Surgery · Upper-Lid Routes

Upper Blepharoplasty vs Sub-brow Lift

Through the fold, or from just beneath the brow

Gangnam, Seoul | Board-certified plastic surgeon, Dr. Jonghwan Choi
Both listed at Rewind, each recorded at more than five years · KHIDI-registered for international patients

Upper Blepharoplasty vs Sub-brow Lift Upper Blepharoplasty vs Sub-brow Lift Upper Blepharoplasty vs Sub-brow Lift Upper Blepharoplasty vs Sub-brow Lift 
Choose

Two routes

Should you choose upper blepharoplasty or a sub-brow lift?

How the choice is made

Choose by what your lid holds and what you want to keep. Upper blepharoplasty enters through the line of the fold and removes skin, upper-lid fat and slack muscle before fixing the septum, so it suits a heavy, full lid whose crease can carry the scar. A sub-brow lift removes loose skin through a small incision just beneath the eyebrow and fixes it to the periosteum, leaving the eyelid and any existing crease untouched.

Both descriptions come from Rewind's Korean pages for the two operations and from its post-operative sheets. Neither page states an anaesthetic type or an operating time.

On the second question, which option preserves a monolid or an existing natural crease, the answer is the sub-brow lift. Rewind lists improving a drooping eye without a double eyelid among its reasons for that operation, and states that it works without disturbing the existing crease line. Upper blepharoplasty, working through the fold, leaves the crease line more clearly defined.

The balance tips the other way when the lid is bulky. The upper-lid operation's published steps include removing fat and slackened muscle, while the sub-brow steps describe removing skin and anchoring it to the periosteum. A lid heavy with fat therefore leans toward the fold route, and a lid whose main problem is loose skin, particularly toward the outer side, can often be answered from beneath the brow.

Dr. Jonghwan Choi discussing upper-lid surgery options with a patient
Fig. 01 — Two routes into the same lid
Routes

Side by side

Upper blepharoplasty and the sub-brow lift, compared on four points

The two operations reach the same heavy lid from opposite edges. Four differences decide which one fits.

point 01
Where the incision sits
Upper blepharoplasty: in the crease line of the fold, where it becomes concealed as the crease settles. Sub-brow lift: a small incision immediately beneath the eyebrow.
point 02
What is removed and fixed
Upper blepharoplasty removes skin, upper-lid fat and slack muscle and fixes the septum. The sub-brow lift removes loose skin below the brow and fixes it firmly to the periosteum.
point 03
What happens to the crease
The fold route defines the crease line it passes through. The sub-brow route leaves the lid itself, and any crease or monolid, as it was.
point 04
Where the change shows most
The fold route lightens a full, heavy lid. Rewind lists the sub-brow lift for pronounced wrinkling at the outer eye, for lids that make the face look older and for a thick, puffy look above the eye.

Durability does not separate them. Rewind records both as usually lasting more than five years, depending on individual tissue elasticity and on the extent of surgery. The full descriptions are on the upper blepharoplasty and sub-brow lift pages.

Decide

On one lid

How the choice between upper blepharoplasty and a sub-brow lift is made on one lid

Rewind offers both operations, so the choice is made on the lid itself. The surgeon works through five questions.

01Crease

Is there a fold, and should it stay as it is?

A monolid, or a natural crease the patient wants unchanged, points beneath the brow. A crease already hidden by skin, or a wish for a clearer line, points to the fold.

02Bulk

How much fat and muscle is there?

Fullness from fat and slackened muscle is addressed through the fold, where the published steps remove both. Loose skin with little bulk can be taken from below the brow.

03Spread

Where is the overhang heaviest?

Heavy wrinkling at the outer side of the eye is on the sub-brow list. An overhang running across the whole lid, or resting on the lashes, is on the upper-lid list.

04Brow

Has the brow itself come down?

Both operations work below the brow. If the brow itself has descended, a forehead lift is discussed, since neither route is designed to raise it.

05Scar

Which scar would you prefer to carry?

One line hides in the crease and the other sits just beneath the brow. Both are real scars that need sun protection while they heal, and where to carry one is a choice you make with the surgeon, with both options explained.

Surgery in progress in the operating room at Rewind Plastic Surgery
Fig. 02 — Either route, the same operating surgeon
Both

Why both are offered

Why Rewind keeps both upper-lid routes for the same heavy lid

Heavy upper lids differ in where the weight sits, whether a crease exists and how much fat lies underneath. Keeping two routes lets the plan follow the lid.

01Fit

The lid chooses the route

A full lid with a buried crease and a monolid with loose skin at the outer side can look alike in a photograph and need different operations. Both can be weighed at a single examination.

02Keep

What you want preserved counts

Some people value their monolid or their natural fold and want the heaviness gone without it changing. Rewind states that the sub-brow lift improves the lid without touching an existing crease.

03One surgeon

The same surgeon for either

Dr. Jonghwan Choi, a board-certified plastic surgeon, performs both operations and the follow-up after each, so the recommendation turns on your lid.

