Upper Blepharoplasty

Upper Blepharoplasty is an eye procedure for middle-aged patients that improves the eye contour by removing an appropriate amount of skin, fat, and muscle from the upper eyelids sagging due to aging and firmly securing the fascia. It is suitable for those whose vision is obstructed by sagging skin or who have developed deep forehead wrinkles, with the goal of achieving a natural, soft appearance while avoiding excessive removal.

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → After surgery

The key to a youthful-looking eye contour is a naturally beautiful appearance without looking artificial. AB Plastic Surgery minimizes scarring through precise tissue excision and adjustment of the eye muscle fixation strength, fundamentally improving sagging eyelids.

Recommended for

· Those with sagging eyelids due to aging · Those whose vision is obstructed by excess eyelid skin · Those who have developed deep forehead wrinkles due to weakened eyelid-opening strength · Those whose skin becomes irritated due to sagging eyelids

Upper Blepharoplasty for a non-harsh appearance

Because excessive surgery on middle-aged eyes can create an artificial or harsh appearance, the surgeon's skill and experience are especially important. AB Plastic Surgery creates more natural and beautiful eye contours for middle-aged patients through Upper Blepharoplasty based on the principles of natural double eyelids, precise Ptosis Correction, tissue removal, and techniques that minimize scarring.

Point 1. Upper Blepharoplasty based on the principles of natural double eyelids

In natural double eyelids, the eyelid muscle folds the skin when the eyes open, creating a crease. AB's Upper Blepharoplasty technique shallowly secures the septum to the skin layer to create a line resembling a natural double eyelid.

Principles of natural double eyelids

AB Upper Blepharoplasty technique

Point 2. Minimal removal of skin, fat, and muscle

Excessive removal of skin, fat, and muscle can result in an unnatural, harsh appearance. Only an appropriate amount is removed according to the condition of the eyes to create a soft, natural eye contour.

Point 3. A soft eye contour without deep scars

Because the Ptosis Correction strength is appropriately adjusted during fixation, deep scars do not form. Even when the eyes are closed, surgical scars are not noticeable, creating a soft and smooth appearance.

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 1 month after surgery

Appearance with eyes closed 1 month after surgery

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 1 month after surgery

Appearance with eyes closed 1 month after surgery

For middle-aged eyes, Upper Blepharoplasty is not always the answer

Cases in which Upper Blepharoplasty may not be suitable · When the eyebrows are significantly sagging and the distance between the eyes and eyebrows is short – Upper Blepharoplasty alone may bring the eyes and eyebrows even closer together, resulting in an awkward or stern appearance. · When eyelid-opening strength is weak and ptosis is present – The eyelids may cover the eyes and make them appear sleepy. Comprehensive solutions for middle-aged eyes Combining a brow lift or Forehead Lift as appropriate can help improve concerns related to sagging eyes in middle age.

Upper Blepharoplasty + brow lift before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 3 months after surgery

Upper Blepharoplasty + Forehead Lift before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 1 month after surgery

Advantages of AB Upper Blepharoplasty

Point 1. A natural line that lasts over time

By appropriately adjusting the fixation strength of the eyelid-opening muscle (aponeurosis) and firmly securing the line, we provide long-lasting results without scarring or loosening.

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 1 month after surgery

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 6 months after surgery

This case involved an eye requiring Upper Blepharoplasty because the entire eyelid was sagging before surgery. At 1 month, the natural line remained without loosening, and at 6 months, the line remained without visible scarring.

Point 2. Improving cosmetic and functional concerns together

Addresses both the cosmetic concerns caused by sagging eyelids and the resulting functional concerns.

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 2 months after surgery

This case improved sagging at the inner and outer corners of the eyes, which had made the eyes appear triangular, restoring a normal eye shape by correcting skin laxity.

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 1 week after surgery

This case improved a clear eye contour and visual field obstruction by strengthening eyelid-opening power in eyes where more than half of the iris had been covered due to weak eyelid-opening strength.

Point 3. Ongoing research and publication of academic papers

To improve surgical satisfaction, we research and present new plastic surgery techniques and continuously engage in academic society and research activities.

Point 4. Precision analysis system for eye procedures for middle-aged patients

We precisely assess the condition of the eyes before surgery and plan only the surgery that is truly necessary, without overtreatment. · Overall eye shape – eye size and shape, horizontal and vertical dimensions, degree of eyeball exposure · Eyelid condition – degree of skin and muscle laxity, skin thickness, distribution of eyelid fat and orbital fat, and eyelid-opening muscle strength

Surgical procedure

STEP 1. Before surgery

STEP 2. Preoperative design

STEP 3. Incision along the double eyelid line

An incision is made along the eye crease at the double eyelid line.

STEP 4. Removal of sagging skin, fat, and muscle

Sagging eyelid skin, fat, and muscle are removed.

STEP 5. Fascia fixation

After removing the sagging muscle, the fascia is firmly secured.

STEP 6. Suturing

STEP 7. After surgery

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 1 week after surgery

Before-and-after photos (before surgery on the left · after surgery on the right) Before surgery → 1 month after surgery

Surgery information

| Surgery duration: Approximately 1 hour | Anesthesia: Local anesthesia or light sedation | Follow-up visits: 2–3 visits | Recovery period: 5–7 days

Pre- and postoperative precautions

Before surgery

· Please inform us in advance if you have any pre-existing conditions such as hypertension, diabetes, or thyroid disease; medication allergies; or a history of heart, lung, liver, kidney, or brain-related surgery. An anesthesiology consultation and additional tests may be conducted if necessary. · Please stop taking aspirin, painkillers, hormone medications, herbal medicine, and vitamin supplements beginning 1 week before surgery. Please bring any medications you are currently taking on the day of surgery. · Smoking delays recovery and increases the risk of infection and anesthesia-related complications, so please stop smoking from the day you decide to undergo surgery. Please stop drinking alcohol beginning 1 week before surgery. · Do not eat or drink, including water, candy, or gum, for 10 hours before surgery. · Remove all nail polish and gel nails, and do not wear contact lenses or makeup on the day of surgery. Please wear comfortable clothing with front buttons. · Please inform us in advance if you develop a high fever, cough, or cold symptoms within 1 week before surgery, or if your menstrual period overlaps with the scheduled surgery date. · You may not drive yourself on the day of surgery.

After surgery

· For 3–4 days after surgery, sleeping with your head elevated above your heart can help reduce swelling. · Apply cold compresses only through the first 3 days after surgery. Major swelling typically subsides within 1 week, while residual swelling may persist for 1–3 months. · Sutures are removed between 3 and 10 days after surgery, depending on the condition of the wound. Do not rub or squeeze your eyes forcefully, and do not forcibly remove scabs. · You may wash your face and apply light makeup from the day after suture removal. Heavy eye makeup and contact lenses are permitted after 3 weeks. Please avoid saunas and swimming for 1 month. · Light exercise is permitted after 1 week, and strenuous exercise after 1 month. · Alcohol and smoking are prohibited for 1 month, as they can cause inflammation and delay recovery. · The final eye contour settles over 3–6 months after surgery.

Please note

The effects of Upper Blepharoplasty alone may be limited depending on the presence of eyebrow sagging or ptosis, and other procedures such as a brow lift or Forehead Lift may be needed. The surgical method and results may vary depending on the individual’s condition and are determined through consultation with a specialist.