43 Days After Lower Blepharoplasty with Fat Repositioning and SMAS Fixation
Before and After
This case shows a 43-day result after lower eyelid surgery with fat repositioning and SMAS fixation. Rather than simply reducing under-eye fullness, the goal was to restore structural balance and create a smoother, more natural contour.
A Structural Problem
At first glance, the concern may appear to be under-eye bulging. However, the issue was not simply excess fat. The lower eyelid showed a combination of protrusion and volume deficiency, leading to an uneven and shadowed appearance.
Why We Did Not Remove Fat
Fat removal was not the appropriate solution in this case. Removing volume from the lower eyelid can often worsen hollowing, especially in aging patients. Instead of flattening the area, the goal was to restore volume where it was needed.
Rather than removing bulging fat, it was repositioned to restore volume balance in a patient in her 60s.
For a deeper understanding, see
why lower eyelid fat removal can lead to hollowing
.
Structural Correction
Instead of removal, the protruding fat was repositioned to smooth the transition between the lower eyelid and the cheek. Structural support was reinforced using SMAS fixation to maintain stability and prevent downward tension.
This approach focuses on restoring volume continuity rather than reducing fullness. For a broader perspective, see
how lower eyelid surgery is based on structure and support
.
Results
At 43 days, early improvement in contour and volume balance can already be observed. The lower eyelid appears smoother without signs of hollowing.
However, this stage represents ongoing recovery, and the final result should be evaluated over time as tissue stabilization continues.
You can learn more about long-term outcomes in
this guide on hollow under-eye after surgery
.
Surgical Approach
Lower eyelid surgery was performed with a focus on volume preservation, structural balance, and long-term stability rather than aggressive correction.
Because lower eyelid surgery results continue to evolve after the early recovery period, it may help to review our
lower eyelid surgery recovery timeline.
