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Lower Eyelid Surgery: Under-Eye Sagging Surgery / Lower Eyelid Surgery Review, Cost, Recovery Period, Side Effects

EYEHO Plastic Surgery Clinic · 눈전문 아이호성형외과 ‍ · March 8, 2023

Lower Eyelid Surgery: Under-Eye Sagging Surgery / Lower Eyelid Surgery Review, Cost, Recovery Period, Side Effects Aging around the eyes, where the skin is thin and there are no se...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: EYEHO Plastic Surgery Clinic

Original post date: March 8, 2023

Translated at: April 23, 2026 at 3:09 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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Aging around the eyes, where the skin is thin and there are no sebaceous glands, appears quickly, so it can feel burdensome. Not only does elasticity decline, but wrinkles are also one of the first issues to appear. As skin elasticity naturally began to decrease with age, the lower eyelids started to sag, and sagging of the orbital fat surrounding the eyes began to occur. In such situations, concerns begin with puffy fat bags that make you look fussy and a dark, tired-looking impression. Since tear troughs can form, many people consider lower eyelid under-eye sagging surgery. As time passes, severe under-eye wrinkles can form, pulling the lower eyelid downward and causing side effects such as ectropion, where the conjunctiva becomes visible. Reviews of lower eyelid surgery describe it as a procedure that makes an incision just below the eyelashes, accesses the orbital fat, and improves the under-eye fat bags and tear troughs.

It can also be described as a lifting technique that removes part of the sagging skin and pulls up the lower eyelid by securing the end of the orbicularis oculi muscle to the edge of the orbital bone. It is a surgical method suitable for middle-aged and older adults who want to improve sagging skin along with fat bags and tear troughs at the same time. In addition, many people worry about whether there are measures that can reduce side effects such as ectropion, which is seen in reviews of lower eyelid surgery for under-eye sagging in middle-aged and older adults. So today, I will share information about the lower eyelid surgery method, scars, and ectropion side effects. I will also share details about lower eyelid surgery cost, lower eyelid surgery recovery period, and lower eyelid side effects.

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Definition of lower eyelid surgery, under-eye sagging surgery _ The details must be understood accurately.

Lower eyelid surgery is a surgical method that can improve symptoms in which the fat under the eyes protrudes excessively, making dark circles look severe, and the lower eyelid skin under the eyes stretches and appears wrinkled. It is often performed after middle age, but it can also appear in people in their 20s regardless of age.

The surgery involves making an incision in a way that keeps the scar as invisible as possible, removing sagging skin and fat under the eyes, and then emphasizing the person’s original aegyo-sal by pulling it upward and fixing it in place. Through this process, under-eye lifting is performed, and it can be expected to slow the progression of aging and improve the face to a softer, more youthful image. As people age, sagging around the eyes can appear more severely in the lower eyelids than in the upper eyelids. If the under-eye fat appears strongly protruded, dark circles may look more pronounced, and as age increases, the possibility of side effects that make the face look older becomes higher. In this way, by reviewing lower eyelid surgery (under-eye sagging surgery) experiences, it was possible to identify the differences and help prevent lower eyelid side effects by improving protruding under-eye fat.

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Criteria information when choosing a lower eyelid surgery / under-eye sagging surgery method _ It can reduce ectropion side effects seen in lower eyelid surgery reviews

In the case of lower eyelid surgery, customized solutions are proposed according to each person's facial structure and the shape of the under-eye area, and the procedure is carried out. However, it is usually performed through the following steps to prevent ectropion and lower eyelid side effects.

  • An incision is made along the edge below the eyelashes so that the lower eyelid scar is not visible.

  • After separating the skin and muscle, fatty tissue is removed and some of it is repositioned.

  • The orbicularis oculi muscle under the eyes is pulled and fixed to the periosteum, and because ectropion may occur when eyelid elasticity has declined, lateral canthopexy is performed to prevent it.

  • After resolving under-eye sagging, if any remaining skin has formed, it is removed within a reasonable range.

  • The area where the surgery was performed is carefully sutured.

