Do not just remove fat. Release the groove and move it.
ST’s original under-eye page describes transconjunctival, incisional, partial-incision, and support-focused methods. The renewed message is simpler: preserve useful orbital fat, release the tear-trough ligament, move the fat over the groove, and fix it. The goal is a smoother lower-lid-to-cheek transition — not an emptied lower eyelid.
What this addresses
- Visible protruding orbital fat under the eyes
- A tear-trough shadow that makes the under-eye look dark
- A tired look caused by a bulge-and-hollow transition
- Dark-circle concerns where structure matters more than pigment alone
- A desire for a natural lid-cheek transition, not aegyo-sal enlargement
ST chooses the route by anatomy: an inner-lid route when external scarring can be avoided, an incisional or partial-incision route when skin laxity or lid support must be addressed, and additional support when the lower lid needs it. The name of the route is less important than the sequence: release the tear trough, preserve useful fat, move it over the rim, and fix it securely.
The Process
Cause and route selection
Bulging fat, groove tethering, hollowing, pigmentation, skin laxity, and lower-lid support are separated before choosing an inner-lid, incisional, or partial-incision route.
Tear-trough release
If the ligament remains tethered, the shadow can remain after fat reduction. The groove is released before the fat is moved.
Fat repositioning and fixation
Useful orbital fat is preserved, moved beyond the orbital rim, and fixed at multiple support points so the bag and groove are corrected together.
Selective refinement and aftercare
Fine grafting, skin support, or recovery care is added only when the diagnosis shows a true need.
“Patient-centered care begins with identifying the exact under-eye cause before choosing a method.”
Frequently asked
No. Fat removal reduces volume. Fat repositioning preserves useful fat and moves it to soften the groove under the eye.
It depends on skin laxity, lower-lid support, fat volume, and prior procedure history. An inner-lid route may avoid a visible scar, but external access can be more appropriate when skin or support must be corrected.
No. Aegyo-sal is related to skin and muscle expression, not the same fat that forms eye bags. Repositioning may make your natural line clearer, but it is not an aegyo-sal enlargement surgery.
Considering revision? Start with an easy consultation.
You do not need to decide on surgery first. Send photos and prior procedure history, and ST will help you begin comfortably.