As aging progresses, the muscles responsible for opening the eyes (levator muscles) weaken, causing the upper eyelids to sag. Under the eyes, fat protrudes, resulting in a puffy appearance. These changes around the eyes can make them look smaller and give a stuffy impression. Wrinkles around the eyes also deepen, contributing to an aged appearance and potentially causing functional problems such as obstructed vision.

To improve signs of aging around the eyes, middle-aged eye surgeries such as lower blepharoplasty, upper blepharoplasty, and eyebrow lifting can be performed after diagnosing individual signs of aging and skin condition. Lower blepharoplasty is suitable for cases where the tear trough is deeply sunken or, conversely, the under-eye area is uneven due to sagging fat pockets. By excising the skin just below the eyelashes to remove or reposition under-eye fat, and by fixing the muscles after assessing their condition, it is possible to remove wrinkles while preserving the aegyo sal (under-eye bags).

Dr. Do Eon-rok, director of 1mm Plastic Surgery, explained, "Through eye surgery for middle-aged patients, sunken tear troughs, sagging skin, crow's feet, and under-eye wrinkles can be corrected simultaneously, and dark circles caused by bulging under-eye fat can also be improved. By making micro-incisions as close as possible to the lash line, scars are barely visible, and a dark and grumpy-looking impression can be improved to appear bright and youthful."

Among eye surgeries for middle-aged patients, upper blepharoplasty is a method to improve upper eyelids that have sagged due to aging. During the surgery, excess skin and fat are precisely excised to create a clear, youthful eye shape that looks younger. Furthermore, by adjusting the length and position of the muscles to tighten them, in addition to skin excision, the ability to open the eyes is strengthened, thereby fundamentally resolving the cause of eyelid sagging.

This allows for the simultaneous correction of sagging skin and wrinkles around the eyes, and can also prevent forehead wrinkles caused by using the eyebrow and forehead muscles to lift the eyes due to weak eye-opening strength. Upper blepharoplasty may be considered in cases where the double eyelid line is obscured or vision is blocked due to sagging eyelids, when eyelashes poke the eyes, or when upper eyelid drooping makes one look older than their age.

Subbrow lift is a surgical technique that involves making an incision along the eyebrow line to remove a portion of the skin beneath the eyebrow, while simultaneously pulling the sagging eyelid skin upward and securing it. By making a precise incision extending to the inner corner of the eye to expand the lifting range to the front of the double eyelid crease, the lifting effect can be enhanced. Additionally, manipulating the depressor muscles can prevent eyebrow sagging. Since the sagging muscles are removed and the skin is tightened, it effectively reveals the hidden double eyelid crease.

It allows for a clearer and more youthful eye appearance without altering the existing double eyelid line, making it suitable for those seeking to correct sagging eyelid skin without double eyelid surgery. It is also appropriate for correcting eyelid drooping and the height of the double eyelid line, when considering conditions such as ptosis, and can be considered in cases where severe sagging at the outer corners of the eyes causes skin irritation.

Director Do Eon-rok stated, "Middle-aged eye surgery is a method to improve changes around the eyes caused by aging, transforming them into a youthful and elastic eye shape. It is important to determine the appropriate surgical method after comprehensively analyzing factors such as the presence of double eyelids, the distance between the eyes and eyebrows, and the degree of sagging."

He added, "In particular, unlike general eye surgery that prioritizes aesthetic factors, it is crucial that eye surgery for middle-aged patients proceeds in a direction that improves both functional and aesthetic aspects. Therefore, to increase surgical satisfaction, it is helpful to consult thoroughly with a board-certified plastic surgeon to consider various factors, such as eyelid sagging and the strength of the eye-opening muscles, and to perform the procedure using a method suitable for the individual."

Source: Health News (http://www.bokuennews.com/news/article.html?no=258995)