2026-05-22
Lower Blepharoplasty
A man in his 60s with severely sagging under-eye skin and prominent fat underwent lower blepharoplasty with fat repositioning, achieving a smooth result without ectropion.
* Basic Information
· Gender / Age: Male in his 60s
· Under-eye fat: Severely prominent
· Skin condition: Severely sagging with many wrinkles / Thin skin / Reduced elasticity
· Chief complaint: 'The under-eye skin sags badly, and the prominent fat makes me look tired and unpleasant.'
* Consultation
· This 60-year-old gentleman visited us accompanied by his child, concerned about prominent under-eye fat and sagging skin.
· We will improve the under-eye area through fat repositioning and removal of excess sagging skin to achieve a cleaner, more refreshed appearance.
· Given his significantly reduced skin elasticity, the risk of ectropion (lower eyelid eversion) is high. Aggressive skin excision must absolutely be avoided.
* Treatment Plan
Lower Blepharoplasty
* Post-operative Progress
· Fortunately, fat repositioning fully resolved the prominent appearance without any ectropion, resulting in a smooth, refined under-eye area.
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Wishing you good health and beauty today as well. :)
Right Thinking, Right Aesthetics — Dr. Yoo Young-moon
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 is lower blepharoplasty necessary?
In this case, a man in his 60s visited with the main complaint of looking older due to bulging under-eye fat, severe skin sagging, and wrinkles. Lower blepharoplasty can be considered when under-eye fat bulges and skin sags, affecting one's impression.
Is there a possibility of ectropion after lower blepharoplasty?
There is a possibility of ectropion. The risk is particularly high when skin elasticity is very low, so excessive skin excision should be avoided. In this case, the surgery was carefully planned, considering the possibility of ectropion.
How long is the recovery period after lower blepharoplasty?
In this case, at 6 weeks post-surgery, we confirmed a smooth under-eye area with the bulging resolved by fat repositioning, without ectropion. While there can be individual differences, a stable recovery is usually observed around 6 weeks after surgery.
How is lower blepharoplasty performed?
In this case, to improve the bulging under-eye fat and sagging skin, the procedure involved fat repositioning and excision of the sagging skin. A customized surgical plan is established considering the patient's under-eye condition and skin elasticity.
Why is consultation important before lower blepharoplasty?
Consultation is crucial for accurately assessing the patient's individual condition, such as under-eye fat bulging, degree of skin sagging, skin thickness, and elasticity, and for predicting the possibility of side effects like ectropion to establish an appropriate surgical plan. Sufficient consultation with a plastic surgeon is necessary.