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The Importance of Lower Eyelid Fat Repositioning in Eye Surgery That Changes Your Appearance

Diva Plastic Surgery Clinic · 디바성형외과의원 · June 23, 2022

​ What is the most important part of eye surgery? Most people tend to think of the double eyelid line. However, for more effective eye surgery that changes the impression, lower ey...

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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 23, 2022

Translated at: April 25, 2026 at 7:59 AM

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

The Importance of Lower Eyelid Fat Repositioning in Eye Surgery That Changes Your Appearance image 1

What is the most important part of eye surgery?

Most people tend to think of the double eyelid line.

However, for more effective eye surgery that changes the impression, lower eyelid fat repositioning is important.

So let’s take a look at why lower eyelid fat repositioning and lower blepharoplasty are just as important as upper eyelid surgery, which creates a double eyelid line.

Why Lower Eyelid Fat Repositioning Is Needed

What makes someone look older?

Rather than a deeply sunken forehead or nasolabial folds, what makes my face look older is the change around the eyes.

The eyes, which account for about 80% of the impression, and the skin around them are very thin and highly mobile areas, so wrinkles form more easily around the eyes than in any other area and are more noticeable, clearly revealing the progression of aging without filter.

As aging progresses, the eyelids sag enough to cover the eyes, and the fat under the eyes becomes uneven and protrudes outward.

If dark circles also become more pronounced here, it not only makes you look older but also makes you look less lively and tired.

In severe cases, it can create an impression that looks irritable.

People who want to change an impression that seems to change day by day start looking for a solution.

And to regain confidence, they consider plastic surgery, especially eye surgery.

Recently, there has been an increase in middle-aged people seeking plastic surgery, as much as people in their 20s and 30s who want an image transformation or appearance upgrade.

So, how should surgery be performed to be more effective, safer, and more suited to me?

And can you get the maximum effect with a short recovery period and reasonable cost after plastic surgery?

The Effects of Lower Eyelid Fat Repositioning Eye plastic surgery is often thought of as being limited to the upper eyelid, that is, upper blepharoplasty.

It is easy to mistakenly think that the effect of upper eyelid surgery, which creates a double eyelid line and noticeably changes the eyes, is the greatest.

However, you should remember that eye surgery can be considered the most complex of all plastic surgeries.

As aging reduces the elasticity of the lower eyelids, the first changes occur under the eyes.

The sac surrounding the fat under the eyes stretches, causing the fat to protrude and bulge.

In addition, the groove under the eyes becomes deeper beneath the protruding fat.

A satisfying cosmetic result is possible only when these areas are improved.

Therefore, it is necessary to carefully consider lower blepharoplasty together with lower eyelid fat repositioning.

Especially in middle-aged patients undergoing plastic surgery, when skin elasticity has decreased, this area requires careful consideration.

When performing eye surgery, delicate correction tailored to the individual’s condition — including sagging skin, protruding fat, and even the fine eye muscles — is essential for the best result, so delicacy is more important than anything else.

Eye Surgery: How Should Mine Be Performed?

If the area under the eyes is sagging and the tear trough is shallow, a simple lower blepharoplasty alone may provide a satisfying correction.

However, if the under-eye area looks shadowed and dark due to bulging fat without sagging skin, lower eyelid fat repositioning through a transconjunctival incision should be performed.

If lower eyelid sagging is severe and the under-eye fat appears bulging, the fat under the eyes should be repositioned below the tear trough.

In addition, lower blepharoplasty is needed to lift the sagging tissue in the midface.

Even if the lower eyelid is sagging like this, the appropriate surgical method differs for each individual.

The degree and condition of eyelid sagging, the current state of the eyelid skin, the degree of under-eye fat protrusion, how shadowed the eye area appears, and the desired eye shape all differ from person to person.

Therefore, details must be adjusted accordingly.

In other words, it is most important to perform surgery after fully considering these various factors.

That is why it is safe to make a decision only after sufficient consultation with a board-certified plastic surgeon who has clinical experience, knowledge, and expertise to accurately understand each person’s eye condition and the relationship with the structures around the eyes, since no two cases are exactly the same.

[Diva Plastic Surgery Consultation & Inquiries] Phone number ☎ 02-542-7002 KakaoTalk ID @Diva Plastic Surgery (https://pf.kakao.com/_igxaLl) Homepage >> http://www.diva-ps.com/ Under-Eye Youthful Eye Surgery >> http://www.diva-ps.com/eyeunder/ Nose Slim Edition >> http://www.diva-ps.com/noseslim/

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