Mokdong dark circles may be a problem of the location of the under-eye fat, not pigmentation

Dark circles pigmentation under-eye fat

Dark circles pigmentation under-eye fat

This image is an AI-generated staged cut used to help understanding

Hello. I’m Lim Young-soo, a board-certified plastic surgeon providing eye surgery treatment in Mokdong.

When consulting about dark circles,

the thing I hear most often is this.

“Doctor, does that mean my pigmentation is severe?”

But when we actually examine patients,

pigmentation is not as often the main cause as people think.

Among those who visit for Mokdong dark circles,

a large number have a structural problem rather than a color problem.

1. Dark circles may be not ‘dark color’ but a ‘shadow’

2. The most common type: protruding under-eye fat

3. Sunken type: when there is a lack of fat

4. When the skin is thin

5. Cases that require surgery are clear

6. The most important thing in dark circle treatment

7. Q&A

8. Dark circles may be not ‘dark color’ but a ‘shadow’

Dark circles pigmentation under-eye fat

This image is an AI-generated staged cut used to help understanding

The under-eye area has a very complex anatomical structure.

• Orbital septum

• Orbital fat

• Lower eyelid skin

• Orbicularis oculi muscle

• Tear trough

If even one of these structures loses balance,

the angle at which light reaches the area changes,

and shadows appear.

Much of what we call dark circles is actually not pigmentation, but shading. 2. The most common type: protruding under-eye fat

Dark circles pigmentation under-eye fat

AI-generated image for understanding

As we age, the orbital septum weakens,

and the fat inside it moves forward.

This causes two things:

• Puffed under-eyes

• A deep shadow below them

=> This shadow makes the area appear dark.

In this case, laser treatments or whitening procedures will not improve it.

Unless the structure is corrected, the shadow will remain. 3. Sunken type: when there is a lack of fat

Dark circles pigmentation under-eye fat

This image is an AI-generated staged cut used to help understanding

On the other hand, there are cases where fat is lacking.

When the tear trough becomes deeper and the front cheek area becomes hollow,

the boundary line stands out more.

In this case,

• Fillers

• Microfat grafting

can help supplement volume.

But what matters here is not

“how much to add,” but

“where to add it.”

If the anatomical layer is ignored,

the area may become uneven when smiling. 4. When the skin is thin

Dark circles pigmentation under-eye fat

This image is an AI-generated staged cut used to help understanding

The under-eye skin is about 0.5 mm on average,

making it the thinnest area on the face.

When the skin becomes thinner, the orbicularis oculi muscle and blood vessels show through,

making it look bluish.

In this case, rather than structural surgery,

a treatment approach that improves skin thickness and elasticity is needed. 5. Cases that require surgery are clear

Dark circles pigmentation under-eye fat

The cases in which I recommend surgery during Mokdong dark circle consultations are as follows.

✔ Noticeable fat protrusion

✔ Accompanied by skin sagging

✔ Fat becomes more prominent when smiling

✔ Deep tear trough shadow

In these cases, transconjunctival fat repositioning or lower blepharoplasty provides a fundamental solution.

In particular, the transconjunctival approach can reposition fat without an external skin incision, reducing concern about scars. 6. The most important thing in dark circle treatment

Dark circles pigmentation under-eye fat

Dark circles cannot be solved with just one method.

I always look at three things first.

• The position of the fat

• The depth of the tear trough

• Skin thickness

If these three are not distinguished,

simply repeating laser treatment may only increase time and cost. 7. Q&A

Dark circles pigmentation under-eye fat

Q. How many treatment sessions are needed for Mokdong dark circles?

→ Structural correction is often resolved in one session, but skin improvement requires a gradual approach.

Q. Does it come back?

→ Aging continues, but fat repositioning is surgery that realigns the structure.

Q. Aren’t fillers dangerous?

→ The under-eye area has a complex vascular structure, so anatomical understanding is essential. A message I would like to share as a doctor Dark circles are not a problem of “looking tired”

but the result of anatomical structural changes.

What is needed is not treatment to erase color,

but treatment that understands the structure.

▼Drooping eyes, here are the standards for treatment▼ This article was written based on general medical information,

and may vary depending on the individual’s condition.

An accurate judgment should be made through consultation with a specialist.

This post was written based on the clinical experience of

CEO and lead doctor Lim Young-soo,

who provides eye plastic surgery treatment.

#MokdongDarkCircles

#UnderEyeFatRepositioning

#LowerBlepharoplasty

#TearTrough

#MokdongPlasticSurgery