Aging Eyes: Rejuvenation Procedures
“What Is Upper and Lower Blepharoplasty?”
Upper Blepharoplasty: Upper blepharoplasty is a surgical procedure that removes excess skin and tissue from the upper eyelid, with the option to create a double eyelid fold when desired. This surgery enhances visual comfort while creating more defined, rejuvenated eyes with a refreshed appearance. For optimal results, upper blepharoplasty can be combined with complementary procedures such as sub-brow lift surgery or endoscopic forehead surgery.
Lower Blepharoplasty: Lower blepharoplasty addresses concerns beneath the eyes by removing excess skin and strategically repositioning fat deposits that create under-eye bags. This procedure smooths and flattens the under-eye area by eliminating loose skin and redistributing fat tissue, effectively addressing hollowness and creating a more youthful contour. To enhance surgical outcomes, lower blepharoplasty may be performed in conjunction with micro fat grafting or SOOF lift (suborbicularis oculi fat lift), which elevates the upper cheek area for comprehensive rejuvenation.
Doctor’s Message
“Blepharoplasty focuses on both aesthetic and functional improvement. As elders have slower recovery and thinner skin, extra care is required for the success.”
Aging typically starts first in the eye area due to its delicate skin structure. As skin loosens and sags, patients may experience tearing and discomfort from tissue coverage, potentially affecting vision. Since eyelid and brow sagging often occur simultaneously, we recommend combining upper blepharoplasty with sub-brow lifting surgery. Performing upper blepharoplasty alone can create an overly intense appearance and accentuate periorbital wrinkles. For younger patients with brow ptosis, sub-brow lifting takes precedence over double eyelid surgery, regardless of age, ensuring proper treatment sequencing for natural results.
Operation Information
- Surgery Time : 30-60 Minutes
- Anesthesia Type : Local Anesthesia or IV Sedation
- Hospitalization : None
- Stitch Removal : 4-5 Days
- Recovery Time : 1-2 Weeks
Q & A
Ideal Candidates for Upper Blepharoplasty
Upper Blepharoplasty (Upper Eyelids) Surgery Method

STEP 01 Design the eyelid incision line.

STEP 02 Incise the eyelids following the line and remove unnecessary skin, muscles, and fats.

STEP 03 Fix the skin and muscle (levatorpalpebraesuperioris) and either create a new double eyelids or keep the same eye shape.

STEP 04 Defined and young image is created.
Before & After

*Results may vary.
Ideal Candidates for Lower Blepharoplasty
Lower Blepharoplasty (Under Eye Bags) Surgery Method

STEP 01 the line 1-2mm below the lower eyelashes.

STEP 02 Incise the under eye following the line and remove unnecessary skin, muscles, and fats.

STEP 03 Fix the loosened muscles for tightening effect and suture.

STEP 04 Fresh and young eye shape is created.
Before & After

* Side effects such as inflammation after the surgery may vary by each individuals and may require appropriate treatments. Please check the guideline with the doctor.
Ideal Candidates for Sub-Brow Lifting
Sub-brow Lifting Surgery Method

STEP 01
Measure the sagging amount of skin and design the incision line under eyebrows

STEP 02
Incise and remove loosened skin.

STEP 03
Pull up the muscles and fix at the periosteum and suture.

STEP 04
Sub-brow Lifting is finished.
Blepharoplasty Point
Updated September 22nd, 2025