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If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause?

21성형외과의원 · 21 PLASTIC SURGERY · December 17, 2025

Hello. I’m Lee Won, CEO and lead surgeon of 21 Plastic Surgery ^^ As people get older, even when they have rested enough and feel reasonably well, there are many cases where they a...

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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: December 17, 2025

Translated at: April 20, 2026 at 1:42 PM

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

Hello.

I’m Lee Won, CEO and lead surgeon of 21 Plastic Surgery ^^

As people get older,

even when they have rested enough

and feel reasonably well,

there are many cases where they are constantly told they look tired and worn out because of the area under the eyes.

Many people try to cover this with makeup,

but the cause is often under-eye fat

and changes in the skin structure.

After middle age,

under-eye fat may bulge forward,

or, conversely, the area may hollow out, making the boundary

even more noticeable.

That is why the surgery needed is

a lower blepharoplasty!!

If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause? image 1

Front/side view before surgery

This case involved a female patient in her early 40s,

and her biggest concern was that people often told her she looked tired as she got older…

The diagnosis showed that the under-eye fat had protruded forward,

and the skin below it had lost elasticity and become saggy.

So the surgical plan was decided as follows.

Surgical plan

[Lower blepharoplasty]

If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause? image 2

If the face had a generally exhausted appearance before surgery,

6 months after surgery

the skin under the eyes had settled naturally,

and as the shadow under the eyes became lighter,

the overall impression looks much more comfortable and brighter.

Without an overly tightened look,

the under-eye volume and skin were balanced harmoniously,

improving the face into a more feminine and soft impression.^^

If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause? image 3

Front view before/after surgery

Lower blepharoplasty is

not simply a surgery that pulls the area under the eyes.

It is a delicate procedure that requires consideration of

the position of the under-eye fat, skin elasticity,

the direction of the eye shape, and even changes in facial expression.

That is why an individualized lower blepharoplasty tailored to the patient’s facial structure and eye shape is necessary!!!

If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause? image 4

21 Plastic Surgery

considers the amount and position of the under-eye fat,

skin elasticity, and the direction of the eye shape together,

and performs surgery with the goal of achieving a natural youthful result

without overdoing it.

If you often hear that your face looks different because of the area under your eyes, we recommend checking the structural cause first rather than simply dismissing it as aging.

If you have any questions,

please feel free to contact us for a consultation at any time.

Thank you.

If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause? image 5

If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause? image 6

If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause? image 7

If People Always Tell You That You Look Tired, Could Under-Eye Fat Be the Cause? image 8

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