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Garnet/Eye Surgery/Upper blepharoplasty
Board-certified Plastic Surgeon · Apgujeong, Seoul

Upper blepharoplasty — a heavy, hooded upper lid lightened and opened.

An upper blepharoplasty removes redundant skin (and tidies tissue) from the upper eyelid to lift hooding and open a tired, heavy eye. At Garnet it is planned and performed by one board-certified plastic surgeon, Dr. In-Soo Baek, from consultation through every follow-up.

~30–60 min
operating time
~7 days
sutures out
1
surgeon, every step
Anaesthesia
Local / sedation
Surgery time
~30–60 minutes
Sutures out
~7 days
Social downtime
~1–2 weeks
Follow-up
1 / 3 / 6 months
10,000+ eye procedures since 2011· Board-certified plastic surgeon — accredited member, Korean Society of Plastic & Reconstructive Surgeons· Foreign-patient programme registered· Single-surgeon practice

The bottom line

What it is
An upper-eyelid operation that removes the redundant fold of upper-lid skin (dermatochalasis) and tidies any heavy tissue, so the hooding that rests on the lashes is lifted and the eye looks more open and rested.
Best for
A heavy, hooded upper lid where excess skin overhangs the lash line or crease, makes the eye look tired, or in some cases presses on the field of vision.
Who performs it
Dr. In-Soo Baek only — a board-certified plastic surgeon and Garnet's sole operating doctor. The same surgeon consults, operates and follows up.
Downtime
Sutures out at about 7 days; most bruising and swelling settle over ~1–2 weeks; the crease and scar refine over a few months.
Longevity
Removing redundant skin gives a long-lasting result; published series report durable improvement with high satisfaction, though the lid continues to age slowly afterwards.
How to start
Send photos through WhatsApp or the form below for an honest, no-obligation pre-assessment before you travel.
Before & after Candidacy What it is How it's performed The anatomy Upper lift vs brow vs ptosis Anaesthesia & safety Incisions & scars Recovery Longevity Combining Risks International patients FAQ

Before & After

Eyelid before/after examples of actual Garnet patients (published with consent). Results, recovery and suitability vary by individual and are not guaranteed; the right approach is decided at an in-person consultation.

Is it right for you?

Often a good fit

  • A heavy, hooded upper lid where excess skin overhangs the crease or lashes
  • A tired-looking eye that make-up no longer sits on because of the fold
  • Excess skin that, when severe, narrows the upper field of vision
  • General good health and realistic, discussed expectations
  • Able to plan ~1–2 weeks of social downtime and the follow-up schedule

Worth discussing other options

  • A low-sitting lid margin from a weak levator — that is ptosis, planned separately or together
  • Heaviness coming mainly from a descended brow — a sub-brow lift may suit better
  • Significant pre-existing dry eye — assessed individually at consultation
  • Looking for a same-week, no-downtime result
  • Uncontrolled medical conditions — assessed individually at consultation
Dr. In-Soo Baek

Dr. In-Soo Baek

Director & sole operating surgeon
Korean medical licence no. 77407
  • Board-certified plastic surgeon
  • Korea University College of Medicine & graduate school (plastic surgery)
  • Member, Korean Society of Plastic and Reconstructive Surgeons (facial-contour, eye & rhinoplasty groups)
  • Every case planned, performed and followed up by the same surgeon
About the surgeon →

What patients say

4.8
★★★★★
92 verified patient reviews
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Garnet is well known for neck-wrinkle and lifting surgery. The facility is excellent and I’m thoroughly satisfied with the friendly consultation and the surgeon’s skill.

S
Song
Neck / lifting
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Director Baek In-soo, thank you so much. Thanks to you I keep getting told I look younger — it feels like I’ve gone back to my younger days.

V
Verified patient
Facial lifting
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I had upper and lower eyelid surgery and I’m really satisfied. The director and the manager were both so kind and clear.

