2026-05-22
Lower Blepharoplasty
A male patient in his 50s with severe under-eye fat bulging and skin laxity undergoes lower blepharoplasty via fat repositioning and skin resection.

* Basic Information
· Male in his 50s
· Under-eye fat: severe bulging
· Skin condition: significant sagging with markedly reduced elasticity
· Chief complaint: 'My under-eye area looks messy and makes me look old.'
* Consultation
· This gentleman in his 50s is troubled mainly by bulging under-eye fat and sagging skin.
· Fat repositioning combined with resection of the excess sagging skin will create smooth, refreshed under-eyes.
· Due to significantly reduced skin elasticity, aggressive skin excision carries a high risk of ectropion (lower eyelid eversion).
* Treatment Plan
Lower Blepharoplasty


* Post-Operative Progress
· The under-eye area looks smooth and clean — excellent results!
* Key Points
· Attempting to remove too much sagging skin from the lower eyelid will cause ectropion (lower eyelid eversion). This is not only aesthetically unpleasant but also causes severe eye irritation and considerable discomfort. Never try to solve the problem by aggressively excising excess skin!
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
Possible post-operative complications and side effects — including bleeding, inflammation, infection, and asymmetry — may vary by individual and require careful attention.
Frequently Asked Questions
In what cases can lower blepharoplasty be considered?
Yes, lower blepharoplasty can be considered if the under-eye fat is severely bulging or if there is severe skin sagging, making the under-eye area look messy and aged. It can be particularly effective for individuals with reduced skin elasticity, such as men in their 50s.
What is the most important thing to be careful about during lower blepharoplasty?
The most important thing to be careful about is excessive skin excision. If too much skin is forcefully excised when skin elasticity is insufficient, ectropion, where the lower eyelid turns outwards, can occur, so caution is needed.
What problems arise if ectropion occurs?
If ectropion occurs, it not only looks unsightly but can also cause significant discomfort due to severe dryness in the eyes. Therefore, it is important to carefully determine the amount of skin to be excised during surgery.
How does the under-eye area change after lower blepharoplasty?
After the surgery, the under-eye area can be improved to be smooth and clean. Through under-eye fat repositioning and removal of sagging skin, the overall impression can change to a neat and youthful look.
Who should perform lower blepharoplasty?
It is crucial to consult and undergo lower blepharoplasty with a board-certified plastic surgeon. They can accurately diagnose the individual's eye condition and skin elasticity to create a safe surgical plan that minimizes side effects like ectropion.