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Lower Eyelid Surgery / Lower Eyelid Surgery Review, Cost, and Side Effects

EYEHO Plastic Surgery Clinic · 눈전문 아이호성형외과 ‍ · May 4, 2023

Lower Eyelid Surgery / Lower Eyelid Surgery Review, Cost, and Side Effects As aging begins, the skin around the eyes, where the skin layer is thin, ages quickly. In particular, if...

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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: May 4, 2023

Translated at: April 23, 2026 at 3:08 AM

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

Lower Eyelid Surgery /

Lower Eyelid Surgery Review, Cost, and Side Effects

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As aging begins, the skin around the eyes, where the skin layer is thin, ages quickly. In particular, if you are someone for whom under-eye sagging or dark circles are especially noticeable, these changes can feel burdensome. Recently, because masks are being worn, people’s attention tends to focus even more on the eyes, so sagging lower eyelids can create an expression that looks irritated and a dark overall impression, making it hard not to worry about. Many people are looking for ways to solve these concerns, and the procedure chosen to improve them is lower eyelid surgery.

Lower Eyelid Surgery

Lower eyelid surgery refers to a cosmetic procedure that addresses the under-eye area by tightening sagging skin, making someone look older, and improving under-eye fat bags and tear troughs.

Lower eyelid surgery is generally more suitable for middle-aged people than for younger people who have little skin sagging. It is performed by making an incision in the sagging skin and removing fat at the same time to lift the lower eyelid. Just as any plastic surgery can lead to undesired results if the procedure is not performed properly, lower eyelid surgery can also cause side effects if the improvement is done incorrectly. Therefore, we will take some time to look at information such as lower eyelid surgery reviews, lower eyelid surgery costs, and side effects.

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Lower Eyelid Surgery Method

Lower eyelid surgery is a procedure in which the skin just below the lower eyelashes is incised to remove or reposition sagging skin, wrinkles, and under-eye fat. After removing the sagging lower eyelid skin, the area is lifted to resolve sagging and wrinkles. With this procedure, if the sagging skin and muscle are removed properly, there is hope that the face can change to a softer, more youthful appearance. That is why the experience and know-how of the medical team performing the surgery have a major impact. Lower eyelid surgery reviews and whether side effects occur are determined by how much sagging skin is removed and how the muscle is fixed.

As people get older, drooping around the eyes may appear more severely under the eyes than on the upper eyelids. As the under-eye fat layer protrudes, dark circles may look deeper, and there is also a higher possibility of side effects that make a person look older. A way to prevent side effects from lower eyelid surgery, which can correct protruding under-eye fat, is to check the surgery cost and actual reviews.

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Lower eyelid surgery for middle-aged and older adults can help reduce side effects and lead to satisfying results by reviewing lower eyelid surgery experiences, costs, and side effects.

In the case of lower eyelid surgery, because each person has different facial contours and under-eye conditions, it should be performed as a customized solution, and it is usually carried out in the process described below.

Step 1) Make an incision below the eyelashes so that the lower eyelid incision scar is not visible.

Step 2) After separating the skin and muscle, remove unnecessary fat and reposition some of it.

Step 3) After fixing the orbicularis oculi muscle at the lower part of the eye to the periosteum, external canthopexy is required to prevent the eyelid from turning outward, since this can occur when under-eye skin elasticity is reduced.

Step 4) After resolving sagging in the lower part of the eye, the remaining skin is excised within a range that does not place excessive strain on the area.

Step 5) Carefully suture the operated area.

Step 6) Enhance the existing aegyo-sal while encouraging changes so that dark circles can be improved in a stable way.

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In the past, lower eyelid surgery was performed by simply cutting away sagging skin, removing fat, and then suturing the area. As a result, it did not properly fill in hollowed areas, but now these points are also being supplemented in the procedure.

  • Fat repositioning

This is a method that does not simply remove under-eye fat, but moves fat from the protruding area to the hollowed area to create appropriate volume under the eyes. As a result, overly bulging areas can become flatter, while hollow areas that looked sunken can gain volume.

