2026-05-22
Under-Eye Fat Removal + Micro Fat Grafting
A male in his 20s with moderate under-eye puffiness had transconjunctival fat removal with micro fat grafting, achieving a brighter, more refreshed appearance within one month.
* Basic Information
· Male in his 20s
· Under-eye fat: Moderate-to-severe puffiness
· Skin condition: Minimal sagging, but with reddish discoloration
· Chief concern: 'I look tired and hollow'
* Consultation
· What many people call 'dark circles' is more precisely described as a 'tear trough deformity.'
· Since there is no significant skin laxity, skin excision is not necessary in this case.
· To avoid visible scarring, we can access the area through the conjunctiva (the red tissue on the inner surface of the eye), remove the protruding fat, and perform micro fat grafting at the same time — this should also noticeably improve skin tone :)
* Treatment Plan
(Transconjunctival) Under-Eye Fat Removal
Micro Fat Grafting
* Post-Operative Progress
· Not only has the under-eye puffiness been resolved, but the skin tone looks noticeably brighter as well — a very satisfying result :)
* Key Points
1. The skin beneath the eyes is extremely thin, making underlying blood vessels and pigmentation easily visible, which gives the area a dull and tired appearance.
2. Micro fat grafting under the eyes is a highly delicate procedure — you might call it a double-edged sword. When precisely the right amount is grafted, the results are excellent, as seen in this case. However, even a slight excess can cause problems such as palpable lumps forming under the eyes. In fact, even board-certified plastic surgeons in my professional circle hold varying opinions on under-eye micro fat grafting.
3. No suture removal is required after surgery, and bruising and swelling are minimal, allowing for a quick return to daily life. With just 2–3 days of rest, patients can resume normal activities without significant disruption — so there is really no reason to hesitate.
For consultations and surgery, always see a board-certified plastic surgeon!
Wishing you both health and beauty today :)
Correct Thinking, Correct Plastic Surgery — Dr. 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
Is skin incision necessary for under-eye fat removal?
No, if skin sagging is not severe, skin excision is not necessary. This procedure is performed by accessing through the conjunctiva (the red tissue inside the eye) to avoid external scars.
Why are under-eye fat removal and micro-fat grafting performed together?
Performing under-eye fat removal and micro-fat grafting together can not only resolve bulging fat but also brighten the skin tone. This is because the under-eye skin is thin, allowing blood vessels and pigments to show through easily.
What is important about under-eye micro-fat grafting?
Under-eye micro-fat grafting is a very delicate procedure. Satisfactory results can only be achieved by performing it with the appropriate amount, and even a slight excess can cause problems such as lumps under the eyes, so caution is required.
How long does it take to return to daily life after surgery?
Recovery to daily life is quick because there is no need for stitch removal after surgery, and bruising or swelling is not severe. Daily life is possible without major inconvenience if you have about 2-3 days of free time.
What are the possible side effects after under-eye fat removal surgery?
Various complications and side effects such as bleeding, inflammation, infection, and asymmetry can occur after surgery. These symptoms may vary depending on the individual, so caution is required, and sufficient consultation with medical staff is necessary.