Middle-Aged Eye Surgery: Considering Under-Eye Fat for Natural Results

Advice from Director Kim Jong-myung of Diva Plastic Surgery

The eye area, which receives a lot of attention from others and determines first impressions, is highly sensitive to aging and is also the body part that most clearly reveals the symptoms of aging. For this reason, many middle-aged individuals choose medical options for improvement.

While some undergo eye shape correction or double eyelid surgery, there are many cases where satisfaction with naturalness decreases due to fierce-looking eyes or ‘sausage’ double eyelid lines, requiring caution.

In cases of indiscriminate and hasty double eyelid surgery, problems such as the eyes appearing fiercer or dry eyes worsening even more than before the surgery can occur. Therefore, it is crucial to thoroughly understand the stage of aging and the timing of the surgery, then select and proceed with an appropriate method that matches the aging stage.

To enhance satisfaction with a natural eye shape and functional improvement, it may be necessary to consider not only correcting the upper eyelid (upper blepharoplasty) but also addressing the lower eyelid and the fat located beneath the eyes.

Under-eye fat can make the eye area appear uneven, making one look older than their actual age, or create a shadowed or tired impression. Therefore, people often seek improvement through under-eye fat repositioning. What should be considered for this?

First, under-eye fat comes in different types for each person, and since the solutions vary depending on the characteristics of these differences, personalized consultation and cause analysis are important. For protruding under-eye fat, it is crucial to carefully decide not only to vary the incision site depending on the degree of skin elasticity and sagging, but also to understand each individual's anatomical characteristics and the degree of skin sagging, then make an incision under the eye to remove and reposition the fat.

Eye surgery is a complex procedure among plastic surgeries, so multi-faceted observation and consideration must come first for the completion of a natural eye shape. If the elasticity of the lower eyelid decreases due to aging, causing the fat pockets under the eyes to stretch and the under-eye fat to protrude, and if deep under-eye hollows begin to form below the protruding fat, then under-eye fat repositioning or lower blepharoplasty, as mentioned above, can be considered.

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