2026-05-25
Q. My under-eye rolls up after lower canthoplasty. Is this a side effect?
Learn why the under-eye area may appear rolled up or bunched after lower canthoplasty and how this phenomenon can be managed.
Hello!
I have prepared a brief explanation regarding a topic many of you might be curious about. ^^
Q) My under-eye rolls up after lower canthoplasty. Is this a side effect?
A) Hello, this is Dr. Yu Young-moon, Chief Director of Vibe Plastic Surgery, with your 1-minute plastic surgery guide.
Today, I will address the question: ‘My under-eye rolls up after lower canthoplasty. Is this a side effect?’ In fact, if you understand the principles of the surgery, you will see why the under-eye area might roll upward. ^^;
The firm part felt in the lower eyelid is called the tarsal plate. Lower canthoplasty is a procedure where this tarsal plate is fixed to the lower septum or periosteum to pull it downward. As a result, skin and tissue naturally bunch up in the under-eye area. Therefore, it is difficult to call this a side effect; rather, it is a phenomenon where tissue bunching accompanies the lowering effect of the surgery.
For patients requiring a significant amount of lowering or those who naturally have thick under-eye tissue, I sometimes include a process to excise the rolling tissue through a small incision in the skin to prevent this phenomenon. Since the incision is made just below the eyelashes, there is no need to worry about scarring, and it allows for correction so the under-eye area does not look overly bunched, leading to high patient satisfaction.
1-minute completion. 1-minute plastic surgery. This was Director Yu Young-moon.
Frequently Asked Questions
Is the upward curling of aegyo-sal (under-eye fat pads) after lower canthoplasty a side effect?
It is difficult to consider it a side effect. Lower canthoplasty is a procedure that pulls the tarsal plate downwards, so it naturally involves the skin and tissue in the aegyo-sal area gathering and curling upwards.
Why does the phenomenon of aegyo-sal clumping occur?
It is due to the principle of lower canthoplasty, which involves fixing the tarsal plate to the lower septum or periosteum and pulling it down. As the eyelid is pulled downwards, the skin and flesh can unintentionally clump together, making the aegyo-sal appear more prominent.
Can the upward curling of aegyo-sal during lower canthoplasty be prevented?
Yes, it can be prevented. For those who undergo a significant amount of lower canthoplasty or originally have plump aegyo-sal, a small incision is made in the skin to appropriately excise the upward-curling aegyo-sal tissue, thereby preventing clumping.
Will there be scars if an incision is made to correct aegyo-sal clumping?
You don't need to worry much about scars. The incision made to prevent aegyo-sal clumping is very fine and made directly under the eyelashes, so scars are hardly noticeable after surgery, leading to high satisfaction.