2026-05-22
Partial Incision Ptosis Correction + Lower Eyelid Fat Removal and Micro Fat Grafting
A teenage patient with asymmetric buried-suture double eyelids, weak levator function, and sunken dark under-eyes underwent partial incision ptosis correction combined with lower eyelid fat removal and micro fat grafting.
* Basic Information
Teenage female
Eye-opening strength: Moderate
Skin laxity: 2–3 mm
Skin thickness: Moderate
Approximately two years ago she had non-incision (buried suture) double eyelid surgery, but the result came undone asymmetrically.
Her under-eye area looks dull and sunken — it gets noticeably worse when she is sleep-deprived.
Goals: Natural, crisp-looking eyes that hold their crease. She also wants to address her under-eye dark circles.
* Consultation
1. There is left–right asymmetry, and weak eye-opening strength is leaving the eyes looking undefined. Ptosis correction will be necessary.
2. When buried sutures come undone, there is always an underlying reason — either the weak levator function was overlooked, or the skin has strong resistance to the sutures. To prevent recurrence, adding a partial incision to create greater adhesion is the recommended approach.
3. The under-eye area has a reddish, sunken appearance. Addressing the under-eye fat while simultaneously performing micro fat grafting can brighten the skin tone as well.
* Treatment Plan
Partial incision ptosis correction
Lower eyelid fat removal + micro fat grafting
* Post-operative Progress
The double eyelid line is now symmetrical and sharply defined, and the ptosis correction has turned out beautifully — giving her crisp, clear eyes. The redness beneath the eyes has also resolved very nicely. :)
* Key Points
1. When previous surgery comes undone, there is always a reason. Combining ptosis correction with a partial or full incision technique creates lasting adhesion so the crease stays clear and defined. :)
2. Under-eye fat grafting — when done 'well' and not excessively — can brighten the skin tone without leaving palpable lumps. Careful, selective patient assessment is essential for a beautiful outcome!
For consultations and surgery, always see a board-certified plastic surgeon!
Wishing you both health and beauty today. :)
Straight Thinking, Straight Plastic Surgery — Yoo Young-moon
Post-operative complications and side effects such as bleeding, inflammation, infection, and asymmetry may vary by individual and require careful attention.