2026-05-25
Lower Blepharoplasty (Lower Eyelid Surgery)
A case study of a female patient in her 40s who achieved a youthful, refreshed look through lower blepharoplasty to address bulging fat and sagging skin.

* Basic Information
· Female in her 40s
· Under-eye fat: Moderate bulging
· Skin condition: Slight skin sagging and dark circles are prominent
· Primary complaint: ‘The bulging under my eyes makes me look tired and old.’
* Consultation
· This patient is a woman in her 40s whose main concerns are bulging under-eye fat and sagging skin.
· We need to create a smooth under-eye area through fat repositioning and excision of sagging skin.
· Creating a natural level of ‘aegyo-sal’ (love bands) can provide a more youthful appearance.
* Plan
Lower Blepharoplasty





* Post-operative Progress
· As the under-eye area became smooth and clear, the tired impression has also improved.
* Important Points
· Attempting to fix sagging skin by cutting away too much can lead to ectropion (turning outward of the lower eyelid). This not only looks unfavorable but also causes significant discomfort due to severe eye irritation. You must never over-excise skin aggressively!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from rich experience
Vibe Plastic Surgery Clinic, Representative Director Yeong-moon Yu
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.
Frequently Asked Questions
In what cases is lower blepharoplasty necessary?
Lower blepharoplasty is necessary when you want to improve a tired and aged appearance caused by bulging under-eye fat or sagging skin. Especially for women in their 40s, a smooth under-eye area can be created through under-eye fat repositioning and removal of sagging skin.
What kind of surgery is performed during lower blepharoplasty?
During lower blepharoplasty, under-eye fat repositioning and removal of sagging skin are mainly performed. This can improve the bulging under the eyes and remove sagging skin to create a smooth under-eye area.
Can aegyo-sal (under-eye fat rolls) also be created with lower blepharoplasty?
Yes, it is possible. Creating natural-looking aegyo-sal can give a more youthful impression, resulting in an anti-aging effect. This can be considered during the surgical planning.
What should I be careful about during lower blepharoplasty?
The most important precaution is not to excessively remove sagging skin under the eyes. Excessive skin removal can cause ectropion (eversion of the lower eyelid), which is aesthetically unpleasing and can lead to significant discomfort such as severe dry eyes.
Who should perform lower blepharoplasty?
It is important to consult and undergo lower blepharoplasty with a board-certified plastic surgeon. You can expect safe and satisfactory results through a specialist with extensive experience.
What are the possible side effects after lower blepharoplasty?
Various complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery. These side effects can vary from person to person, so it is important to receive a full explanation before surgery and be cautious.