2026-05-23
Lower Eyelid Surgery (Lower Blepharoplasty)
A lower blepharoplasty case in a man in his 60s with severe under-eye fat bulging and skin laxity, highlighting the importance of avoiding ectropion.
* Basic Information
· Age: Male in his 60s
· Under-eye fat: Severely bulging
· Skin condition: Significant skin sagging with mildly reduced elasticity
· Main complaint: 'My under-eye area is way too puffy and I look mean'
* Consultation
· This patient is a man presenting with prominent under-eye fat bulging and skin laxity as his primary concerns.
· Given the excess fat volume, we will remove a portion and redistribute the remainder to create a smooth, refined under-eye contour.
· Aggressive skin excision significantly increases the risk of ectropion (lower eyelid eversion).
* Plan
Lower Eyelid Surgery (Lower Blepharoplasty)
* Post-operative Progress
· The under-eye area looks noticeably smoother and more refreshed.
* Key Points
· Attempting to correct sagging under-eye skin by excising too much tissue leads to ectropion (lower eyelid eversion). This not only looks unfavorable but also causes severe eye dryness and irritation. Never push the limits by aggressively removing excessive amounts of skin!
Consultations and procedures should always be performed by a board-certified plastic surgeon!
Wishing you health and beauty today :)
Correct thinking, correct plastic surgery — Yoo Young-moon
Post-surgical 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?
Lower blepharoplasty is necessary when there is severe bulging of fat under the eyes or severe skin sagging. It can be considered especially when the main complaint is that the under-eye area looks grumpy or aged.
How is under-eye fat handled during lower blepharoplasty?
If there is too much under-eye fat, some of it is removed, and the remaining fat is repositioned to create a smooth under-eye area. This effectively improves the bulging under the eyes.
What are the possible side effects after lower blepharoplasty?
If too much skin is excised, ectropion (eversion of the lower eyelid) can occur. Ectropion is not only unsightly but can also cause significant discomfort due to dry eyes, so caution is advised.
What precautions should be taken during surgery to prevent ectropion?
To prevent ectropion, excessive removal of sagging skin under the eyes should be avoided. Skin excision should be performed carefully and planned through thorough consultation with a plastic surgeon.
What age group is lower blepharoplasty primarily suitable for?
Lower blepharoplasty is suitable for individuals whose main concerns are under-eye fat bulging and skin sagging. The text explains this through cases of male patients in their 60s and 70s.