Partial-Incision Ptosis Correction with Under-Eye Fat Repositioning: What Patients Should Know

At Merry Plastic Surgery, we believe that eyelid surgery should be planned according to each patient’s eyelid structure, muscle function, and concerns rather than following a single approach for everyone.

Partial-incision ptosis correction is a technique that may be considered for patients whose upper eyelids appear less open because of reduced lifting function of the eyelid. Unlike a full-incision approach, a partial-incision method uses smaller access points to address the relevant eyelid structures while aiming to preserve a relatively natural eyelid appearance.

When under-eye fat repositioning is performed at the same time, the focus extends beyond the upper eyelids. Fat beneath the eyes can contribute to a puffy appearance or create a noticeable transition between the lower eyelid and cheek. Repositioning this fat rather than simply removing it can help create a smoother contour in appropriately selected patients.

What does the combination address?

Depending on the individual anatomy, the treatment may be planned to address:

  • Reduced upper-eyelid opening associated with ptosis
  • An uneven or heavy-looking upper eyelid
  • Under-eye fullness caused by prominent fat
  • A visible hollow or contour transition beneath the eyes
  • The relationship between the upper and lower eyelid appearance

The important point is that ptosis correction and under-eye fat repositioning address different anatomical concerns. Combining them requires careful assessment to maintain balance between the upper and lower eyelids.

About the Before & After Image

The image shown here demonstrates a before-and-after result following treatment. Differences can be seen in the degree of eyelid opening and the appearance of the under-eye area. However, photographs alone cannot show the full clinical assessment, and results vary according to eyelid anatomy, muscle function, skin characteristics, and healing.

At Merry Plastic Surgery, Dr. Sungtaek Hong evaluates these factors when determining whether partial-incision ptosis correction, under-eye fat repositioning, or a combination of approaches is appropriate.