2026-05-22
Under-Eye Fat Removal + Micro Fat Grafting
A woman in her 30s with moderate under-eye fat protrusion underwent transconjunctival fat removal combined with micro fat grafting, achieving a brighter skin tone and a more youthful appearance.

* Basic Information
· Age group: Woman in her 30s
· Under-eye fat: Moderate to severe protrusion
· Skin condition: Minimal sagging, but reddish tone with noticeable blemishes
· Chief complaint: 'I look older than I really am and seem hollow under the eyes'
* Consultation
· What most people call 'dark circles' is more precisely described as a 'tear trough deformity.'
· Since she is in her 30s with minimal skin laxity, skin excision is not necessary.
· By approaching through the conjunctiva (the red inner lining of the eye) — leaving no visible external scarring — fat removal and micro fat grafting can be performed together, which should also noticeably brighten the skin tone. :)
* Treatment Plan
(Transconjunctival) Under-Eye Fat Removal
Micro Fat Grafting


* Post-Surgical Progress
· Not only has the fat protrusion been resolved, but the skin tone looks noticeably brighter as well. The results are truly satisfying! :)
* Key Points
1. The skin under the eye is extremely thin, which allows blood vessels and pigmentation to show through easily, giving the area a dull or uneven appearance.
2. Micro fat grafting under the eye is a considerably delicate procedure — one might call it a 'double-edged sword.' When precisely the right amount is injected, the outcome can be excellent, as seen in this case. However, even a slight excess can cause lumps or nodules beneath the skin. In fact, even board-certified plastic surgeons in my professional circle hold differing views on the merits of under-eye micro fat grafting.
3. Fat repositioning is sometimes performed as an alternative, but in patients with relatively thin skin — such as in this case — the repositioned fat can occasionally feel like a lump under the surface, making careful patient selection essential.
Consultations and procedures should always be performed by a board-certified plastic surgeon!
Wishing you both health and beauty today. :)
Right Thinking, Right Plastic Surgery — Yu Young-moon
Post-surgical complications and side effects — including bleeding, inflammation, infection, and asymmetry — may vary by individual and require careful attention.