Why We First Check the Skin Under the Eyes During a Consultation

Hello.

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

Hello, I’m Dr. Lee Won from 21 Plastic Surgery 😊

As we get older, when you look in the mirror,

don’t you end up looking at the area under your eyes first?

When your skin still had good elasticity, you may not have noticed it,

but at some point the under-eye area starts to sag, wrinkles form,

and the entire eye area begins to look heavy...

“I looked into under-eye fat repositioning, but I was told that if there is skin laxity,

I need lower blepharoplasty.

I’m not sure what the exact difference is.”

I hear this very often in the consultation room,

Today, I’ll explain the difference myself.

The criterion I use to distinguish the two surgeries is just one thing:

whether or not skin laxity needs to be corrected.

Under-eye fat repositioning is a surgery that approaches through the inside of the conjunctiva

and redistributes protruding fat to sunken areas.

It has the advantages of leaving no scar and allowing for a quick recovery,

but it cannot correct the loose skin under the eyes itself.

That’s why, during consultations,

I check the condition of the under-eye skin first.

If the only problem is fat, under-eye fat repositioning is enough,

but if the skin is also sagging,

I recommend lower blepharoplasty.

Lower blepharoplasty involves making an incision along the line right below the eyelashes

to correct sagging skin,

and it can also include fat removal and repositioning

all at once.

This is the kind of case for which I recommend lower blepharoplasty^^

There are a few points I check during consultations.

Whether the skin under the eyes looks firm when gently pulled,

whether there are fine vertical wrinkles,

and whether the entire lower eyelid looks heavy and sagging.

If even one of these applies,

under-eye fat repositioning alone

may leave something to be desired.

If you were told at another clinic that “there is also skin laxity,”

that means lower blepharoplasty is needed.

[ Surgical Plan ]

Lower Blepharoplasty

What I consider most important in lower blepharoplasty

When I perform surgery, I always keep two things in mind.

How naturally the correction is done,

and how the fat is handled.

If the skin is pulled too much,

a complication called ectropion, where the lower eyelid turns outward,

can occur.

On the other hand, if the correction is too conservative, the effect may be minimal.

I make an incision along the line below the eyelashes,

then carefully calculate the degree of sagging before correcting it.

Protruding fat is repositioned

to improve the hollow tear trough as well,

and I complete the result naturally and with dimension,

while considering the overall balance of the line extending from the under-eye area to the front cheek.

Not just looking at the sagging skin alone,

but designing the entire eye area as one picture,

that is the part I pay the most attention to in lower blepharoplasty.

Every time I perform lower blepharoplasty,

I think that it is not simply a surgery to remove wrinkles.

It is a surgery that tidies the skin and fat under the eyes together,

and restores balance to the entire eye area.

When that leads to an eye area that looks 10 years younger,

that is when I feel the most rewarded as well.

If you were told that under-eye fat repositioning alone is not enough,

please take some time to speak with me directly.

I’ll help you find which method is right for you^^

Thank you!

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