About Dual Lower Eyelid Fat Repositioning

Hello,

This is Dr. J from Cheongdam SNU Plastic Surgery Clinic.

Traditional lower eyelid fat repositioning involved

repositioning orbital fat through a conjunctival incision

to the tear trough (hollow under the eyes)

to improve dark circles and

hollow-looking eyes.

However, for middle-aged or older patients

or those with insufficient midface volume,

problems remained, such as the lower eyelid

appearing longer and accompanying skin laxity.

Dual lower eyelid fat repositioning takes this a step further.

1. Traditional Fat Repositioning

Access through the conjunctiva to move orbital fat

to the tear trough.

2. Midface Volume Enhancement

Additional fat grafting to the malar fat pad and

suborbicularis oculi fat (SOOF)

supports the midface.

💡Key Principle:

Fat Repositioning + Enhanced Midface Support Structure

= Reduced Lower Eyelid Height

# 4 Differentiated Advantages

1. ‘Rejuvenated Eyes’ due to reduced lower eyelid height

The fat grafted to the midface

pulls the eyelid upwards,

reducing the exposed area of the lower eyelid.

As a result, the area where dark circles are visible

itself shrinks, and the under-eye area appears shorter,

transforming into a more vibrant impression.

2. Long-term Result Stability

Fat grafting to the suborbicularis oculi fat area

acts as a ‘support’

to prevent sagging of the under-eye fat.

If only simple fat repositioning is performed,

re-sagging may occur over time, but

dual surgery fixes the position of the fat

to maintain results for a long time.

3. Simultaneous Improvement of Dark Circles & Wrinkles

Orbital fat repositioning

→ can resolve under-eye hollowness and shadow-type dark circles.

By reinforcing midface volume,

→ wrinkles caused by sagging skin are alleviated.

Dual effects allow for comprehensive improvement

of aging symptoms.

4. Natural Contour Line

The boundary between the aegyo-sal (under-eye fat roll) area and the under-eye area

is smoothly connected,

creating a natural youthful effect.

# Cases where Dual Lower Eyelid Fat Repositioning is Suitable

Dual lower eyelid fat repositioning is

suitable in the following cases:

✅ Those whose under-eyes are long and saggy, making them look tired

or older.

✅ Those with a flat midface or

less developed cheekbones.

✅ Those who were not satisfied with

traditional fat repositioning alone.

📌 Comparison: Traditional Surgery vs. Dual Lower Eyelid Fat Repositioning

⚠️ Post-Surgery Care & Precautions

📍 First 3 days:

Apply cold compresses to reduce swelling.

Avoid bending your head down or sleeping on your side.

📍 1 week:

Absolutely no rubbing eyes, strenuous exercise,

saunas, or alcohol consumption.

📍 Fat Graft Survival:

Requires about 2 weeks of stabilization period.

Systematic management can achieve a survival rate of over 80%.

📍 Complete Results:

After 3-6 months,

midface volume and lower eyelid line

will stabilize.

# Is this surgery suitable for me?

Check with a simple self-test!

✅ Gently pull the skin under your eyes with your finger.

If it still looks dark even when the skin is stretched.

→ Pigmented dark circles (difficult to improve with this surgery)

If the darkness disappears when the skin is stretched.

→ Shadow-type dark circles (can be improved with this surgery)

✅ Check the volume under your cheekbones.

If you don't have aegyo-sal when you smile,

or the area under your cheekbones is deeply sunken.

→ Can be improved with this surgery

# Optimal Strategy for Comprehensive Facial Rejuvenation

Dual lower eyelid fat repositioning is

an integrated lower eyelid correction method that

simultaneously addresses the visible part (under-eyes) + the causal part (midface).

It effectively reduces the height of the lower eyelid,

minimizing the area where dark circles are visible,

and fills the midface, giving a 5-year younger

impression.

✨ Dual Lower Eyelid Fat Repositioning

Recommended for:

- Individuals aged 40 or older with both

under-eye sagging + midface volume loss.

- Individuals in their 20s-30s with congenitally

long-looking lower eyelids.

- Those who desire a natural youthful effect.

📌 Essential Pre-Surgery Check:

✅ Consultation with a board-certified plastic surgeon to

measure the degree of midface sagging.

✅ 1:1 customized design tailored to individual aging patterns.

‘Fake fat repositioning’ using lasers

(which is actually fat removal)

carries a high risk of long-term recurrence.

True repositioning and

strengthening of the support structure

must be accompanied.

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