2022-12-16
The Right Alternative for Under-Eye Wrinkle Removal
Under-eye wrinkles and sagging can make you look older. Learn about lower blepharoplasty and under-eye fat removal, effective solutions to restore a youthful, vibrant appearance. Discover the procedures, recovery, and essential aftercare for optimal results.


Under-eyes with good elasticity and appropriate volume can create a bright, youthful impression.
The eyes are highly noticeable to others and play a crucial role in forming a person's overall impression.
However, the skin around the eyes is thinner and moves more than other areas, leading to faster aging.
In particular, the skin under the eyes tends to thin and rapidly lose elasticity once aging begins.

Furthermore, the orbital septum, the membrane that encloses and supports the fatty tissue under the eyes, inevitably loosens with age.
This causes the under-eye fat pockets to sag and protrude, forming deep tear troughs and under-eye wrinkles.
The bulging and protruding fat makes the under-eye area appear droopy and creates shadows.
This often becomes a primary cause of dark circles, and the wrinkles and dark circles resulting from sagging lower eyelids can be a decisive factor in making one look older.
For this reason, many consider approaches like under-eye fat removal surgery.

Moreover, with the recent increase in mask-wearing, skin aging in daily life has become easier to notice.
As oxygen supply to the body decreases, phenomena such as dark circles, under-eye wrinkles, or sagging under-eye fat often appear simultaneously.
Living with masks for extended periods means that when facing others, the eyes are still the most exposed area.
Therefore, lower blepharoplasty can be explained as one of those cases where various home care attempts to maintain attractive and elastic eyes do not lead to significant improvement.

Under-eye wrinkles and fat typically appear due to general aging, but cases of congenital excess under-eye fat leading to sagging are also found in relatively younger age groups, such as those in their 20s and 30s.
Under-eye fat removal surgery and lower blepharoplasty work by treating and repositioning these bulging fat pockets to smoothly improve the under-eye area.
The procedure involves assessing each individual's sagging skin condition and fat shape, determining the amount of skin to be removed, and then treating the protruding under-eye fat to an appropriate extent.
Next, the muscles and skin are pulled up and repositioned flat, then fixed to the fascia to brighten the under-eye area.

At this time, both the skin and muscles are pulled upwards to maintain a vibrant image for a long time, even as time passes.
Since it is a surgical procedure, concerns about pain can be significant.
However, this procedure is performed under local or sedation anesthesia,
which helps to alleviate such concerns.
Lower blepharoplasty, another method for removing under-eye wrinkles,
involves a micro-incision along the lower lash line,
thereby reducing the burden of post-surgical scarring.
However, it is important to note that during such surgery, excessive muscle excision
or medial extension of the incision line can increase the risk of nerve damage,
potentially leading to ectropion.
Therefore, it is crucial to have a thorough one-on-one consultation with medical staff who have extensive clinical experience and expertise before the procedure.

Typically, lower blepharoplasty, which removes under-eye wrinkles and brightens the area,
is performed using different surgical methods depending on the degree of under-eye fat, sagging, wrinkles, skin laxity, and age.
It is best to carefully analyze each individual's unique degree of aging and skin type
and then apply the most suitable method.
Additional procedures may be combined if necessary,
but caution must be exercised as excessive correction can appear artificial and unnatural.
If you desire improvement that is neither too much nor too little,
under-eye fat removal surgery and lower blepharoplasty may be suitable.

The under-eye fat removal surgery to eliminate under-eye wrinkles
takes about 30 minutes, a relatively short duration.
Especially for those with protruding or excessive under-eye fat, those whose under-eye fat makes them look dark and shadowed, those who want to accentuate a natural aegyo-sal line, or those with many under-eye wrinkles that make them look older,
this procedure can help them achieve vibrant under-eyes.