V
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Eye surgery
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I started with under-eye fat repositioning — the director and the manager are genuinely kind and good at what they do. I’ll be back.

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I came on a referral and was very satisfied thanks to the doctor’s kind consultation and clear explanations. The nurses were friendly too.

K
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Consultation
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I kept reading the reviews and came trusting the many mentions of skill and kindness. The clinic was busy with patients and spotless.

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First visit

Lifting a heavy, hooded upper lid

An upper blepharoplasty is an eyelid operation that removes the redundant fold of upper-lid skin (and tidies excess muscle or fat where present) through a fine incision hidden in the lid crease, so a heavy, hooded lid is lifted and the eye looks more open. It treats lax skin; where the lid itself sits low, it is paired with ptosis correction rather than replaced by it.

With age the upper-lid skin loosens and an overhanging fold develops — dermatochalasis — that can rest on the lashes, blunt the natural crease and make the eye look tired or, when heavy, narrow the field of vision. The cause is excess, lax skin (sometimes with a little bulging fat), so removing the redundant skin through a hidden crease incision lifts the hood and re-defines the fold.

Upper blepharoplasty treats the skin, not the height of the lid margin itself. If the eyelid margin sits low because the eye-opening (levator) muscle is weak — true ptosis — skin removal alone will not open the eye, and the two are planned together. Judging which problem is present, and how conservative to be with skin, is the heart of the consultation, particularly for an eyelid with a crease already present.

At Garnet this is a single-surgeon operation. Dr. Baek plans the case from the consultation, performs it himself and reviews healing at set intervals; the clinic caps the day at about two surgeries so each case has unhurried time. The stated aim is to address the concern you arrived with and to prevent foreseeable complications — particularly over-resection — rather than to chase the maximum possible change.

One surgeon, one plan

From the crease-line incision and conservative skin marking to closure — every step by Dr. Baek.

Dr. In-Soo Baek performing surgery at Garnet Plastic Surgery, Apgujeong

A single surgeon, start to finish. Dr. Baek plans the case, performs the operation himself and reviews every follow-up. The clinic caps the day at two surgeries, so each operation has unhurried time.

An upper blepharoplasty at Garnet typically runs about thirty to sixty minutes, usually under local anaesthesia with sedation as appropriate, decided with you after your medical history is reviewed. The steps below outline how it is carried out.

01

Consultation & planning

Dr. Baek assesses the lid in person — the amount of redundant skin, the crease, brow position and whether the lid margin sits low (ptosis) — and agrees the plan with you. The skin to remove is marked precisely, conservatively, with the eye open and closed.

02

Crease-line incision

A fine incision is placed in or just above the natural upper-lid crease, where the resulting scar settles into the fold and is hidden when the eye is open. The design is tailored to your existing crease and lid anatomy.

03

Conservative skin excision

Only the marked redundant skin is removed; a strip of orbicularis muscle is tidied where it adds bulk. The aim is to lift the hood while leaving enough skin for the lid to close fully — over-resection is deliberately avoided.

04

Tissue tidy-up

Where a small pad of preaponeurotic fat bulges, it is conservatively reduced or repositioned to smooth the fold, rather than hollowing the lid.

05

Crease set & adjuncts

The crease is re-formed at a natural height. Where the consultation shows it, ptosis correction or lower-lid surgery may be combined in the same sitting so the eyes match.

06

Closure & review

Fine closure with a light dressing. Because Garnet is single-surgeon, Dr. Baek reviews you himself before you settle in and at each follow-up; sutures come out at about seven days.

Why the upper lid hoods

A few layers explain the hooded upper lid: the lid skin, which thins and stretches; the orbicularis oculi muscle beneath it; the orbital septum holding back small pads of preaponeurotic fat; and, deeper, the levator muscle and its aponeurosis, which open the eye and form the crease. Ageing dermatochalasis is mainly a skin-and-muscle problem, and conservative skin excision with the crease as the lower mark is the basis of a natural result (Aesthetic Plast Surg 2023; DOI 10.1007/s00266-023-03436-6).

