woman with Undereye Bags

Under Eye Fat Repositioning – Is it for you?

Searching on Google for “bags under eyes” will give you an abundance of information on how to get rid of them, as well as plenty of simple solutions like cold compresses, sleeping enough and many others. Yes, at-home treatments may sometimes help decrease mild puffiness in the lower eyelids, but there are many cases when it is not possible. Bulges under the eyes that run in families or hollowness caused by ageing cannot be simply eliminated at home. In such cases, cosmetic eyelid surgery can be effective in dealing with these problems.

Lower eyelid blepharoplasty (eye fat removal) is plastic surgery used to treat bags under the eyes. Under-eye fat repositioning is a procedure that corrects tear trough deformity. In some cases, both procedures are performed together or with other blepharoplasty techniques to optimize the results.

Here you will find information about under-eye fat repositioning: its benefits, acceptable candidates, and recovery time. Additionally, we will describe how this type of lower eyelid surgery differs from traditional blepharoplasty or eye bag removal surgery.

Fat repositioning in lower eyelids: what is it?

Under-eye fat repositioning is a relatively new approach to lower eyelid blepharoplasty. This technique aims to reduce eye bags and fill depressions beneath the eyes – the so-called lacrimal groove. An interesting thing about this procedure is that it redistributes the lower eyelid fat rather than removing it. Basically, it moves excessive eyelid fat to areas where it is needed. This treatment effectively addresses dark circles, hollowness under the eye, and wrinkles around the lower lids.

The fat repositioning technique is currently highly popular in South Korea. This cosmetic eyelid surgery is often performed by Korean women in order to achieve a more radiant and rested appearance.

How is the fat repositioning procedure done?

korean under eye fat removal surgery

In most cases, surgeons use the transconjunctival approach to remove protruded eye bags and fill the depressed tear trough area. After making incisions on the conjunctiva, the surgeon proceeds to dissect and identify the nasal (medial) and central fat pocket. In the case of excess skin and fat pads, a portion of them can be removed as well. The remaining fat pockets are then repositioned to the depressed tear trough area. Following fat repositioning, the incision site is sutured with absorbable thread. In some cases, a fat injection might be necessary if someone has severe depression in the nasojugal groove.

This lower eyelid surgery is carried out under local anaesthesia.

What are the benefits of this plastic surgery?

Some of the advantages of under-eye fat repositioning surgery are outlined below.

  • This operation is very quick, taking between 30 and 40 minutes on average.
  • The surgery does not require hospitalization, so you are able to go home the same day.
  • Under-eye fat repositioning surgery is not painful at all.
  • There is no visible scarring because the incision is made under the eye at the inner corner.
  • The recovery process is quite short and easy.
  • The procedure is not associated with any serious risks.
  • Along with eliminating dark circles and eye bags, you will also experience a decrease in wrinkles under your eyes after surgery.

What is the difference between under eye fat repositioning and under-eye fat removal?

Under-eye fat removal is a surgical procedure where the surgeon eliminates excess skin and fat in the lower eyelid in order to reduce eye bags. During under-eye fat repositioning surgery, the fat is relocated to the tear trough area to fill it and add volume to the area. Basically, the fat is used as an eye filler, but since it comes from your own body, it has a unique benefit.

Traditional lower blepharoplasty (eye bag surgery) normally involves removing all excess fat, skin and muscles. As a result, bulges under the eyes are reduced significantly. However, it can often lead to the development of hollowness and depressions between the lower lids and upper cheeks. As a consequence, it gives you an aged and tired appearance. The purpose of under-eye fat repositioning is to redistribute excess fat from the under-eye area to the tear trough area. It simultaneously reduces the eyelid bulges and restores the lost volume in the nasojugal groove.

Are you a suitable candidate for under eye fat repositioning procedure?

Stressed girl touching her eye bags and looking at mirror

In case you have any of the concerns listed below, you might be a good candidate for under-eye fat repositioning.

  • You have severe dark circles or bags under your eyes.
  • You have wrinkles because your fat is positioned incorrectly.
  • You have a tear trough deformation.
  • Your dark circles make you look dull and sickly.

In general, the surgery is most suitable for patients who have protruding under-eye bags and depressed nasolabial grooves beneath the eye bags.

What to expect before and after the surgery?

During your initial consultation, your doctor will explain what to expect during and after your surgery. In addition to being informed on how to take care of your eyelid skin, you will also be told what should and should not be done after surgery. You may ask any questions you may have during this time. Before the surgery, your doctor will design your eyes. A picture of your eyes will be taken before the procedure and then again after that so you can see the difference.

Following your operation, you will be able to return home. You might feel dizzy and tired, so it is good to plan ahead for someone to drive you home. Regardless of the relatively simple nature of the procedure, there are still some potential side effects. A week or so after the surgery the area is likely to be swollen and bruised. These effects gradually resolve themselves. Your appearance should return to normal in two weeks.

What can you do to speed up your recovery?

Following are a few suggestions for ensuring a quicker and smoother recovery after eyelid surgery.

  • Cold compresses can help reduce swelling.
  • Make sure you don’t wear contact lenses or glasses for about a month.
  • The area should not be exposed to sunlight.
  • The consumption of alcohol is not recommended.
  • After surgery, it is best to stay away from spicy and salty foods for a few days as this can worsen swelling.

Frequently asked questions

How long do the results from under-eye fat repositioning surgery last?

The results of this plastic surgery can vary depending on the technique used and your eyelid anatomy. If performed properly, the procedure should last at least three years.

What are some other non-surgical methods for reducing under-eye bags and dark circles?

Hyaluronic acid fillers and laser resurfacing are among the non-surgical techniques for reducing eye bags and dark circles. Dermal fillers are typically injected into the tear trough to restore volume and smooth wrinkles. Laser skin resurfacing can reduce eye bags and improve skin texture. However, these treatments methods may not be effective in treating severe bulges or hollowness beneath the eyes.

What are the risks of fat repositioning with lower blepharoplasty?

Fat repositioning with lower blepharoplasty can cause complications such as bleeding, infection, dry eyes, visible scars, and so on. All risks associated with the surgery will be thoroughly explained by your oculoplastic surgeon.

How long do bruising last following fat repositioning?

The majority of bruising should disappear within ten days. It depends on how quickly your body heals. It is possible for the bruising to persist for two weeks in some patients, while in others it goes away after a few days.

Can you combine the fat redistribution technique with other eye rejuvenation procedures?

Yes, fat redistribution can be done with other eyelid surgeries at the same time. Depending on what you would like to accomplish, it can be combined with an eyelid lift, upper eyelid blepharoplasty, skin pinch and other rejuvenation procedures.