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العربيةWhy do the eyes look droopy in middle age?
The upper eyelids sag with age, and when the sagging skin covers the eyes, the eyes look smaller.
Many people visit us for droopy eyelid surgery in middle age or later. Sagging begins from the late 20s, and although it varies from person to person, it becomes noticeable by the 40s.
With a double eyelid, the eyes look less droopy
A double eyelid is not only a matter of shape; it is also a structure that lessens eyelid sagging.
People who have a double eyelid, even a low one, look much less droopy. Conversely, people who have no double eyelid at all or who have a lot of tissue in the eyelid look much more droopy than others of the same age.
Having a double eyelid does not simply mean a matter of shape or form. This is because it has the meaning of correcting eyelid sagging.
There are broadly two methods
When the upper eyelids droop, there are broadly two ways to correct them.
| Surgery | What it does | Double Eyelid |
|---|---|---|
| Upper Blepharoplasty | Removes the sagging skin | Done while creating a double eyelid |
| Under-Brow Incision (Sub-Brow Lift) | Removes the sagging skin | No separate double eyelid is created |
The two operations are the same in that the sagging skin is removed. The difference is whether a double eyelid is created.
Why the impression can look different after upper blepharoplasty
Because it is mainly the skin on the outer side of the upper eyelid that sags, the outer eyelid is lifted considerably.
People sometimes say that their impression looks fierce after upper blepharoplasty. This is because, as the skin of the outer eyelid is raised, it gives the impression that the outer corners of the eyes are turned upward. Of course, it improves a great deal afterward, but this recovery period is long, and some people find it stressful.
In simple terms: The side with the most sagging skin is the outer side of the eye. Because that side is raised, the outer corners of the eyes may look turned upward for a while. It changes as time passes, but some people find that period difficult.
Under-brow incision does not change the impression much
Because under-brow incision does not create a separate double eyelid, the impression does not change much.
Removing the sagging eyelid skin is the same as in upper blepharoplasty. However, the recovery period mentioned above is short.
If you did not originally have a double eyelid and one is created, even a low one, you get a feeling that your impression has changed. With under-brow incision, if you originally had none, you remain without one; if you originally had one, it returns to the state before it sagged.
In comparison, upper blepharoplasty creates a double eyelid that was not there originally or changes the shape of the double eyelid. So it gives an impression that is also different from how it felt before the sagging.
So when do we recommend which one?
The method differs depending on the desired shape and the condition of the eyes.
| In this case | Surgery we recommend |
|---|---|
| You do not want your impression to change and want a short recovery period | Under-brow incision |
| You originally had no double eyelid and do not want to create one | Under-brow incision |
| You want to create a double eyelid that was not there originally | Upper blepharoplasty |
| The skin sags not only on the outer side of the upper eyelid but also on the inner side | Upper blepharoplasty |
Just decide one thing before your consultation
From the patient's point of view, deciding in advance on one of two things makes the choice a little easier.
Whether you want to create a double eyelid you did not have, or you want your impression not to change.
