Aging process # Lower blepharoplasty # Ahn Seong-min Plastic Surgery # middle-aged under-eye bags # before-and-after under-eye bags

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Changes under the eyes by age group

The aging process under the eyes can be said to consist of sagging of soft tissue due to gravity and loss of volume.

Changes caused by aging appear in various ways, and the amount and degree of protrusion of under-eye fat differ by age group. Therefore, the surgical method is performed differently by age group and by type.

Lower eyelid fat repositioning in teenagers

You may ask, “Is surgery really necessary for teenagers?” But because the bulging fat made the under-eye area look dark, and there were many concerns about dark circles, we proceeded with surgery with parental consent.

Lower eyelid fat repositioning in teenagers

Since they are teenagers, there is little skin laxity, but the pouch surrounding the fat inside had loosened, creating the feeling that the fat was protruding. If the fat is carelessly removed at this stage, it can look unbalanced with a fuller face, make the person look older than their peers, and later cause hollowing under the eyes, making things even more awkward. We preserved the natural fullness of the cheek muscles and added volume with excess fat to maintain a cute appearance.

Lower eyelid fat repositioning in people in their 30s

Lower eyelid fat repositioning in people in their 30s

Compared with middle age, there is little skin laxity, but a double fold (overlapping fold) has formed below the aegyo-sal, and in fact the amount of fat is not very large.

In this case, a small amount of skin removal improves sagging, and the sagging muscles of the midface are pulled and firmly fixed.

Since the protruding fat is not very prominent, we preserved as much volume as possible below the aegyo-sal.

Lower eyelid fat repositioning in people in their 40s

Before-and-after lower eyelid fat repositioning in people in their 40s

This is the 40s, when sagging gradually begins. Compared with middle age, the skin laxity is not severe. In fact, the amount of protruding fat is not large. Through a small amount of skin removal, sagging was improved, and the bulging fat was moved to the hollowed areas to improve dark circles. The sagging muscles of the midface are pulled to prevent recurrence, and a slight lifting effect can be expected.

In the 40s, the protrusion is not severe, and because it is aging that naturally appears in the same age group, there is a tendency to choose a simple procedure. There is a lot of information around, so some people may try to remove fat based on incorrect surgical common sense, but this should absolutely be avoided. This is an age when under-eye hollowing must be considered, a fundamental solution is needed, and delicate surgery is required.

Lower eyelid fat repositioning in people in their 50s

Before-and-after lower eyelid fat repositioning in people in their 50s

This is the age when interest in lower eyelid fat repositioning becomes highest due to rapid aging.

You can feel the skin laxity and sagging firsthand, and elasticity begins to decline. The before-and-after effect is the greatest, and surgery can be performed more actively. To prevent recurrence, we can approach it with a multifaceted procedure such as skin excision, active fat repositioning, septal reinforcement, midface lifting, and improvement of skin texture.

Before-and-after lower eyelid fat repositioning in people in their 60s

Due to orbital fat protrusion, the fat pouch has sagged along the line of the eyeball.

In people middle-aged and older, the bulging of the lower eyelid area affects the hollowing above the eyes, so it is important to strengthen the septum and secure firm fixation so it does not get pushed downward. The midface muscles are pulled and safely fixed.

Lower eyelid fat repositioning in people in their 70s

Before-and-after lower eyelid fat repositioning in people in their 70s

Due to aging, the skin has sagged, and the lower eyelid skin is severely lax because of long-standing protrusion of the fat pouch.

At this stage, the appropriately sagging skin is carefully removed. In older age, excessive skin removal cannot be reversed, so it must be adjusted cautiously. Also, considering side effects such as ectropion and discomfort such as eye irritation, it is better to approach the amount of excision lightly.

Not all wrinkles can be removed, and in fact fine wrinkles can look elegant.

If other parts have aged, but only the area under the eyes is taut as if ironed flat, it may instead look artificial. The overall balance and harmony of the face are the most important.

https://blog.naver.com/asmps2020/223755780259

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