Lower Blepharoplasty

* Basic Information

Female patient in her 50s

My under-eye wrinkles are so fine-lined, and I look hollow and tired — it makes me look so much older. ㅠ

Request: Please make it look natural and smooth.

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* Consultation

1. Lower eyelid: The skin beneath your eyes has lost its elasticity and appears to sag. There is puffiness from under-eye fat along with a pronounced tear trough deformity.

2. Upper eyelid: The strength of your eye-opening muscles differs between sides and is generally weak, resulting in multiple fold creases and a hollowed appearance of the upper lid. There is also skin laxity present, so upper blepharoplasty (including ptosis correction) would be recommended. (She said she would consider it after seeing how the lower blepharoplasty turns out. ^^;)

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* Plan

Lower Blepharoplasty

* Post-Operative Progress

We performed under-eye fat repositioning along with micro fat grafting. The sagging skin was, of course, resected as well.

What do you think? Does she look noticeably smoother and younger? ^^; She mentioned she would come back for upper eyelid surgery once the weather gets warmer — and she even brought three whole boxes of dried persimmons. We will enjoy them gratefully!

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* Key Points

1. Attempting to correct sagging under-eye skin by removing too much of it can cause ectropion (lower eyelid eversion). This not only looks aesthetically poor but also causes significant eye irritation and discomfort for the patient. Aggressively over-resecting skin is never the answer — it can lead to serious complications!

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2. When micro fat grafting is performed simultaneously, patients also benefit from improvement in dull, uneven skin tone. Choosing the right candidates for this combination approach yields truly excellent results.

Consultations and procedures should always be performed by a board-certified plastic surgeon!

Take care of both your health and your beauty today. :)

Right Thinking, Right Plastic Surgery — Yoo Young-moon

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Post-operative complications and side effects — including bleeding, inflammation, infection, and asymmetry — may vary by individual and require careful monitoring.

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Frequently Asked Questions

In what cases is lower blepharoplasty necessary?

Lower blepharoplasty may be considered when the skin under the eyes lacks elasticity and appears saggy, or when under-eye fat is prominent and tear trough deformities are noticeable. This procedure can smoothly improve the under-eye area.

What surgical methods are used during lower blepharoplasty?

During lower blepharoplasty, under-eye fat repositioning and micro-fat grafting may be performed together, and sagging skin is excised. This can make the under-eye area smooth and youthful.

What are the possible side effects after lower blepharoplasty?

Possible complications and side effects after lower blepharoplasty include bleeding, inflammation, infection, and asymmetry. Particular caution is needed as ectropion (eversion of the lower eyelid) can occur if too much sagging skin is excised from under the eyes.

Does micro-fat grafting also help improve skin tone?

Yes, performing micro-fat grafting along with lower blepharoplasty can also improve dull under-eye skin tone. Good results can be expected if the indications are well-chosen.

Who should perform lower blepharoplasty?

It is important to consult and undergo lower blepharoplasty with a board-certified plastic surgeon. It is advisable to create a suitable plan for the individual through thorough consultation with a specialist.

Can upper blepharoplasty also be considered?

Yes, if the strength to open the eyes is weak, there are many double folds, the eyelids appear sunken, or there is skin sagging, upper blepharoplasty (including ptosis correction) can also be considered.