

DI PLASTIC SURGERY
DI Under-Eye Fat Repositioning
What is under-eye fat repositioning?
Through an incision inside the eyelid, without cutting the skin, protruding under-eye fat is repositioned to create a brighter, refreshed under-eye appearance.
Surgery information
- Surgery duration
- 45 minutes
- Anesthesia
- Local anesthesia / sedation
- Hospital admission
- Not usually required
- Recovery period
- 1 week
- Suture removal
- None
- Follow-up visits
- None
Complications may include bleeding, infection, inflammation, bruising, swelling, and pain. Satisfaction with surgery varies by individual.
DI PLASTIC SURGERY
Under-eye fat changes by age
In your 20s
An appropriate under-eye fullness is present, with bulging under-eye fat.
In your 30s
Under-eye fat protrudes, and tear troughs develop.
In your 40s
Under-eye fat begins to sag, and tear troughs deepen.
In your 50s
Under-eye fat sags more severely, tear troughs become deeper, and the under-eye area darkens.
Under-eye fat differs by individual and age, so a thorough assessment is essential.
DI UNDER-EYE FAT REPOSITIONING: SURGICAL METHOD
An individual consultation guides the preoperative design.
An incision is made in the conjunctiva on the inside of the lower eyelid to access the fat. Excess fat is removed as needed.
Fat is repositioned to smooth hollow areas beneath the eye.
The procedure aims to create a smoother, refreshed under-eye appearance.


DI PLASTIC SURGERY
Under-Eye Fat Repositioning
Who may consider this procedure?
- People with prominent dark circles
- People who look tired or have a dark under-eye area
- People whose under-eye fat makes them look older
- People with protruding under-eye fat and adjacent hollows
DI PLASTIC SURGERY
A key to preventing recurrence: reinforcing the orbital septum!

Under-eye fat
Under-eye fat bulges because aging weakens the orbital septum.

Orbital septum reinforcement
For this reason, reinforcing the orbital septum during surgery helps repositioned fat stay in place without recurrence, maintaining the surgical result over time.
Illustrative image for understanding.
Eye surgery aftercare
Follow your surgical team’s individual instructions. Recovery and follow-up schedules vary.
- 01
Washing
If you have stitches, keep the surgical area dry and clean until removal. On the day stitches are removed, wash gently with water only. Use soap from the following day.
- 02
Compresses
Use cold compresses for the first 3 days, then warm compresses from day 4. Cold helps reduce bleeding and swelling; warmth supports circulation and helps bruising and swelling subside.
- 03
Prescribed medication
Take the medication prescribed by the clinic. Apply a thin layer of the prescribed eye ointment to the stitch area with a cotton swab 2–3 times daily.
- 04
Eye drops, if prescribed
For procedures involving the inner lining of the lower eyelid, such as lower blepharoplasty, outer or lower canthoplasty, or under-eye fat repositioning, antibiotic eye drops may also be prescribed. Apply one drop 2–3 times daily before the eye ointment.
- 05
Activity
For about 1 week, avoid bending your head down, lifting heavy objects, or other activities that increase pressure in the face.
- 06
Contact lenses
Resume contact lenses approximately 2 weeks after surgery.
- 07
Makeup
Light makeup is possible after stitch removal. Wait at least 2 weeks before eyeliner, mascara, or other makeup that may irritate the eye area.
- 08
Alcohol & smoking
Avoid alcohol and smoking for 1 month. Avoid strenuous exercise and stress.