Two cautions follow from the anatomy. First, removing too much skin can leave the lid unable to close fully or set the crease too high, so resection is measured and conservative — especially in a lid that already has a crease. Second, if the lid margin itself is low because the levator is weak, that is ptosis, a separate problem the skin operation will not fix; the consultation distinguishes the two so the right operation — or a combination — is planned. Where the heaviness comes mainly from a descended brow, a sub-brow lift may be more appropriate.

Upper blepharoplasty vs sub-brow lift vs ptosis correction

Upper blepharoplastySub-brow liftPtosis correction
Problem treatedExcess upper-lid skinDescended brow / outer hoodLow lid margin (weak levator)
What it doesRemoves redundant lid skinLifts skin under the browStrengthens the eye-opening muscle
ScarHidden in the lid creaseAlong the lower brow edgeHidden in the lid crease
Opens the eye?Lightens the hoodLifts the brow-side hoodYes — raises the lid margin
Typical candidateLoose lid skin, normal lid heightHeavy outer brow, thick skinTired eye with low-sitting lid

These often overlap and may be combined — the key is whether the heaviness comes from lid skin, the brow, or a low lid margin. Conservative skin excision underpins a natural upper-lid result (Aesthetic Plast Surg 2023; DOI 10.1007/s00266-023-03436-6). A descended brow may suit a sub-brow lift, and a low lid margin needs ptosis correction; Dr. Baek advises at consultation.

How your safety is handled

Anaesthesia

An upper blepharoplasty is usually performed under local anaesthesia, with light sedation if you prefer, decided with you for comfort over a thirty-to-sixty-minute operation. Your medical history and any dry-eye tendency are reviewed beforehand.

Single-surgeon monitoring

Because Garnet caps the day at about two surgeries, the operation is unhurried and the same surgeon who planned the case carries it out and reviews recovery — there is no separate operating doctor and no rotation of care.

Foreign-patient programme

Garnet is registered with Korea's foreign-patient programme; pre-operative checks, scheduling and after-care are coordinated for international visitors in English.

Honest assessment

If the heaviness is really from the brow or a low lid margin, that is said at the consultation and the right operation planned. Photos can be reviewed before you travel.

Where the scar sits

An upper blepharoplasty incision is placed in or just above the natural upper-lid crease, so the resulting scar sits within the fold and is hidden when the eye is open. Closed with fine sutures and following the existing crease, it usually settles into a thin, inconspicuous line as it matures. Because the scar hides in the crease, upper-lid surgery generally leaves no visible mark in everyday settings.

Scars are permanent but designed to disappear into the crease; healing varies by individual and skin type, and an early pink line softens over the following months. Dr. Baek reviews scar maturation at the 1-, 3- and 6-month visits and advises on scar care; sun protection on the healing line is encouraged until cleared.

Week by week

Days 1–3
A light dressing or tapes over the crease line; swelling and bruising build then peak over the first few days. Rest with the head elevated and use cold compresses as advised. Discomfort is usually mild and managed with prescribed medication.
Days 4–7
Swelling begins to turn the corner and bruising starts to fade. Sutures are removed at about day seven by the surgeon. Many patients feel noticeably more themselves by the end of the first week.
Weeks 1–2
Residual swelling and faint bruising continue to ease; light cover make-up away from the incision helps for everyday settings. Reading and screen work resume as comfort allows.
Weeks 2–4
Most social downtime is over for everyday settings. The crease may look a touch high or firm at first and keeps settling as swelling resolves.
Months 1–6
The crease softens to its natural height and the scar matures over the following months. Dr. Baek reviews healing at one, three and six months — in person, or by messenger after you return home.

Do

Keep the head elevated, use cold compresses early, take medication and any eye drops as prescribed, sleep on your back, and keep your follow-up visits.

Avoid

Rubbing the eyes, strenuous exercise and heavy lifting early on, alcohol and smoking, very hot showers/saunas, eye make-up on the incision until cleared, and direct sun on the healing scar.

