Quick Overview

• Also called: Fat transposition, septal reset, arcus marginalis release
• Approach: Usually transconjunctival (no external skin scar); subciliary if skin tightening is needed
• Targets: Eye bags (fat bulge), tear-trough/palpebromalar groove (shadow), lid–cheek step-off
• Anesthesia: Local with sedation (case-by-case)
• Surgery time: ~60–120 minutes
• Downtime: Stitches out ~5–7 days (if any); social downtime ~7–10 days
• Longevity: Typically many years with proper technique and aftercare

Why Choose Sinsa L

• Periorbital focus: Careful contouring of lower-lid fat and support for a smooth, natural lid–cheek transition—not hollow.
• Customized plan: Reposition vs. reduction, septal reset, canthopexy, or light skin handling based on your anatomy.
• Natural results: We preserve and move your own fat to fill grooves instead of over-removing it.
• Clear guidance & safety: Step-by-step plan, realistic expectations, and structured aftercare for international patients.

Who Is a Good Candidate?

• Persistent under-eye puffiness with a visible groove/indent (tear-trough or palpebromalar groove)
• Good to moderate skin quality (mild–moderate laxity is OK; severe laxity may need skin tightening)
• Desire a rested look without changing your natural eye shape
• Willing to follow aftercare and allow ~1–2 weeks of social downtime

What the Procedure Does

Under-eye fat often herniates forward (eye bags) while the tear-trough below it looks hollow. Instead of just removing fat, we transpose (reposition) part of that fat over the groove, smoothing the lid–cheek junction for a more youthful contour.

Techniques We Offer

• Transconjunctival Fat Repositioning (no external scar)
  Through the inner eyelid, pedicled fat pads are mobilized and draped to fill the groove; excess is conservatively reduced when necessary.
• Septal Reset / Arcus Marginalis Release
  Releases the “tether” at the orbital rim and sets the septum to allow a smooth, continuous plane from lid to cheek.
• Subciliary Approach (if skin needs treatment)
  Fine incision beneath the lashes to combine fat repositioning with skin-pinch/skin excision for crepe lines or laxity.
• Adjuncts (case-by-case)
  Canthopexy/canthoplasty for lid support, SOOF lift for midface blending, light laser/energy for fine lines.

Surgery vs. Fillers vs. Energy Devices

• Surgery: Corrects the structural cause (fat bulge + groove) and offers long-lasting smoothing.
• Fillers: Helpful for mild grooves but won’t remove bags; can cause swelling/migration in some patients.
• Lasers/RF: Improve skin texture and fine lines; complement but do not replace fat repositioning.

Your Treatment Journey

1. Consultation & Imaging – Skin quality, fat compartments, lid tone, midface support; photo review and plan.
2. Plan & Quote – Approach (transconjunctival vs. subciliary), need for septal reset, canthopexy, or skin-pinch.
3. Surgery Day – Precise fat mobilization and fixation; same-day discharge in most cases.
4. Aftercare & Checks – Cooling, head elevation, stitch removal (if applicable) at ~5–7 days; scheduled follow-ups.

Recovery Timeline (Typical)

• Days 1–3: Swelling/tightness; mild bruising; cool compresses as directed
• Days 4–7: Stitches removed if subciliary; lubrication continues
• Week 2: Most bruising settles; comfortable in social settings
• Weeks 3–6: Residual swelling refines; contour smooths
• Months 3–6: Final result and scar maturation

Aftercare Tips

• Sleep with head elevated for 1–2 weeks
• Avoid heavy exercise, saunas, and alcohol for ~2 weeks
• Use prescribed ointments; protect scars from UV
• Report unusual pain, increasing redness, or sudden asymmetry promptly

Risks & Considerations

Temporary swelling/bruising, dryness, asymmetry, contour irregularity, visible scarring (subciliary cases), prolonged edema, under/over-correction, rare lid malposition (mitigated with canthopexy when needed), and rare need for revision. Your plan will include risk-reduction steps.

Pricing (Guide)

• Under-Eye Fat Repositioning (primary): ₩2.2M–₩4.0M
• Lower Blepharoplasty + Fat Repositioning: ₩2.5M–₩4.8M (skin incision) or ₩1.8M–₩3.5M (transconjunctival)
• Canthopexy/Canthoplasty (if needed): ₩0.8M–₁.5M
• Revision Cases: ₩3.5M–₆.5M
  Exact fees depend on anatomy/scope; final quote after in-person evaluation.

Frequently Asked Questions

Will I look hollow?
No—our approach repositions your own fat to fill hollows and avoids over-resection.

Is there a visible scar?
The transconjunctival approach leaves no external skin scar. Subciliary incisions hide under the lash line.

Will this fix dark circles?
It treats the shadow from the groove. Pigment or thin skin may also need skincare or light-based treatments.

Can this be combined with other procedures?
Yes—commonly with lower blepharoplasty, canthopexy, or laser for fine lines; sometimes with upper bleph/ptosis repair for full periorbital balance.

How long should I stay in Seoul?
Many international patients plan 7–10 days for early checks and stitch removal when applicable.

Visit Sinsa L Plastic Surgery (Sinsa, Gangnam)

• Address: 3F–4F, 598 Gangnam-daero, Gangnam-gu, Seoul (Road name)
  Lot address: 17-4 Nonhyeon-dong, Gangnam-gu
• Subway: Line 3 Sinsa Station, Exit 3 → ~1 minute walk
• Hours: Weekdays 10:00–19:00 | Saturday 10:00–17:00 | Sun/Holidays Closed
• Tel: 02-517-7410

Book a Consultation

Send front and oblique photos with your concerns (puffiness, grooves, fine lines). We’ll recommend the best approach—transconjunctival or subciliary with septal reset/fat transposition—and outline recovery and pricing for your schedule.