty: Fundamental Improvement of Eye Aging
Changes around the eyes over time go beyond simple wrinkles; they become the main cause of making your overall impression look tired or aged. 345 Plastic Surgery provides detailed information on Upper Blepharoplasty and Lower Blepharoplasty, which are the core of 'anti-aging eye surgery' to improve these concerns.
Upper Blepharoplasty vs. Lower Blepharoplasty: What is the Difference?
Structural issues of the upper and lower eyes require different surgical approaches. The characteristics of each surgery are as follows:
1. Upper Blepharoplasty (Upper Eyelid Surgery)
Although the principle is similar to double eyelid surgery for younger patients, the purpose is different. Upper blepharoplasty focuses on manipulating sagging skin and loosened muscles caused by aging, and removing excessively bulging fat. Through this, it corrects drooping eyelids that obstruct vision and allows you to expect a much younger and more vibrant eye shape.
2. Lower Blepharoplasty (Lower Eyelid Surgery)
This is performed when the under-eye area bulges out or the skin sags, creating a shadowed appearance. It primarily involves fat repositioning through an incision inside the conjunctiva or the skin, tightening weakened muscles, and trimming excess skin. If necessary, it shapes the aegyo-sal (under-eye roll) to complete a more three-dimensional under-eye line.
Recommended Candidates and Considerations by Surgery Type
The appropriate surgical method varies depending on the individual's skin thickness and tissue condition.
- Lower Blepharoplasty Recommendation: Recommended when structural issues under the eyes (fat protrusion, deep tear troughs) are distinct. However, fine wrinkles that appear when smiling may partially remain after surgery, so combining it with laser or injection treatments can create a synergistic effect.
- Upper Blepharoplasty Recommendation: Suitable when the eyelid skin is not excessively thick, the amount of fat is moderate, and there is a sufficient distance between the eyebrows and the eyes. If the eyelids are very thick or accompanied by eyebrow sagging, considering a sub-brow lift or forehead lift together is a way to maintain a more natural impression.
Expansion of Anti-Aging Eye Surgery: The Importance of Complex Solutions
It is important to have an integrated approach that considers the patient's overall facial harmony, rather than being limited to just upper and lower blepharoplasty. This is because aging phenomena that appear as we get older vary greatly depending on the individual's tissue condition rather than differing by age group.
- Sub-brow Excision: Useful when eyelid sagging is severe but you do not want to create a new double eyelid line.
- Volume Replenishment: Adds three-dimensionality by filling the volume around sunken eyes through fillers or fat grafting.
- Skin Boosters and Lifting: Manages fine wrinkles and skin elasticity after surgery through skin boosters like Rejuran and Juvelook, or Botox treatments.
Side Effects and Precautions for Safe Surgery
All plastic surgeries require a careful approach. In the case of lower blepharoplasty, excessive skin excision can cause ectropion, a phenomenon where the eyelid turns outward. Also, after upper blepharoplasty, the double eyelid line may become too thick, making the impression look harsh, so a precise design that does not harm your original image is essential.
345 Plastic Surgery's Principles for Customized Eye Surgery
At 345 Plastic Surgery, we do not simply focus on the surgical results but closely analyze each individual's anatomical structure from the consultation stage. Through an all-in-one care system that includes everything from lifting to petit procedures, we propose customized solutions that maintain natural beauty over time without looking artificial.
If you are stressed about aging concerns around your eyes, we recommend consulting with our highly experienced medical professionals to find the most suitable improvement method for you.