Jamsil Plastic Surgery: What’s the Difference Between Lower Blepharoplasty and Under-Eye Fat Repositioning for Middle-Aged Eye Surgery?

Hello.

I’m Jin-young Lim, the chief director of Piap.

If you are reading this article,

you may have started looking for a plastic surgery clinic

because the area under your eyes has begun to bulge

or sag.

Even if you cover it with makeup,

the dark circles become more pronounced,

and because people keep saying you look tired,

you may be searching for middle-aged eye surgery

at a Jamsil plastic surgery clinic.

But terms like lower blepharoplasty, under-eye fat repositioning, and more..

make things confusing

as you search more and more.

As the chief director of a plastic surgery clinic

who performs middle-aged plastic surgery,

I’ll explain the difference

between these two procedures.

If you’re worried about sagging skin,

please read for just 3 minutes.

You’ll be able to tell

which procedure is right for you.

Jamsil Plastic Surgery

Lower Blepharoplasty vs. Under-Eye Fat Repositioning: What’s the Difference?

1. Under-eye fat repositioning

The fat cushion that protects the eyeball

weakens as we age.

During this process, the fat pushes forward

and appears as a bulge.

At this time, the fat is thinly repositioned

into the tear trough and fixed

so the area becomes flatter.

2. Lower blepharoplasty

As we age, not only the skin but also the internal

muscle, meaning the orbicularis oculi muscle, also loosens.

In this case, an incision is made along a 2 mm line

below the lash line, the sagging muscle is removed,

and the remaining fascia is pulled upward.

If wrinkles or sagging are minimal,

lower blepharoplasty alone may be possible..

However, in most cases from the 50s onward,

sagging, puffiness,

and a hollow tear trough are often all present,

so these procedures are usually performed together.

As a plastic surgery director,

the approach I personally pursue is to

match the incision as appropriately as possible

and naturally restore the lively appearance

you had 10 years ago.

As we age, the lower fat pushes forward

and the skin becomes lax.

If these two issues are not addressed at the same time,

it can be difficult to get a satisfying result.

Jamsil Plastic Surgery

Suitable procedures by type

① Fat repositioning only — 30s to 40s

Bulging under the eyes

Deep tear troughs

Shadow-like dark circles

Skin elasticity is still present

② Lower blepharoplasty only — late 40s to 50s

Wrinkled, sagging skin

If you gently lift the skin with your finger,

you look much younger

Sagging and fine wrinkles are the main concerns,

rather than puffiness

③ Both together — most people over 50

Sagging skin + under-eye bulging

• hollow tear troughs all present at once

The entire area under the eyes feels collapsed

when looking in the mirror

A case where lower blepharoplasty alone leaves

the bulging and dark circles unchanged

If you want treatment for sunken skin

at a plastic surgery clinic near Jamsil,

getting an accurate diagnosis is the most important thing.

Because there are two causes,

if you only receive one procedure,

the bulging may remain as it is,

or it may look saggy again over time.

Why the proper extent matters for lower blepharoplasty

Sometimes, even after plastic surgery,

there are cases where the problem recurs.

This is because the muscle was not removed

at the proper extent.

There is an orbicularis oculi muscle around the eye,

and if this muscle does not do its job sufficiently,

the area will sag again.

So after the swelling goes down, starting around 6 months later,

the area begins to gradually sag again.

That is because the muscle that should support it

lacks strength.

For patients over 50 who are highly active outdoors,

the septum is already thin and stretched.

In such cases,

the septum should be reinforced in two layers

and sutured in advance.

That is because the support force can be maintained

even after 6 months,

which reduces the recurrence rate.

That is why, before surgery, I pull the lower eyelid

with my finger.

If it does not bounce back within 1 second,

the patient has almost no elasticity,

so I reduce the amount of tissue removed.

If there is some elasticity,

I perform a more active excision.

Without this process, removing too much can cause ectropion,

where the eyelid turns outward,

and removing too little can make recurrence easier.

Finding this proper balance is important.

I begin by accurately identifying that balance

through one-on-one consultations.

That is because satisfaction depends on

preserving what should be preserved

and making only the appropriate level of incision.

If you are looking into plastic surgery in Jamsil,

please check whether the clinic has this standard.

Contact information
Main number: 02-420-8883

​