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Upper Eyelid Fat Removal: Solving the Problem of Puffy-Looking Eyes!!

EYEHO Plastic Surgery Clinic · 눈전문 아이호성형외과 ‍ · April 17, 2024

Upper Eyelid Fat Removal: Solving the Problem of Puffy-Looking Eyes!! Hello. This is IH Plastic Surgery, a place where beauty is renewed. ​ If you eat salty or spicy food before go...

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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: April 17, 2024

Translated at: April 22, 2026 at 2:15 PM

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

Hello.

This is IH Plastic Surgery, a place where beauty is renewed.

If you eat salty or spicy food before going to bed and sleep, or if your blood circulation is not smooth, your hands, feet, and face may swell in the morning. However, I think there are many people whose eyes are puffy when they wake up in the morning even though they did not eat spicy or salty food, and who still have puffy-looking upper eyelids despite trying various ways to reduce the swelling. Since the eyes play an important role in determining a person's first impression, many people seek surgical help to improve thick upper eyelids.

If you want a refined eye shape through unnecessary upper eyelid fat removal, I think it would be good to read today’s post to the end.

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People who were born with a lot of fat may look puffy 365 days a year, regardless of whether they ate salty or spicy food the day before. You can only tell accurately whether there is a lot of fat or not by touching it, so I would recommend visiting for a consultation.

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  1. Cases with a lot of fat

  2. Cases where there is not much fat, but the area protrudes prominently

  3. Cases where the space between the eyes and eyebrows is narrow, making it look like there is a lot of fat

  4. Cases where the skin is thick, making it look like there is a lot of fat

  5. Cases where the orbital structure is developed outward, making it look like there is a lot of fat

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If the upper eyelid looks bulging, you could say, “You were born with a lot of fat,” but we can still classify it into a few types.

Therefore, not everything is necessarily due to excess fat, so it is necessary to distinguish between something that only looks fatty and something that actually contains a lot of fat.

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What is the solution in cases with a lot of fat?

For those who are troubled by excess fat in the upper eyelids, one possible solution is to perform double-eyelid surgery with an incision method while redistributing or partially removing the fat, which can make the eye shape appear slimmer.

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When there is a lot of fat in the upper eyelid, removing unnecessary fat can improve the puffy appearance of the eyes. You may be wondering why fat redistribution is done. The reason is that the eyes can become hollow, so it is important to remember that removing all of the fat indiscriminately is not good. For that reason, removing too much is generally not recommended, and as the volume in the eyes decreases and they begin to look sunken, it should not be done carelessly. Even so, if you insist on removing a large amount of fat, fat grafting may be needed later. Therefore, it is important to consult medical staff with experience and skill and establish a surgical plan.

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If you want to remove upper eyelid fat,

do you absolutely have to have double-eyelid surgery?

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There are also cases where fat is removed with a non-incisional method rather than an incision method. The non-incisional method is a procedure that creates double eyelids by making a tiny hole and using thread and a needle. This method is suitable for people with thin skin or little fat. If the amount of fat removal is large, there is more tissue to organize rather than simply remove, so doing it with an incision method can be the proper approach.

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If opening your eyes feels difficult,

is it because there is a lot of fat?

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There can be various causes, but as the tissue becomes heavy and the skin’s elasticity decreases over time, the eyelids sag, which can make it difficult to open the eyes.

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The eyelids are the heaviest thing in the world.

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If you undergo upper eyelid fat removal surgery,

how much time off do you need?

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If you are busy, you do not need to take time off and can go straight back to work.

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Of course, resting is best, but among the people who come to our clinic for surgery, some take only 2 to 3 days off, and some combine it with the weekend. Very few people take 1 to 2 weeks off.

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One reason I can say it is possible to go to work the day after surgery is that most people do not swell much, and only you are concerned about it. Other people do not pay attention.

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After upper eyelid fat removal,

can you graft aegyosal under the eyes?

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To conclude first: no, it is not possible.

The reason is that when upper eyelid fat is removed, the fat tissue inside the eye is crushed and removed, so it is not suitable to put back under the eyes. Not only is the amount of removed fat not large, but for under-eye fat grafting, the material needs to be finely prepared, so using the removed upper eyelid fat is difficult.

Therefore, even if fat is removed from the upper eyelid, in most cases new fat is taken separately for under-eye fat grafting.

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Precautions after upper eyelid fat removal

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If you have a tendency to bleed, you should avoid bending your upper body forward so that blood does not rush to the area. Also, you must avoid alcohol and smoking for one month.

It would be good to keep this mindset in general.

Still, since you had surgery, let’s be careful.

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You can find more detailed information about upper eyelid fat removal in the video.

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