Filler & Botox

HOMEEye SurgeryConjunctival peritomy, transconjunctival lower blepharoplasty with fat repositioning

Conjunctival peritomy, transconjunctival lower blepharoplasty with fat repositioning

  • Surgery duration30 mins~1 hour
  • Anesthesiaanesthesia with sedation
  • Hospitalizationnot required
  • Removal of stitchesNot required
  • Number of
    postoperative visits
    2~3 times
  • Recovery periodreturn to normal life 2~3 days after the operation
What is Conjunctival peritomy, transconjunctival lower blepharoplasty with fat repositioning?

Transconjunctival lower blepharoplasty with fat repositioning transforms a depressed and tired look to become a refreshed and bright face

Under the eyes, fatty tissues form bulging puffy bags. These bags cause dark circles around one’s eyes and would give a tired look or appear older than actual age. In this case, while removing the bulging puffy bags, improving hollow areas under the eyes would create a brighter face.

In the past, the fatty issues that cause dark circles were simply removed due to a limited technique. However, transconjunctival lower blepharoplasty with fat repositioning is an advanced technique that provides multiple solutions for hollow areas under the eyes and lacrimal grooves. Through this new technique, the lower eyelid would be elastically flat and patients would reveal better satisfaction with the operation results than the conventional operation. JW conducts effective transconjunctival lower blepharoplasty by taking mixed methods, including transconjunctival fat removal and transconjunctival lower blepharoplasty with fat repositioning, according to individuals’ conditions.

The causes of dark circles (Try this self-diagnosis!)
  • 01 Excessive under-eye fat Excessive under-eye fat pushes the muscles and blood vessels of the under-eye bags forward and slows down blood circulation. As a result, the color of the muscles may be visible under the thin under-eye skin.
  • 02 Lack of under-eye fat There are a number of blood vessels around the eyes. Since the under-eye skin is extremely thin, the blood vessels may be visible.
    Veins are generally green. A combination of this color and the lacrimal grooves causes bluish dark circles.
  • 03 Hollow lacrimal grooves There are under-eye hollows between the under-eye bags and the muscle tissue of the upper jawbone. The under-eye hollows form the lacrimal grooves. The lacrimal grooves are seen as being darkish under the thin under-eye skin. Being combined with the color of the muscles and the under-eye hollows, it looks blackish red.
  • 04 Excessive blood vessels under the eyes The blood vessels of the face are connected to each other like a web. Particularly, the eyes are surrounded by veins. When the veins are seen under the thin under-eye skin, it looks bluish or darkish.
We recommend transconjunctival lower blepharoplasty with fat repositioning to
  • 01Those who have a tired and depressed look due to dark circles
  • 02Those who appear older due to bulging fatty bags under their eyes
  • 03Those who have difficulties to hide dark circles by make-up
JW’s knowhow for transconjunctival lower blepharoplasty with fat repositioning
  • Excessive fat

  • Congenital excessive under-eye fat or weak under-eye structure may push the under-eye bags forward, which results in shadows under the eyes. This symptom can be improved through fat removal or repositioning.
  • Transconjunctival lower blepharoplasty

    Its effects are maximized when you have good skin resilience without deep under-eye hollows and under-eye wrinkles.

  • Lack of fat

  • Unlike other parts of the body, the under-eye skin with dark circles barely has subcutaneous fat. As a result, muscle tissue can be seen under the thin under-eye skin. To relieve this symptom, a proper amount of subcutaneous fat should be transplanted between the skin and muscles.
  • Three-dimensional fat repositioning

    It optimizes the harmony and balance of the face by inserting fat into the hollow areas and removing excessive fat.

  • Dull skin tone

  • The thin under-eye skin is weak and sensitive to UV rays and other external stimulus. The under-eye skin may look darkish due to melanin contained in the skin cells.
  • Skin clinic

    In this case, we recommend continuous skin care such as whitening, skin recovery treatment, and light skin peeling using vitamin C and skin growth factors.

  • Wrinkles

  • The taut under-eye bags may cause deep under-eye hollows. Most people experience deep wrinkles as they age, but some people experience this symptom due to their congenital weakness and taut under-eye bags.
  • Rewind lower blepharoplasty

    Lower blepharoplasty effectively removes the under-eye wrinkles.

JW’s expertise on transconjunctival lower blepharoplasty with fat repositioning

The causes and solutions of transconjunctival lower blepharoplasty with fat repositioning (dark circles)


  • Surgery duration

  • Dark circles are appeared usually to young people who have thin skin under eyelids so fats around there are transparent and bulging fatty bags make shadows under the bags. These dark circles can be improved by transconjunctival lower blepharoplasty with fat repositioning
  • Problem solved by a simple operation
    Quick return to daily activities after the operation
    No swelling!
  • 01Those who have good skin elasticity
    02Those who doesn’t have deep hollows under eyelids
    03Those who doesn’t have fine lines under their eyelids
    Maximized effect of surgery
  • Surgery duration

  • Thin and weak skin under the eye is sensitive to UV rays and other stimulus. The melanic pigment inside the skin cells distinctively appears under eyelids. In the past, so-called dark circles around one’s eyes due to melanic pigments were removed by laser or chemical treatment, however, patients who received these treatments were not satisfied with the results because of its temporary and/or short-term effects.
  • Problem solved by a simple operation
    Quick return to daily activities after the operation
    No swelling
  • We recommend you to continuously care for your skin through whitening, recovery treatment and light peeling of skin using Vitamin C treatment and skin growth factors. Fraxel Toning Laser treatment is also recommended.
  • Surgery duration

  • The fatty bags under eyelids are not elastic so when these bags are bulging excessively, deep hollows are created between the underside of eyelids and cheeks.

