Is a Second Eyelid Fat Grafting Necessary? Are Frozen Fat Grafts a Side Effect?

Based on decades of clinical experience, every process from diagnosis to surgery ultimately begins with an understanding of one person’s face. Even when the concern is the same sunken eyelid area, the cause is different, and the depth and structure are all different. That is why eye surgery should not be seen as simply creating a crease line, but as a precise planning process that considers both the structure and function of the eyes.

Director Choi Moon-seop analyzes each person’s eye shape, proportions, skin thickness, and even fat location based on the anatomical structure of the eyes. Through this, the goal is to achieve results that are not excessive while still naturally harmonizing with the face as a whole. Rather than simply changing appearance, the plan also takes into account the strength of eye opening, field of vision, and fatigue so that it can lead to a more comfortable daily life. It is easy to think that a sunken upper eyelid is a change that appears only with aging, but in reality, genetic factors are often a major cause. That is why there are many cases in which fat grafting is used to correct sunken areas even in relatively young people. In particular, if there is not enough volume above the eyes, the double eyelid line may appear unstable or give an impression similar to ptosis, so restoring proper volume is important for securing line stability.

We are also often asked how many sessions eyelid fat grafting should require. If the appropriate amount is injected into the correct layer, one procedure is often enough to complete the treatment. However, because fat survival rates vary from person to person, a second correction may be needed if the sunken area is severe or the absorption rate is high. In the end, the key is not the number of sessions, but how accurately the fat is injected and at which location. At Grace Plastic Surgery, eyelid fat grafting is performed by refining autologous fat to remove unnecessary components, then distributing it by injection into appropriate layers according to the anatomical structure of the upper eyelid. This helps induce a high survival rate and creates three-dimensional volume without excessive fullness.

The eyes are an area where even a small change can greatly alter one’s impression. That is why the important thing is not a dramatic change, but a result that blends naturally into the original face. Beyond a simple procedure that fills in sunken areas, restoring both the structure and function of the eyes is the way we approach eye surgery.

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