This is the lecture I gave at the Korean Society for Aesthetic Plastic Surgery (KSAPS) Spring Meeting on April 12, 2026.
The Korean title translates to "Revisional Eyelid Surgery in Middle-Aged and Older Patients: Strategies and Considerations."
With age, both the epidermis and dermis thin out, and the underlying muscles lose some of their bulk and strength.
The goal is to preserve the function of the orbicularis oculi — the muscle that closes the eye — and to keep skin excision to a minimum while still shaping a refreshed, beautiful eye.
With age, the upper lid hollows considerably as well.
The levator — the muscle that opens the eye — often becomes separated from its attachment, or its layers stack and double over.
https://youtu.be/AB7JG8fnOfc
Post-op, the patient looks noticeably younger.
I'm pleased with how this one turned out.
Before-and-after of a patient with prominent multiple folds and a sleepy-looking lid.
Repositioning the levator to its proper attachment restores a clear, alert gaze.