[Lari Plastic Surgery] Lower Blepharoplasty? Under-Eye Fat Repositioning Surgery? Which Surgery Do I Need?

When you look at the faces of elderly grandmothers and grandfathers,

the first thing that catches your eye is the sagging skin around the eyes.

Among these, some have drooping upper eyelids that cover the eyes,

while others have drooping lower eyelids that create a puffy, shadowed, and wrinkled appearance.

At times like that, lower blepharoplasty is performed to remove the puffy shadows and wrinkles under the lower eyelids.

Then, if this kind of puffy shadow appears in younger middle-aged adults rather than older people,

should they also undergo lower blepharoplasty?!

No.

Regardless of the puffiness under the eyes, whether lower blepharoplasty is appropriate is determined by the degree of skin sagging.

So if the skin is not significantly sagging, there is no need to go all the way to lower blepharoplasty.

What is needed in this case is under-eye fat repositioning surgery.

Under-eye fat repositioning surgery is a procedure that removes the bulge under the eyes.

Because part of the bulging under-eye fat is removed and repositioned,

after surgery the area under the eyes may actually look hollow for a while,

but once the puffy, shadowed look disappears, the face looks much clearer and more refreshed.

One advantage, and also a disadvantage, is that

under-eye fat repositioning, which is also performed by middle-aged adults and even younger people rather than the elderly because it involves less skin sagging,

is different from lower blepharoplasty in that it does not cut away the skin.

The surgery is performed by making an incision inside the conjunctiva of the eye, rather than cutting the outer skin,

so it has the advantage of leaving no visible scar.

However, if the skin sagging is severe and wrinkles have formed, then for the reasons above,

because skin is not removed, the wrinkle-improving effect cannot be obtained.

So,

puffy under eyes, severe dark circles ---> under-eye fat repositioning surgery

puffy under eyes, with bulldog-like wrinkles along the puffiness ---> lower blepharoplasty

In this way, the procedures can be divided.

In this case, the under-eye area was puffy and not smooth,

but since the patient was in their 40s and the skin was not severely sagging with wrinkles,

good results were achieved with scar-free under-eye fat repositioning surgery.