2026-05-23
Lower Blepharoplasty
A man in his 50s with prior lower eyelid surgery undergoes repeat blepharoplasty with micro-fat grafting to correct puffiness and skin laxity.

* Basic Information
· Male in his 50s
· Medical history: Lower blepharoplasty (4–5 years ago)
· Under-eye fat: Severe puffiness
· Skin condition: Significant sagging, markedly reduced elasticity, and thin skin
· Chief complaint: 'My under-eye area looks messy and makes me look older.'
* Consultation
· This is a man in his 50s whose primary concerns are under-eye fat puffiness and skin laxity.
· He has had surgery before, which appears to have involved only the excision of excess sagging skin.
· Our plan is to partially remove the protruding fat, perform micro-fat grafting, and excise the lax skin to create a smoother, cleaner under-eye contour.
· Because skin elasticity is significantly reduced, overly aggressive skin excision can easily lead to ectropion (lower eyelid eversion).
* Plan
Lower blepharoplasty
Micro-fat grafting


* Postoperative Progress
· Some of the fat was removed, and sunken areas were filled with micro-fat grafting.
· The under-eye area looks smooth and refreshed — excellent results :)
* Key Points
· Attempting to correct under-eye skin laxity by removing too much skin leads to ectropion (lower eyelid eversion). This is not only cosmetically unfavorable but also causes significant eye irritation and discomfort. Aggressive over-resection of skin must be avoided!
Consultations and procedures should always be performed by a board-certified plastic surgeon!
Wishing you health and beauty today :)
Right Thinking, Right 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.