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For those considering under-eye fat repositioning surgery,
the most common question is
“How long will the results last?”
Many people worry that the fat will bulge out again
after surgery.
That is because simply moving the under-eye fat to a flatter position
does not completely solve the problem.
![[EtonTV] Under-Eye Fat Repositioning: A Surgical Method That Lasts Almost Permanently image 2](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/8536f547ada499ed92a81f788e82b10f924f01cc89c5945905c96c55062ff31e.jpg)
In fact, in under-eye fat repositioning,
the most important point is not
how the fat is moved,
but how it is maintained.
To prevent recurrence and achieve long-lasting results,
the key surgical step that must be done is
“cutting the retaining ligament,”
in other words, sufficiently dissecting the retaining ligament.
![[EtonTV] Under-Eye Fat Repositioning: A Surgical Method That Lasts Almost Permanently image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/b3713fd9be087b37cb4fbcd70679bd2140e2c3853cf4d09f2411a90ee82945fa.jpg)
If you look closely under the eyes,
right below the tear trough,
there is an area that becomes deeply sunken
when we make facial expressions.
That area is the retaining ligament,
the point where the muscle is firmly attached to the bone.
Because this retaining ligament pulls the fat downward,
if it is not sufficiently released,
the repositioned fat will be strongly pushed back up
or tend to return to its original position.
Only when this ligament is fully released
can the fat rest comfortably in place,
which means the dissection must be done thoroughly.
![[EtonTV] Under-Eye Fat Repositioning: A Surgical Method That Lasts Almost Permanently image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/deddd0f1c31a3731780b5b269380f6947f7e4ad6f1b5ea91ce832e93fb2b4ce3.jpg)
However,
this process is actually not easy.
The surgical field is narrow,
and if one tries to forcibly dissect the ligament in such a limited space,
two major problems can occur.
The first is
that bleeding may occur,
and the second is
that problems may arise in the surrounding nerves,
leading to complications.
So from the surgeon’s perspective,
this can be a fairly intimidating step during surgery.
![[EtonTV] Under-Eye Fat Repositioning: A Surgical Method That Lasts Almost Permanently image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/d8c834846bb94bac3e64d36774030b7ee0bb7f3a2b85d3335940ddab40f17969.jpg)
To safely and completely dissect this retaining ligament,
what matters most is
the surgeon’s anatomical knowledge and experience.
In my case,
I have performed many major surgeries involving the lower eyelids and the entire face,
such as lower blepharoplasty and facelifts.
Through these major surgeries,
if you have a deep understanding of the anatomical structures,
you can sufficiently release the retaining ligament while avoiding dangerous nerves and blood vessels.
When the retaining ligament is sufficiently released,
the repositioned fat settles much more stably
and is better maintained.
This is the secret to lowering the recurrence rate
and achieving results that last almost permanently.
Thank you.😀
![[EtonTV] Under-Eye Fat Repositioning: A Surgical Method That Lasts Almost Permanently image 6](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/436a5f9ebb67153544469faca667700f72703de849afdd0699fe90fda59633d6.png)
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