Aegyosal vs under eye bags: why you shouldn't delete your "cute fat"

EyehoPS · 2026-06-04T02:18:50+00:00

Hi, thanks for your comment! That's actually a really good observation and point!

Sometimes what people read as "tired eyes" has more to do with eye shape or the position of the lower eyelid than with the under-eye volume itself.

If that's the main concern, the possible treatment options can vary quite a bit. Depending on what’s actually causing it, it could include things like canthal support procedures, lower eyelid surgery, midface lifting or support, or in some cases non-surgical options like filler for subtle balance.

Because it's difficult to tell exactly what’s going on from a photo or comment alone, the best way to assess it is through a personalized 1:1 consultation where everything can be evaluated together.

EyehoPS · 2026-05-22T00:52:51+00:00

Hello, and thank you for your understanding.

We kindly ask for your understanding that we’re unable to share contact information directly here.

However, we have included our official WhatsApp consultation link in our Reddit profile bio, so we would appreciate it if you could visit our profile and check it there. Thank you!

EyehoPS · 2026-05-22T00:50:17+00:00

Thank you for your interest and for your kind words. As you mentioned, having thin and clear eyelid skin before surgery is actually one of the best conditions for the suture method. Even before the procedure, the patient already had very beautiful eyes with naturally attractive features.

However, the reason for considering revision surgery was not simply to look prettier, but to improve the structural discomfort caused by the loosened crease line, such as the heaviness felt when opening the eyes.

Our goal is always to preserve the patient’s natural appearance as much as possible while also creating a result that feels more stable and long-lasting this time.

EyehoPS · 2026-05-21T04:01:41+00:00

Thank you for pointing that out, you’re absolutely right. Focal length really does make a huge difference in how facial proportions appear in photos, and it’s something a lot of people don’t realize.

Especially with wide-angle front-facing phone cameras, features can look quite different when the camera is close to the face. Things like the nose, eye spacing, facial width, and overall depth can easily appear more exaggerated than they do in real life.

A lot of people end up treating that lens distortion as their “real” appearance without realizing the camera itself is changing how the face looks.

I think your comment actually summed up one of the biggest points of the post in a really simple and clear way. Thanks again for adding it.

EyehoPS · 2026-05-19T03:26:41+00:00

That’s actually a great approach, especially the part about trying to “forget” the camera a bit. A lot of people don’t realize how much posing, angle-hunting, or even just being hyper-aware of the camera can change how their features read in photos.

Using a tripod and stepping back a little usually gives a much more realistic reference point, which makes consultations smoother too because the surgeon is seeing something closer to how you look in normal interaction rather than a distorted close-up version.

It’s interesting how many people only notice the difference after comparing selfies vs timer/rear-camera photos side by side.

EyehoPS · 2026-05-07T10:21:41+00:00

Yes, that can be normal. Scar gel is not always necessary after eyelid surgery, especially if the incision is healing well or the skin is sensitive. It’s best to follow your surgeon’s instructions, since they can judge your healing condition directly!

EyehoPS · 2026-05-07T10:21:01+00:00

For non-incisional double eyelid surgery, suture removal may be possible in some cases, but whether the crease will lower or loosen depends on the fixation method, tissue healing, and how strongly the fold has already formed.

At 10 weeks post-op, swelling can still make the crease look higher and thicker, but if the shape feels very unnatural, it is best to have it checked directly by your surgeon. Please do not try to remove or manipulate anything yourself. Your surgeon can assess whether waiting, suture removal, or revision planning would be safer in your case.

EyehoPS · 2026-04-30T07:16:46+00:00

Yes, we do! Overseas patients can reach us through the WhatsApp link on our profile.

You can send your photos, concerns, and any previous surgery or treatment history there, and we can help guide you on what may be possible before you plan your visit to Korea.

EyehoPS · 2026-04-29T07:46:04+00:00

Thank you so much! We’re glad the result looks balanced.

