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EYELID SURGERY

Lower Blepharoplasty

Removal alone is rarely the answer.

"

Rested and youthful,
never overdone.

"Lower-lid fat is rarely something to simply remove. Repositioning it and reinforcing the septum is what allows the under-eye to read as natural."

— Director Choi Dong-Il

ABOUT

What Is Lower Blepharoplasty?

A brighter, smoother under-eye for a more rested, younger look.

Fat Repositioning, with Dark Circles Addressed at the Same Time

Lower blepharoplasty corrects the protruding or sunken under-eye that develops when lower-lid fat shifts out of place over time. By repositioning the fat, the bulging area is smoothed and the hollow above it is filled, while dark circles caused by the resulting shadow improve in the same step — producing a cleaner, brighter, younger-looking eye.

※ Surgical and recovery details may vary depending on the patient's individual condition.

Lower-lid fat repositioning

Lower-Lid Fat Repositioning

Scar-preserving fold + lower-lid fat repositioning

Scar-Preserving Fold + Lower-Lid Fat Repositioning

Transconjunctival fat repositioning (TCR)

Transconjunctival Fat Repositioning (TCR)

Lower blepharoplasty revision

Lower Blepharoplasty Revision

PROCEDURE INFO

Procedure at a Glance

From surgery time to return to daily life — at a glance.

Surgery Time
30–60 min
Anesthesia
Sedation / Local
Visits
1–2
Stitch Removal
After 5–7 days
Hospitalization
Same-day discharge
Daily Activity
After 3–7 days
CANDIDATES

Suitable Candidates

Four clinical situations where Gangnam Seoyon's lower blepharoplasty is the appropriate choice.

01

Visibly protruding
lower-lid bags

02

Dark circles that make the
face look tired

03

A hollow, shadowed
under-eye contour

04

Fine under-eye lines
that age the face

CONCERN · ANSWERED

Worried about losing your
lower-lid roll, or under-eye laxity?

The two concerns we hear most often about lower blepharoplasty are flattening of the lower-lid roll (the soft fullness just below the lash line, often called aegyo-sal) and loss of skin tone from removing too much fat. We work to preserve the lid roll while restoring a more dimensional under-eye, and add septal reinforcement so the result holds its smoother, brighter contour over the long term.

Diagnosing What Went Wrong Before

If a previous procedure didn't deliver, we identify the underlying reason first and build a plan around it.

Careful Plan, Precise Execution

The incision is kept inconspicuous and the septum is reinforced to hold the result in place over time.

METHOD

How the Surgery Is Performed

The right technique depends on the type of lower-lid change. Two approaches, matched to the underlying problem.

METHOD A

Transconjunctival Fat Repositioning

Approached from the inner conjunctiva, with no visible external scar

Lower-lid fat is addressed through the inner conjunctiva, which means there is no visible scar on the skin. Even within this approach, the technique still has to be matched to the type of lower-lid change to get the right result.

TYPE 01
Simple fat protrusion
TYPE 01

Simple Fat Protrusion

Lower-lid fat sits forward, giving a puffy, bulging look beneath the eye.

APPROACH

Fat repositioning + septal reinforcement — the medial volume is filled to soften the contour, with the septum reinforced to prevent recurrence.

TYPE 02
Lower-lid bags + midface hollowing
TYPE 02

Lower-Lid Bags + Midface Hollowing

Lower-lid bags combined with a hollowed, sunken midface that reads as drawn or tired.

APPROACH

Fat repositioning + septal reinforcement + fat grafting — when the midface still reads as hollow after repositioning, fat grafting restores the missing volume.

📷
BEFORE

Pre-operative

Pre-op image of transconjunctival fat repositioning case.

📷
AFTER

Postoperative

Result after fat repositioning + septal reinforcement.

METHOD B

Transcutaneous Fat Repositioning (Aging Lower Blepharoplasty)

For loose lower-lid skin, or when a midface lift is also needed

Used when the lower lid carries loose skin or the midface needs to be lifted at the same time. Loose skin and protruding fat are addressed in one procedure.

STEP 01
📷
PHOTO
Pre-operative
STEP 02
RESHAPE
Designed incision,
fat repositioned +
septum reinforced + midface lifted
STEP 03
🧵
SUTURE
Skin and muscle
secured upward, then closed
STEP 04
RESULT
Postoperative result
RESULT

Expected Results

Four outcomes patients can expect from lower blepharoplasty at Gangnam Seoyon.

BEFORE / AFTER · GIF
Lower blepharoplasty before and after
Important Information As with any surgery, possible complications include bleeding, infection, and inflammation; severity may vary. Please follow your surgeon's instructions carefully.
BEFORE & AFTER

Patient Results

All photographs shown are taken six months after surgery. Additional cases are available in the Before & After section of the menu.

Upper blepharoplasty + lower-lid fat repositioning BEFORE Upper blepharoplasty + lower-lid fat repositioning AFTER
BEFORE
AFTER
#LowerLidFatRepositioning

Upper Blepharoplasty + Lower-Lid Fat Repositioning

knsy case #11
Incisional double eyelid + lower blepharoplasty revision BEFORE Incisional double eyelid + lower blepharoplasty revision AFTER
BEFORE
AFTER
#LowerBlepharoplasty

Incisional Double Eyelid + Lower Blepharoplasty Revision

knsy case #38
Upper + lower blepharoplasty BEFORE Upper + lower blepharoplasty AFTER
BEFORE
AFTER
#UpperBlepharoplasty#LowerBlepharoplasty

Upper + Lower Blepharoplasty

knsy case #56
Upper blepharoplasty + lower-lid fat repositioning BEFORE Upper blepharoplasty + lower-lid fat repositioning AFTER
BEFORE
AFTER
#UpperBlepharoplasty#LowerLidFatRepositioning

Upper Blepharoplasty + Lower-Lid Fat Repositioning

knsy case #64
More Before & After
EXPERT GUIDE

Director's Surgical Notes

Long-form videos walking through the key points of lower blepharoplasty, presented by Dr. Choi.

FAQ

Frequently Asked Questions

Wouldn't it be simpler to just remove the fat?
Simple removal tends to leave a hollow contour over time and often loses skin tone. Repositioning the right amount of fat produces a more dimensional under-eye that reads as natural and lasts longer.
Will my lower-lid roll (aegyo-sal) disappear?
No. We work to preserve the natural lid roll while restoring a more dimensional under-eye. The boundary between the roll and the underlying fat is mapped precisely during the consultation.
Which is right for me — transconjunctival or transcutaneous?
If the skin is essentially firm and only the fat needs to be repositioned, the transconjunctival approach is usually the right fit. If loose skin needs to be addressed at the same time, the transcutaneous (aging lower blepharoplasty) approach is more appropriate.
Will the dark circles improve as well?
When dark circles come from the shadow cast by protruding lower-lid fat, fat repositioning alone often produces a substantial improvement. Pigmentation-related dark circles typically need separate skin treatment.
Can the bags come back?
Recurrence is minimized by the septal reinforcement step we perform alongside the repositioning. The natural changes that come with continued aging, however, can occur over the long term.
Important Information As with any surgery, possible complications include bleeding, infection, and inflammation. Individual results vary; please consult with your physician for the appropriate diagnosis and treatment plan.
CONSULT

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Every inquiry is reviewed personally by Director Choi Dong-Il.

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