The Key to Avoiding Revision Lower Eyelid Fat Repositioning Surgery! - Summary by Director Kim Hyun-jo

The Key to Avoiding Revision Lower Eyelid Fat Repositioning Surgery!

• Summary by Director Kim Hyun-jo

Hello.

This is Objet Plastic Surgery.

As you look into lower eyelid surgery,

the topic of “revision surgery”

comes up especially often.

In particular, revision cases after lower eyelid fat repositioning

repeatedly fall into two main patterns.

If these two causes are prevented in advance

during the initial surgery,

the likelihood of needing touch-up surgery

can be significantly reduced.

So today, we’ll go over

when revision lower eyelid fat repositioning surgery occurs,

and what should be taken care of in the first surgery

to reduce the chance of needing another procedure,

step by step.

After reading this,

it may help you judge

what criteria to use when evaluating surgery.

Revision lower eyelid fat repositioning surgery,

know these <2 things> to avoid it

First, let’s start with the conclusion.

After the first lower eyelid surgery,

situations that require another procedure

can be divided into two major categories.

The first is when too much fat is removed,

or the transferred area is uneven,

causing the under-eye area to look bumpy.

The second is when, over time,

the under-eye area becomes noticeably protruded again.

So, to reduce the possibility of needing another procedure

after the first surgery,

these two issues must be prevented in advance.

First,

transfer the fat precisely

according to the patient’s condition.

Second,

firmly secure the orbital septum

so it does not loosen again over time.

If these two points are handled together,

the chance of coming back for touch-up surgery

can be greatly reduced.

From here on, let’s look at these two points

one by one in more detail.

Why does a bumpy under-eye area happen?

The key is “how it is transferred”

First, let’s talk about the first case.

Under-eye fat may look like one lump,

but in reality,

it is divided into several compartments.

If too much of this fat is removed

during the initial surgery,

the under-eye area can look sunken.

On the other hand, if the transferred fat gathers on one side

or does not settle evenly,

some areas become fuller

while other areas look empty,

and the surface appears uneven.

The skin under the eyes is one of the thinnest areas

on the face, so even very small differences

can stand out.

When that kind of result happens,

you end up back on the operating table

to correct the original placement.

That is why what matters is not

“how much fat to remove,”

but “where and how much to transfer.”

The amount of fat under the eyes,

and the degree of hollowness,

differ from person to person.

If the same amount is transferred uniformly,

it may be enough for one person

and still leave empty space for another.

If you spread it according to the size,

it lies flat without wrinkling,

but if you simply pile it up on one side,

one side becomes fuller and rises,

while the other side looks empty.

The same applies to under-eye fat:

after checking the patient’s fat volume

and how much each area is sunken,

you need to plan in advance

where and how much to fill,

so that the surface is evenly refined.

In addition, when there are areas that are difficult to fill with fat alone,

single-cell fat grafting can be performed together

to naturally fill the areas that look hollow.

Single-cell fat grafting is a method in which

fat cells are finely separated one by one

and transferred in thin layers,

which helps them settle naturally even in thin-skinned areas

such as under the eyes.

The more precisely the placement is planned,

the more even the result becomes,

and the lower the chance of needing another procedure.

How can transferred fat stay in place?

The thing that needs to be firmly secured

Now let’s move on to the second case.

The surgery may have looked clean right after it was done,

but as time passes,

some people find that the under-eye area becomes protruded again.

To understand this process,

you first need to know about the “orbital septum.”

Under-eye fat is surrounded by

this thin membrane called the orbital septum.

This membrane acts like a fence,

holding the fat in place from pushing forward

from the inside.

The problem is that if, during surgery,

this membrane is not firmly secured again,

over time,

the membrane gradually loosens,

and the inner fat begins to push forward again

through the loosened area.

When you look in the mirror and think,

“Oh, it’s protruding again,”

that is exactly this situation.

That is why Objet uses a

“double fixation method”

to secure the orbital septum.

If the repositioned fat is to stay in place for a long time,

simply tightening the loosened septum may not be enough.

After reinforcing the septum,

it needs to be fixed once more to the “periosteum” underneath.

The periosteum is a tough membrane

that covers the bone beneath the eye.

Fixing it to both the septum and the periosteum

is called double fixation.

Rather than simply moving the fat’s position,

this also supports the structure

that helps the fat remain in that place.

When these two layers are secured together,

the tendency for the fat to push forward again

is gradually calmed from the beginning,

and over time,

it helps the initial result last longer.

Today, we looked at

the two main patterns that lead to revision lower eyelid fat repositioning surgery

and

the two things that should be addressed in the first surgery.

In the end, “how the fat is transferred”

and “how firmly the septum is secured”

these two factors determine both the initial result

and the appearance over time.

Director Kim Hyun-jo of Objet Plastic Surgery

carefully examines each patient’s fat volume

and how much each area is sunken,

then carefully maps out

where and how much fat should be transferred

before performing the surgery.

When needed, single-cell fat grafting is added

to naturally fill hollow-looking areas,

and with the double fixation method,

the orbital septum and periosteum are secured together in two layers,

helping the tendency for protrusion to subside slowly

even as time passes.

The under-eye area is the part of the face

that creates the first impression,

and if the result becomes awkward,

it inevitably becomes much more delicate to correct again.

So from the start,

please carefully check

how the fat is transferred and

how the septum is secured,

and make your decision cautiously.

This has been Objet Plastic Surgery.

Thank you.

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

• Results may vary depending on the individual, and side effects may occur.

We recommend that you thoroughly consult with a medical professional in advance before deciding on the procedure.