I don’t like bulging under-eye fat, dark circles, or wrinkles under the eyes. I’ll explain the no-touch lower blepharoplasty and fat grafting procedure.

Hello, this is Dr. Kim Junhyun of Midline Plastic Surgery. ^-^

Today, I’ll briefly review under-eye surgery.

When under-eye fat protrudes, it makes you look tired and also creates dark circles,

so it is hard to have a clear, refreshed look.

This is a patient who visited us because of concerns about the under-eye area. The under-eye fat is bulging out, and the area where the fat is protruding seems to have slight redness. And there are also fine wrinkles on the lower eyelids.

This is a typical case that requires lower blepharoplasty and fat grafting.

The surgical method for lower blepharoplasty that our clinic performs is called

No-Touch Lower Blepharoplasty

.

Usually, when performing lower blepharoplasty, an incision is made from the outside in the skin of the lower eyelid, and the orbicularis oculi muscle beneath it is opened to access the under-eye fat. At this time, if the orbicularis oculi muscle is incised too far inward, there is a possibility of ectropion. This is because the nerve that controls the movement of the lower orbicularis oculi muscle begins to distribute from the inner side.

The area marked with the yellow circle is where the motor nerve that controls the lower orbicularis oculi muscle is located. So, to reduce the chance of nerve damage, it is right not to extend the incision too far inward. I think it is better to eliminate even that low probability, and I perform lower blepharoplasty while preserving the orbicularis oculi muscle.

Because it means not touching the orbicularis oculi muscle, I named it “No-Touch.”

We approach through the conjunctiva, perform the fat-related procedure, and then remove the remaining skin. It means approaching from the front and back based on the orbicularis oculi muscle. (red arrow)

I’ll stop the explanation of the surgery here and look at the preoperative photo again.

The under-eye fat protrudes a lot, and the tear trough also looks deeply hollowed. There is also pigmentation and fine wrinkles under the eyes.

While performing No-Touch lower blepharoplasty, fat grafting is used to add volume above and below the tear trough. Once the under-eye fat is treated, the bulging area becomes lower and the skin becomes slack. So if the skin is not excised, the dark circles may appear worse than before surgery, and the wrinkles may look more noticeable. It is necessary to remove the skin and brighten the skin tone a bit more with fat grafting.

I compared it with the photo taken 6 months after surgery.

Left) Before No-Touch lower blepharoplasty / Right) After No-Touch lower blepharoplasty

Some photos were taken a little brighter, but even taking that into account, it improved dramatically compared with before the surgery.

If you don’t like under-eye fat, dark circles, or wrinkles under the eyes, you can achieve a clear under-eye area with a simple method. Don’t worry any longer!

<If you have additional questions, leave a private comment and I will kindly answer them. Thank you. ^-^>