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Sunken Eyelid Filler: Is There No Other Option Besides Upper Eyelid Fat Grafting?

April 31 Plastic Surgery · 4월31일성형외과 · November 27, 2019

Sunken Eyelid Filler: Is There No Other Option Besides Upper Eyelid Fat Grafting? When meeting someone for the first time, people usually greet each other while looking at the eyes...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: April 31 Plastic Surgery

Original post date: November 27, 2019

Translated at: April 25, 2026 at 8:46 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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When meeting someone for the first time, people usually greet each other while looking at the eyes. While the nose, cheeks, and mouth are covered when it is cold, the eyes cannot be hidden if they are covered, so I think the eyes are definitely the area that plays the most important role in determining a person’s impression.

We always want a youthful and neat image. A sunken eyelid can make someone look tired and worn out, and it can give an older impression than their actual age, so it is an area many people want to improve.

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  Then you may be wondering exactly why the eyes become sunken.

First, the most common reason is aging.

 The skin around the eyes is thin, so signs of aging appear faster than in other areas.

As a result of aging, wrinkles can form and the skin can sag,

and in addition to that, the eyes can also become sunken.

If this happens at a relatively young age, the eyes may appear sunken due to excessive dieting

or because of lifestyle habits such as rubbing the eyes.

Sunken eyes not only give the outward impression of being tired and older,

but also make it harder to lift the eyelids functionally,

which can cause eye strain, dry eye syndrome, and ptosis, so correction is needed.

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  Previously, to improve sunken eyes,

you may have considered sunken eyelid filler or upper eyelid fat grafting.

Sunken eyelid filler had the advantage of being easy and quick to improve,

but recently the risks of fillers have been receiving renewed attention,

and there was also the possibility of adhesion that made the surface uneven,

as well as a relatively short duration,

and if the procedure was repeated, there was the problem that it had to be done after a dissolving or removal procedure.

In the case of upper eyelid fat grafting,

fat was taken from an area with abundant fat, separated, and then injected into the sunken eyelid.

However, because the survival rate of upper eyelid fat grafting is low,

more than 50% may subside within 1 to 2 months,

and in some cases there was a high possibility of adhesion causing an uneven surface.

Additional fat grafting may be needed,

and in some cases ptosis symptoms may worsen,

which meant ptosis correction could be needed separately.

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Eyelid Volume Up refers to another name for orbital fat repositioning of the eyelid, which restores volume to the eyelid by repositioning the orbital fat hidden behind the eyebrow into the sunken eyelid.

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You may then wonder how there can be fat in a sunken eyelid, and this can be confirmed when you pinch the area above and below the eyebrow with two fingers and realize that hidden fat exists there.

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Then you may be wondering why we recommend Eyelid Volume Up rather than upper eyelid fat grafting or sunken eyelid filler.

In the case of Eyelid Volume Up, this is a method that removes the cause of the sunken eye and then makes the most of the orbital fat tissue by repositioning it.

Because of this, there is no possibility of it sinking again due to the survival rate. Eyelid Volume Up can be improved with a single procedure without additional surgery, and the surface tends to be smooth without unevenness. In addition, because ptosis can also be improved through eye-opening correction, there is no need for separate ptosis correction.

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Since the degree to which each person’s eyes are sunken differs from person to person,

proceeding according to each case

is the way to create a precise and natural eyelid line.

At April 31 Plastic Surgery, we provide customized procedures depending on the degree of depression.

If the degree of depression is not severe,

we restore volume to the upper eyelid and create a refreshed eye shape through ptosis correction and a procedure that advances and repositions the orbital fat.

If the depression is severe,

ptosis correction, orbital fat repositioning, fat grafting, and fat injection are needed.

Also, depending on the condition,

we improve sunken eyes using micro fat grafting and dermis fat grafting.

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  Because the eyes determine a person’s image, it is important to consider not only the aesthetic aspect

but also function,

so it is important to visit a trustworthy medical team.

We hope you will restore volume to your eyelids again together with Dr. Oh Won-seok, a board-certified plastic surgeon specializing in eye surgery at April 31 Plastic Surgery.

For detailed inquiries and consultation requests, please click the banner below.

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