Midlife Under-Eye Surgery (Dual Lower Blepharoplasty, Lower Blepharoplasty): Fat Repositioning vs. Fat Removal, Performed Together

People who consult about midlife under-eye cosmetic surgery generally have two main concerns.

1. Puffiness caused by protruding under-eye fat

2. Fine wrinkles and sagging skin caused by natural aging

If one more point is added to these two,

3. A hollow tear trough. That is about it.

For relatively younger people with good skin elasticity, simply repositioning the protruding under-eye fat can produce good results. However, for people with sagging skin elasticity and older age, fat repositioning alone does not satisfactorily improve wrinkles.

In such cases, the procedure is performed as a dual lower blepharoplasty or lower blepharoplasty. Depending on the patient’s age, purpose, and individual skin condition, it is decided whether to proceed with skin incision along with fat repositioning or with fat removal and skin incision.

In this post, we will look at how fat repositioning and simple fat removal differ, and what features they have, when performing midlife under-eye surgery (repositioning, dual lower blepharoplasty, lower blepharoplasty).

Fat Repositioning

When the tear trough is deeply hollowed, moving the under-eye fat tissue into the hollowed space is called fat repositioning.

There are three main types of fat repositioning:

1. A method in which the fat tissue is first removed and then grafted under the orbicularis oculi muscle

2. A method in which the septum surrounding the orbital fat is dissected, and the pure fat that comes out is moved to the needed area and fixed with dissolvable sutures

3. A method in which the orbital fat is repositioned as is under the orbicularis oculi muscle without destroying the septum

For each of these, the method may be determined by how deeply the tear trough is hollowed. Even after repositioning, if the under-eye area is still puffed, fat may also be selectively removed.

Simple Fat Removal

This is a method used when the under-eye area is puffy and there is no tear trough. The fat tissue is removed through an inner incision under the eye.

The under-eye fat is divided into three areas and separated by membranes.

Accordingly, after carefully dissecting under the orbicularis oculi muscle to expose the fat, care is taken not to injure the eye muscles between the medial fat and the central fat. To restore a flat appearance, an appropriate amount must be removed according to each individual.

Fat Repositioning

vs

Simple Fat Removal

What is the difference?

In the case of midlife under-eye cosmetic surgery, it has become a type of anti-aging surgery.

When looking at the face, the lower eyelid and cheek are perceived as one area, creating an impression, and the three-dimensional shape and soft curves together give a youthful and lively appearance.

Even without wrinkles, sunken and uneven cheeks can make a person look older, but if the fat layer in the cheeks comes out and the puffiness under the eyes disappears, the face can look attractive even with fine wrinkles.

For older people, it gives the impression of having aged elegantly. In other words, midlife under-eye cosmetic surgery can be said to be a procedure that gives an elegant and younger image rather than simply repositioning fat or removing wrinkles.

Among midlife under-eye cosmetic surgeries, if only fat removal is performed in lower blepharoplasty, there is no need to touch other tissues, so removal can be relatively easy.

When approaching through the inner conjunctiva of the eye, the protruding fat is easily exposed and recovery is also quick.

However, if fat repositioning is performed instead of fat removal in this area, the fat tissue will swell, and recovery will be slower than with simple fat removal. But as the fat tissue moves into the under-eye groove that has shrunk due to aging and volume is restored, it looks more youthful aesthetically, and the effect also lasts a very long time.

In other words, if only simple fat removal is performed, recovery is quick, but the range of improvement is limited, and as time passes, there is sometimes the drawback of under-eye hollowness.

Under-eye fat repositioning, dual lower blepharoplasty, and lower blepharoplasty are among the procedures that people become more interested in after middle age.

Although they are popular procedures, the patient’s expression, muscle movement, and the appearance during fat removal must be precisely designed and checked, so the delicacy of experienced medical staff is absolutely necessary for this cosmetic procedure.

Experience anti-aging that restores a youthful look with Obje.