Hello, this is Director Park Hyung-seok of Noonopi Plastic Surgery.
I sometimes get asked this question.
If it were your family member,
what method would you use for middle-aged lower eyelid surgery?
To answer first,
it depends on the situation~
Director Park
Perhaps this question is asking,
with the profit motive completely excluded,
what advice I would give as a specialist.
Rather than explaining it in different ways,
through the case I actually carried out to remove my mother’s
under-eye wrinkles, hollows, and grooves,
I’d like to introduce how a plastic surgeon
plans this kind of surgery.
Convincing My Mother in Her 60s
My mother, who works in a field focused on healing the inner self,
was not very interested in appearance.

My mother when she was young
But after breast cancer surgery in her 60s,
the fact that she didn’t look the same as before
broke my heart as her son.

The day after breast cancer surgery
Because I’m a doctor,
I decided that with the surgery I do best,
I would help restore a more youthful version of my mother.
In the end, after a long process of persuasion, she agreed.
Yes, that’s right. This was the surgery I decided to proceed with.
Preparation and the Lower Blepharoplasty Process
My mother did not hope for a drastic change,
and because the goal was to improve sagging under the eyes,
I planned a look that would be natural
without going too far.

Before the under-eye improvement
So the surgery was decided as a combination of
three methods at the same time:
lower blepharoplasty, fat grafting, and nano fat grafting.
When ordinary people hear “lower blepharoplasty,”
they often think it is simply a surgery
to remove unnecessary fat under the eyes.
Below is what the under-eye area in the photo above
looks like after being cleaned up with an image editor.
The appearance after removing all wrinkles with an editor
However, in actual plastic surgery,
simply removing fat does not create the result shown above.
Unexpected hollowness can occur,
and it can also look unnatural.
There is fat under the eyes,
but there is also stretched skin
and sunken areas...
So using only one method
does not produce a good result.
And my goal was only for my mother to return to
roughly how she looked when she was a little younger in the past.

My mother 15 years ago
Some people expect there to be no wrinkles at all
after lower blepharoplasty...
Excessive desire can sometimes lead to side effects.
Even if wrinkles are completely removed without side effects,
if the result does not match the rest of the face,
it can look artificial and awkward.
So I set the surgical goal for my mother as
a natural result that would restore a slightly younger version of her past appearance.
Here is the method I used for my mother.
| Lower blepharoplasty | Fat grafting | Nano fat grafting |
|---|
| Reposition excess fat to the hollow under-eye area | Fat grafting into the deep layer of the sunken area | Nano fat grafting into the shallow layer of the sunken area (can minimize the side effect of a lumpy under-eye area) |
It may be a family trait,
(but I’m also the type who needs fat grafting more than lower blepharoplasty ㅠ)
my mother had insufficient fat volume (red markings)
to fully fill the hollow areas (blue markings).

So, to reduce what was unnecessary
while also filling what was needed,
I used a variety of methods.
Detailed 이야기 About the Recovery Process
All medical professionals say something similar.
That treating family members or acquaintances is burdensome...
And because plastic surgery involves external stimulation
such as incisions or tissue removal,
it inevitably goes through an uncomfortable recovery process.
But with people close to you,
complaints can happen much more often.
Of course, I know that even mentioning small things
is all meant as encouragement for my growth...
but honestly, I did think,
“Did I do this for someone who didn’t even want it...?”

Day 2 after surgery: bringing supplies and disinfecting it at home
But through this process, after the lower blepharoplasty,
I was able to hear in greater depth than I would with an ordinary patient
what process the patient goes through,
what small discomforts they feel,
and what kinds of anxiety they experience.
Because of that,
treating my mother has become very valuable nourishment
for how I care for current patients.
An Honest Story About Improving Under-Eye Area in a Woman in Her 60s

13 months later
This is how it looked after 13 months.
The before-and-after comparison is below.

The appearance 13 months after lower blepharoplasty in 2022
And below is a photo taken more recently.
It has already been about two years.

Two years after lower eyelid surgery
There are things I regret,
but personally, I think it is a satisfactory result.
My mother also likes that it is not excessive
and suits her age.
In fact, if you try to iron out and remove every wrinkle,
you can run into problems.
So, within a safe range,
this is the result I recommend for my family.
Even though some under-eye grooves and wrinkles remain,
it is important that they harmonize with the rest of the face.
It may not be something medical staff specializing in aging would say...
but the traces of time that naturally seep into the face
are not necessarily a bad thing.
Sometimes, moderate wrinkles can also make a person seem wiser, more dignified,
and more experienced.
Therefore, I think plastic surgery should not remove
even these positive traces of time
written on the face.
Of course, this is just my opinion....^^;;
What the patient wants and expects is the most important!
After performing many surgeries with various goals
and continuously comparing the results,
this is the goal I have set for my surgeries.
Epilogue
As the two years since my mother’s surgery have gone by,
I find myself wondering,
what surgery should I do for her next?
While forgetting the severe complaints my mother directed at me after the surgery
and the hurt they caused me, of course, haha.
Did you enjoy this post?
For those who will naturally look younger,
Noonopi Plastic Surgery
will suggest the right treatment.
There are various ways to treat under-eye aging,
and at Noonopi Plastic Surgery,
we take a different approach depending on the patient’s condition.
Unlike the case above,
there are also other cases where fat grafting was not performed,
as well as treatment methods for side effects,
so if you are looking for a treatment that is right for you,

Click the KakaoTalk consultation button now!
https://noonopiclinic.com/
Unlike my mother’s case,
under-eye fat repositioning without fat grafting :
A story about side effects you may be curious about when hoping to remove under-eye wrinkles :