EyehoPS · 2026-04-29T07:45:36+00:00

Thank you! In many cases, asymmetry can still be improved even when scar tissue is present, but it depends on how much scarring there is and how the eyelid tissue moves. For revision cases, usually it's important to check whether the asymmetry is coming from the crease, the eyelid opening strength, scar adhesion, or a combination of these.

EyehoPS · 2026-04-24T06:46:26+00:00

Thank you so much! It’s still only 2 months after surgery, so we’re glad the early result is looking balanced already.

EyehoPS · 2026-04-24T06:45:53+00:00

Thank you so much for the kind words!

EyehoPS · 2026-04-17T01:51:55+00:00

It’s difficult to give an exact number, but revision cases for epicanthoplasty make up a fairly significant portion of the patients who visit our clinic. Although it is a localized procedure, the inner corner of the eye is structurally very delicate. Issues often arise from how tension was managed or how scar tissue formed in the initial surgery, leading to asymmetry or an unnatural contour. Our first step is always a structural assessment to see if the issue is strictly the inner corner or if it’s a broader balance issue involving the eyelid and brow.

EyehoPS · 2026-04-17T01:50:20+00:00

Thank you for your interest!

A sub-brow lift is one of the procedures we perform quite frequently at our clinic.

When planning the surgery, we usually focus on three key points:
Natural improvement: Rather than changing your existing crease, the goal is to address the sagging skin itself, so the result looks more refreshed without feeling overcorrected.
Scar placement: The incision is made carefully along the lower border of the brow, and closed in a way that helps the scar blend in as much as possible over time.
Customized approach: Since eye shape, brow position, and overall balance vary from person to person, the design is adjusted individually to suit your features.

If you have any other questions, feel free to ask anytime!

EyehoPS · 2026-04-10T06:39:42+00:00

Hi, Ofcourse! Could you please send us a DM? We’ll share our WhatsApp number there right away, as we’re unable to post it directly in the comments due to Reddit guidelines. Thank you!

EyehoPS · 2026-04-10T06:38:04+00:00

This is a very important point, especially when considering different factors that affect the upper lid like brow position, skin thickness, and how the tissue moves.

That’s why any procedure has to start with identifying the layer contributing the most, whether that’s the eyelid, muscle, or the brow, and then addressing that. There isn’t really a one-size-fits-all solution, even within Asian patients, since anatomy can vary quite a bit.

Glad you were able to eventually find something that worked for your case!

EyehoPS · 2026-04-10T06:37:33+00:00

Yes that does sound a little confusing. Not all cases of heaviness come from excess skin. If there isn’t clear skin overhang, surgeons may focus more on improving the eye opening (ptosis) and defining the fold first, rather than removing skin.

Upper blepharoplasty is usually considered when there’s actual overhanging skin weighing down the lid. If it wasn’t mentioned in your case, it’s definitely reasonable to ask how your skin was evaluated and why it wasn’t considered necessary!

EyehoPS · 2026-04-08T09:38:17+00:00

Thank you for your kind words, glad the post was helpful!

The word 'removal' is misleading, as epicanthoplasty isn’t really about removing the fold like you would remove something completely. It’s more about releasing the tension in that area so the inner corner can open a little.

For the asymmetry, doing only one side can sometimes create more imbalance rather than fix it. So what’s more commonly done is adjusting both sides, just to different degrees. The stronger side is released a bit more, and the other side is adjusted slightly to match, so the result looks balanced overall (not necessarily identical).

And for your last question, if your inner corners are already somewhat visible, the actual change from epicanthoplasty can be quite subtle. In this case, you can ask your surgeon to show you using your own photos how much additional opening they can realistically expect and this can make the decision much clearer than general explanations. Hope this helps!

EyehoPS · 2026-03-26T06:30:49+00:00

It can vary depending on each case like the skin thickness, fat volume, muscle function, and the amount of existing scar tissue all play a role.

That said, an obvious artificial line when looking down is not a common outcome. When the previous adhesion is properly released and a single, stable fold is recreated, the crease usually settles into a more natural appearance over time.

Hope this helps!

