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Under-Eye Fat Surgery: What to Do When Fat Builds Up with Aging and Under-Eye Sagging Appears

Soonplus Plastic Surgery and Dermatology · 순플러스성형외과 · 피부과 · April 21, 2025

Under-Eye Fat Surgery: What to Do When Fat Builds Up with Aging and Under-Eye Sagging Appears ​ ​ ​ ​ The saying that you cannot beat time means that no matter how healthy a person...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Soonplus Plastic Surgery and Dermatology

Original post date: April 21, 2025

Translated at: April 24, 2026 at 2:46 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Under-Eye Fat Surgery: What to Do When Fat Builds Up with Aging and Under-Eye Sagging Appears image 1

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The saying that you cannot beat time means that no matter how healthy a person has been, how good their skin has been, or how youthful they once looked, time cannot be overcome, and they will experience various signs of aging.

As people get older, everyone experiences physical aging,

and the signs of aging appear in various ways throughout the body.

In particular, the most common skin-related signs are a loss of elasticity,

which causes the skin to stretch, sag, and develop wrinkles.

Because wrinkles and sagging make a person look older,

improvement through treatment methods suited to the area, skin condition, and degree of sagging can help improve an aging appearance and create a younger, brighter image.

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Looking at the faces of middle-aged people in their 50s and 60s around us, it is easy to find people whose under-eye area has become puffy due to fat buildup.

Unlike people in their 20s and 30s, who are relatively young, middle-aged people often have noticeable fat pockets under the eyes.

This is also one of the signs of aging, and when the amount of under-eye fat is severe, the skin may stretch because of the fat, leading to under-eye sagging.

A dark shadow forms beneath the accumulated fat, which can also make it look like dark circles, creating not only an older-looking impression but also a dark and tired appearance.

As life expectancy has increased, more middle-aged people are continuing social activities.

Recently, as appearance has become important even in social life, it is necessary to improve dark under-eye fat for a brighter and more refreshed impression.

As a treatment method that improves both under-eye fat removal and sagging under-eye skin, lower blepharoplasty can be recommended.

Lower blepharoplasty is a surgery that removes under-eye fat and sagging skin, helping improve not only fat drooping due to aging but also skin stretching and wrinkles.

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Lower blepharoplasty for middle-aged under-eye concerns removes and repositions protruding fat,

removes excess skin, and then repositions the orbicularis oculi muscle to create a smoother under-eye area.

To achieve a neat and smooth under-eye area, the amount of fat and skin removed must be appropriate.

If too much skin is removed, it can cause side effects such as the eyes appearing turned outward,

and if too little is removed, improvement in fine wrinkles may be insufficient.

Therefore, how much skin to remove appropriately can be a key point in lower blepharoplasty, and the amount removed is determined based on the patient’s under-eye skin condition, the degree of wrinkles, and other factors.

In addition, the experience and expertise of the medical staff are also important factors in the outcome,

so under-eye fat surgery should be performed systematically and safely by medical staff with extensive knowledge and expertise in lower blepharoplasty.

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A typical under-eye fat surgery is under-eye fat repositioning, but for sagging and stretched under-eyes caused by aging, under-eye fat repositioning alone may have difficulty addressing the root problem, and if only under-eye fat removal is performed, the extra skin may increase, which can instead make under-eye wrinkles more pronounced.

The options for under-eye fat surgery include under-eye fat repositioning, under-eye fat removal surgery, lower blepharoplasty, and mini lower blepharoplasty, among other methods.

Because there are various surgical methods, an accurate diagnosis and consultation with a plastic surgery specialist experienced in under-eye fat surgery are necessary to determine the proper surgical plan and apply an under-eye fat surgery plan suited to each individual.

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