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“Under-Eye Fat Repositioning”
Why do you have to choose “Under-Eye Fat Repositioning” at KOA Clinic?
2 Surgical techniques for Under-Eye Fat Repositioning at KOA Clinic
Comparison table for Under-Eye Fat Repositioning : External vs Internal approach
Under-Eye Fat Repositioning Before/After Review
FAQ

“Under-Eye Fat Repositioning”

Although surgical excision of under-eye bags is an excellent choice for removing fatty tissue and potentially reducing the size of the bags, it also causes a deeper tear trough and groove under the eyes.

At KOA Clinic, we use a technique known as ” Under-Eye Fat Repositioning” to revamp the bags under the eyes, which helps soften the lower eyelid and repair tear troughs and deep grooves under the eyes.

It’s similar to treating tear troughs and under-eye bags simultaneously.

Why do you have to choose “Under-Eye Fat Repositioning” at KOA Clinic?

Rearrange under-eye bags rather than remove them to make under eyes look more fuller and smoother than traditional technique.
Both approach technique ; internal and external; are optional in every people.
Aging people also undergo Under-Eye Fat Repositioning
Lower eyelid tightening surgery could be addressed in people with severe laxity for better result.

2 Surgical techniques for Under-Eye Fat Repositioning at KOA Clinic

1. Internal approach

Instill topical anesthetic eyedrops
Flip eyelids inside-out to approach and avoid visible surgical scars
Reposition under-eye fat to decrease bulges and deep grooves.
Use absorbable sutures to close the wound from the inside.

2.External approach

Inject local anesthesia to the lower eyelid.
Make an incision along the edge of the lower eyelid to conceal the scar.
Trim off some extra fat and reposition the remaining fat as appropriate.
Cut off extra skin
Close the surgical site with non-absorbable sutures.
Lower eyelid ligament strengthening may be necessary in cases of severe lower eyelid laxity to avoid complications.

Comparison table for Under-Eye Fat Repositioning : External vs Internal approach

Surgical method	Internal approach	External approach
Age	18 – 30 years old	Higher than 30 years old
Duration	60 mins	90 mins
Anesthesia	Ophthalmic and local anesthesia	Local anesthesia
Surgical suture removal	None	7 days
Recovery period (swelling period)	2-3 days	7 days
Postoperative Care	Tape are applied to lower eyelid to reduce swelling for 5 – 7 days. Careful about rubbing eyes for 1 – 2 months because it may cause to position of rearranged fat
Suitable for	People who have limited recovery time People who don’t want visible scar	People with obvious bags under eyes or deep tear trough People over 30 years old or have excess lower eyelids skin. People who want to lift and tighten their lower eyelid
Not suitable for	People who have obvious bags or deep tear trough under their eyes. People who have allergies and cannot control their symptoms well.	1. People who have allergies and cannot control their symptoms well.

Under-Eye Fat Repositioning Before/After Review

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FAQ about “Under-Eye Fat Repositioning”

The traditional technique is to remove bags under eyes, which tends to make the under-eye area look deep and lack of fullness. At KOA Clinic, we use fat reposition technique to smoothen the under-eye area and correct deep tear trough at the same time.
Yes, it is possible, but we do not recommend because people over 30-35 years of age often have problems with sagging lower eyelid skin or deterioration of the ligaments under the eyes(laxity). It is more appropriate to use the external technique. However, you can consult with our doctor for further advice.
Absolutely and we recommend adding fat injection to volumize your lower eyelid.

Read more: Fat injection
It can happen, but only slightly. After surgery, you will have tape placed under your lower eyelid to reduce swelling and bruising for up to 1 week.
The result after surgery should be ok for long period, however it might be shorter in aging patients or some conditions such as uncontrolled allergy or heavy smoker.
Yes, but we recommend to consult with doctor for evaluation.
We recommend reducing the screen time during the first week post operative period and frequently use artificial tears to prevent dry eyes.
The scar is close to the lower eyelid margin which is difficult to notice and it will be gradually gone within 4 – 6 months.
You could make up in other area except lower eyelid after 1 week post operation and 2 weeks at lower eyelid area.
Under-Eye Fat Repositioning is less painful and we also provide appropriate pain control and anesthesia.