Eye
Lower Blepharoplasty (Lower Eyelid Surgery)
Lower blepharoplasty combines fat repositioning with removal of sagging skin and muscle tightening, through an incision just below the lash line, for under-eye bulging that's accompanied by loose skin and wrinkles rather than fat alone. It suits people, often in their 40s and 50s, for whom fat repositioning by itself wouldn't be enough to resolve visible sagging.
From ₩790,000
For When Fat Isn't the Only Issue
As the membrane holding under-eye fat in place loosens with age, fat pushes forward into a visible bulge while skin elasticity also declines, leading to sagging and fine wrinkles layered on top of it. This combination tends to deepen through the 30s, 40s, and 50s, eventually creating a shadow that doesn't lift with makeup. Lower blepharoplasty addresses both pieces at once through an incision just under the lash line: fat is shifted into the hollow trough beneath it rather than simply discarded, and the excess sagging skin and muscle are tightened and trimmed. Because it works through skin rather than only the conjunctiva, this approach also lets the surgeon address loose skin and wrinkles that fat repositioning alone can't reach.
Is This Right for You?
- Your under-eye fat bulges and your skin sags with noticeable wrinkles at the same time
- Dark circles and a deep tear trough make you look tired even when you're not
- You're in your 40s or 50s and under-eye fat repositioning alone wouldn't address your skin sagging
- Your under-eye skin itself has loosened enough to make you look older than you feel
Your Treatment Process
- 01
1:1 Precision Design
Your surgeon checks how much wrinkling, sagging, and fat volume is present before planning the incision and the extent of correction.
- 02
Precise Incision
A fine incision is placed just below the lash line.
- 03
Fat Repositioning
Bulging fat is shifted into the hollow tear trough to even out the contour, rather than being removed outright.
- 04
Fixation & Closure
Excess loose skin is trimmed, the weakened muscle is anchored to the periosteum (the membrane covering the bone) near the outer corner to help prevent the eyelid pulling downward afterward, and the incision is closed.
Recovery Timeline
The procedure takes about an hour under local or light sedation anesthesia. Recovery is typically 5 to 7 days, with stitches removed in the same window and 2 to 3 follow-up visits to check swelling and scarring as you heal.
Risks & How They're Managed
The main concern specific to lower eyelid surgery is the eyelid pulling downward or turning slightly outward after healing (lower eyelid malposition or ectropion) — this is a recognized risk discussed in the surgical literature, particularly when skin is removed. To help guard against it, DOY JUN anchors the weakened orbicularis muscle to the periosteum at the outer corner (lateral canthal fixation) rather than relying on skin removal alone. A second consideration is how flat the under-eye area ends up looking: removing too much volume can read as an overly severe result, which is why the 'aegyo-sal' muscle bump just under the lash line is generally preserved rather than flattened. If pain suddenly worsens or your vision changes after surgery, contact your surgeon immediately rather than assuming it's ordinary swelling.
How much does Lower Blepharoplasty (Lower Eyelid Surgery) cost in Korea?
At DOY JUN in Seoul, Lower Blepharoplasty (Lower Eyelid Surgery) starts from ₩790,000. The final cost depends on your examination and plan, and is confirmed in consultation. See the full price list for other procedures.
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Frequently Asked Questions
How much does Lower Blepharoplasty (Lower Eyelid Surgery) cost in Korea?
At DOY JUN in Seoul, Lower Blepharoplasty (Lower Eyelid Surgery) starts from ₩790,000. The final cost depends on your examination and plan, and is confirmed in consultation. See the full price list for other procedures.
How is this different from under-eye fat repositioning?
Under-eye fat repositioning goes through the conjunctiva and only moves fat, with no external incision. Lower blepharoplasty uses an incision below the lash line and combines fat repositioning with removing sagging skin and muscle — the better fit if loose skin and wrinkles are part of your concern, not just a fat bulge.
Will the scar be visible?
The incision is placed as close to the lash line as possible; it's typically visible as fine and fresh right after surgery, but tends to become harder to notice over time as it heals and sits in the shadow cast by the lashes. How much it ultimately shows depends on individual skin and healing.
Will my face look too different afterward?
An overly flat under-eye area can look more severe than intended, so the aegyo-sal muscle just below the lashes is generally preserved to keep some natural fullness when you smile. How much fat is moved and how much skin is trimmed is planned around your current under-eye condition and the look you want — this is worth discussing in detail during consultation.
What is lateral canthal fixation and why does it matter here?
It's a technique that anchors the eyelid-supporting muscle to the bone's periosteum near the outer corner, used to help support the lower eyelid and reduce the chance of it pulling downward or turning outward after surgery — a risk that's more specific to lower eyelid procedures than to upper eyelid work.
Individual results vary. Surgery carries risks; your surgeon will review them with you in consultation.
Ask Whether Fat Repositioning Alone Is Enough, or You Need Skin Addressed Too
Send us a close-up photo of your under-eye area — we'll tell you honestly whether fat alone is the issue or whether skin and muscle need addressing too, before recommending a procedure.
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- Ptosis Correction (Eyelid Correction)Ptosis correction for eyes that don't open fully, where the lifting muscle itself — not the fold — is the problem, often showing up as a sleepy look or raised eyebrows from straining to see.
- Upper BlepharoplastyUpper eyelid surgery for skin that has started to sag over the fold and crowd your eyesight, more about restoring function than changing your look.
- Sub-brow LiftA sub-brow lift for eyebrows that have dropped low enough to crowd the space above the eye, without changing your existing double eyelid line.
- Canthoplasty (Inner & Outer Eye Corner Surgery)Canthoplasty at the inner or outer corner for eyes that read as short or narrow because of the epicanthal fold or a downward outer corner.
- Under-eye Fat RepositioningUnder-eye fat repositioning for puffiness and shadowing caused by fat pushing forward, done through the inside of the eyelid with no external incision.