Lower eyelid fat repositioning

Lower eyelid fat repositioning is a surgery that redistributes protruding fat under the eyes toward the tear trough. Anatomically, the eyeball is surrounded by fat, and the upper and lower eyelid fat are interconnected. As aging and skin laxity progress, the orbital septum (the membrane that envelops and supports the fat under the eyes) weakens, causing the fat to push downward. This procedure appropriately repositions the under-eye fat and tightens the orbital septum to smooth out the bulging area under the eyes.

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Procedure Introduction

You Can Expect These Changes

1. Satisfaction can be achieved through in-depth consultation considering the patient's eye shape, proportions, etc. before performing surgery. 2. An incision is made on the inside conjunctiva without cutting the outer eyelid skin, so scars are not visible. There is no need for suture removal, and a fast return to daily life is possible. 3. Without touching the orbicularis oculi muscle, only the unnecessary fat in the lower eyelid fat pocket is removed and repositioned, while preserving the under-eye aegyo-sal to create a lively and attractive eye shape. 4. To prevent recurrence of under-eye fat, the repositioned fat is placed beneath the periosteum (the firmest membrane), and the stretched septum is tightly fixed, so the possibility of recurrence is remarkably low. 5. By evenly repositioning fat in sagging or sunken areas, it not only smooths out hollow or bumpy under-eyes, but also improves fine wrinkles, so you can expect a more youthful look.

Procedure Process

1. After diagnosing areas to improve such as under-eye fat and tear trough, the location and shape of the fat to be repositioned are designed. 2. An incision is made on the inside conjunctiva so that scars are not visible. 3. The bulging fat is smoothly repositioned toward the boundary of the depressed tear trough. 4. After fixing the fat pad to the periosteum, the conjunctiva is reinforced to complete a smooth under-eye area.

Frequently Asked Questions

What age group mainly receives under-eye fat repositioning?

Although under-eye fat can bulge due to aging, those with congenitally abundant under-eye fat or deep tear troughs may have prominent lower eyelids even from a young age, so there is no set age group. Accordingly, this procedure is widely performed in patients from their 20s up to even 40s–50s.

Can under-eye fat repositioning eliminate dark circles?

In cases where dark circles are caused by accumulation and sagging of under-eye fat, under-eye fat repositioning surgery can provide improvement.

Does under-eye fat repositioning change your facial impression?

When under-eye fat is bulging or sunken, it results in a tired look. By correcting these issues with fat repositioning surgery, your impression can change to a brighter, more active, and lively look than before.

What precautions should be taken in daily life after surgery?

For about 1 week after surgery, it is best to avoid behaviors such as vigorous rubbing of the eyes. Also, bruising may occasionally occur, and if exposed to sunlight for a long time, the bruised area may develop some pigmentation, so it is recommended to use sunscreen carefully.

Is there a risk of recurrence after under-eye fat repositioning surgery?

If the procedure is performed properly, there is no need to worry. Since the fat acting as a cushion under the eye can be pushed toward the tear trough and bulge, by repositioning the displaced fat beneath the periosteum (the firmest membrane) and tightly fixing the stretched septum, the chance of recurrence remains remarkably low over time.