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


Q.    I am a man and I want to have a natural blepharoplasty result. Is that possible?

A.    If you do not wish to change your original eye shape, it is possible to not create new double eyelids. Rather, the surgery can focus on removing excess skin and create a natural result.

Ideal Candidates for Upper Blepharoplasty



01   Who feels uncomfortable opening an eye due to sagging eyelids

02   Disappeared double eyelids or loosened double eyelids due to sagging eyelids

03   Who uses forehead or eyebrow muscles to open eyes due to weak eye muscles

04   Who looks older than the actual age due to sagging eyelids

05   Bumpy eyelids due to irregular and loosened fat tissues

Upper Blepharoplasty (Upper Eyelids) Surgery Method


Upper Blepharoplasty (Upper Eyelids) Surgery Method

STEP  01 Design the eyelid incision line.
Upper Blepharoplasty (Upper Eyelids) Surgery Method

STEP  02 Incise the eyelids following the line and remove unnecessary skin, muscles, and fats.
Upper Blepharoplasty (Upper Eyelids) Surgery Method

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

STEP  04 Defined and young image is created.

Ideal Candidates for Lower Blepharoplasty



01   Sagging and severe wrinkles under eye

02   Bulky under eye bag giving a tired look

03   Dark circle due to shadows of under eye bag

04   Sunken under eye giving a tired look

Lower Blepharoplasty (Under Eye Bags) Surgery Method


lower blepharoplasty surgery method

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

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

STEP  03 Fix the loosened muscles for tightening effect and suture.
lower blepharoplasty surgery method

STEP  04 Fresh and young eye shape is created.

Ideal Candidates for Sub-Brow Lifting



01   People who have tired and aging face image due to sagging eyelids

02   People who wish to simply reduce sagging skin without double eyelid surgery

03   People who wish to adjust the eye brow asymmetricity

04   People who wish to selectively remove the glabella wrinkles

Sub-brow Lifting Surgery Method


Sub brow lifting surgery method

STEP  01
Measure the sagging amount of skin and design the incision line under eyebrows
Sub brow lifting surgery method

STEP  02
Incise and remove loosened skin.
Sub brow lifting surgery method

STEP  03
Pull up the muscles and fix at the periosteum and suture.
Sub brow lifting surgery method

STEP  04
Sub-brow Lifting is finished.

Blepharoplasty Point



01   Minimize the incision near to the eyelashes for minimal scarring

02   Reduce or remove eye bags, wrinkles, loosened, and sagging skin

03   Create a fresh and young image


Updated September 22nd, 2025