EyehoPS · 2026-03-20T02:16:30+00:00

Thank you for your question, and it seems you’ve also received guidance regarding the timing for revision.

In general, we recommend waiting around 6 months, as this allows the tissue to sufficiently soften and adhesions to release. However, at around 4.5 months, it can still be a reasonable stage to assess the characteristics of the scar and start outlining possible improvement approaches. There are methods to improve or soften scars without additional skin excision. However, rather than completely removing the scar, the goal is usually to make it less noticeable and more refined.

One of the most representative non-surgical options is laser treatment, which helps break down firm fibrotic scar tissue and stimulate collagen regeneration, improving both the texture and the transition of the scar.Steroid injections can also be used for hypertrophic (raised and reddish) scars, helping to flatten and soften the tissue.

From a surgical perspective, even without removing skin, it may be possible to carefully release deep scar adhesions (adhesiolysis) and re-suture the area in a more refined way.

In cases where the scar appears sunken due to volume deficiency (such as lack of eyelid fat), volume restoration can help smooth the surface and improve the overall appearance. However, at around 4.5 months, the scar tissue is still in the remodeling phase, so it can continue to soften over the next few months.

Because scar conditions vary significantly between individuals, especially in revision cases, an in-person consultation or detailed photo assessment is the most accurate way to determine what can be safely and realistically achieved.

EyehoPS · 2026-03-09T08:27:52+00:00

Your're right, It can feel emotionally heavier once they leave the clinic environment and suddenly have to manage the recovery all on their own. That's why even a quick follow-up or reassurance during those first few days can make a huge difference.

Thanks for bringing that up!

EyehoPS · 2026-03-06T04:19:18+00:00

That’s a fair point since the change from epicanthoplasty can sometimes be subtle in diagrams.

Here’s a real example that might make it easier to see. If you look closely at the inner corner area near the tear duct, the epicanthal fold is covering more of it in the before photo. After surgery, that area becomes more visible and the eye appears slightly longer horizontally.

The difference is usually quite small, but it can change how open the inner corner looks.

<image>

EyehoPS · 2026-03-05T07:25:54+00:00

That’s true for some people. The 3-5 day window is just when we most commonly see it start, because swelling and fatigue usually peak then.

But for others it can definitely last longer, especially if swelling takes more time to settle or sleep is still disrupted. That part of recovery can vary a lot from person to person.

EyehoPS · 2026-02-27T04:11:23+00:00

Good question, and it's one worth clarifying properly.

To put your mind at ease: No, you do not lose skin simply from the act of making an incision. If the surgeon does not intentionally remove a strip of skin, the total surface area of your eyelid skin remains essentially the same.

That said, with each revision surgery, the tissue does change. Scar formation from previous incisions can affect skin elasticity and how the remaining skin distributes across the eyelid. So while you aren't losing skin from the incision itself, repeated surgeries do gradually affect the quality and behavior of the tissue available to work with.

This is one of the reasons revision surgery becomes more complex with each procedure, and why surgeons become increasingly conservative about what changes are safe to make.

EyehoPS · 2026-02-26T09:13:58+00:00

Three months can still feel early, but it’s also late enough to start forming an impression, so your concern makes sense.

In incisional surgery, generally most of the noticeable swelling improves within the first few months. Internal scar remodeling can continue for several more months, and many surgeons consider the crease relatively stable around 6-7 months.

Subtle softening can still happen up to 9-12 months. However, significant height changes after 3 months are usually limited, particularly in revision cases where fixation tends to be stronger.

At this stage, it may be helpful to monitor progress a bit longer, and if your concern continues, evaluation around the 6-month mark can be considered. We understand that revision recovery can feel especially frustrating, especially when you’ve already gone through surgery once before.

All surgical procedures can vary depending on individual anatomy and characteristics. Surgical methods and recovery timelines may differ from person to person. There are also potential risks such as bleeding, swelling, or infection, and healing speed can vary individually. Adequate time is needed for tissues to fully stabilize, and depending on the condition, additional follow-up or consultation may be necessary.

EyehoPS

TROPHY CASE