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Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me?

21성형외과의원 · 21 PLASTIC SURGERY · September 12, 2025

Hello. I’m Director Lee Won of 21 Plastic Surgery. Today, I’d like to professionally explain the representative surgical methods for creating under-eye aegyo, the recommendation cr...

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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: 21성형외과의원

Original post date: September 12, 2025

Translated at: April 20, 2026 at 6:27 PM

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

Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 1

Hello. I’m Director Lee Won of 21 Plastic Surgery.

Today, I’d like to professionally explain

the representative surgical methods for creating under-eye aegyo,

the recommendation criteria by case,

and the characteristics and detailed differences between the two approaches.

Under-eye aegyo surgery is broadly divided into two methods.

If you look at the image below,

Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 2 The first is under-eye fat repositioning and aegyo fat grafting based on a conjunctival approach,

Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 3 The second is lower blepharoplasty through a skin incision.

So why do the recommendation criteria differ?

Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 4 Before and after under-eye fat repositioning + aegyo fat grafting

In general, if you are under 40 and have sufficient skin elasticity,

the preferred recommendation is under-eye fat repositioning + aegyo fat grafting,

which repositions the under-eye fat through the conjunctiva

and grafts an appropriate volume of fat to the aegyo area.

This method allows fine-tuning of the aegyo design to match each patient’s

needs,

and it is effective for creating a natural and lively aegyo look.

Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 5 Before and after lower blepharoplasty

On the other hand, for those aged 40 and older, or when under-eye wrinkles and skin sagging are present,

lower blepharoplasty through a skin incision may be more suitable.

Lower blepharoplasty removes skin and the orbicularis oculi muscle, and after releasing the tear trough ligament,

it repositions the fat, allowing wrinkle improvement and restoration of skin elasticity at the same time.

In actual consultations, we comprehensively evaluate the skin condition, degree of wrinkles,

muscle development, whether there has been prior canthoplasty,

structural characteristics, and more,

then recommend the most appropriate surgical method in a customized way.

Now, let me briefly summarize what I’ve explained so far by looking at cases of patients who visited our clinic.

Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 6 Before and after under-eye fat repositioning + aegyo fat grafting

The advantages of under-eye fat repositioning + aegyo fat grafting are:

  • Conjunctival approach with no concern about visible scars

  • Freedom to design the thickness, volume, and type of aegyo

  • Suitable for people in their 20s to 30s with few wrinkles and firm skin

However, if there is a history of canthoplasty, please keep in mind that adhesions or

an uneven shape may occur as a result.

Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 7 Before and after lower blepharoplasty

The advantages of lower blepharoplasty are:

  • Skin excision and repositioning of the orbicularis oculi muscle and fat

  • Suitable when moderate to severe wrinkles and skin sagging are present

  • Helps improve wrinkles and restore elasticity

However, if too much skin is removed during surgery,

ectropion can occur, so a detailed surgical plan tailored to the patient

is necessary to prevent this in advance. And this is not about creating aegyo itself,

but about emphasizing the patient’s existing aegyo according to the development of their muscles!!

So especially in lower blepharoplasty, the structural foundation of one’s aegyo is used,

and depending on the orbicularis oculi muscle, the aegyo may appear more prominent,

or if the muscles are weak, as is often the case in men, the aegyo may appear relatively less noticeable.

For both methods, ideal results can only be achieved when the approach is detailed and strategic,

based on actual surgical experience and anatomical diagnosis, and tailored to each individual.

At 21 Plastic Surgery, we carefully analyze the characteristics of each patient’s eyes and surrounding tissues,

and provide optimized surgical plans and professional expertise for everything from creating a natural aegyo look to achieving a clearer eye shape through structural improvement,

promising satisfying results.

If you have any questions, you can always consult with us.

You will become more beautiful.

Because you have decided to become more beautiful.

Thank you.

Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 8 Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 9 Aegyo Under-Eye Surgery vs Lower Blepharoplasty for Aegyo: Which Under-Eye Procedure Is Right for Me? image 10

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