2026-09-03
👀 Lower Blepharoplasty and Under-Eye Fat Repositioning: How to Fix Sagging Under-Eyes?
A 40s male patient sought consultation for under-eye surgery due to prominent under-eye fat and severe dark circles, making him look tired and older.
A male patient in his mid-40s visited us for a consultation regarding under-eye surgery.
He had prominent bulging fat in the lower eyelid (under-eye) area and severe dark circles.
This not only made him look tired but also older than his actual age.
🧐 Simple fat removal? NO! Skin laxity must also be checked.
The patient initially only considered under-eye fat removal or repositioning.
However, upon examination,
he had excessively protruding fat
and simultaneously observed decreased skin elasticity and sagging.
In such cases, simply removing or repositioning fat
can actually make the remaining skin sag even more.
✅ Solve under-eye fat and skin sagging together with lower blepharoplasty
![Diagram explaining under-eye anatomical structure]
After consultation, we decided on the following surgical approach:
Lower blepharoplasty including skin incision
Preserving fat as much as possible, not removing it excessively
Simultaneously improving skin sagging
The recent trend in lower blepharoplasty is
👉 to focus on *‘appropriately repositioning and maintaining’* fat rather than eliminating it.
🛠 Surgical Method: Local Anesthesia, approximately 90 minutes
Lower blepharoplasty is usually performed under local anesthesia,
During the surgery, the patient is asked to sit up and lie down repeatedly while conversing, to accurately check for symmetry and skin laxity.
Under-eye fat is preserved as much as possible
Only the necessary minimum amount is removed
Fat repositioning or grafting is also considered
The most crucial aspect during surgery is
❗ the occurrence of ectropion.
We thoroughly check before, during, and after surgery to ensure that skin is not excessively resected.
🔍 Surgical methods vary depending on the case
![Comparison image of only under-eye fat removed vs. lower blepharoplasty results]
Insert various case comparison images or illustrations
Like this case,
whether it is a simple under-eye fat issue
or a condition accompanied by skin sagging
the surgical method differs.
It is paramount to determine the appropriate surgical method for oneself through accurate diagnosis and consultation with a specialist.
✨ A final word
Protruding under-eye fat and sagging skin are not just simple cosmetic issues.
They can lead to an aged appearance, a tired look, and decreased self-confidence.
Restore a natural and clear impression with a meticulous diagnosis and customized surgery.
Frequently Asked Questions
What is the difference between under-eye fat repositioning and lower blepharoplasty?
Unlike under-eye fat repositioning, lower blepharoplasty can simultaneously improve skin sagging. If only fat is removed or repositioned when skin sagging is present, the remaining skin may sag even more, making lower blepharoplasty a more suitable option.
Can lower blepharoplasty solve under-eye fat and skin sagging simultaneously?
Yes, it can. Lower blepharoplasty is a surgery that repositions excessively protruding under-eye fat and simultaneously excises loose skin to improve skin sagging. This can improve a tired and aged appearance.
How long does lower blepharoplasty take and what type of anesthesia is used?
Lower blepharoplasty is usually performed under local anesthesia and takes approximately 90 minutes. During the surgery, the patient converses with the surgeon and repeatedly sits up and lies down to accurately check for symmetry and skin laxity.
What is the most important consideration during lower blepharoplasty?
The most important consideration is the occurrence of ectropion. It is crucial to thoroughly check before, during, and after surgery to ensure that skin is not excessively resected. This is essential for natural surgical results.
Is it possible to only remove under-eye fat?
Yes, but it depends on the case. If it is a simple under-eye fat issue not accompanied by skin sagging, only fat removal or repositioning can be considered. However, if there is decreased skin elasticity and sagging, lower blepharoplasty is more suitable.