How long does it last?

An upper blepharoplasty does not stop the lid ageing, but removing redundant skin gives a long-lasting result because the excess that caused the hood is gone. Published series and a systematic review report durable improvement with high patient satisfaction and few complications (Aesthetic Plast Surg 2023; DOI 10.1007/s00266-023-03436-6). Most patients do not need a repeat for many years.

Individual longevity depends on skin quality, sun exposure, weight change and how the brow and lid age afterwards. The skin slowly continues to relax over time, and a small amount of hooding can return years later. Garnet's approach is conservative skin removal so the lid still closes fully and the crease sits naturally, since an upper lid that was never over-resected ages more gracefully.

Often planned together

Ptosis correction

Where the lid margin sits low as well, ptosis correction opens the eye while the hood is lifted, so the result looks alert rather than merely de-bulked.

Lower eyelid surgery

Many patients plan lower blepharoplasty in the same sitting, since the upper and lower lids age together and a balanced result looks more rested.

Double-eyelid surgery

An incision or non-incision double-eyelid may be combined where crease definition is part of the wish.

Brow approach

Where the heaviness is mostly from the brow, a sub-brow lift can be planned instead of or alongside lid-skin removal for a balanced upper face.

An honest word on risk

Every operation carries risk. For upper blepharoplasty the main concerns are over-resection (too much skin removed, which can leave the lid unable to close fully and cause dryness) and asymmetry between the two creases; this is why the skin to remove is marked conservatively. Most reported complications in published series are minor and patient satisfaction is high (Aesthetic Plast Surg 2023; DOI 10.1007/s00266-023-03436-6).

Other possible risks include temporary swelling and bruising, dryness or watering, a crease set a little high or low, scar-related issues and, rarely, the need for a touch-up. Pre-existing dry eye can be aggravated and is assessed beforehand. These are explained individually at consultation.

What reduces risk in practice: distinguishing lax skin from true ptosis or a brow problem, conservative skin marking with the eye open and closed, fine closure in the crease, and follow-up by the operating surgeon. Garnet's single-surgeon, low-volume model is built around exactly this kind of unhurried planning and personal after-care. Results are intended improvements, not guarantees.

Planning from abroad

Most international patients plan roughly 7–10 days in Korea for an upper blepharoplasty, so sutures can be removed by the surgeon at about day seven and the early swelling has settled before travel. The coordinator confirms the timing for your specific plan.

Before you travel, send clear photos (eyes open, eyes gently closed, and a relaxed three-quarter view) and a note on your concern and dates through WhatsApp, LINE or the form below. You'll get an honest pre-assessment — including whether the issue is skin, brow or a low lid margin — rather than a hard sell.

Garnet is registered with Korea's foreign-patient programme and coordinates consultations, scheduling and after-care in English. After you return home, Dr. Baek can continue to review your recovery by messenger.

