Should You Get Lower Eyelid Fat Repositioning and Fat Grafting Together? Dr. Shin Jong-in Answers!

Lower Eyelid Fat Repositioning and Fat Grafting

Would it be better to get them together?

Dr. Shin Jong-in Answers!

Hello.

This is Obje Plastic Surgery.

When you are worried about under-eye puffiness

and start looking into surgery,

at some point another concern comes up.

Should you only get lower eyelid fat repositioning,

or should you also

get lower eyelid fat grafting?

If you search online,

there is a lot of information

about lower eyelid fat grafting.

Some places say it is absolutely necessary,

while some reviews say

you should never do it.

Honestly, it probably just made

you even more confused.

This is especially true for people with a slim build,

or for those whose under-eyes look puffy

but also sunken at the same time.

Today, I will explain step by step

when you should consider

lower eyelid fat repositioning

together with lower eyelid fat grafting,

and why that method may be needed.

If you read until the end,

it will help you determine

which method is right for you.

If the front cheekbone is flat?

Fixing only the under-eye area

can make it look even more hollow

When you go in for a consultation about lower eyelid fat repositioning,

you often hear that the "front cheekbone is sunken."

Why is the front cheekbone

so important?

First, think of the typical East Asian face shape.

The side cheekbones are slightly prominent,

and the front cheekbones are relatively flat.

Because of this structure,

East Asian faces often appear

more flat overall.

But if you only reposition

the puffy area under the eyes

in this situation,

what happens?

If the volume of the front cheekbone

stays the same while only the under-eye area

becomes flatter,

the entire midface can actually look

even flatter and more sunken.

To help you understand,

let me give you a simple example.

If there are objects stacked on a desk,

and you only remove the middle part,

the sides will stand out more.

The face is the same.

If you only tidy up the under-eye area,

the front cheekbone around it can appear

relatively more sunken.

So what is the solution?

While doing lower eyelid fat repositioning,

fat is grafted to the front cheekbone

to slightly restore volume.

This creates a natural S-shaped line

from the under-eye area to the cheekbone,

which can give a much livelier

and younger-looking effect.

Many people do not even realize

that their front cheekbone is hollow.

They may only be focused on the under-eye area,

but in reality, the entire midface

may lack contour.

For these people,

getting lower eyelid fat repositioning alone

can certainly improve things,

but it may still leave something to be desired.

"It definitely looks better,

but somehow my face doesn't

look brighter than I expected?"

That kind of feeling may come up.

So if you also consider the condition

of the front cheekbone and supplement the volume,

you can expect much more satisfying results.

If it is both puffy and sunken?

Repositioning alone has its limits

The second situation to consider is

when the under-eye area is puffy

but also has hollow areas at the same time.

What does that mean?

It refers to a complex condition where part of the under-eye area protrudes,

but the boundary of the orbital bone just below it

is deeply sunken.

When you look in the mirror,

the under-eye area appears puffy,

but at the same time,

the area below the eye looks

hollowed out and shadowed.

In such cases,

simply repositioning the protruding part

does not fully solve the problem.

Why not?

Repositioning literally means

"moving the position."

It is a method of moving the bulging area

down into the hollow area below

to make it look flatter.

However, if the boundary of the orbital bone

is significantly sunken,

the amount of fat used for repositioning alone

may not be enough to fully fill that depression.

In addition, if too much fat is moved downward,

the balance of the entire under-eye area

can become disrupted.

So what should people in this situation do?

The protruding area is addressed

with lower eyelid fat repositioning,

and the deeply sunken area at the orbital bone boundary

is treated separately with fat grafting

to soften the contour.

What matters here is

how the fat is grafted.

The traditional microfat grafting method,

when applied to such a delicate area as the under-eye region,

can sometimes make the surface look uneven

depending on the injection site and depth.

By contrast, single fat cell grafting

separates the fat to a level close to individual cells

and delicately grafts it into a thin layer

just beneath the skin,

so it can produce a much more natural

and smoother result.

In other words, the bulging area is corrected with repositioning,

while the sunken area is addressed

with single fat cell grafting.

This allows the complex under-eye concerns

to be improved all at once,

and can ultimately lead to a much more satisfying surgery.

Should you always do it, or never do it?

Neither is the correct answer

During consultations for lower eyelid fat repositioning,

some people firmly say,

"I will never get lower eyelid fat grafting."

They may have seen a lot of negative comments

about lower eyelid fat grafting

in online reviews or from people around them.

Of course, those concerns are understandable.

Improper lower eyelid fat grafting

can lead to lumpy or unnatural results.

But on the other hand,

it is also not correct to think that

lower eyelid fat grafting must always be done.

What matters is whether you need it.

As explained earlier,

if the front cheekbone is hollow,

or if the under-eye area is puffy

while also having sunken areas,

better results can be achieved

when lower eyelid fat grafting is performed together.

However,

there are also many people for whom that is not the case.

If the issue is simply protruding under-eye fat,

then repositioning alone can still produce

satisfying results.

So rather than going in with a fixed conclusion

before your consultation,

it would be better to approach it like this.

"Let me hear why my face shape

may need lower eyelid fat grafting."

If you go into the consultation

with an open mind like that,

it will be much easier to determine

what method you truly need.

Today, we looked at cases where

lower eyelid fat repositioning and lower eyelid fat grafting

should be considered together.

The most important thing is

to accurately understand the condition of your face.

You should make your judgment based on

whether this surgery is needed for you.

Dr. Shin Jong-in of Obje Plastic Surgery

is a board-certified plastic surgeon

with years of experience and expertise

in lower eyelid fat repositioning

and lower eyelid fat grafting.

For natural and satisfying results,

he considers the balance between the under-eye area

and the midface together,

and carefully determines

the most suitable method for each patient.

This has been Obje Plastic Surgery.

Thank you.

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• This post is medical information written by Obje Plastic Surgery Clinic in compliance with the Medical Advertising Act.

• The effects of the procedure may vary depending on the individual, and side effects may occur.

We recommend that you make your decision only after 충분한 상담 with medical staff in advance.