Fine-Tuning the Transcutaneous Blepharoplasty: Age-Related Changes in Under-Eye Bags and the Keys to Natural-Looking Rejuvenation

The Transcutaneous Blepharoplasty is a well-established technique for improving dark circles and sagging under the eyes.

However, the final result can vary greatly depending on how precisely the procedure is tailored.

Through my experience treating many patients, I have found that

even with the same procedure, the ideal outcome differs significantly depending on the patient’s age.

Applying the same design to everyone without understanding these differences

can lead to an unnatural-looking result.

One particularly important consideration is how to approach under-eye fullness (aegyo-sal).

Among younger patients, common requests include:

• Creating more pronounced under-eye fullness
• Enhancing its three-dimensional definition

However, these preferences tend to change with age.

• Fewer patients request pronounced under-eye fullness
• Emphasizing the area can make wrinkles more noticeable
• Maintaining balance with the skin’s texture becomes increasingly important

For this reason,

it is not appropriate to apply the same design used for younger patients without modification.

The key here is to avoid overcorrection.

Specifically, the important points are:

• Avoid creating excessive under-eye fullness
• Refine the area subtly and naturally
• Maintain a smooth, cohesive appearance across the entire under-eye area

These are the key considerations.

Furthermore,

A result that looks completely natural is the most beautiful result.

It is important to take an approach that brings the result closer to the patient’s ideal.

In the Transcutaneous Blepharoplasty, the following considerations are just as important as the immediate appearance:

• Avoiding unnatural bulges
• Preventing complications such as lower eyelid ectropion
• Ensuring long-term stability

Therefore,

• Dissecting along the appropriate tissue plane and repositioning the fat
• Controlling tension
• Handling the tissues delicately

must all be performed with great care.

Rather than simply improving the immediate appearance,

the procedure must be designed to maintain a beautiful result over the long term.

In this case, we performed a comprehensive assessment of:

• Irregularities in the under-eye contour
• Tear trough hollows
• Deep mid-cheek grooves

Rather than performing the Transcutaneous Blepharoplasty alone, we combined it with:

• A midface lift to adjust the position of the cheeks
• NANORICH treatment to improve skin texture

By combining these treatments,

we achieved natural-looking, three-dimensional facial rejuvenation.

Why does the result look natural?

The key points of this case are:

• The under-eye fullness is not overemphasized
• There is a smooth transition into the midface
• The cheeks have been repositioned slightly higher

As a result:

• The irregularities in the under-eye contour have been corrected
• The mid-cheek grooves have improved naturally
• The overall appearance is softer and more gentle

These elements create the final result.

In summary:

• Subtle adjustments can influence the outcome of Transcutaneous Blepharoplasty
• The ideal design changes with age
• It is important not to overemphasize the under-eye fullness
• Combined treatments can produce a more natural-looking result

Most importantly, the goal is to achieve:

Beauty without overcorrection

With the aim of creating a natural and beautiful result that lasts,

we perform each procedure with meticulous care, tailoring it to the individual patient.