[Aeton TV] Everything About Lower Eyelid Fat Repositioning

What is the tear trough?

It refers to the hollow area under the eyes,

like a ditch where tears might flow.

As people age, the area above often becomes puffy,

and the area below often becomes sunken.

But the degree of this varies greatly from person to person.

The extent of lower eyelid fat repositioning surgery changes depending on the current condition of the eyes.

Simply put, it can be limited to lower eyelid fat repositioning only,

or it can include lower blepharoplasty involving an incision in the skin,

and may even expand further to a procedure that lifts the midface.

If lower eyelid fat repositioning is delayed, the surgery may become more extensive.

With a simple procedure performed through the inside of the eyelid, there are limits.

If a lot of fat is protruding and the skin is significantly loose, lower eyelid fat repositioning alone is difficult.

For younger people, it may be possible without cutting the skin, but the basic principle is to reposition the protruding under-eye fat into the sunken area below.

The surgery is performed by going inside the eye and carefully smoothing out the protruding area.

We use special thread and needles, which have the advantage of allowing very secure fixation without external taping.

Recovery is faster than with lower blepharoplasty, and because it is less burdensome, many people seem to prefer it and seek it out.

However, everyone’s eye shape is different.

So, depending on the degree of eye protrusion or eye hollowness, we adjust the extent of the repositioning.

In the case of protruding eyes, a more aggressive and wider repositioning can still produce good results, whereas

in sunken eyes, wide repositioning can make the area look even more hollow, so caution is needed.

Also, there are cases where there is too little facial fat, so there is not enough fat available for repositioning.

In those cases, we try to balance the overall look by combining it with fat grafting to the front cheek area.

That is why even among celebrities on TV, some may look more tired after lower eyelid fat repositioning, or later undergo another surgery and end up looking better.

It is likely that they received additional fat grafting.

We also use methods such as septum reinforcement.

The area closer to the nose is treated with repositioning, and the outer side, which is harder to resolve, is addressed by reinforcing the septum, pushing the fat inward and helping restore elasticity.

These days, there is also a lot of interest in the length of the midface.

Patients want results that are not obvious, but still maximized in effect.

If the shape of the sagging lower part of the midface is adjusted well, its physical length cannot actually be shortened, but it can make the midface appear shorter, creating a more youthful effect.

So we too study and apply increasingly advanced surgical methods every year.

This is a case of a patient in their early 30s with some pigmentation.

For people with pigmentation, it is difficult to improve even with lasers, but if the under-eye shadow disappears, they look much better.

For this patient as well, once the shadow disappeared, they looked much brighter and cleaner.

This is a case of someone in their 20s with a genetically weak septum.

Their parents also reportedly had puffiness under the eyes when they were young and were upset about it.

If the sunken lower area and protruding area are well repositioned like this, you can get very good results.

If you look at the photo from one week later, the bruising and swelling are fairly minimal,

and of course there are individual differences, but after about a month, the under-eye area is neatly settled.

This is a case of a patient in their mid-30s.

From the side, the protruding area and the sunken area are clearly visible.

With repositioning, this area becomes flatter, and volume is created below, so the midface looks shorter overall and good results can be achieved.

With this kind of surgery, the chance of needing another procedure because of fat-related issues is extremely low.

Depending on aging management, additional procedures may be needed, but in general, there is not much need to re-treat the under-eye fat, so you can think of it as almost semi-permanent.

If you are curious about a candid review of 'lower eyelid fat repositioning' from a plastic surgeon who personally underwent it, check it out right below!

Thank you 😃