Undereye fat relocation vs lower eyelid surgery, what kind of surgery is right under my eyes?
Ban Ho-kyung doctor
Undereye fat rearrangement is a surgery to remove convex fat to fill the missing area, and lower eyelid surgery removes sagging skin. The choice depends on whether the cause under my eyes is fat or skin.
Hallo My specialty is eye surgery, and my special move is eye revision surgery Plastic Surgeon Ban Ho-gyeong This is it. There is a question I hear several times a day in under-eye consultations. “doctor, am I under-eye fat realignment? Lower eyelid?” 📌 If you put it together in one line Undereye fat rearrangement = convex provincial Surgery to fill in the missing area by removing lower eyelid = Saggy under-eye skin Surgery to clean up If only the province came out → Undereye fat rearrangement If your skin is sagging → lower eyelid Although the names seem similar, the two surgeries solve different problems. So if you choose the wrong surgery Even if the surgery goes well, the results are bound to be disappointing. I'll sort them out one by one. 1 ️ ︎ The problem to be solved is different Undereye fat rearrangement: surgery to 'transfer' fat Convex under-eye fat Without throwing it away , Move it to the furrow that was closed below it and spread it out. The number of places that stick out is reduced, and the places that are out are filled The area under the eyes becomes flatter and there are fewer shadows. Lower eyelid surgery: surgery to 'clean' the skin The elasticity is lost Saggy under-eye skin itself Relieves it. If necessary, local relocation is also included, The key How accurately does it remove excess skin This is it. ⚠️ If the choice of surgery is wrong · Fat is the only problem, but if you do a lower eyelid exam → you'll make an unnecessary incision · The skin is saggy, but if only the fat is transferred → the sagging skin remains the same 2 ️ ︎ The incision location and recovery period are different Here's a quick comparison. delimiting Undereye fat rearrangement lower eyelid Major concerns Convex under-eye fat shadow-shaped dark circle saggy skin fine lines, sagging under the eyes Incision location inner conjunctiva of the eye (No outer skin incisions) The skin just below the lashes skin excision none Yes Return to normal Usually 1 to 2 day break About 1 week before and after removing the stitches Months until stability Mainly when it fits If skin elasticity remains (Mainly in their 20s to 40s) When accompanied by sagging skin (Mainly after 40's to 50's) ※ Recovery period and age are common trends and vary depending on skin condition and scope of surgery. 3 ️ ︎ Self-diagnosis in front of a mirror for 30 seconds An accurate judgment must be made by medical treatment, There is a way to estimate the direction. ① Lighting testing Shine the bright light in front of your face and raise your head slightly. → What if the dark underside of the eyes fades? Made from convex fat, not skin color shadows Most likely. ② Pull the skin Gently pull the skin under your eyes downward with your finger. → What if the skin remains and folds even when pulled? sagging skin This may be a concomitant condition, so a lower eyelid should be considered together. ③ Look with a facial expression Compare when you're smiling and when you're expressionless. → What if you're always convex even when you're expressionless? Fat overhang This is the side. (If it's convex only when laughing, it may affect muscles.) ※ Self-diagnosis is for reference only. Fat, skin, muscle, and ligament conditions are often intertwined, so the decision is made after medical treatment. 4 ️ ︎ What happens when surgery is chosen incorrectly There is a saying I often hear in reoperation consultations. “I rearranged the area below my eyes It's been less than a year and it looks saggy again.” If you look at it, more than the surgery itself If the choice of surgery was not right from the beginning There are not a few If only fat is transferred while skin sagging has already progressed, Because sagging skin remains the same. Conversely, lower eyelid black Surgery that is difficult to repeat several times in a lifetime This is it. Once the skin is cut, it cannot be undone, If you cut more than necessary, your eyelids will be pulled down Ultraophthalmosis This can happen. That's why lower eyelid Determination of the exact amount of skin to be removed during the first surgery This is most important. 5 ️ ︎ Please be sure to ask this during the consultation “Is it a fat problem or a skin problem under my eyes? Why did you make that decision?” ✔ Pull directly under your eyes and check under the light Hospitals that explain the rationale If so, it's reliable. ✖ Without diagnosis If I only recommend one surgery Think again. And if possible, rather than a place that only relocates under-eye fat Plastic surgery covering all aspects of eye surgery, including lower eyelids, upper eyelids, and lower eyebrow surgeries We recommend that you get a consultation at If you have a variety of options, the answer that suits your eyes will come out. 💬 Frequently asked questions Q. Is it possible to do under-eye fat relocation and lower eyelid resurfacing together? A. Yes, it's possible. If fat protrusion and sagging skin are at the same time, the fat is also rearranged during a lower eyelid exam. In this case, the recovery period can be based on a lower eyelid examination. Q. Should I do a lower eyelid exam after under-eye fat relocation? A. As we age, skin elasticity continues to decline. If sagging skin occurs over time, a lower eyelid may be necessary, and the timing depends on the individual's skin condition. Q. Do you see a lot of lower eyelid scars? A. The incision is made along the line just below the lashes, and is mostly inconspicuous over time. However, redness may be visible in the early stages of recovery, and it takes several months for the scar to settle. Today's conclusion Undereye fat rearrangement and lower eyelid blemishes There is no relationship between better surgery and less good surgery. If fat is a problem, fat; if skin is a problem, skin. The principles are simple. Difficult thing Identifying the exact cause under my eyes and That is the most painstaking part of the consultation. If you're confused, get a diagnosis before deciding on surgery. ※ Surgical results and recovery procedures vary from person to person, and side effects such as swelling, bruising, asymmetry, and blepharoplasty may occur. I was in love with this, and I was in love with it. Thank you
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