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How to Prevent and Handle Side Effects of Lower Blepharoplasty

Noonopi Plastic Surgery · 젊어지는 솔루션 | 눈높이성형외과 · January 30, 2024

Lower blepharoplasty is a procedure that effectively improves symptoms such as sagging or hollowing under the eyes, a deep tear trough, or bulging fat. However, it is not uncommon...

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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: Noonopi Plastic Surgery

Original post date: January 30, 2024

Translated at: April 25, 2026 at 6:11 AM

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

Lower blepharoplasty is a procedure that effectively improves symptoms such as sagging or hollowing under the eyes, a deep tear trough, or bulging fat. However, it is not uncommon to find stories online from people who have experienced side effects. At our NoonNopi Plastic Surgery clinic near Sinnonhyeon Station, we would like to introduce the side effects of lower blepharoplasty and what to watch out for in detail.

How to Prevent and Handle Side Effects of Lower Blepharoplasty image 1

Long-term follow-up results after lower blepharoplasty

My eyelid turned outward after lower blepharoplasty

A representative side effect of lower blepharoplasty is ectropion. Ectropion, in which the lower eyelid rolls outward, can occur for various reasons, such as excessive removal of the under-eye skin, pulling the deep tissue layer downward due to inexperienced handling, or other causes.

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A case of ectropion correction at NoonNopi Plastic Surgery

When ectropion occurs after lower blepharoplasty, going beyond the simple separation of the eyelid margin from the eyeball and causing the eyelid to turn outward, the patient may suffer greatly from excessive tearing, dry eyes, and cosmetic discomfort.

As you can see in the photo below, the eyes cannot even close properly...

At NoonNopi Plastic Surgery, we also perform revision surgery for people who developed ectropion after lower blepharoplasty at another clinic.

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Before correction (left) and after correction (right) of ectropion

For people who had lower eyelid surgery in the past and later undergo revision because the effects have worn off over time, the likelihood of side effects such as ectropion is higher. That is why the procedure should be performed by a board-certified plastic surgeon with extensive surgical experience.

Based on my personal experience, I consider under-eye fat grafting to be a very effective and safe method for patients who need revision surgery.

Even if ectropion does occur, I believe it is safer to have the first surgery done at a clinic where early correction is also possible.

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In particular, since people who undergo lower blepharoplasty are often middle-aged or older, many have chronic conditions such as high blood pressure or diabetes.

Therefore, it is necessary to carefully review the surgery and recovery period and check whether the plastic surgery clinic can prevent side effects in advance or respond early if they occur. At NoonNopi Plastic Surgery near Sinnonhyeon Station and Gangnam Station, the director, who has extensive experience with various middle-aged eye surgeries, personally handles consultations, surgery, and post-operative care. Please come for a consultation.

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Click here to learn more about lower blepharoplasty! Please receive a detailed consultation from the director at NoonNopi Plastic Surgery, who has extensive experience with middle-aged eye surgery.

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