Question 1

Why do bulging fat pockets occur?

Accepted Answer

As the elasticity of the tissues around the eyes decreases, they become unable to support the under-eye fat, leading to the protrusion of under-eye fat.
Over time, the under-eye fat protrudes further and the surrounding tissues sag downward, causing the tear trough to deepen even more.
This can also occur if the tissues around the eyes are thin or lack elasticity, or if there is a congenital excess of under-eye fat.

Question 2

Is it better to treat bulging fat pockets quickly?

Accepted Answer

Bulging fat pockets do not improve on their own.
While there is no need for preventative treatment, if they bother you and cause stress, then treatment is necessary.
Although the aging process cannot be avoided, receiving treatment before the skin and muscles sag can lead to satisfactory results with simpler procedures.

Question 3

Can the appearance of under-eye fat change depending on weight fluctuations?

Accepted Answer

Under-eye fat is contained within a pocket surrounded by the orbital septum. This fat is rarely affected by body weight.
It may decrease in cases of severe malnutrition (e.g., in terminal cancer patients).
Typically, when body weight decreases, the fat volume in the cheek area around the under-eye fat is lost, making the area appear hollow.
In other words, dieting does not cause the bulging fat pocket to recede.

Question 4

Do the bulging fat pockets improve on their own over time?

Accepted Answer

It may vary slightly depending on your condition. It can appear more severe if you are sleep-deprived or fatigued.
Over time, the bulging fat pockets will settle and become more prominent. As you go through the aging process, the surrounding tissues weaken.
As this process continues, the symptoms worsen. It is difficult to expect natural improvement.

Question 5

What is the best course of action if I have bulging under-eye bags?

Accepted Answer

Relocating the bulging fat pockets down to the inferior orbital rim improves under-eye shadows.
At this time, the membrane of the under-eye fat pocket is stretched taut and secured, and areas that appear somewhat weak are tightened more firmly.
In other words, simultaneously reinforcing the under-eye fat and the orbital septum is the best method.

Question 6

What are the benefits of repositioning bulging fat pockets?

Accepted Answer

The shadows seen in the grooves are improved, brightening your overall expression.
The tired and aged appearance is also improved, so after the surgery, you will often hear from those around you that you look better, even if they cannot quite put their finger on what has changed.

Question 7

Can dark circles that worsened after lower blepharoplasty at another hospital be improved with cell-assisted fat grafting?

Accepted Answer

Excessive removal of under-eye fat can lead to hollowing, which can be improved through cell-assisted fat grafting.

Question 8

If the under-eye fat that was removed at another hospital has become severe again, what should I do?

Accepted Answer

This is a case where the under-eye fat was removed to improve puffiness and dark circles, but because the orbital septum was not reinforced, the fat has pushed out again.
In this case, we perform Lower eyelid fat repositioning(3RT) to improve the condition.

Question 9

If I receive Lower eyelid fat repositioning, will it not recur?

Accepted Answer

Recurrence is possible if the orbital septum ages. If you frequently rub your eyes or experience frequent swelling, recurrence may be faster, so consistent management of nutrition, stress, and hydration is helpful.

Question 10

Can I receive Lower eyelid fat repositioning after vision correction surgeries such as LASIK or LASEK?

Accepted Answer

We recommend Lower eyelid fat repositioning after the cornea has sufficiently recovered following vision correction surgery. Generally, there are no major issues with surgery after about 6 months, but if you wish to proceed sooner, it is advisable to consult with the ophthalmologist who performed your vision correction surgery.

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