Journal · Eyelid surgery

Upper Blepharoplasty for Hooded Eyelids: Preserving Natural Expression

Medically reviewed by Dr. Lee Young-geun, board-certified plastic surgeon · Last reviewed:

Treating hooded eyelids by pulling skin tightly creates a harsh, startled expression. True aesthetic rejuvenation requires measuring eyelid dynamics in an upright, seated posture.

💡 Key Clinical Takeaway (TL;DR): Upper blepharoplasty conservatively excises redundant, heavy skin folds that drape over the upper eyelashes and obscure natural double eyelids or obstruct peripheral vision. Dr. Lee assesses the brow position and lid margin opening carefully to distinguish true skin hooding from underlying blepharoptosis before designing the incision along the natural crease.

Why seated measurement is critical

Gravity pulls differently when lying down compared to standing. If a surgeon designs an upper blepharoplasty incision while the patient is supine on the operating table, the brow falls backward and the calculated skin surplus is distorted.

Dr. Lee Young-geun meticulously measures and calibrates the upper eyelid excision while the patient sits fully upright, factoring in brow position, forehead compensation, and eyelid crease height.

Harmonizing with your natural crease

The goal of upper blepharoplasty at SINSA L is never to impose a foreign eyelid crease. It is to remove the obscuring curtain of surplus skin so your own brighter, unobstructed gaze returns. The fine incision line is hidden precisely within the supratarsal crease.

Written by Dr. Lee Young-geun, Board-Certified Plastic Surgeon, Founder & Sole Surgeon, SINSA L Plastic Surgery, Sinsa, Gangnam, Seoul. Published 2026-04-06.

FAQ

Related questions

When are upper eyelid sutures removed?

Sutures are removed on day 5 to 7. Most patients return to regular social routines within one week.

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Have this assessed properly

Photographs and a short description are enough for Dr. Lee to tell you which category you fall into.

Every consultation is carried out by Dr. Lee Young-geun in person — never by a coordinator.

Specialized Eyelid & Periorbital Surgeries in Gangnam, Seoul, Korea

1. Under-Eye Fat Repositioning (눈밑지방재배치)

Preserving orbital fat and transposing into tear trough grooves with zero skin incision.

Gangnam Under-Eye Fat Repositioning Guide →

2. Under-Eye Fat Removal (눈밑지방제거)

Scarless transconjunctival excision for isolated eye bag puffiness in younger skin.

Seoul Under-Eye Fat Removal Guide →

3. Lower Blepharoplasty (하안검 성형술)

Subciliary skin excision, fat reset, and lateral canthopexy preventing ectropion.

Korea Lower Blepharoplasty Specialist →

4. Upper Blepharoplasty (상안검 성형술)

Conservative excision of sagging eyelid skin and hooded folds for visual comfort.

Seoul Upper Blepharoplasty & Eyelid Lift →

5. Micro Fat Grafting (눈밑미세지방이식)

Autologous micro-fat transfer restoring smooth volume to sunken under-eye hollows.

Gangnam Tear Trough Fat Transfer →

6. Dark Circle Surgery (다크서클수술)

Comprehensive correction of structural tear troughs, thinning dermis, and vascular shadowing.

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