
Hello, this is Luho Plastic Surgery.
Darkness around the eyes caused by dark circles
is a factor that influences your first impression.
Many people look into treatments after assuming
the issue is related to pigmentation or skin tone,
but the actual cause may be related to bulging lower eyelid fat.
In this post, we will examine the underlying cause
through a case that addressed structural dark circles
and achieved a more vibrant impression.

The Underlying Causes of Dark Circles
Dark circles are broadly divided into pigment-related,
vascular, and structural types.
Among these, structural dark circles occur when
the lower eyelid fat protrudes due to the tear trough ligament.
However, rather than focusing only on what is visible on the surface,
the cause must be identified by examining the condition of the underlying structures
in order to plan the appropriate surgical approach.
At our clinic, we use ultrasound examinations that assess
the inside of the lower eyelid to precisely check the location and structure
of the tear trough ligament.

These photos were taken and published with the patient’s consent.
Surgical results and the recovery process may vary from person to person.
A Heavy Appearance Caused by Lower-Eyelid Dark Circles
✔️ A clearly defined boundary between the lower eyelid and the front cheek caused by the tear trough ligament.
✔️ Shading formed where the bulging lower eyelid fat met the tear trough.
✔️ A tired-looking impression caused by the prominent contours beneath the eyes.
The structural step between the lower eyelid and the front cheek
made the dark circles appear more pronounced.
Rather than simply removing the protruding fat,
we analyzed the contours and shadows created by the tear trough ligament
and focused on creating a smooth lower-eyelid structure.

These photos were taken and published with the patient’s consent.
Surgical results and the recovery process may vary from person to person.
Creating a More Vibrant Look with Luho Lower Eyelid Fat Repositioning
✔️ A natural transition between the lower eyelid and the front cheek.
✔️ A reduced step caused by the tear trough ligament.
✔️ Reduced dark circles beneath the eyes.
The protruding fat was repositioned according to the structure beneath the eyes,
creating a natural transition between the lower eyelid and the front cheek.
The contours beneath the eyes were softened,
and the dark circles were reduced, resulting in a brighter impression.
This is an actual case of lower eyelid fat repositioning.

When Lower Eyelid Fat Repositioning Alone Is Not Enough
Lower eyelid fat repositioning
can be effective for addressing the contours beneath the eyes,
but there are also situations in which improvement is difficult with this procedure alone.
At Luho Plastic Surgery, when there is severe hollowness beneath the eyes
or insufficient volume in the front cheeks, we combine the procedure with fat grafting
to create a smoother and more vibrant impression.

Because multiple structures interact beneath the eyes,
surgery should be performed only after carefully examining
even the areas that are not visible on the surface.
At our clinic, we assess each individual’s eye condition through ultrasound examination
and go through a process of diagnosing the structural causes.
We hope you will receive an assessment of the approach suited to your current condition
and regain a brighter impression.
Thank you.





