One-stop periorbital rejuvenation surgery | Improves droopy eyelids, fine lines around the eyes, under-eye bags, tear troughs, and mid-face sagging, restoring youthful and bright eyes.

Minimally invasive endoscopic brow lift for a youthful, fuller, and more refined look

Surgery timeDepending on the surgical method

Anesthesia methodssedation anesthesia

Suture removal timeApproximately 7 days

Postoperative recoveryApproximately 1-2 months

Many people start to feel tired and old not because of changes in facial contours, but because signs of aging first appear around the eyes. As they age, problems such as sagging eyelids, brows pressing down on the eyes, prominent eye bags, sunken tear troughs, and drooping cheekbones gradually emerge. Even with sufficient sleep and meticulous skincare, they can still easily give the impression of being listless and tired.

However, periorbital aging is not a single problem, but the result of the combined effects of fat loss and skin laxity in the upper and middle face. The truly effective way to improve it is not to treat just one area, but to have a comprehensive consultation and evaluation by experienced plastic surgeons such as Dr. Wei-Cheng Ching and Dr. Hsin-Yu Chen, and to plan a customized one-stop periorbital rejuvenation treatment plan based on the individual's periorbital aging symptoms.

1. What are the symptoms of periorbital aging? Why does it make people look older?

The area around the eyes is one of the first areas on the face to show signs of aging. Because the skin around the eyes is thin and is affected by blinking and facial muscle activity over a long period of time, coupled with collagen loss, ligament laxity and fat displacement, the supporting structure of the area around the eyes and mid-face will gradually change as we age, making it easy to appear tired, older, and lacking energy.
Common signs of aging around the eyes can be divided into the following three categories:

Upper face aging | Drooping eyebrows and eyes, dull eyes

Upper facial aging is usually associated with lowered eyebrow position and sagging of forehead and eyelid tissue. Common symptoms include: sagging eyelids, lowered eyebrow position, eyebrows pressing down on the eyes, double eyelid creases being covered or narrowed, drooping eye corners, and tired-looking eyes.

Endoscopic minimally invasive brow lift recommended by Dr. Wei-Cheng Ching. Brow lift surgery can improve periorbital sagging.

Aging in the under-eye area | Eye bags and tear troughs double the feeling of fatigue

As fat shifts and skin loosens under the eyes, shadows can easily form, making people look older than they actually are. Common symptoms include: prominent eye bags, sunken tear troughs, dark circles, and obvious shadows under the eyes, making people look like they are always tired and have poor energy.

Mid-face aging | Loss of cheekbones makes aging more noticeable

The midface is an important structure supporting the area around the eyes. When the cheekbones and deep fat gradually sag and are lost, it not only affects the area around the eyes, but also deepens the overall aging appearance. Common symptoms include: sagging cheekbones, a sunken and elongated midface, the appearance of slight nasolabial folds, and an overall tired and haggard look.

2. At what age do people begin to experience sagging and drooping around the eyes?

There is no clear dividing line for aging around the eyes. In addition to increasing age, it is also related to factors such as genetics, bone structure, skin elasticity, lifestyle, sun exposure, weight changes, and heredity. Some people begin to show signs of fatigue around their eyes in their 30s, while others do not show obvious signs of aging until they are over 50.

Generally speaking, the common signs of periorbital aging at different ages are as follows:

Around 30 years old | Early signs of aging begin to appear quietly

After entering their 30s, collagen and elastin fibers gradually diminish, leading to subtle changes around the eyes. Common symptoms include: deepening tear troughs, more noticeable dark circles, decreased support in the cheekbones, increased fine lines around the eyes, and a tired appearance. Early intervention through skincare or appropriate treatments can usually effectively slow down the aging process.

Around 40 years old | Signs of aging around the eyes gradually become apparent

After age 40, the skin and deeper tissues begin to lose their support, making aging around the eyes more noticeable. Eye bags begin to form and may even become prominent, eyelid sagging becomes more apparent, double eyelid creases narrow, and drooping eyebrows and eyes can create a feeling of pressure on the eyes. Additionally, drooping outer corners of the eyes can make them appear less vibrant. Many people begin to feel they look older, and these signs of aging around the eyes are difficult to improve even with sufficient sleep or makeup.

Over 50 years old | Aging around the eyes and midface accelerates simultaneously

As ligaments loosen, fat shifts, and collagen is lost in large quantities, aging problems are no longer limited to the area around the eyes, but extend to the entire mid-face or even the whole face. Common signs of aging in the mid-face include drooping eyelids, sagging and elongation of the mid-face, drooping cheekbones, prominent eye bags and tear troughs, deepening nasolabial folds, and sagging of the entire facial contour, resulting in an overall increased appearance of age.
Therefore, patients over 50 years of age usually need to be evaluated from the periorbital area, midface, and even the overall facial structure to achieve a more complete and natural rejuvenation effect.

III. How does Arsty Clinic create a customized one-stop periorbital rejuvenation surgery?

Whether the area around the eyes looks old is not simply determined by age, but is closely related to individual constitution, lifestyle habits, and the degree of aging. Some people look tired at a young age due to naturally low-set eyebrows and prominent eye bags, while others can maintain a good appearance around their eyes even at 50. Therefore, eye rejuvenation should not be based solely on age, nor should it be about choosing currently popular treatments. Instead, it is essential to first identify the true causes of aging in order to plan the most suitable treatment.

