The Surgeon’s Experience in Eye Hollow Fat Grafting Changes the Outcome

When the upper eyelids look sunken or the double-eyelid line looks blurred, many people consider eye hollow fat grafting to restore volume naturally. Demand has increased because it corrects the area with one’s own tissue rather than creating an artificial look, but people also often hear that the results can vary widely. In fact, eye hollow fat grafting depends heavily on fat survival and even distribution because the grafting area is around the eyes, which is a particularly sensitive region. It is mainly considered when the under-eye area or upper eyelids are hollow, when the hidden double-eyelid line folds in a blurred way and makes the eyes look heavy, or when volume around the eyes has decreased due to aging. Unlike fillers, it uses your own fat, so there is no foreign-body sensation, and if the fat survives, the result tends to last for a long time. At Grace Plastic Surgery, the fat layer around the eyes and the thickness of the skin are checked first before eye hollow fat grafting. Even if the same amount is grafted, thin skin can make the area look uneven, so the injection amount and layer are adjusted according to each person’s condition. In particular, for the upper eyelids, spreading small amounts across multiple layers is considered advantageous for fat survival. The principle is to inject only the amount that is truly needed rather than placing a large amount all at once.

If, during a consultation for eye hollow fat grafting, someone casually says that “the more grafted fat, the better,” it is worth thinking twice. The eye area is difficult to correct even when a small amount is overgrafted.

① Analysis of skin and fat layer thickness before grafting

② Processing methods to improve fat survival

③ Clear explanation of revision surgery criteria in case of side effects

After fat grafting, most of the initial swelling subsides within one week, but the final survival result is usually checked after three months. Since the eye area is one of the first places people notice when meeting someone, many people also wear glasses. Intense exercise or massaging around the eyes can affect fat survival, so it is best to avoid these in the early stage. Eye hollow fat grafting is not simply a procedure that fills sunken areas. The upper eyelid has a thin skin layer and a complex structure where the orbicularis oculi muscle, orbital septum, and orbital fat layer overlap. If the grafting position is even slightly off, lumps or asymmetry can remain, so the procedure must be approached with a precise understanding of the anatomical structure. At Grace Plastic Surgery, only pure fat is refined and used from fat harvested from the thigh or abdomen. After separating impurities and blood and selecting only uniform particles, the fat is injected in 0.1 cc increments into multiple layers using a micro cannula. Rather than placing a large amount at once, the method is to graft only the amount needed to the needed location with precision. The reason many before-and-after photos are shared is that eye shape, skin thickness, and the amount of fat vary from person to person. Even the same surgery can produce different results depending on the conditions. Sharing a variety of before-and-after photos is not for showing off, but to transparently show what kind of results appear under which conditions. The consultation begins with explaining things slowly and clearly until the patient fully understands and feels convinced.

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Plastic surgery performed by Chief Director and Plastic Surgeon Dr. Moonseop Choi at Grace Plastic Surgery #eyehollowfatgrafting #undereyegetransfer #eyecorrection #doubleeyelidrevisionsurgery #nanofatgraftingundertheeyes #prematureagingeyesurgery #eyesurgeryrevision #ptosis #orbicularisoculi #orbitalseptum #orbitalfat #levatortendonaponeurosis #OrbicularisOculi #OrbitalSeptum #OrbitalFat #EyelidAnatomy ※ Surgical results may vary depending on individual conditions, and side effects such as bleeding, inflammation, and scarring may occur.