Under-eye fat that filler couldn’t hide: a 3-month and 4-month review after under-eye surgery

Before surgery / 4 months after

Hello.

This is Director Lee Won of 21 Plastic Surgery.

“Even after getting filler, the area under my eyes keeps getting more and more bulging.”

This is something I hear often in the consultation room...

At first, the patient felt the area under the eyes looked a little sunken,

so they received a filler treatment,

and at first it seemed to look better.

But as time passed,

they said the under-eye area instead started to feel even more protruded,

the uneven line, asymmetry on both sides,

and the tired, older-looking impression

became more noticeable.

In cases like this, it is often not simply hollow under-eyes,

but protruding under-eye fat

that is the problem!!!!

In other words, no matter how good the filler is,

it only feels like it is being layered on top,

so it is closer to a temporary fix than a true solution.

So today, for people in this situation,

I’d like to introduce a case of under-eye fat repositioning surgery^^

Front/side view before surgery

The patient was a woman in her late 30s,

and she came in because of a bumpy and awkward aegyo-sal area.

Recently, the left under-eye area had looked especially more protruded,

and because the under-eyes were sunken, makeup could not hide it,

so every time she met people,

she often heard, “Are you tired these days?”...

When I examined the patient directly in the consultation room,

① The orbital septum had weakened, allowing fat to be pushed forward ② Filler had been thinly layered over the fat, creating an uneven shape ③ There was asymmetry between the left and right under-eyes, and the tear trough extending below the cheekbone was deeply sunken

We could confirm the above characteristics.

In a case like this, it is difficult to improve it any further with filler,

so I suggested under-eye fat repositioning surgery^^

For the surgery, we approached through the conjunctiva,

and rather than completely removing the fat,

we redistributed it evenly and filled in the 부족한 volume with autologous fat

to naturally connect the under-eye contour.

Front / side view after 3 months

This is the result after 3 months.

If you look under the eyes, what used to protrude unnaturally because of filler

now forms a natural line^^

Also, the unevenness in the area that had been pressed by the filler is gone,

and the under-eye area looks smoother and brighter than before!!!

The patient was also very satisfied because she no longer hears that she looks tired~

The most important thing at this stage

is for the repositioned fat to settle stably!!!

Usually, most swelling subsides within 1 to 2 months,

and the surface of the skin stabilizes.

Front/side view after 4 months

This is the appearance 4 months later.

Since the patient wanted a slightly fuller aegyo-sal area,

we performed a second fat graft only to the aegyo-sal area.

Also, the autologous fat grafted area was absorbed evenly,

and it has settled naturally without excessive volume or re-protrusion^^

Comparison: before surgery / 3 months after / 4 months after

Under-eye surgery is not simply

a cosmetic procedure!!!

Depending on the patient’s under-eye structure, the amount of fat, skin elasticity,

and previous procedures,

the surgical method can vary greatly

For those whose under-eyes have become

even more uneven after repeated filler treatments,

it may be time to receive a proper diagnosis at least once

and look for a fundamental solution.

The under-eye area is a region that determines 80% of the face’s impression!!!

If the under-eyes become brighter and smoother,

the overall mood of the face can change.

If the problem cannot be solved simply by ‘filling’ the fat,

I recommend considering under-eye surgery with the concept of ‘repositioning’ at least once^^

If you have any questions, consultations are always available.

My biggest goal is to help restore each patient’s natural beauty.

Thank you.

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