The Effect of Under-Eye Volume on Midface Length
![[Etone TV] The Effect of Under-Eye Volume on Midface Length image 1](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/0302ac07258459c72ac0ed3fafa70b201bc5847728dc6e77fbf96ec8de248979.jpg)
When the under-eye area is plump,
it clearly creates the effect of making the midface look shorter.
If there is no under-eye volume,
just like it has been removed in Photoshop,
the midface looks longer
and gives a more aged impression.
When there is under-eye volume,
the length of the area perceived beneath the eyes
is brought downward.
So in terms of proportion,
the midface appears shorter.
![[Etone TV] The Effect of Under-Eye Volume on Midface Length image 2](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/3e6060963ed5bef03b9a7d98a93a7db8de90be5907f03a5786f5d29683fd64a9.jpg)
To improve under-eye protrusion or hollowness
and make the midface look shorter,
the key is
making it look “smooth yet gently full.”
Through under-eye fat repositioning surgery,
protruding fat is moved into hollow areas.
The reason tear troughs form is that the muscle is firmly attached
at the point where it meets the bone.
So in addition to fat repositioning,
this muscle layer also needs to be separated and
lifted upward.
Only then does the effect of a shorter-looking under-eye area appear.
If the under-eye area hangs down too far,
the midface appears divided into several sections.
✔️ Lower eyelid area
✔️ Fat area beneath the lower eyelid
✔️ Front cheek area
If there is also an Indian band,
there will be even more sections.
The more sections there are,
the longer the face appears.
If this area is smoothed out
and turned into a single plane,
and the original aegyo-sal is made more prominent,
the midface looks much shorter
and the tired impression is also reduced.
The key surgery for making the midface look shorter
: under-eye fat repositioning
![[Etone TV] The Effect of Under-Eye Volume on Midface Length image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/4ab76b3f57afde5cff8d72391d9c8fb940cabb3f51c76b682fdc186420c95521.jpg)
When performing under-eye fat repositioning surgery,
there are two points I consider most important.
✔️ Repositioning the fat
-Moving protruding fat exactly into the hollow areas
✔️ Separating retaining ligaments and muscles
-When making facial expressions or by touch,
fully separating the muscle attachment points or retaining ligaments
in the areas where the line is visible
By comprehensively examining the degree of fat protrusion,
the position of the tear trough,
and front cheek volume,
we combine and use the procedures needed for each individual.
As aging under the eyes progresses
and even the nasolabial folds deepen,
the midface becomes quite prominent.
People with deep nasolabial folds typically have
prominent front cheek volume near the nose line.
When the lower area becomes more voluminous in a triangular shape,
the midface looks longer
and gives a more aged impression.
In such cases, the method for lifting midface volume is...
For younger people, thread lifting can be used,
but there is a limit to how much volume can be pulled up
in a semi-permanent way.
For people with more advanced aging,
we consider “midface lifting surgery.”
![[Etone TV] The Effect of Under-Eye Volume on Midface Length image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/b996c9ece60c4187773c48c4ae55ad83a8ee046ccb1c9dacc4ace202bfb771b9.jpg)
Under-eye fat repositioning is usually performed
by approaching through the conjunctival side,
without leaving a visible scar on the outer skin.
However, a midface lift
must go deeper and farther downward,
so a skin incision may be necessary.
In people with significant skin laxity,
if all the tissue is pulled up,
there will be excess skin left above,
which causes wrinkles.
So through lower blepharoplasty,
an incision is made below the eyelashes,
and supplementary work is performed to pull up the sagging muscles as well.
Lower blepharoplasty goes in through the skin
and performs fat repositioning,
and furthermore, a method that lifts the lower tissue as a whole
becomes a midface lift.
Rather than simply shortening the length,
repositioning three-dimensional volume is the key.
Looking shorter in 2D
and giving a youthful sense of volume in 3D
are completely different concepts.
In real life, I focus on helping people look better,
and I perform surgery with the feeling of repositioning front cheek volume.
The reason people become so fixated on the midface,
and how much of an impact midface length actually has
To make the midface look shorter,
what should be done
Following the previous post,
in Midface Series 4,
we will discuss in detail
“Why a sunken cheek makes the face look longer.”
Thank you.
![[Etone TV] The Effect of Under-Eye Volume on Midface Length image 8](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/6sqnwoxhnd/naver_blog/etonneps/assets/by_hash/99a9d8363993223c51596689d569c773fe415036292611009b117a2d82a31959.png)