[Dr. Bellvue Column 65.] Changes in Under-Eye Fat and Aging: Structural Characteristics and the Reasons Behind Them

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Changes in Under-Eye Fat and Aging: Structural Characteristics and the Reasons Behind Them

The area under the eyes is an important part of the face and greatly affects facial expression and visual impression. However, as people age, many experience under-eye fat becoming more protruded, sagging, or hollowing out. Some people have had this from a young age as well. These changes around the eyes, which were once tight and smooth in youth, go beyond an aesthetic concern and can negatively affect self-esteem and social interactions. Why do changes in under-eye fat occur? Today, let’s take a look at the structural characteristics of the under-eye area related to this.

Changes in under-eye fat are mainly related to skin aging. As aging progresses, the skin loses elasticity and the production of collagen and elastin decreases. As a result, the skin naturally sags, and the fat layer also moves downward. There are two main fat layers under the eyes. The first is the subcutaneous fat layer, commonly called “under-eye fat,” and the second is the deeper layer called “periorbital fat.” As aging progresses, these fat layers decrease or shift, causing the area under the eyes to become hollow or swollen.

Changes in under-eye fat are not limited to aging alone. Various factors such as genetics, lifestyle habits, stress, and lack of sleep can work together to worsen the condition of the under-eye fat. For example, someone who is genetically prone to accumulating more fat under the eyes may show more noticeable changes as they get older. In addition, irregular sleep patterns or excessive stress can cause hormonal imbalance in the body, reduce skin elasticity, and accelerate the movement of the fat layer.

When under-eye fat protrudes or sags like that, it also creates a big change in one’s appearance. Even when you are not tired or worn out, you may still look that way. You may appear older than peers of the same age, and this can directly affect interpersonal relationships and social life. A drop in self-confidence can be one of the most negative factors in social interactions. That is why many people look for various ways to improve this under-eye fat issue. There are, of course, many methods we can help with at a dermatology clinic.

The methods for addressing under-eye fat issues vary from person to person.

First, non-invasive methods include InoPlus under-eye fat repositioning laser treatment, fillers, Botox, and collagen injections. Periodic Thermage lifting procedures are also good. These methods can help restore skin elasticity and improve the shape of the fat layer. They are effective, simple approaches to try before undergoing more difficult surgery. In particular, they can be effective and well-suited for people under 40 whose skin elasticity has declined early.

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Second, when these methods alone make it difficult to improve the overall aging condition, surgical methods are used. These include under-eye fat repositioning surgery, fat removal or grafting surgery, and lifting procedures. Do not decide on your own which option is best for you. Please confirm the right approach through an in-person consultation with a plastic surgery or dermatology doctor from multiple angles. Some people do need surgery, but unexpectedly, others may improve easily with a non-surgical approach.

Bellevue Clinic under-eye fat repositioning laser, “InoPlus”

Sagging under-eye fat is a very natural part of the aging process, but there are ways to manage and improve it. Above all, a healthy diet, regular exercise, and rest are of great help in improving skin elasticity and delaying aging. In addition, adequate sleep and stress management are essential for maintaining skin health. I also think it is good to consistently care for your skin with a moisturizer, cosmetics, or a home device that suits you well. Periodic dermatology procedures are not the only good way to care for your skin. Everyone’s situation and condition are different, so the best care method will likely differ accordingly. For people who are always too busy and have too much work to take care of themselves, aging may come faster than others and they may not have enough time, so dermatology procedures that dramatically improve the condition may be a better fit. For those with a more relaxed daily routine, consistent home care may be sufficient.

Simply managing the elasticity and fat around the eye area well can make you look 10 years younger. A well-maintained face can positively affect longer social activity, mental health, self-esteem, and improve quality of life. I hope you will continue to live while maintaining a brighter and more confident appearance by combining healthy lifestyle habits with professional treatment. I’m cheering for you~!

That’s all for today.

Thank you for reading.

This has been Dr. Bellvue~!

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