Dr. Jonghwan Choi examining a patient's upper eyelid and brow at the consultation desk
Fig. 03 — Crease, bulk and brow, read together
Theatre

In Apgujeong

The Apgujeong operating room where both upper-lid routes are carried out

Dr. Jonghwan Choi preparing a draped patient before upper-lid surgery

Fig. 04 — Preparation before either incision

Patient lounge at Rewind Plastic Surgery, Apgujeong

Fig. 05 — The lounge on the clinic floor

Rewind occupies the fourth and fifth floors of the Richro Building in Apgujeong, Gangnam, and both operations are performed there by the medical director. Consultations are held on Monday, Tuesday, Wednesday and Friday until 19:00 and on Saturday until 16:00, by appointment, with Thursday and Sunday closed. The anaesthetic and the operating time for either route are confirmed with you after the examination, since the clinic publishes neither.

Fold route: incision in the crease line
Fold route: septum fixed before closure
Brow route: small incision beneath the eyebrow
Brow route: skin fixed to the periosteum
Both: recorded at more than five years
Both: operated by Dr. Jonghwan Choi
Dr. Jonghwan Choi, board-certified plastic surgeon and medical director

Board-certified plastic surgeon

Dr. Choi is certified in Korea as a specialist in Plastic Surgery, has ten peer-reviewed papers and is a member of the Korean Society of Plastic and Reconstructive Surgeons. Rewind is KHIDI-registered for international patients, Reg. M-2025-01-08-09288.

Cost

Rates side by side

Upper blepharoplasty and sub-brow lift prices in Seoul, compared

Both are listed as single operations. The forehead lift and the eye-opening add-on appear because the examination sometimes points to them, alone or alongside either route. Figures are in Korean won.

Upper blepharoplastyThrough the fold: skin, upper-lid fat and slack muscle, septum secured
₩3,900,000
Sub-brow liftBeneath the brow: loose skin removed and fixed to the periosteum
₩2,900,000
Endotine forehead liftWhen the brow itself has descended
₩4,500,000
Eye-opening correction, addedWhen the examination finds a weak lift
₩1,200,000

VAT is excluded and the anaesthetic fee included in each rate. A plan combining two operations is quoted with one line per operation.

The sub-brow lift sits lower on the list than upper blepharoplasty, in line with the smaller scope of its published steps. Choosing it for the figure alone makes sense only if its route suits the lid, since a heavy, fatty lid treated from beneath the brow may keep the fullness the fold route would have removed. Each rate is broken down on the sub-brow lift cost page.

Fit

Which lid, which route

Monolid, natural crease or heavy fat: which upper-lid route fits

Upper blepharoplasty is listed for

  • A lid drooping far enough to narrow the upper field of view
  • Pronounced sagging of the skin around the eye
  • A crease hidden under lengthened skin
  • Lashes pushed down onto the eye by the lid

The sub-brow lift is listed for

  • Deep wrinkling at the outer side of the eye
  • A drooping lid pressing on the lashes
  • A lid that makes the face look older
  • A drooping eye to be improved while keeping the lid without a crease

Age is no dividing line. Rewind states that the sub-brow lift can be considered at any age depending on the lid, and the upper-lid operation is grouped with its middle-age eye surgery because of the tissue changes it treats. Neither is offered while there is infection or inflammation around the eye, and bleeding tendencies and dry eyes are discussed before either is planned.

After

Aftercare compared

How recovery differs after upper blepharoplasty and after a sub-brow lift

The two routes share a month of restrictions and differ in what Rewind's sheets ask of the area around each line.

Both, first month
Nothing that pulls
For about a month, strong pulling on the operated area is avoided after either operation, and alcohol, smoking and saunas are kept out of the same period.
Fold route
Stitches at five to seven days
Sutures in the crease come out at about five to seven days. The wound is kept clean, and rubbing or straining the eyes is avoided.
Brow route
Rest the face
Rewind's sheet for brow-lift recovery asks for strong stimulation to be avoided, big facial expressions to be kept down and plenty of rest, and for the clinic to be contacted about severe pain.
Both routes
One to two weeks
Bruising and swelling usually settle within one to two weeks after either route, and sunscreen protects the healing line against pigmentation.

The risks overlap. Bleeding, infection, swelling that lingers, asymmetry between the two sides and a visible scar can follow either operation. Particular to the fold route is removing too much lid skin, which is difficult to reverse, so the amount taken is judged cautiously on the lid; the brow-edge line, for its part, needs sun protection until it has matured.

Doctor

Professional

At Rewind, one board-certified plastic surgeon carries every case — from the first consultation to the final follow-up. Because a face is a story, and a story deserves a single author.

Dr. Jonghwan Choi, board-certified plastic surgeonRewind,
Dr. Jonghwan Choi presenting at an academic session
Fig. 06 — Academic presentation, thread-lifting session

Rewind's Doctor

Dr. Jonghwan Choi Medical Director

One surgeon, from the first
consultation to the last follow-up.

