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Mature Eye Surgery Lower Blepharoplasty: Lower Eyelid Surgery for Wrinkle and Fat Removal Effects

Diva Plastic Surgery Clinic · 디바성형외과의원 · June 15, 2022

In mature eye surgery, the two most important areas are upper blepharoplasty and lower blepharoplasty. In the case of the lower eyelids, the skin is particularly thin and delicate,...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Diva Plastic Surgery Clinic

Original post date: June 15, 2022

Translated at: April 25, 2026 at 8:00 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Mature Eye Surgery Lower Blepharoplasty: Lower Eyelid Surgery for Wrinkle and Fat Removal Effects image 1

In mature eye surgery, the two most important areas are upper blepharoplasty and lower blepharoplasty. In the case of the lower eyelids, the skin is particularly thin and delicate, so aging tends to appear more quickly and more noticeably than in other areas, which is why improvement is often needed.

Aging around the lower eyes causes a decline in skin elasticity, leading to lower-eye wrinkles. When the fat layer surrounding the lower eyes loosens, protrusion of lower-eye fat can create shadows under the eyes, making a person look tired and, in severe cases, causing dark circles.

Lower blepharoplasty is a good way to improve these changes around the lower eyes. So, what should be considered to improve the results of lower blepharoplasty for middle-aged patients?

[ Lower-Eye Wrinkle and Fat Removal Effects Expected from 'Lower Blepharoplasty'... Thorough Preoperative Consultation Is Important ]

The skin under the eyes is one of the thinnest areas of facial skin and easily loses elasticity as aging progresses.

When sagging occurs in the skin and muscles around the eyes, the lower eyelids droop, causing wrinkles and hollows, and the fat under the eyes may become thicker and sag more.

As a result, a person looks older than their actual age, and the area under the eyes becomes shadowed, creating a tired and harsh impression. It can also cause discomfort in daily life.

This type of aging under the eyes can be improved in various ways, such as lower-eye sagging surgery, lower-eye fat removal, and lower-eye fat repositioning, depending on the individual's symptoms and causes.

Director Kim Jong-myeong of Diva Plastic Surgery in Gangnam, a full member of the Korean Society of Plastic and Reconstructive Surgeons, said, "Because there are various treatment methods for aging under the eyes depending on each person's symptoms and causes, customized improvement is necessary." He added, "It is important to check in advance through thorough consultation whether the procedure is suitable, what method will be used, and what side effects may occur."

▶ A Representative Way to Improve Lower-Eye Sagging and Dark Circles: 'Lower Blepharoplasty' ◀

Among these, lower blepharoplasty is a surgical method that can improve lower-eye wrinkles, sagging skin, and dark circles at the same time.

Lower blepharoplasty is a procedure in which the area under the eyes is incised to remove and reposition protruding fat, creating a more youthful eye appearance.

The amount of skin to be removed is determined by considering the condition of the sagging skin and the shape of the fat, and the surgical design is then planned.

In this procedure, an incision is made along the line below the eyelashes to the outer corner of the eye, and the sagging muscle is pulled and fixed to the fascia, then sutured from the inside of the eye.

Director Kim Jong-myeong explained, "Because an appropriate amount of sagging skin is removed, lower-eye wrinkles and muscle sagging are improved at the same time, and a lifting effect can also be seen. In addition, by repositioning the fat under the eyes, the procedure helps restore a smooth under-eye area with appropriate volume." He added, "The incision for the procedure is kept to a minimum, and because the incision is made on the inner fascia of the lower eye area, scars are not visible and swelling is minimized, so the recovery period is relatively short."

▶ Lower Blepharoplasty + Lateral Canthal Fixation... More Effective Improvement of Lower-Eye Sagging ◀

During lower blepharoplasty, depending on the symptoms, combining the procedure with lateral canthal fixation can improve lower-eye sagging more effectively.

Lateral canthal fixation is a surgery that fixes sagging skin tissue and muscle around the eyes to the periosteum on the outer side of the eye.

Director Kim Jong-myeong said, "Lateral canthal fixation reduces the risk of ectropion, which can occur during lower eyelid surgery. This method can also address severe lower-eye sagging or dark circles that are difficult to resolve with lower blepharoplasty alone."

He also said, "To more effectively improve lower-eye fat removal and sagging skin through lower blepharoplasty, it is advisable to combine appropriate procedures such as lower-eye fat removal or repositioning and lateral canthal fixation." He added, "Rather than focusing on low prices or costs, consulting with a specialist who has extensive surgical experience before proceeding is one way to improve treatment effectiveness and satisfaction."

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