
What is under-eye fat repositioning surgery?
Under-eye fat repositioning surgery, commonly known as dark circle removal surgery, addresses the issue of protruding or deficient fat under the eyes. This procedure corrects bulging fat or hollowness beneath the eyes. Dark circles caused by protruding under-eye fat are a concern for many young people, and can also result from natural skin sagging due to aging or excess under-eye fat.
*Note: It is difficult to completely correct dark circles caused by pigmentation or vascular issues.
- Under-eye fat can occur at any age!
- It is also seen in younger individuals.
- As we age, the fat under the eyes can bulge or protrude, or the membrane supporting the fat can become loose.
- This makes the boundary between the fat pad and the skin more noticeable, leading to the formation of tear troughs.

Who needs conjunctival under-eye fat repositioning for a more youthful and vibrant appearance?
▶ People who do not have severe sagging or wrinkles in the under-eye skin and do not require skin excision.
▶ People with deep tear troughs under their eyes.
▶ People who have undergone lower eyelid surgery to remove fat but have experienced a recurrence of fat pockets.
▶ People who may appear hollow under the eyes with fat removal surgery alone.
▶ People who have active social lives and are concerned about visible surgical scars and desire a quick recovery.
▶ People who desire personalized under-eye cosmetic surgery results tailored to their individual needs.

In cases where there is excessive bulging of under-eye fat without hollow areas:
- Removing the bulging fat through under-eye fat removal surgery results in an overall smoother and flatter appearance.
In cases where there are both bulging under-eye fat and hollow areas (tear troughs):
- Repositioning the under-eye fat by moving the bulging fat to the hollow areas through under-eye fat repositioning surgery results in an overall smoother and flatter appearance.

Under-eye Fat Repositioning Surgery Method
In the past, most surgical methods for correcting bulging under-eye areas focused on removing the sagging tissue. However, recent research on changes in the orbital cartilage with aging has revealed that the lower orbital rim height gradually recedes. This has significantly shifted the surgical approach toward filling the reduced volume to restore a more youthful appearance.
Conjunctival fat repositioning involves finding the fat pockets through the inner eyelid without making any skin incisions. Instead of removing the fat, it is repositioned to the area with tear troughs and on top of the bone. This method smooths out the bulging fat and fills the tear troughs, providing a dual benefit.