A board-certified plastic surgeon devoted to anti-aging lifting — with the precision and restraint built through years of craniofacial practice.

Board-certified plastic surgeon (Plastic Surgery)
10 peer-reviewed publications
Medical Director, Rewind Plastic Surgery
Korean Society of Plastic & Reconstructive Surgeons
Former chief director, Apgujeong Y&T Plastic Surgery
Korean Society for Aesthetic Plastic Surgery
J Craniofac Surg · JKMS · Arch Craniofac Surg
Korean Cleft Palate-Craniofacial Association
Ask

Questions

Upper blepharoplasty or sub-brow lift: questions about the two routes

Should I get upper blepharoplasty or a sub-brow lift?
It depends on your crease, the bulk in the lid and where the overhang sits. A full, heavy lid or a crease buried under skin leans toward upper blepharoplasty, which removes fat and slack muscle through the fold. Loose skin on a monolid, or heaviness at the outer eye, leans toward the sub-brow lift.
Which option preserves a monolid or an existing natural crease?
The sub-brow lift. It removes skin just beneath the eyebrow and fixes it to the periosteum, and Rewind states that it improves a drooping lid without touching the existing crease line. Upper blepharoplasty works through the fold itself and leaves a more clearly defined line there.
My upper lids are thick and puffy. Does that point to one route?
Often toward upper blepharoplasty, whose published steps remove upper-lid fat and slackened muscle as well as skin. Rewind also lists a thick, puffy look above the eye among the reasons for a sub-brow lift, so the surgeon weighs how much of the fullness is fat and how much is loose skin.
Can fat be removed through a sub-brow incision?
Rewind's published steps for the sub-brow lift describe removing loose skin and fixing it to the periosteum, while fat removal is described in the steps for upper blepharoplasty. If fat makes up a large part of your heaviness, that difference matters and is discussed at the examination.
Where does each operation hide its scar?
Upper blepharoplasty places its line in the crease, where Rewind says it becomes concealed as the crease settles. The sub-brow lift uses a small incision just under the eyebrow, which the clinic describes as hard to see once healed. Both are scars, and both need sunscreen while they mature.
Do the two operations last for different lengths of time?
Rewind gives the same figure for both: usually more than five years, depending on individual tissue elasticity and on how extensive the surgery was. Ageing continues afterwards in either case, so the choice between them rests on fit, crease and scar.
How do the aftercare rules differ between the brow line and the lid line?
Both ask you to avoid strong pulling, alcohol, smoking and saunas for about a month. After the fold route, the wound is kept clean and the eyes are not rubbed while the stitches, removed at five to seven days, heal. After the brow route, expressions are kept gentle and rest is emphasised.
Why might the surgeon recommend neither operation?
Because the heaviness may not come from the lid. A brow that has descended is addressed with a forehead lift, and a lid that rises weakly needs eye-opening correction. Both routes on this page remove skin below the brow line, and neither is designed to change brow height or the strength of the lift.
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What our patients say.

G 5.0 ★★★★★ 51 Google reviews · Rewind Plastic Surgery, Apgujeong — live-synced from Google Business Profile
★★★★★

Came to REWIND to get my facial treatment and i'm absolutely obsessed about it💞 the doctor is so kind and is an expert! Everyone must visit!

YunHee Hong2 weeks ago
★★★★★

There are just way too many cosmetic clinics in Korea and I'm so happy I found Rewind Clinic in Gangnam. Dr. Choi was so kind and patient while explaining the different face-lifting options, from threads to mini-lifts to deep-plane lifts…

J. S.5 months ago
★★★★★

I found Rewind clinic through a Korean chat forum and many local clients highly recommended it. The clinic is brand new, featuring large, clean rooms and many private waiting areas so it doesn't give off that "factory" clinic vibe. All the…

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★★★★★

Really nice environment. Doctor is easy to communicate and understands my visions. Waited two weeks to make a review and I confirm the results exceeded my expectations and I am super happy with it. Can't wait to come back!! :))

Kristie Chu5 months ago
★★★★★

I received a thread lift at Rewind Plastic Surgery. The clinic was clean and the atmosphere was comfortable. The consultation was thorough, and I felt confident because they kindly explained everything tailored to my facial condition. They…

한주연2 weeks ago · Translated by Google
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Location
Apgujeong, Gangnam
4F & 5F, Richro Building,
812 Nonhyeon-ro,
Gangnam-gu, Seoul
Hours
Mon·Tue·Wed·Fri 10:00–19:00
Sat 10:00–16:00
Closed Sundays & Thursdays
Lunch 12:00–13:00
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Registration
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international patients
Reg. M-2025-01-08-09288

Scientific evidence

Published research on excision beneath the brow and on complications in Asian upper-lid surgery

Two of these papers report the sub-brow approach in Asian patients, one on its indications and outcomes in women and one on correcting hooding and a hollow upper lid in a single stage. The third sets out how eyelid complications are prevented and managed, which is worth reading whichever route is chosen. They report on study groups outside this clinic and cannot predict an individual result.