This Is How Lower Eyelid Fat Grafting Is Done! (Front Cheek + Indian Fold)

Hello,

I am Director Lim Seong-yoon, a board-certified plastic surgeon at Just Plastic Surgery.

Even after a successful lower eyelid fat repositioning surgery,

some people often say:

"Something still feels a little unrefined in my appearance."

"My under-eye area is flat, but the midface seems hollow."

The reason is this:

as the under-eye area becomes smoother, the Indian fold can stand out more.

✔️ Emphasis on the Indian fold after lower eyelid fat repositioning

Lower eyelid fat repositioning is

surgery that smooths out protruding under-eye fat and makes the area look flat. When the surgery goes well, the surrounding hollow areas can become even more noticeable.

In particular, the Indian fold (the long hollow area between the front cheek and the cheekbone)

can appear relatively deeper once the under-eye area is refined,

so if this area is not also addressed, the result may feel incomplete.

✔️ That is why what matters is fat grafting that also considers the front cheek + Indian fold

At Just Plastic Surgery,

we do not look at the under-eye area alone. After lower eyelid fat repositioning, we always check the following two points together:

1. Is the front cheek volume sufficient?
2. Will the Indian fold (the groove below the cheekbone) stand out more?

If these two issues are not improved at the same time,

even if the under-eye area becomes smooth,

the overall impression may still look tired or older.

That is why, when we perform micro fat grafting together with lower eyelid fat repositioning,

we do not graft only the front cheek,

but perform a three-dimensional graft so that it is connected all the way to the Indian fold line.

▲ Incisional double eyelid surgery, eye correction revision, lowering the fold line, lower eyelid fat repositioning, under-eye front cheek fat grafting

2 months after

✔️ Why Just Plastic Surgery's lower eyelid fat grafting is special

✅ We do not simply approach fat grafting as "filling in"; we design it while considering the three-dimensional flow and changes in appearance.

✅ The front cheek and Indian fold are not viewed separately; they are designed as one curved structure.

✅ Based on pre- and post-procedure photos and anatomical landmarks, we create a soft, refined impression without making it excessive.

In particular, because fat is difficult to dissolve or correct once it has been grafted incorrectly,

it is most important to place it subtly and in the structurally correct location from the first surgery.

▲ Natural adhesion eye correction, lower eyelid fat repositioning, upper eyelid fat grafting, under-eye front cheek fat grafting

2 months after

✔️ Recommended for these people

Those who had lower eyelid fat repositioning but feel the Indian fold stands out more

Those whose front cheek area is flat and whose impression looks dull or tired

Those who want a natural and youthful facial line

Those who want a smooth connecting curve between the under-eye area, front cheek, and Indian fold

Closing thoughts

There are certainly cases that cannot be solved with lower eyelid fat repositioning alone. In particular, true improvement in appearance is completed only when fat grafting that also considers the front cheek and Indian fold is performed together.

At Just Plastic Surgery,

we do not only look at the under-eye area,

we design the flow of the entire midface.

That is exactly

why "lower eyelid fat grafting should be done like Just does it."