Under-eye dark circles
Can they be resolved?
Director Kim Hyun-jo <Answer>

Hello.
This is Obje Plastic Surgery.
I’ve tried concealer,
and I’ve also received skin care treatments,
but if the dark circles
under your eyes just won’t go away,
then you eventually start looking for
surgical options.
But once you start searching for information,
you may see comments like
“Dark circles don’t really improve even with surgery,”
while on the other hand,
there are reviews saying that after lower eyelid fat repositioning,
the under-eye area looked much brighter.
There are even cases where,
even after lower eyelid fat repositioning,
the dark circles remained unchanged.
Why is it that the same surgery
improves some people,
while others see no change?
With all these mixed stories,
you may have felt confused.
So today,
we’ll clearly organize whether under-eye dark circles
can actually be improved with lower eyelid fat repositioning,
and in which cases
the procedure is effective.
If you read to the end,
you’ll be able to judge for yourself
whether your dark circles are the kind
that can change with surgery or not.

Under-eye dark circles,
if the cause is this, they can be resolved
The causes of dark circles
can largely be divided into two types.
One is pigmentation.
This is when the skin itself is thin, making blood vessels visible,
or when pigment has built up and the skin tone appears darker.
In such cases, instead of lower eyelid fat repositioning,
an approach using laser or skin care treatments
is more appropriate.
The other cause is
a problem with the structure under the eyes itself.
When the fat under the eyes pushes forward and bulges out,
the area beneath it appears relatively sunken,
creating a shadow.
That shadow
looks like dark circles.
If this second case applies,
under-eye dark circles can be meaningfully improved
with lower eyelid fat repositioning.
Lower eyelid fat repositioning is a procedure that
evenly moves the protruding fat into the sunken area,
making the line under the eyes flatter.
Once the fat settles evenly,
the structure that creates shadows changes,
so the tired, dark-looking impression
is naturally improved.

There is also a simple way to check
whether your dark circles are a structural shadow.
Under bright lighting,
if you slightly lift your head and the darkness becomes less noticeable,
then structural factors are more likely
than pigmentation.
On the other hand,
if the color stays the same even when you change the lighting and angle,
it is more likely to be a skin tone issue.
Distinguishing between these differences
is the key to deciding the treatment direction.
Would lower eyelid fat repositioning be right for me too?
<Characteristics of good candidates>
There are three main characteristics
in cases where the effect appears well.

First, the fat under the eyes is bulging outward,
but skin elasticity is relatively preserved.
In such cases, when the fat is repositioned,
the skin naturally adapts to the new shape,
and the smooth line is maintained for a long time
after surgery.
Second, the area under the eyes still looks dark
even when makeup is applied.
If the dark circles are not caused by pigmentation
and still cannot be covered,
a structural shadow is likely
the cause.
Third, there are people whose under-eye area
still looks uneven even after contouring or highlighting.
This happens because the fat distribution itself
is uneven, so it is difficult to cover with makeup.

On the other hand, if the skin is significantly stretched
or sagging,
fat repositioning alone may make it difficult to achieve the desired result.
In these cases, a lower blepharoplasty
or dual lower blepharoplasty that also addresses sagging tissue
should be considered.

Want a more refined result?
Single fat cell grafting is recommended!
After lower eyelid fat repositioning,
there are also cases where people say,
“Because the fat decreased,
the area under the eyes looks hollow instead.”
This phenomenon is usually seen in people
who originally have a small amount of fat,
because repositioning alone does not sufficiently restore volume.
In such cases, combining the procedure with single fat cell grafting
can produce a much more natural result.
The harvested fat is treated with enzymes to separate it into cells,
and then evenly placed in a thin layer directly beneath the skin.
The under-eye area is one of the thinnest tissue areas in the body,
so if you try standard fat grafting,
lumps or unevenness can occur,
but single fat cell grafting is a method that can naturally restore volume
without that burden.
For people who feel that repositioning alone is not enough,
applying this method together can improve under-eye dark circles,
as well as
the overall impression of the under-eye area,
making it look much more lively.
Today, we looked at
when under-eye dark circles can be resolved with surgery,
and which people are suitable
for lower eyelid fat repositioning.
If the cause is a structural shadow rather than pigmentation,
a much more practical improvement is possible
than with makeup or skin care alone.
However, because under-eye conditions
differ from person to person,
it is first important to determine exactly
what type your under-eye area is.

Because not everyone needs the same surgery
just because of the word dark circles.
The thickness of the under-eye skin, fat volume,
elasticity, and skeletal structure
all need to be considered together,
because the result changes accordingly.
If you approach it simply because “the under-eye area is dark,”
it can end up looking unnatural.

Director Kim Hyun-jo of Obje Plastic Surgery
looks comprehensively at the degree of fat protrusion under the eyes,
the skin condition, and the distribution of volume,
and approaches each case differently,
whether repositioning alone is sufficient,
whether grafting should be combined,
or whether sagging tissue also needs to be addressed.

Finding a direction that makes the under-eye area look natural
and lively without unnecessary surgery,
that is Director Kim Hyun-jo’s treatment standard.
We hope the information shared today
helps you resolve your concerns.
This has been Obje Plastic Surgery.
Thank you.
<🔽🔽Helpful video to watch together🔽🔽>
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This post is medical information written by Obje Plastic Surgery Clinic in compliance with the Medical Advertising Act.
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The effectiveness of a procedure may vary depending on the individual, and side effects may occur.
We recommend that you 반드시 have sufficient consultation with medical staff in advance before deciding on a procedure.