When Will Swelling Go Down After Upper Eyelid Fat Grafting? Changes at 1 Week, 3 Months, and 6 Months, Including Side Effects and Duration

This was a case where sunken upper eyelids made the eyes look deep-set and gave a tired impression. To naturally restore eyelid volume, precise fat grafting was performed focusing on the orbital fat layer, and non-incisional ptosis correction revision surgery was also carried out to improve eyelid-opening strength. Because the upper eyelid skin is thin and the structure is delicate, it is important to inject a small amount of fat with precision and distribute it evenly rather than adding too much volume.

This is the swelling one week after surgery. With upper eyelid fat grafting, volume naturally appears as fat is added, so the area may look somewhat puffy at first. If ptosis correction is performed at the same time, the process of adjusting the eyelid muscles is included, so the swelling may feel a bit more noticeable. Usually after about one week, most major bruising has subsided, and after stitch removal, opening the eyes feels much more comfortable.

Week 1: Initial swelling remains, so the upper eyelids may look slightly puffy. This is the period when the fat is settling into the tissue.

3 months: Most of the swelling has gone down, and the upper eyelid volume begins to settle in naturally.

6 months: The fat has stably taken hold, and the previously sunken upper eyelids are softly filled in, making the overall impression much clearer.

From the before-and-after photos, the upper eyelid volume may still look slightly excessive during this period, and because the line has not yet fully settled, it may feel a little awkward. However, this is a normal recovery process. The swelling remains because the fat has not yet fully settled into the tissue, and most of it gradually resolves after two weeks. What is important at this stage is to avoid strenuous activity. Fat grafting does not end simply with injection; the transplanted fat needs time to form connections with the surrounding tissue and blood vessels in order to survive. In general, it is better to avoid excessive exercise and strong pressure for about a month after surgery. This kind of care can also affect fat retention.

After about 6 months, most of the swelling has completely gone down and the fat has stably taken hold. In the before-and-after photos, you can see that the sunken upper eyelids are naturally filled in, making the eyes appear much softer and more defined. In particular, when ptosis correction is performed together, the improved eyelid-opening strength makes the eyes look clearer, and as the sunken upper eyelids are filled in, the deep-set appearance becomes softer overall. The key point here is the precision of the fat injection. The upper eyelid is an area with very thin skin and a complex structure, so it is difficult to achieve natural results by simply injecting a large amount. At Grace Plastic Surgery, orbital fat grafting is performed with consideration of the eye’s structure. Based on the anatomy around the eyes, fat is finely and evenly injected into the exact layer where volume loss has occurred, creating a natural result without overfilling. In addition, a thin cannula made in-house is used for the injection. Using a finer gauge than a typical cannula helps reduce tissue damage and allows the fat to be distributed more precisely. This also helps reduce bruising and swelling and positively affects how evenly the fat settles.

The area around the eyes is one where even the smallest difference can greatly change the overall impression. That is why Grace Plastic Surgery values planning that takes the details of periorbital anatomy into account, rather than simply adding volume. After analyzing the location of the hollow, upper eyelid thickness, eyelid-opening strength, and the depth of the fat layer, the procedure is designed to inject only the necessary amount with precision for a natural result. Thanks to this approach, one can expect a result that remains natural over time without looking unnaturally puffy or uneven. Upper eyelid fat grafting is not simply a volume procedure; it is a delicate surgery that must consider both the impression of the eyes and their structure. From the before-and-after photos, the difference between the swelling stage immediately after surgery and the stable result after 6 months is clear. If sunken upper eyelids are making you look tired or older, precise fat grafting that considers the eye’s structure can help create a more natural and defined eye shape. In particular, Grace’s orbital fat grafting based on periorbital anatomy, the in-house thin cannula, and precise fat distribution are important factors in improving the natural look and longevity of upper eyelid fat grafting.

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Performed by Plastic Surgeon Dr. Moonseop Choi, CEO of Grace Plastic Surgery #midlifeeyeplasticsurgery #uppereyelidfatgrafting #eyehollowdepression #orbitalfatgrafting #eyelidfatgrafting #uppereyefatgrafting #doublefoldeyelid #asymmetricaleyesurgery #upperblepharoplasty #lowerblepharoplasty #undereturnplasty #under-eye fat repositioning #orbitalseptum #eyehollowfatgrafting #protrudingeyesurgery #uppereyelidfillers #eyehollowfillers #eyehollowcelebrity #ptosiscorrection #ptosis #under-eyefatgrafting #uppereyelidcorrection #uppereyelidsurgery #uppereyelidprocedure #eyefatgrafting side effects #under-eyefat repositioning side effects #under-eyefat repositioning cost #under-eyefat repositioning recovery period ※ Surgical results may vary depending on an individual’s eye structure and skin thickness. Due to the characteristics of the eye area, swelling or bruising may occur, but in most cases they gradually improve during recovery, with the goal of achieving a natural-looking improvement in the eye shape.