Why We Check the Skin Under the Eyes First During Consultations

Hello.

I’m Lee Won, the head surgeon at 21 Plastic Surgery.

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

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

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

When the skin still had good elasticity, we may not have noticed it,

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

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

“I looked into under-eye fat repositioning, but I heard that if there is skin sagging,

you need lower blepharoplasty.

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

I hear this very often in consultations,

Today, I’ll explain that difference myself.

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

whether skin sagging needs to be corrected or not.

Under-eye fat repositioning is a procedure that approaches through the conjunctiva

and moves protruding fat to a hollowed area.

It has the advantages of no visible scar and a quick recovery,

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

That’s why, during consultations,

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

If the problem is only the 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 remove and reposition fat

all at once.

I recommend lower blepharoplasty for people like this^^

There are a few points I check during consultations.

Whether the under-eye skin looks tight when pulled slightly,

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 another clinic told you that “there is also skin sagging,”

that means lower blepharoplasty is needed.

[Operation Plan]

Lower Blepharoplasty

What I consider most important in lower blepharoplasty

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

How naturally it is corrected,

and how the fat is handled.

If the skin is pulled too much,

an unwanted 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 under the eyelashes,

then carefully calculate the degree of sagging before correcting it.

The protruding fat is repositioned

to improve the hollow tear trough as well,

and I complete the result naturally and with dimension while considering the balance of the entire line from under the eyes to the front of the cheeks.

Rather than looking only at the sagging skin,

I design the eye area as one complete picture,

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

Every time I perform lower blepharoplasty,

I think of it as more than just a surgery to remove wrinkles.

It is a procedure that organizes the skin and fat under the eyes together,

and restores balance to the entire eye area.

When that leads to eyes that look 10 years younger,

I feel the greatest sense of reward as well.

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

please consider speaking with me directly at least once.

I’ll help you find the method that is right for you^^

Thank you!

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