  1. Septum refixation

There are three fat pockets in the area below the eyes. In front of them is a membrane called the septum, which plays a role in preventing the fat pockets from protruding outward. Therefore, while repositioning the fat, the septum area is also tightened and fixed to the bone under the eye, helping prevent the fat from pushing outward again over time.

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Lower Eyelid Surgery: Side Effect of Lower Eyelid Surgery_When the eyelid appears turned outward

A representative side effect of lower eyelid surgery can be bleeding. Then you may wonder, isn’t bleeding only natural when making an incision? However, during the operation, the medical team uses hemostasis to prevent bleeding so that no wound is created and recovery can be quick.

Even so, if too much force is applied to the face after the vessels have been sealed, they can suddenly burst, blood can start again, and as it comes out and swells, swelling occurs. If prompt treatment is not provided, the area can shrink or become contracted due to inflammation, causing the lower eyelid skin to turn outward. For that reason, the precautions for eye surgery are not only about avoiding external stimulation, but also about avoiding straining the eyes.

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Because the surgical area is also connected to the skin during the process of tightening the septum, the under-eye skin may actually appear slightly lifted in the early period after surgery. There are differences depending on each person’s skin elasticity and the degree of sagging, but for about 2 to 3 weeks, the eyes may feel irritated, and the under-eye area may be slightly lifted, which can feel uncomfortable when the wind blows. However, due to septum fixation, the lifted or turned-out appearance under the eyes usually returns significantly after about 1 month. Recovery varies from person to person, but even if it takes longer, it generally returns almost completely in about 3 months. Therefore, after lower eyelid surgery, the under-eye skin may temporarily appear lifted, so the procedure must be followed carefully. However, if the surgery is performed by someone who is not an experienced medical professional, the eyelid may turn outward and not recover, so it is important to conduct a detailed examination and analysis tailored to each individual’s factors before designing the procedure and to proceed with the correct surgical method and amount of tissue removal.

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Difference Between Lower Eyelid Surgery and Under-Eye Fat Repositioning

Under-eye fat repositioning is performed through a partial incision to reposition the fat, but lower eyelid surgery approaches through the inner conjunctiva of the under-eye area, flattening the dark circles and protruding fat that make the under-eye area look dull and creating an appropriate amount of volume. It can be said to be suitable not only for people in their 20s and 30s, but also for those in their early 40s. Of course, since aging conditions differ from person to person, there is no fixed age range, and lower eyelid surgery can also be a method that adds the step of incising sagging skin.

Having aegyo-sal does not automatically make someone look youthful, and aegyo-sal and under-eye fat are different. However, it is an important part of giving a positive impression. In terms of scarring, the aegyo-sal helps prevent the scar line from becoming sunken, which can help the scar heal cleanly over time. Therefore, making good use of the aegyo-sal can also lead to a natural result.

There is a muscle in the eye that allows it to close, and this area also sags with aging, becoming loose downward or appearing puffy. The semicircular sagging skin under the eye can be said to be caused by aging of the muscle that closes the eye. Lower eyelid surgery is a method of pulling and fixing this loosened muscle again. That said, not everyone undergoes muscle correction.

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When meeting someone face to face, people often want to have an image that looks lively and bright. To achieve that, many factors play a role, but it can be determined by overall harmony such as facial expression and facial features. Among them, the eyes account for the largest share. Because they are the part of the face where the gaze lingers the longest, the overall impression is determined by the shape, size, elasticity, aegyo-sal, and wrinkles of the eyes. However, because the skin around the eyes has few sebaceous glands and the eyes are constantly moving and the muscles are continually active, wrinkles inevitably form. In particular, as people age, wrinkles around the eyes appear due to signs of aging, and fat sags downward, creating tear troughs and leading to dark circles. In such cases, we hope you will consider improving them quickly through lower eyelid surgery.

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