The location where upper eyelid fat grafting is injected determines the result. The most important point in upper eyelid fat grafting is not how much is injected, but where it is injected. Even with the same fat grafting procedure, the survival rate of the graft and the naturalness of the eye area can vary greatly depending on the injection site. In some methods, fat is injected just beneath the orbicularis oculi muscle that surrounds the eyelid. In this case, because the injection depth is shallow, the fat survival rate may be lower, and over time the fat may be absorbed or the eyes may feel heavy and awkward. In particular, there have been cases where people report discomfort when opening their eyes.
By contrast, Grace Plastic Surgery’s upper eyelid fat grafting is performed by stably injecting fat into the orbital fat layer, deeper than the inside of the orbital septum, within the fascia structure. Because it fills from the deep structure that is the root cause of hollowness, the fat settles more structurally, resulting in a higher survival rate and retention, and it can maintain a natural volume over time. In addition, by injecting fat into the deeper layer, positive changes in the function of opening the eyes can also be expected. Based on clinical experience in which the proportion of people who felt that discomfort when opening the eyes improved reached 94.5%, this procedure is performed with consideration not only for simple volume restoration but also for both function and appearance. Without an unnatural expression or a swollen look, this is the core of Grace’s upper eyelid fat grafting approach, which creates a delicate and smooth upper eyelid line by taking a different approach from the injection site itself.








Why is injection into the orbital fat layer important? The underlying cause of upper eyelid hollowing usually begins with a reduction in orbital fat. The orbital fat layer is the deep structure inside the eye area, where fat should originally be located. When fat is injected into this layer, the following become possible: • structurally stable fixation • increased fat survival and retention • minimized unnaturalness even with facial expression changes • a natural and delicate upper eyelid line This is why you can expect the eye area itself to feel comfortable and look clearer without appearing overly puffy. Side effects from upper eyelid fat grafting are not inevitable; they are factors that can be sufficiently reduced depending on the injection site and the design. Injecting more fat does not necessarily lead to better results; the key is to accurately analyze the individual eye structure and the cause of hollowing, then inject only the necessary amount into the appropriate layer. In particular, the upper eyelid is an area where left-right asymmetry, the strength of eye opening, and the double eyelid line must all be considered together, so anatomical understanding and clinical experience are very important.
The real cause of side effects from upper eyelid fat grafting is not fat grafting itself, but the choice of injection layer. The results can differ completely depending on whether it is placed under the orbicularis oculi muscle or into the orbital fat layer. If you want a natural eye appearance that lasts, please carefully check not how much is injected, but where and how it is injected. Upper eyelid fat grafting is a procedure that requires delicate technique. Through sufficient consultation and an accurate diagnosis, it is most important to choose the method that suits you without worrying about side effects.
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Performed by Chief Director Dr. Moonseop Choi, Grace Plastic Surgery Plastic Surgeon Dr. Moonseop Choi #middleagedeyesurgery #uppereyelidfatgrafting #eyeholllowness #orbitalfatgrafting #eyelidfatgrafting #uppereyelidfatgrafting #doubleeyelidfold #asymmetriceyesurgery #upperblepharoplasty #lowerblepharoplasty #undereyesurgery #undereyefatreposition #orbitalseptum #eyeholfatgrafting #protrudingeyesurgery #uppereyelidfiller #eyeholfiller #eyeholecelebrity #eyecorrection #ptosis #undereyefatgrafting #uppereyelidcorrection #uppereyelidsurgery #uppereyelidprocedure #sideeffectsoffatgraftingintheeyes #reviewsofundereyefatreposition #sideeffectsofundereyefatreposition #costofundereyefatreposition #recoveryperiodofundereyefatreposition ※ Surgical results may vary depending on an individual’s eye structure and skin thickness. Due to the characteristics of the area around the eyes, swelling or bruising may occur, but in most cases they gradually improve during the recovery process, with the goal of achieving a natural improvement in the eye area.