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Many people worry that the fat under the eyes makes their face look tired or makes their dark circles appear deeper. Those who are considering under-eye fat repositioning surgery often ask whether the procedure is permanent. Under-eye fat repositioning surgery is not a procedure that lasts forever simply because the fat is removed or moved. Today, let’s take a look at why the fat under the eyes protrudes forward and also organize the topic of lower eyelid fascia reinforcement.
Why the Fat Under the Eyes Protrudes

The fat under the eyes is held in place from the inside by a membrane called the fascia. However, fascia loses its elasticity as we age. When the fascia weakens, the fat is pushed forward, making the area under the eyes look bulging and creating shadows. This can give the face a tired and older appearance. In other words, the fundamental cause of under-eye fat protrusion is not the amount of fat itself, but the aging of the fascia.
Is Under-Eye Fat Repositioning Permanent?

Many people think that once they have under-eye fat repositioning surgery, the fat will never protrude again. Strictly speaking, this cannot be called permanent. Even after the fat is repositioned, the aging of the fascia continues over time. No matter how good the results are right after surgery, if the fascia weakens again after a few years, the fat may protrude forward. Some people describe this as recurrence, but in reality it is more accurate to see it as a change that can naturally appear during the aging process. In the end, the duration varies greatly from person to person, and it is not certain.
What Is Fascia Reinforcement?

Traditional under-eye fat repositioning surgery focused on removing or rearranging the fat, so it had a limitation in that it could not address the stretched fascia itself. Because of this, as time passed and aging progressed, there was still a possibility that the area could look bulged again. Recently, there has been a trend toward surgery that uses a method of pulling the fascia downward and fixing it in place. In simple terms, it is a method that supports the loosened fascia from below and tightens it again. If this process is included, the duration may be longer than with the existing method. However, there is still a large degree of individual variation, so it cannot be stated definitively.
Does Weight Gain Cause Recurrence?

There are studies suggesting that the higher the body fat percentage, the greater the amount of fat under the eyes may be, but there is no clear research showing that weight gain directly leads to the fat under the eyes protruding again. Also, since surgery often involves removing some of the fat, it is difficult to say that weight gain immediately has a major effect on the surgical results. However, sudden weight gain may have an effect, so this can vary depending on the individual situation, and it is more accurate to leave it as uncertain.
Under-eye fat repositioning surgery is not a procedure that permanently fixes the fat in place; rather, it is a procedure that slows the aging process and improves appearance. The duration depends on factors such as fascia elasticity, skin thickness, lifestyle habits, and genetic factors. We hope you can achieve the results you want through a consultation with a specialist.

