Lower Blepharoplasty

* Basic Information

· Male in his 50s

· Medical history: Lower blepharoplasty (4–5 years ago)

· Under-eye fat: Severe puffiness

· Skin condition: Significant sagging, markedly reduced elasticity, and thin skin

· Chief complaint: 'My under-eye area looks messy and makes me look older.'

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* Consultation

· This is a man in his 50s whose primary concerns are under-eye fat puffiness and skin laxity.

· He has had surgery before, which appears to have involved only the excision of excess sagging skin.

· Our plan is to partially remove the protruding fat, perform micro-fat grafting, and excise the lax skin to create a smoother, cleaner under-eye contour.

· Because skin elasticity is significantly reduced, overly aggressive skin excision can easily lead to ectropion (lower eyelid eversion).

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* Plan

Lower blepharoplasty

Micro-fat grafting

* Postoperative Progress

· Some of the fat was removed, and sunken areas were filled with micro-fat grafting.

· The under-eye area looks smooth and refreshed — excellent results :)

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* Key Points

· Attempting to correct under-eye skin laxity by removing too much skin leads to ectropion (lower eyelid eversion). This is not only cosmetically unfavorable but also causes significant eye irritation and discomfort. Aggressive over-resection of skin must be avoided!

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

Wishing you health and beauty today :)

Right Thinking, Right Plastic Surgery — Yoo Young-moon

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

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Frequently Asked Questions

Is lower blepharoplasty revision surgery possible?

Yes, it is possible. The 50-year-old male patient in the main case also underwent lower blepharoplasty 4-5 years ago, but had revision surgery due to bulging under-eye fat and sagging skin. You can establish an appropriate surgical plan after consulting with a specialist.

How do you resolve severely bulging under-eye fat?

When under-eye fat is severely bulging, some of the bulging fat can be removed, and micro-fat grafting can be performed on sunken areas to create smooth under-eyes. This helps balance the volume under the eyes.

How can ectropion be prevented during lower blepharoplasty?

Ectropion is a condition where the lower eyelid turns outward, and it is likely to occur if too much sagging skin is excised. Particular caution is needed when skin elasticity is poor, and it is important to avoid excessive skin excision.

How is lower blepharoplasty performed when skin elasticity is poor?

When skin elasticity is significantly poor, excessive skin excision can increase the risk of ectropion. Therefore, the procedure can involve improving the under-eyes through bulging fat removal and micro-fat grafting, with minimal excision of sagging skin.

What is the prognosis after lower blepharoplasty?

The post-operative course may vary by individual, but in the main case, it was mentioned that the under-eyes looked smooth and clean after some fat removal and micro-fat grafting. Attention is needed for complications such as bleeding and inflammation after surgery.