
Upper & Lower Eyelid Surgery
Lower Eyelid & Midface Lift

Beyond a lower eyelid lift that treats only the under-eye area,
a natural lift for a sagging midface
With age, the skin and tissue under the eyes can sag and fat can bulge forward, deepening the tear troughs and making the border between the under-eye area and the upper cheek more noticeable.
At Humanity, our lower blepharoplasty with midface lift
looks at everything from the under-eye skin and fat to sagging of the upper cheek and midface to create a contour that flows naturally from the lower eyelid to the midface.
Why Choose Humanity for Lower Blepharoplasty with Midface Lift
Point 1
A Natural Lift from the Lower Eyelid to the Midface
Lower blepharoplasty corrects sagging under-eye skin and tissue, while lower eyelid fat repositioning and a SOOF (suborbicularis oculi fat) and midface lift improve the contour under the eyes and sagging of the upper cheek at the same time. When needed, we secure the outer corner of the eye and preserve your pretarsal fullness for a smooth, natural under-eye contour.

Point 2
Combined Correction, Only as Much as You Need
We carefully correct only what is needed, based on how much the under-eye area and midface have sagged, where the fat sits and how much there is, and the condition of your skin and muscle.

Lower Blepharoplasty
Corrects sagging under-eye skin and muscle to improve wrinkles and sagging
Lower Eyelid Fat Repositioning
Repositions bulging fat to improve the tear trough and under-eye contour
SOOF Lift
Lifts sagging upper-cheek tissue to soften the lid-cheek junction
Midface Lift
Improves midface sagging from the upper cheek to the smile lines
Lateral Canthal Support
Secures the lower eyelid to strengthen its support
Pretarsal Fullness Preserved
Preserves your existing pretarsal fullness (aegyo-sal) for a natural under-eye contour
Surgical Technique for Lower Blepharoplasty with Midface Lift

Step 1
Incision Along the Lower Lash Line
The incision follows the line just below the lower lashes to minimize visible scarring.

Step 2
Skin and Muscle Dissection and Fat Repositioning
After carefully separating the skin and muscle, we reposition fat from areas that bulge into areas that look hollow.

Step 3
Orbital Septum Tightening and Lifting of Midface Fat and Muscle
We tighten the loosened orbital septum and lift the SOOF and muscle of the midface.

Step 4
Lateral Canthal Support and Pretarsal Fullness Preserved
We securely support the outer corner of the eye and preserve your pretarsal fullness for a youthful, natural look.

Who Is a Good Candidate?
· People whose under-eye skin sags and shows noticeable wrinkles
· People with puffy under-eye fat or deepened tear troughs
· People with a deep border between the under-eye area and the upper cheek
· People who look older because the upper cheek and midface have sagged
· People who want to improve both the under-eye area and the midface together
Procedure Steps for Lower Blepharoplasty with Midface Lift
Detailed Assessment of the Under-Eye Area and Midface
We comprehensively assess under-eye skin sagging and fat bulging, how much the midface has sagged, and the condition of the tissue, to accurately determine the extent of correction needed.
Custom Design for Your Facial Structure
Considering how much the under-eye area and midface have sagged, along with your facial balance and proportions, we plan the extent of under-eye correction and the direction and degree of the midface lift for you.
Combined Correction of the Under-Eye Area and Midface
We carefully correct excess tissue and sagging under the eyes and lift the sagging midface tissue in the right direction, improving the natural transition between the under-eye area and the cheek and creating a more defined contour.
Follow-Up and Recovery Care
After surgery, we closely check the changes in your under-eye area and midface, swelling, and healing, and guide a steady recovery tailored to your progress.
Procedure Details: Lower Blepharoplasty with Midface Lift
![]() | Length of Procedure | About 1 hour 30 minutes – 2 hours |
|---|---|---|
![]() | Anesthesia | IV sedation |
![]() | Follow-Up Visits | About 1–2 visits |
![]() | Suture Removal | After about 5–7 days |
![]() | Return to Daily Activities | About 7 days |
Frequently Asked Questions
Q. How is this different from a standard lower blepharoplasty?
- A standard lower blepharoplasty focuses on the under-eye skin, muscle, and fat. Lower blepharoplasty with midface lift adds lower eyelid fat repositioning and a SOOF and midface lift, correcting sagging from the under-eye area down to the midface in a combined approach.
Q. Can the lower eyelid turn outward after lower blepharoplasty?
- After lower blepharoplasty, the lower eyelid can turn outward, a condition called ectropion. At Humanity Plastic Surgery Clinic, we avoid removing too much skin and secure the outer corner of the eye to reinforce lower eyelid support.
Q. Can my smile lines (nasolabial folds) improve too?
- If the smile lines look deeper because the midface has sagged, lifting the midface tissue may help them look softer.
※ Results vary depending on the cause and severity of the smile lines.
From under-eye concerns to a sagging midface,
facial rejuvenation that looks natural
In middle age, facial changes do not appear only as sagging under the eyes.
Upper Eyelid Lift

