Middle-Aged Eye Surgery Should Also Consider Under-Eye Fat for a Natural Look

Advice from Dr. Kim Jong-myeong, Diva Plastic Surgery

The eye area, which receives a lot of attention from others and determines first impressions, is also a part of the body that is highly sensitive to aging and shows signs of aging most clearly. For this reason, many middle-aged people choose medical procedures to improve it.

As a result, procedures such as eye reshaping or double eyelid surgery may be performed, but cases where satisfaction with natural-looking results is low because the eyes look harsh or the double eyelid line looks like a “sausage” line are also common, so caution is needed.

If double eyelid surgery is performed carelessly and too quickly, problems may arise after surgery, such as the eyes appearing even harsher or dry eye symptoms becoming more severe than before surgery. Therefore, it is important to thoroughly understand the stage of aging and the timing of surgery, then choose an appropriate method that matches the stage of aging.

To improve satisfaction with both a natural eye shape and functional improvement, it may be necessary to consider not only correcting the upper eyelid, that is, the upper blepharoplasty area, but also treating the under-eye fat located beneath the eyes.

Under-eye fat can make the eye area look uneven, making a person appear older than they actually are, or it can create a shadowed or tired impression because of the fat beneath the eyes. For this reason, improvement through under-eye fat repositioning is also considered. What should be taken into account?

First, under-eye fat varies from person to person, and because the solution differs according to those characteristics, individual consultation and cause analysis are important. In the case of protruding under-eye fat that bulges outward, the incision site must be adjusted depending on the degree of skin elasticity and sagging. In addition, after identifying each person’s anatomical characteristics and the extent of skin laxity, it is necessary to carefully decide on the parts where the fat will be removed and repositioned through an incision below the eyes.

Eye surgery is a complex type of plastic surgery, so multiple angles of observation and careful consideration should come first in order to complete a natural-looking eye shape. As aging causes the lower eyelids to lose elasticity, the pouch surrounding the under-eye fat also stretches, causing the under-eye fat to protrude more prominently. If the under-eye hollow begins to deepen below the protruding fat, the under-eye fat repositioning or lower blepharoplasty mentioned above may be considered.

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