  • The original aegyo-sal is emphasized, dark circles are stably improved, and the result is a cleaner eye line.

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Comparison of information related to the types that need lower eyelid surgery

How to reduce ectropion side effects and expected effects seen in lower eyelid surgery reviews

  • Cases where there are many wrinkles and sagging skin, making the under-eye area look aged

  • Cases where the under-eye area appears sunken due to a tear trough, making it look like dark circles

  • Cases where eyelash ectropion occurs in the under-eye area and continuously pokes the eye

  • Cases where the under-eye fat protrudes severely and is identified as deep dark circles

  • Cases where the under-eye area and even the volume of the front cheek sink, causing sagging

To prevent the side effect of ectropion from lower eyelid surgery

A 대표적인 side effect of lower eyelid surgery is ectropion. In cases where lower eyelid surgery is performed, individualized analysis is conducted to assess the degree of sagging and aging according to the patient's condition, and the state of the lower eyelid muscles, the amount of fat, and the depth of hollowness are carefully examined. A customized design is then made, and the surgical method and amount of excision are determined accordingly to prevent ectropion. Since the eyes have a sensitive and complex structure, careful selection during lower eyelid surgery is necessary for it to be more effective and last longer.

The area around the eyes does not have well-developed sebaceous glands, and because the eyes are constantly moving and the muscles are being exercised, wrinkles are bound to form. In particular, as people age, eye wrinkles may appear as a sign of aging, and as fat sags downward to form tear troughs, dark circles can form. Therefore, it can be easier to improve them quickly through lower eyelid surgery.

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What is ectropion, a side effect often seen in lower eyelid surgery review cases?

What is ectropion

Ectropion can be described as a condition in which the eyelid turns outward, exposing the inner conjunctiva. It usually refers to eyes that appear bloodshot. It can be divided into cicatricial ectropion and spastic ectropion.

  1. Cicatricial ectropion is

It is caused by external skin trauma, lacerations, burns, ulcers, and similar conditions, which lead to scarring and contraction. It can also occur due to spasm in skin that has become adherent because of diseases such as periostitis or osteomyelitis of the orbital surface. It is similar to a state in which the eye cannot fully close when shut, and in some cases it can lead to exposure keratitis.

  1. Spastic ectropion is

It refers to cases in which the anterior part protrudes, such as in suppurative lacrimal inflammation or orbital cellulitis, or when the volume inside the orbit increases, pushing the eyelid margin outward. As a result, spasm of the orbicularis oculi muscle also occurs, leading to ectropion. It is a condition often found in the lower eyelid as well.

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Lower eyelid surgery, under-eye sagging surgery _ Lower eyelid surgery cost, recovery period

The cost of lower eyelid surgery is one of the factors that determines whether to proceed with surgery. The cost varies by person and generally starts at 800,000 won and ranges into the 2 million won range. In some cases, if it is a revision surgery or the condition is severe, the price may be set at around 3 million won. Since there are cases where under-eye fat removal is needed or other surgical methods are applied, it is good to pay attention to the cost of lower eyelid surgery, but it is not recommended to make it the top priority. Therefore, rather than choosing a cheap plastic surgery clinic that offers under-eye sagging surgery for around 100,000 won, it is better to receive an exact estimate of the lower eyelid surgery cost through a detailed examination and a one-on-one consultation with the surgeon based on extensive experience in lower eyelid surgery. It is wise to look for a place that has various under-eye sagging surgery reviews (lower eyelid surgery reviews) and proceed there.

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When the eyelids are thin, elasticity gradually decreases, sagging becomes visible, the eyelashes may poke the eyes, and the skin around the eyes may become irritated. Sagging eyelids can look tired and exhausted, and the under-eye area may appear uneven. If the fat stands out prominently, the face can look fatigued or older than it is. Over time, these changes happen even faster. That is why more middle-aged people are looking into lower eyelid surgery. Lower eyelid surgery is a method that can help improve under-eye wrinkles and fat that make a person look tired or older, allowing for a brighter appearance.

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