Restore the eyes that time has hidden, for the natural look of your younger years
Sagging of the upper eyelid and changes in the skin and tissue alone can make your eyes look heavy and tired.
At Humanity, our upper blepharoplasty
carefully assesses skin sagging, the amount of fat, the eyelid tissue, and the balance between your current eye shape and your face to plan natural eyelid rejuvenation suited to you.
Why Choose Humanity for Upper Blepharoplasty
Point 1
Improving Your Eyes with Eyelid-Opening Strength and Forehead Strain in Mind
When the eyelids sag a lot, you may get into the habit of raising your forehead and eyebrows to open your eyes. Repeated over time, this habit can contribute to more noticeable forehead wrinkles, so we correct the eyelids after checking both how much they sag and how your eyes open.

Point 2
Correction Tailored to Your Eyes
The right technique and extent of correction can differ depending on skin thickness and sagging, brow height, and the surrounding tissue such as the orbicularis oculi muscle and fat. When needed, we also consider other options such as a sub-brow lift to plan the approach that suits you best.

Skin Thickness and Elasticity

Degree of Eyelid Sagging

Brow Height

Condition of the Muscles Around the Eyes

Amount and Distribution of Fat

Degree of Eyelid Hollowing
Surgical Technique for Upper Blepharoplasty

Step 1
Sagging Eyelid Before Surgery
Eyes that look droopy and heavy

Step 2
Incision, Skin Removal, and Tissue Correction
After an incision in the eyelid, we remove the loose skin and correct ptosis (a drooping eyelid).

Step 3
Careful Suturing
We carefully close the incision.

Step 4
Youthful, Natural Eyes
The result is a natural, clearly defined eye shape.

Who Is a Good Candidate?
· People whose sagging eyelids cover the eyelid crease and make the eyes look smaller
· People who look older because of sagging eyelids
· People bothered by heavy, tired-looking eyes
· People whose sagging eyelids get in the way of their vision
· People who strain their forehead or eyebrows to open their eyes
Procedure Steps for Upper Blepharoplasty
Detailed Eyelid Assessment
We comprehensively assess eyelid skin sagging and thickness and the condition of the fat and muscle to accurately determine the current state of your eyes and the extent of correction needed.
Custom Design for Your Eyes
Considering your eye size, eyelid crease, degree of skin sagging, and how your brows and forehead move, we plan the extent of correction and the technique for a natural look.
Precise Correction of Sagging and Excess Tissue
Matched to your eyelids, we carefully correct only the needed amount of loose skin and excess tissue, improving a heavy look and creating natural-looking eyes.
Follow-Up and Recovery Care
After surgery, we closely check the changes in your eyelids, swelling, and healing, and guide a steady recovery tailored to your progress.
Procedure Details: Upper Blepharoplasty
![]() | Length of Procedure | About 1 hour |
|---|---|---|
![]() | Anesthesia | IV sedation |
![]() | Follow-Up Visits | About 1–2 visits |
![]() | Suture Removal | After about 5–7 days |
![]() | Return to Daily Activities | After about 5–7 days |
Frequently Asked Questions
Q. Will upper blepharoplasty change my appearance a lot?
- We plan a natural, moderate change that takes your current eye shape and facial balance into account.
Q. Can it also help if I strain my forehead to open my eyes?
- If you strain your forehead and eyebrows because of sagging eyelids, improving the sagging may help reduce the effort of opening your eyes. We also check for other causes, such as ptosis.
Q. How is upper blepharoplasty different from a sub-brow lift?
- Upper blepharoplasty mainly corrects loose skin and tissue of the upper eyelid, while a sub-brow lift lifts sagging skin just below the eyebrow. The right option depends on where the sagging is and how high your brows sit.
Q. Is it possible if I already have a double eyelid?
- Yes. We check your existing eyelid crease and how much the skin sags, then plan surgery to suit your eyes.
Restore the eyes that time has hidden,
for a natural, youthful look
What matters in upper blepharoplasty is precisely removing only as much skin as needed, so that the eyelid crease does not look out of place on mature eyes and the eyes look natural and youthful.