For sagging eyelids or under-eyes, and wrinkles, eyebrow lift surgery can also be considered.
While under-eye fat repositioning is generally more common, it is helpful to keep this option in mind as well.
This method corrects sagging eyelids by making an incision along the line below the eyebrow, pulling up the sagging skin and muscles to improve sagging skin and wrinkles.
While it shares the common goal of brightening the eye area, eyebrow lift surgery is particularly helpful if it also alleviates discomfort such as obstructed vision or eyelashes poking the eye.

As such, various approaches can be considered for problems around the eyes and under the eyes.
While it is difficult to pinpoint which method is best, the most important thing is
to proceed according to one's overall eye condition.
By incising only the absolutely necessary parts, the burden of swelling and bruising can be reduced,
and there are advantages such as a quick return to daily life. However, to avoid an indiscriminate procedure,
it is crucial to first consult with medical staff and undergo examinations.
As repeatedly mentioned, blindly pushing for surgery
can lead to results far from what suits you,
and it cannot exclude problems related to various after-effects and side effects.
If various cases have been handled, the right measures can be taken for any type,
and in some situations, it can be combined with other alternatives
to facilitate active improvement.

Along with this, thorough post-operative care must also be diligently followed.
Firstly, if surgery is decided, alcohol and smoking should be avoided for at least a week prior.
This is because surgical results can vary depending on the medical team's proficiency and each individual's condition.
After the surgery is completed, apply ice packs frequently to reduce swelling.
Avoid excessively rubbing or tightly closing the eyes, bending the head, or lifting heavy objects
until full recovery is achieved.
Similar to before surgery, alcohol and smoking can be major causes of inflammation and various side effects, so they should be avoided. It is also advisable to refrain from visiting jjimjilbangs (Korean saunas) and saunas for at least 3 weeks.
If you usually wear contact lenses, it is wise to avoid wearing them for about 3 weeks as well.
Properly taking the medication prescribed by the medical staff according to instructions
can also prevent other potential problems that may arise later.
Thus, our clinic not only focuses on the surgery itself but also has a systematic
aftercare system in place, allowing for flexible responses to any unforeseen variables.
Even for seemingly simple under-eye wrinkles and sagging, we hope that applying the appropriate alternative for each individual
can lead to prompt improvement.
** This post is a promotional post written by Diva Plastic Surgery in compliance with medical advertising laws. **
Frequently Asked Questions
Why do under-eye wrinkles and fat sagging occur?
The skin around the eyes is thin and moves a lot, leading to faster aging. As we age, the orbital septum supporting the under-eye fat loosens, causing fat pockets to sag and forming tear troughs and wrinkles. In some younger individuals, sagging can also occur due to congenitally abundant under-eye fat.
How is under-eye wrinkle removal surgery performed?
Under-eye fat removal surgery and lower blepharoplasty involve treating and repositioning protruding fat pockets, and pulling up and fixing sagging skin and muscles to the fascia to smoothly and brightly improve the under-eye area. The amount of skin to be removed and the extent of fat treatment are adjusted according to the individual's condition.
How much pain is involved in under-eye wrinkle removal surgery?
This procedure is performed under local or sedation anesthesia, which helps to reduce concerns about pain. The risk of post-surgical scarring is also minimized by making a micro-incision along the lower lash line.
How long does under-eye fat removal surgery take?
Under-eye fat removal surgery typically takes about 30 minutes, a short duration. It is suitable for those with protruding or excessive under-eye fat that makes them look dark, or those with many wrinkles.
What should be noted during lower blepharoplasty?
During lower blepharoplasty, excessive muscle excision or medial extension of the incision line can increase the risk of nerve damage, potentially leading to ectropion. Therefore, a thorough consultation with medical staff before surgery is crucial.
How should I manage post-surgery care?
After surgery, apply ice packs frequently to reduce swelling, and avoid rubbing your eyes or bending your head. Refrain from alcohol and smoking for at least a week before surgery, and for 3 weeks after, avoid alcohol, smoking, jjimjilbangs/saunas, and wearing contact lenses.