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Why the Orbicularis Oculi Muscle Beneath the Eyes Should Be Preserved During Under-Eye Fat Repositioning Surgery

Ahnsungmin Plastic Surgery – Eyelid Revision Specialist · 눈성형 전문 안성민성형외과 EYE PLASTIC SURGERY · July 1, 2025

Aegyo filler # Orbicularis oculi muscle # Aegyo-sal # Middle-aged lower blepharoplasty # Under-eye fat repositioning Relationship Between Fat Repositioning Surgery and the Orbicula...

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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: Ahnsungmin Plastic Surgery – Eyelid Revision Specialist

Original post date: July 1, 2025

Translated at: April 20, 2026 at 4:07 PM

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

Aegyo filler # Orbicularis oculi muscle # Aegyo-sal # Middle-aged lower blepharoplasty # Under-eye fat repositioning

Relationship Between Fat Repositioning Surgery and the Orbicularis Oculi Muscle

Preserving the orbicularis oculi muscle during fat repositioning surgery is very important.

Sometimes, among patients undergoing revision surgery, there are people whose orbicularis oculi muscle has been removed, and in such cases, the result looks very awkward and unnatural.

The under-eye aegyo-sal is the muscle that appears when smiling, and without this muscle, the area can look flat and cold.

Removing the aegyo-sal is one of the side effects of under-eye fat repositioning surgery, and once the muscle has been removed, it cannot be restored even with revision surgery.

Therefore, preserving it naturally is the most important thing.

Why the Orbicularis Oculi Muscle Beneath the Eyes Should Be Preserved During Under-Eye Fat Repositioning Surgery image 1

Preserving the Aegyo-Sal in Lower Blepharoplasty

The under-eye aegyo-sal naturally gives a youthful impression when smiling, and it is a muscle that must be preserved.

The orbicularis oculi muscle is not created during surgery. By moving the bulging fat beneath the aegyo muscle to a sunken area and repositioning it, the patient’s original aegyo muscle is revealed.

The Ideal Under-Eye Fat Repositioning

Why the Orbicularis Oculi Muscle Beneath the Eyes Should Be Preserved During Under-Eye Fat Repositioning Surgery image 2

The size and shape of the orbicularis oculi muscle vary from person to person, and may differ depending on age and smiling habits.

Why Aegyo-Sal Should Be Preserved in Middle-Aged Lower Blepharoplasty

https://blog.naver.com/asmps2020/223501207772

Surgery Time and Aftercare

The surgery takes about 1 hour and 30 minutes for both sides combined.

It is performed under local anesthesia.

After surgery, it is best to rest and avoid overexertion for 1 to 2 days.

For about 2 weeks after surgery, you should avoid irritating the eyes, such as rubbing them hard, and avoid positions that increase intraocular pressure by bending your head down.

It is best to allow about 6 months for the surgical traces to disappear completely

and for the lower blepharoplasty to look natural.

Eye Surgery · Lower Blepharoplasty No. 1

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Thank you.

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Why the Orbicularis Oculi Muscle Beneath the Eyes Should Be Preserved During Under-Eye Fat Repositioning Surgery image 3

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