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How to Eliminate Puffy Under-Eyes

Objet Plastic Surgery · 오브제성형외과의원 · December 23, 2023

The skin around the eyes is thin and delicate, so signs of aging can appear quickly in this area. This can make sagging or wrinkles around the eyes stand out clearly. In particular...

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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: Objet Plastic Surgery

Original post date: December 23, 2023

Translated at: April 23, 2026 at 4:18 AM

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

How to Eliminate Puffy Under-Eyes image 1

The skin around the eyes is thin and delicate,

so signs of aging

can appear quickly in this area.

This can make

sagging or wrinkles around the eyes

stand out clearly.

In particular, the under-eye area may sag

and protrude in a puffy shape,

and when this is visible to others,

it can give the impression

that you look tired or dull,

so it is something that can be a concern depending on the person.

✓ Under-eye sagging

✓ Puffy under-eyes

✓ Tired-looking expression

Because of the discomfort caused by these symptoms,

many people want to improve them through

under-eye fat repositioning or lower blepharoplasty.

However, many people do not clearly understand

the difference between these two surgeries.

Under-Eye Fat Repositioning vs. Lower Blepharoplasty

Both of these surgeries improve the three symptoms

mentioned above,

but there are clear differences.

■ The structure of the under-eye area

To understand the difference between the two,

first you need to understand the structure under the eyes.

The outermost layer is the skin,

and beneath it is the muscle.

Below the muscle is the orbital septum, and the innermost layer contains fat.

■ Why the under-eye area sags

This happens because the orbital septum tissue weakens

and the fat inside it is pushed downward.

As a result, puffiness under the eyes occurs,

so the fat and orbital septum tissue need to be improved

in order to correct the puffy under-eye shape.

✓ Under-eye fat repositioning: A surgery that improves the area by making incisions only through the two layers of the orbital septum and the inner fat

✓ Lower blepharoplasty: A surgery that addresses all four layers, including the skin, muscle, orbital septum, and fat

In the end, lower blepharoplasty

can be considered to include

under-eye fat repositioning.

However, the necessary procedure differs from person to person,

so an exact decision must be made

through consultation with a medical professional.

Which surgery is right for me,

under-eye fat repositioning vs. lower blepharoplasty?

✓ Snapback test: A test that measures how long it takes for the under-eye area to return to its original state after pulling it downward and releasing it. If skin elasticity is reduced, it may take 1–2 seconds, and in such cases, there may be limits to improvement with under-eye fat repositioning alone.

✓ Distraction test: A test that checks the length of the under-eye skin when it is pulled forward. If the stretched length is 6–8 mm or more, the elasticity is judged to be reduced, so lower blepharoplasty is recommended rather than under-eye fat repositioning.

Difference between under-eye fat repositioning and lower blepharoplasty

It depends on which area is treated.

■ If you are in your 20s or 30s and muscle sagging or skin sagging is not severe,

under-eye fat repositioning alone may be effective,

but

■ If you are over 50,

you should consider lower blepharoplasty.

However, this decision should not be made based on age,

but after an accurate diagnosis of each individual's situation.

Therefore, please make your decision after 충분한 상담 through consultation before surgery.

At Obje Plastic Surgery,

there is a board-certified plastic surgeon on site,

and we diagnose and recommend

the most suitable solution for each individual.

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