
The area where aging first appears on the face is the under-eye area.
Even when comparing my appearance in my 20s and my 40s, the difference is quite noticeable...^^;;
In your 40s, many people still develop under-eye hollows, sagging, fat protrusion, and tear troughs. Of course, the degree of aging differs depending on each person's condition, so it can be improved with customized treatment such as fat repositioning, micro fat grafting, laser procedures, or lower blepharoplasty.
What improves with under-eye surgery?

Three treatment goals: fat pockets, tear troughs, and loose skin
Basically, under-eye plastic surgery aims to move protruding fat pockets to the sunken area (the tear trough) and also improve sagging skin. Shall we look at the effects of lower eyelid fat repositioning through a few cases?
Progress after under-eye fat repositioning
A woman in her 40s wanted to correct the bulging protrusion of under-eye fat and the hollow tear trough area.

Progress after under-eye fat repositioning in your 40s
The skin sagging was mild, so an incision was not necessary. Therefore, we improved the tear trough and protruding fat with surgery that repositioned the fat through the inner conjunctiva of the eyelid.
What are the effects on dark circles?
People in their 40s who visit to correct bulging from under-eye fat, tear troughs, or hollowness usually do not have severe skin sagging, so many are satisfied with under-eye fat repositioning alone. However, pigmentation can also be an issue.

Case of dark circle improvement
At Eye-Level Plastic Surgery, if additional improvement is needed for under-eye sagging or shadows (dullness), we strive to ensure satisfaction by combining various laser procedures.
What if the sunken under-eye area is wide? Fat grafting!
Among people in their 40s who are concerned about a sunken under-eye area, there are cases where fat repositioning alone is not enough to bring sufficient improvement. This is when the sunken area is wide, but there is not enough existing under-eye fat to reposition and fill it. In simple terms, there are cases where there is not enough material, so under-eye fat repositioning alone cannot fully treat the hollowness.

A case where protruding fat was moved and fat grafting was performed in the sunken area
For these patients, nano fat grafting can be effective. Nano fat grafting is a method that makes fat cells slightly finer than in conventional fat grafting, and it is a procedure with a wealth of academic literature and data dating back a long time (it is not a term made up out of nowhere^^). If you are curious about nano fat grafting, please click here.
To also improve loose skin: lower blepharoplasty!
For people in their 40s with more pronounced under-eye sagging, bulging fat, and deep tear troughs, a younger-looking eye appearance can be achieved with lower blepharoplasty. By making an incision under the eye and removing sagging skin as well as repositioning the fat, we can create a tighter under-eye area.

If you want to learn more about under-eye fat repositioning, lower blepharoplasty, and more, click here!
Unlike under-eye fat repositioning, lower blepharoplasty has a slightly longer recovery period, but it is also a surgery that can address the root cause of aging. Recovery time varies depending on age and whether you have any illnesses, but usually after 10 days following lower blepharoplasty, going out is not burdensome, and the incision scar under the eye becomes less noticeable over time. However, at Eye-Level Plastic Surgery, we operate various care programs to help patients recover more quickly.
What if a laser is used under the eyes?
Personally, I am somewhat concerned about customers who overuse the word "laser" and expect it to mean an automatically "latest treatment" or something with a "short recovery period." There is always something gained and something lost in everything, and minimally invasive surgery with a short recovery period definitely has both advantages and disadvantages (for example, lower effectiveness...). Even so, there are certainly areas that cannot be treated with surgery using a knife, and I believe that if laser assistance is used, patients can be satisfied.

Sciton Joule laser
At Eye-Level Plastic Surgery, for those who do not want an incision in the skin, we present various combinations of combination treatments^^