Guides for international patients

Questions about this procedure

What does an upper blepharoplasty do?
It removes the redundant fold of upper-lid skin (and tidies heavy tissue where present) through a fine incision hidden in the lid crease, so a heavy, hooded lid is lifted and the eye looks more open and rested. It treats lax skin, not the height of the lid margin itself.
How is upper blepharoplasty different from a sub-brow lift or ptosis correction?
All three lighten a heavy upper eye but address different causes. Upper blepharoplasty removes excess lid skin through a crease-line incision; a sub-brow lift removes skin under the brow when a descended brow is the cause; ptosis correction strengthens the eye-opening muscle when the lid margin itself sits low. They often overlap and may be combined; the right one depends on where the heaviness comes from, judged at consultation.
Upper blepharoplastySub-brow liftPtosis correction
Problem treatedExcess upper-lid skinDescended brow / outer hoodLow lid margin (weak levator)
What it doesRemoves redundant lid skinLifts skin under the browStrengthens the eye-opening muscle
ScarHidden in the lid creaseAlong the lower brow edgeHidden in the lid crease
Opens the eye?Lightens the hoodLifts the brow-side hoodYes — raises the lid margin
Typical candidateLoose lid skin, normal lid heightHeavy outer brow, thick skinTired eye with low-sitting lid
Does Dr. Baek perform the surgery himself?
Yes. Garnet is a single-surgeon practice, so Dr. Baek handles the consultation, the operation and the follow-up personally — there is no separate operating doctor and no rotation of care.
Will an upper blepharoplasty open my eyes more?
It lifts the hood of overhanging skin so the eye looks more open and rested. If the lid margin itself sits low because the eye-opening muscle is weak, that is ptosis and is treated with ptosis correction — sometimes combined — which is checked at consultation.
How much does upper blepharoplasty cost in Korea?
Fees depend on how much skin is involved and what is combined with it, so a price is given only after an in-person assessment. Send photos through the form below for guidance, and ask the coordinator about current pricing rather than relying on a generic figure.
How long is recovery after upper blepharoplasty?
Sutures come out at about day seven, and most bruising and swelling settle over one to two weeks for everyday settings. The crease and scar refine over the following months as the early firmness resolves.
Where is the scar and will it show?
The incision sits in or just above the natural lid crease, so the scar hides in the fold and is not visible when the eye is open. It usually settles into a thin, inconspicuous line as it matures over several months.
What anaesthesia is used and how much pain is there?
Usually local anaesthesia, with light sedation if you prefer, over a thirty-to-sixty-minute operation, decided after your history is reviewed. Most patients describe pressure and mild soreness rather than sharp pain in the first days, managed with prescribed medication.
Am I a good candidate for upper blepharoplasty?
It often suits a heavy, hooded lid where excess skin overhangs the crease in someone in good health with realistic expectations. A low lid margin (ptosis), a descended brow, or marked dry eye are assessed individually — bring this up at consultation.
Can I combine it with ptosis correction or lower-lid surgery?
Yes. Ptosis correction and lower blepharoplasty are commonly planned in the same sitting where the consultation shows they balance the result, so both eyes and both lids match.
Will I still be able to close my eyes fully?
Yes — that is exactly why skin is removed conservatively, leaving enough for the lid to close. Over-resection is deliberately avoided, and the amount to remove is marked with the eye open and closed at the consultation.
How long should I stay in Korea?
Most international patients plan about 7–10 days, so sutures can be removed by the surgeon and early swelling settles before travel. The coordinator confirms timing for your plan, including any combined procedures.
Will my double-eyelid crease change?
The crease is re-formed at a natural height during closure. If you also want clearer crease definition, an incision double-eyelid can be planned together; the target height is agreed beforehand.
Can I see upper blepharoplasty before-and-after photos?
Yes — eyelid before/after examples are shown on this page and reviewed in more detail at consultation with consent. Results vary by individual, so they illustrate rather than promise an outcome.
How do I start without flying to Korea first?
Send photos and your dates through WhatsApp, LINE or the form below. You'll get an honest pre-assessment — including whether the cause is skin, brow or lid margin — before you plan a trip.

Sources

  1. Upper Eyelid Blepharoplasty: Surgical Techniques and Results — Systematic Review and Meta-analysis. Aesthetic Plast Surg. 2023. DOI 10.1007/s00266-023-03436-6. link
  2. Upper Eyelid Ptosis Correction with Levator Advancement Using the Levator Musculoaponeurotic Junction Formula. Plast Reconstr Surg. 2023. DOI 10.1097/PRS.0000000000010889. link
  3. Alhumaemydi R, Diab MM, AlSuhaibani AH. Refining transcutaneous lower blepharoplasty: Key steps for minimizing complications. Saudi J Ophthalmol. 2025. DOI 10.4103/sjopt.sjopt_89_25. link

Citations are provided for general education. This page is informational and does not replace an in-person consultation; suitability, technique and recovery are individual.

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