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Under-eye fat repositioning is a procedure that repositions the fat under the eyes to reduce a puffy appearance and create a smoother under-eye contour.
It is mainly suitable when the fat under the eyes is distributed unevenly.
Some people often confuse it with lower blepharoplasty, which improves sagging skin of the lower eyelid.
Others may be wondering which procedure is right for them.
Lower blepharoplasty refers to a procedure that can remove wrinkles under the eyes and tighten the skin to create a more youthful impression.
Under-eye fat repositioning and lower blepharoplasty differ in their purpose and method.
Today, I will explain the differences between these two procedures and what you should check to determine which one is right for your eyes.
Under-Eye Fat Repositioning
Under-eye fat repositioning is a procedure in which the inside of the lower eyelid is incised and the fat is repositioned.
Because no external incision mark remains, there is no need to worry about scars. It also helps improve uneven fat distribution and can be effective for dark circles, which is why many people seek this procedure.
Since it is not suitable for improving skin sagging, lower blepharoplasty may be more appropriate if the sagging is severe.
Under-eye fat repositioning is effective when skin elasticity is still present and wrinkles are not severe.

Lower Blepharoplasty
Lower blepharoplasty refers to a procedure that improves wrinkles and sagging by incising the skin of the lower eyelid.
It removes or repositions fat tissue, pulls up loose skin and muscle, removes excess tissue, and then sutures the incision closed.
It is often performed to address problems caused by reduced skin elasticity that develop with age, which is why it is known as a ‘middle-aged eye surgery.’
Through lower blepharoplasty, it is possible to remove wrinkles under the eyes and tighten the skin to create a more youthful impression.
It can also be effective for dark circles, as well as cases where fat is distributed unevenly.
Because it involves an external incision, scars may remain, and compared with under-eye fat repositioning, it has the disadvantage of requiring more recovery time.
It is generally recommended for people in their middle age or older, and it can improve cases with severe sagging skin or wrinkles.
If the sagging is not severe, there are no wrinkles, and your concern is a hollow area under the eyes or puffiness below it caused by uneven fat distribution, under-eye fat repositioning may be more suitable.
It is important to choose the procedure that matches the condition of your under-eye area.

How Can You Know Which Procedure Is Right for You?
In general, lower blepharoplasty is a procedure many people in their 50s and 60s undergo.
This is because with aging, the skin becomes loose, and simply removing fat is not enough to produce an effective result.
However, if there are many wrinkles under the eyes and the sagging is severe, people in their 30s and 40s may also undergo lower blepharoplasty.
Conversely, if the only issue is bulging fat without skin sagging, people in their 50s and 60s may receive only under-eye fat repositioning.
In this way, the decision between lower blepharoplasty and under-eye fat repositioning should not be made based on age alone, but on the current condition of the skin under the eyes and the degree of aging.
To do this, you should receive a careful diagnosis from a board-certified plastic surgeon with a high level of knowledge about each procedure and sufficient clinical experience.

Dark circles, bulging fat under the eyes, and wrinkles are major factors that suggest age, and they can affect not only appearance but also confidence and interpersonal relationships.
Under-eye fat repositioning and lower blepharoplasty can be one way to improve these concerns.
Each procedure has its own advantages and disadvantages, so an appropriate choice is needed based on the individual condition of the under-eye area.
If surgery is performed without careful consideration, you may not achieve the desired result, and various problems may occur.
Therefore, when deciding on surgery, please be sure to consult directly with the board-certified plastic surgeon who will perform the procedure.
Rebon Plastic Surgery is staffed by medical professionals composed solely of board-certified plastic surgeons with 20 years of experience, who directly diagnose and consult with patients to find the appropriate method.
We place the utmost importance on each patient’s safety and satisfaction, and as a principle, we devote enough consultation time even if it takes longer.
If you are concerned about bulging fat under the eyes, please contact Rebon Plastic Surgery.
We will do our best to help create a brighter impression.
Thank you.