At Arsty Clinic, evaluations are conducted by specialist plastic surgeons who are not only familiar with various eye surgeries but also possess experience in facial lifting and rejuvenation procedures. They provide a comprehensive analysis of overall facial proportions, tissue support, and aging structures, rather than focusing solely on the eyes. During the evaluation, the doctor will comprehensively observe the height of the eyebrows, the degree of eyelid laxity, and the pressure of the eyebrows on the eyes; for the lower eyelids, they will assess the shape of the eye bags, the depth of the tear troughs, and the distribution of fat. Simultaneously, they will examine the mid-face support, the position of the cheekbones, and the causes of nasolabial folds, further analyzing the overall layers of facial aging, the degree of skin laxity, and whether rejuvenation treatments such as lifting are necessary.

Through a comprehensive and customized assessment, Arsty Clinic can plan a unique one-stop eye rejuvenation solution based on each patient's aging condition, facial proportions, and needs, rather than applying a single treatment in a standardized manner, so that the overall eye area and facial contours present a more natural and harmonious rejuvenation effect.

IV. What are the treatment options for periorbital rejuvenation?

1.Endoscopic Forehead Lift| Laying a solid foundation for a youthful appearance

Many people believe that sagging eyelids require open method double eyelid, but the underlying cause may be overall aging and sagging of the upper face. Endoscopic Forehead Lift surgery uses a minimally invasive incision to reposition sagging forehead and eyebrow tissue upwards, improving:

Eyebrows pressing down on eyes
upper eyelid sagging
Drooping eye corners
Forehead lines

It restores firmness to the upper face and makes the eyes look younger and more vibrant.

2.Brow lift surgery| Improves excess eyelid sagging

For individuals with noticeably loose skin, subbrow dermatometra can directly remove the loose skin.

Suitable:

Mature population
Heavy upper eyelids
Those who do not want to change the shape of their double eyelids

Post-surgery, it can improve the feeling of heaviness in the eyelids and adjust the distance between the eyebrows and eyes.

3.Eyelid surgeryKey to eliminating fatigue

Eye bags are a major reason why many people look older. Eye bag surgery can help:

Remove protruding fat
Improve current bulging
Eliminate fatigue
Enhance spirituality

If tear troughs are also present, fat transfer or fat grafting treatment can be used in conjunction.

4.Autologous fat replacement| Improves tear troughs and sunken cheekbones

As fat around the eyes and in the mid-face gradually diminishes, it can easily lead to problems such as sunken tear troughs, loss of cheekbones, and deepening of nasolabial folds. Through autologous fat grafting (facial sculpting), the plumpness of the face from a younger age can be restored.

5.Endoscopic facelift| Improve sagging cheeks

The midface is a key area for periorbital rejuvenation, and can be improved through endoscopic midface lifting:

sagging cheeks
Tear troughs deepen
Obvious nasolabial folds
Mid-face hollowing

Reposition the area around the eyes and the mid-face upwards.

6.Eyelid bag removal and mid-face lifting

Lower Blepharoplasty（Trans conjunctiva） — If there are protruding eye bags, sunken tear troughs, and mid-face sagging, eye bag surgery combined with mid-face lifting can be considered. Through an internal eye bag incision, some of the mid-face problems can be improved to a limited extent.

7.Phoenix Radio Waves| Non-surgical options for periorbital rejuvenation

For those with milder signs of aging or those undergoing post-operative care, Phoenix radiofrequency therapy can be used as an adjunct treatment to improve fine lines, mild sagging, and firmer skin around the eyes. However, if there is significant drooping of the eyelids, eye bags, or sagging of the mid-face, surgery is still necessary to achieve more noticeable improvement.

Case Study | Creating Naturally Bright and Youthful Eyes

The causes of aging around the eyes vary from person to person, so the treatment methods also differ. Some people need a brow lift to reduce the pressure between their eyebrows and eyes, while others need blepharoplasty and fat grafting to restore smoothness under the eyes. Still others need a mid-face lift to truly improve tiredness and signs of aging.

Only through professional medical evaluation and customized planning can a natural and non-stiff rejuvenation effect be achieved that suits individual conditions.

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Before and after photos of a one-stop facial rejuvenation procedure, three months prior.

Before and after photos of a one-stop facial rejuvenation procedure

Recommended surgeons for one-stop periocular rejuvenation surgery

Pre-operative consultation with a senior facelift medical team |

The Arsty Clinic medical team is led by Dr. Wei-Cheng Ching, who has nearly 20 years of experience in plastic surgery and is a leading authority in bone reduction, facelift, and facial surgery in China. Dr. Hsin-Yu Chen, a top female doctor on the celebrity list, specializes in eye plastic surgery, Endoscopic Forehead Lift, breast augmentation, and liposuction. She is a senior female plastic surgeon. The experienced medical team can handle various emergencies during surgery appropriately, ensuring a safe and worry-free procedure.

Brow lift combined with eyelid surgery: a highly professional approach.

Our exclusive Endoscopic Forehead Lift technology can be combined with specialized eye plastic surgery procedures to create customized treatment plans. Based on individual needs, we conduct a comprehensive assessment of issues such as periorbital aging, imperfect eye shape, and eye bags, combining different surgical procedures into one surgery. This one-stop plastic surgery approach results in more perfect outcomes and saves unnecessary recovery time and money.

Most Endoscopic Forehead Lift cases accumulated |

Arsty Clinic has accumulated the most Endoscopic Forehead Lift cases among its peers. Its medical team possesses both technical expertise and aesthetic sense, resulting in natural and harmonious post-operative appearances that do not appear stiff. These cases have stood the test of time and have earned a good reputation both domestically and internationally.