How the Under-Eye Area of a Fatigued-Looking Woman in Her 40s Changed After Lower Blepharoplasty

Hello.

I’m Lee Won, the CEO surgeon of 21 Plastic Surgery.

When you enter your 40s, changes under the eyes

are difficult to explain by fat bulging alone.

As skin elasticity decreases, retaining ligaments weaken,

and fat shifts downward,

the under-eye area can look puffy,

or hollowing may appear at the same time,

making the face look tired.

The case introduced this time is a female patient in her 40s,

whose under-eye puffiness and sagging skin appeared together,

making her expression look heavy.

Before surgery,

when we analyze the skin structure,

it was not simply that there was a large amount of fat;

rather, it had been pushed downward, creating a contour at the boundary area,

and on top of that, reduced skin elasticity overlapped,

resulting in an uneven-looking under-eye area.

So the surgical plan was decided like this.

Surgical plan

Lower blepharoplasty

Two weeks after surgery,

some swelling and minor bruising remained,

but as the under-eye structure began to settle in a flatter direction,

the contour seen before surgery gradually decreased,

and the overall framework of the lower facial area had already formed.

One thing I would like to mention here is

that lower blepharoplasty is not a surgery that newly creates aegyo-sal.

As the under-eye protrusion is addressed, the existing aegyo-sal structure created by the orbicularis oculi muscle and the soft tissue above it

naturally becomes more visible.

In other words, rather than adding volume,

it is a principle in which

organizing the structure makes the aegyo-sal you already had

appear more distinct.^^

Three months after surgery,

the soft tissue stabilizes,

and the under-eye line settles into the most natural shape.

The tension at the skin excision site is relieved,

and the entire under-eye area is maintained in a smooth, refined form.

Rather than making the expression look dramatically different,

it is characterized by a reduced tired appearance

and a more organized look around the eyes.

This can be seen as the result not of simply removing fat,

but of repositioning the structure and refining the skin at the same time.

Lower blepharoplasty

is not simply a surgery that removes under-eye fat.

After structurally analyzing how under-eye bulging, hollowing, and sagging skin

are working together,

an approach based on that analysis is needed

to achieve stable results.

Especially for women in their 40s,

natural refinement and balance are more important than excessive removal.

Because even a small change in the under-eye structure

can make the entire face look much more refined.

At 21 Plastic Surgery,

we do not view lower blepharoplasty as a simple procedure,

but analyze the entire under-eye structure

to create a surgical plan tailored to each case.

If the under-eye area makes you look tired,

we recommend getting an accurate evaluation from a specialist

to determine whether it is a fat-related issue or a structural issue accompanied by sagging skin.

Thank you.

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