Can’t Filler Be Used Instead for Under-Eye Bags? Dr. Kim Hyun-jo <Answer>

Can’t filler be used instead for under-eye bags?

Dr. Kim Hyun-jo <Answer>

Hello.

This is Obje Plastic Surgery.

Every time you look in the mirror,

if the area under your eyes appears heavy and prominent,

or dark circles look deeply sunken,

on days when there is no particular reason,

you may still hear that you look tired,

and comments that you look older

can quietly become bothersome.

When you keep hearing similar remarks

in the same area,

it gradually becomes burdensome even to take selfies,

after trying to cover it with makeup

by layering on concealer,

it often ends up looking even more prominent,

so your gaze keeps

returning to that one spot in the mirror.

That is why you may want to somehow improve it,

but hesitate to decide on surgery,

and naturally reach the point where you think,

‘I wish filler alone could solve it.’

In fact, since recovery is fast

and the procedure time is short,

it is certainly a reasonable option.

However, even for the same “under-eye concern,”

the solution depends on what the underlying cause is.

Without understanding this difference,

if you proceed with under-eye filler,

it can end up making the area look even fuller,

or leave an uneven contour behind.

Today, even though the concern is the same “under-eye area,”

I would like to explain

in what situations filler is helpful

and in what situations a different approach is needed,

and also how under-eye fat repositioning is performed.

If you read to the end,

you will be able to get a sense of which option better fits

your current under-eye condition.

Can’t it be done with under-eye filler?

‘These’ eyes are not suitable

First, to be clear,

filler itself is not a wrong choice.

If the under-eye area is simply hollow,

or if there is a lack of volume

causing shadows to appear more deeply,

filler can help fill in the sunken area

and create a smoother line.

For people with thin skin

through which the blood vessels underneath show,

making the area look like dark circles,

or for those whose under-eyes are not naturally flat

and are slightly recessed,

a natural change can also be expected

with under-eye filler.

Common traits of people who look fuller

the more filler is added

However, even within the same “under-eye concern,”

results differ when the cause is different.

In particular, if the under-eye area appears prominent

because of “fat that bulges forward,”

it becomes difficult to solve with filler.

This is not simply due to the material used,

but because of the structure.

Beneath our eyes,

there is a thin membrane called the

orbital septum.

This membrane helps support the fat around the eyes

so that it does not push forward.

It is similar to how a pillowcase

wraps around the stuffing inside a pillow

so the filling does not shift to one side.

But as we age,

this membrane gradually loosens

and loses elasticity.

Just as the filling in a pillow

bulges out to one side

when the pillowcase stretches,

when the membrane becomes loose,

the fat inside is pushed forward,

making the under-eye area look prominent.

There is something to point out here.

This condition is not caused by a lack of volume,

but rather by volume being displaced to one side.

If you approach this with under-eye filler,

it leads to a somewhat different result.

The fat that is already protruding forward

is left in place,

and only the sunken-looking surrounding area

is filled up with filler.

In that case,

the originally protruding area and the newly filled area

interlock, making the entire under-eye area look thicker,

or the area can look clumped together when making facial expressions.

Depending on the angle of the light,

uneven contours may also become visible.

Since the fat causing the problem remains in place

and another layer is added on top,

even as time passes,

the original bulging line remains as it was.

Then if the fat is moved,

won’t it just return again?

If the concern is caused by fat being pushed forward,

the fat can be moved back inward

and repositioned.

Under-eye fat repositioning is a surgery performed

in this direction.

It works by moving the fat that has been pushed forward

to the lower line that appeared hollow,

and filling it in there.

The bulging area becomes flat,

and the sunken area is naturally filled in,

creating a smooth, continuous line

across the entire under-eye area.

However, if only the fat is moved

and the septum is left as it is,

the membrane that had been supporting the fat

remains loose.

Over time,

there is still room for the fat to be pushed forward again

to the same place.

That is why the double-fixation under-eye fat repositioning

performed at Obje Plastic Surgery addresses this part as well.

While moving the fat to the hollow line,

the loosened orbital septum is tightened once more

to provide firm support.

Because the membrane that caused the problem

is also addressed,

the chance of the fat being pushed forward again decreases,

and a structure is created in which

the same concern is less likely to recur

over time.

In particular, if the skin is not sagging

and elasticity is still relatively maintained,

and the under-eye area is prominent mainly because of fat,

many patients tend to be satisfied with the result.

This is often the case for people in their 20s to 30s.

Today, we looked at how the approach changes depending on the cause,

even for the same “under-eye concern.”

To summarize:

If the area is simply sunken

or lacks volume,

under-eye filler can be enough to solve it.

However, if the orbital septum has loosened

and fat has been pushed forward,

the approach of filling the surrounding area with filler

can instead create an unnatural line.

In that case, under-eye fat repositioning,

which moves the protruding fat back inward

so it can settle into place,

leads to a much more natural-looking result.

Dr. Kim Hyun-jo of Obje Plastic Surgery

approaches this with

a double-fixation under-eye fat repositioning method.

Rather than simply moving the fat

to another location,

this method also firmly tightens and fixes

the cause of the fat pushing forward,

that is, the loosened orbital septum.

Because the structural cause itself is addressed together,

the chance of the fat being pushed forward again over time is reduced,

creating an environment in which

the same concern is less likely to repeat.

Even for the same under-eye concern,

the direction you should choose changes completely

depending on the underlying cause,

so we recommend first checking through a consultation

which condition your under-eye area is closer to.

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 strongly recommend that you have sufficient consultation with a medical professional in advance before deciding on the procedure.