    Most people experience deep wrinkles around under their eyelids as they age, however, some people with naturally weak fatty bags also face the same problems.
  • Problem solved by a simple operation
    Quick return to daily activities after operation
    No swelling!
  • Lower blepharoplasty is effectively improved wrinkle removal. Fraxel Laser treatment is also effective.

※ You are required to pay special attention to yourself in order to care for any complications, including bleeding, inflammation and infection, following the operation.



JW's KNOW-HOW
  • 01 Obtain a bright appearance ! We can give you a natural and beautiful look by improving a dark and tired appearance into becoming a bright appearance.
  • 02 Safe procedures ! Transconjunctival lower blepharoplasty with fat repositioning may seem like a simple surgical procedure. However, it should be conducted by well-experienced and skilled medical professionals, as the surgical site is close to the eyes.
  • 03 Customized consultation and procedure ! We aim to achieve optimized effects by providing proper under-eye treatment such as fat repositioning, fat removal, and fat transfer, depending on the patient's under-eye characteristics.
  • 04 Obtain a more youthful appearance ! We remove the dark circles that make you look tired and depressed and give you a more youthful appearance with under-eye love bands.
  • 05 No scars! Quick recovery ! We make a very tiny incision inside the eyelid using a laser in order to minimize scars and bleeding for quick recovery.

※ You should pay special attention after surgery or treatment, in order to prevent potential complications such as bleeding, inflammation, and infection.



JW’s Transconjunctival lower blepharoplasty with fat repositioning
  • 01 Customized lower blepharoplasty We provide you with the most suitable treatment such as fat removal, fat repositioning, and fat transfer, after diagnosing the causes of your dark circles.
  • 02 Minimized scarring Scars are barely visible as we make an incision via the conjunctiva.
  • 03 Improved dark circles We can relieve your dark circles by removing under-eye fat, wrinkles, and shadows.
  • 04 Quick recovery As the procedure does not require a large skin incision, you can quickly recover from an operation
Procedure of the operation
  • STEP 01

    Design the rearranging areas under the eyelids based on a patient’s eyelid condition prior to surgery

  • STEP 02

    Conjunctival incision inside of eyelids

  • STEP 03

    Rearrange the bulging fat under eyelid and hollow areas

  • STEP 04

    Complete elastic and flat eye shape

Medical professionals of JW Eye Surgery Center

Medical professionals of JW Eye Surgery Center who possess over 16 years of experience and knowhow

Our well-experienced and skilled medical professionals of JW Eye Surgery Center are endeavoring to provide quality medical services specialized in eye surgery.

Cautions before Eye surgery
  • 01You must stop eating any food at least four hours before an operation.
  • 02You must stop taking any medications that might disturb hemostasis (oral contraceptive pills, hormonal drugs, vitamin E, aspirin, etc.) at least one week before an operation. If you are currently receiving treatment for high blood pressure, heart disease, diabetes, or thyroid disease, you must inform your doctor in advance.
  • 03Cigarettes may cause phlegm, sneezing, or bleeding after an operation. We strongly recommend that you stop smoking for two weeks before an operation.
  • 04A serious cold may reduce your trachea and respiratory functions. Please inform your doctor in advance if you happen to be suffering from a serious cold on the day of surgery.
  • 05Bring clothing you can easily change into without irritating the surgical sites, such as a shirt or a big T-shirt.
  • 06We recommend that you take a bath and wash your head on the day before an operation. You must remove makeup and wash your teeth on the day of surgery. In addition, you must remove your contact lenses, any accessories, nail polish, and pedicure.
Cautions after eye surgery
  • 01You can wash your face with water from the day after the stitches are removed. You may take a shower but should refrain from using a sauna or a public bath.
  • 02You must take the medications on time as prescribed by a physician and refrain from taking aspirin or hormonal drugs.
  • 03Refrain from smoking or drinking, which may delay your recovery, for at least four weeks after an operation.
  • 04Apply an ice pack on the surgical site for the first three days. Then, apply a warm pack on the site for two to three days. Placing the surgical sites on a higher position than your heart helps to reduce swelling. Refrain from drinking water before you go to sleep to prevent swelling.
  • 05As each individual has different health conditions, bruising or swelling may disappear at different rates. Please allow time until bruising or swelling disappears.
Please note: In regards to before and after photos on this site, results may vary depending on each patients' individual case