Plastic Surgery

Lower Blepharoplasty in Seomyeon, Busan

Lower blepharoplasty (하안검 수술) is eyelid surgery that tightens loose lower-lid skin and corrects bulging fat through a fine incision just below the lashes. In Seomyeon, Busan, it is typically performed as day surgery in about 1–2 hours under local anesthesia with sedation. Stitches come out after around 5–7 days, and most bruising fades within two weeks.

Independent patient guide · Medically informative, not a substitute for a doctor's advice · Last reviewed:

October 2026
Clinic in Seomyeon, Busan

What is lower blepharoplasty?

Lower blepharoplasty refreshes the under-eye area when there is excess skin as well as bulging fat. Through an incision hidden just under the lashes, the surgeon can reposition or conservatively trim fat, smooth the tear-trough groove, tighten the muscle layer and remove a small strip of skin. It differs from under-eye fat repositioning done from inside the lid, which suits younger patients without skin excess.

Who is it for?

  • Adults, usually 40s and older, with crepey or sagging lower-lid skin
  • People with prominent bags plus fine wrinkles under the eyes
  • Those who want a longer-lasting result than fillers or lasers can give

People with very dry eyes, a lax lower lid or prominent eyeballs need extra assessment, since lid tightening (canthopexy) may be required to keep the lid in position.

What happens at the clinic

  1. Consultation: skin excess, fat pads, lid tone (snap-back test) and tear function are checked.
  2. Marking: the incision is drawn just below the lashes, extending slightly into a natural crease at the outer corner.
  3. Surgery: the skin-muscle flap is lifted, fat is repositioned over the rim or trimmed, and the lid is supported if needed.
  4. Skin trimming: only a small, measured amount of skin is removed to avoid pulling the lid down.
  5. Closure: fine sutures, then same-day discharge with ointment and cold-pack instructions.

Recovery and aftercare

Swelling and bruising peak around days 2–3. Use cold compresses for the first 48 hours, keep the head elevated and apply ointment to the incision as directed. Avoid makeup on the incision until stitches are removed. Most people feel presentable after about two weeks, while the scar fades from pink to pale over 3–6 months.

Risks and side effects

The key risk is lower-lid malposition: the lid pulling down (scleral show) or turning outward (ectropion), usually from too much skin removal or weak lid support. Others include dry eye, asymmetry, contour irregularities, visible scarring, infection and, rarely, bleeding behind the eye, which needs emergency care.

Choosing a clinic for lower blepharoplasty in Seomyeon

  • Choose a board-certified plastic surgeon who regularly performs lower-lid surgery, not only upper lids.
  • Ask how they assess and support lid laxity, and whether canthopexy might be needed.
  • Ask how much skin they plan to remove and how they avoid a pulled-down lid.
  • Ask whether fat will be repositioned, removed or both.
  • Confirm aftercare instructions and an emergency contact number you can use in English.

Practical note for visitors

Allow at least a week in Busan for stitch removal. Seomyeon's location at the Line 1 and Line 2 interchange makes return visits simple from anywhere in the city.

Key facts

  • Treats: loose or wrinkled lower-lid skin, eye bags, tear-trough hollows
  • Incision: just below the lash line (subciliary)
  • Procedure time: about 1–2 hours
  • Anesthesia: local with sedation, sometimes general
  • Stitch removal: around 5–7 days
  • Downtime: about 2 weeks; scar matures over several months
  • Typical NHI coverage: not covered when cosmetic

Frequently asked questions

What is the difference between lower blepharoplasty and fat repositioning?

Fat repositioning is done from inside the lid and suits people with bags but firm skin. Lower blepharoplasty uses an external incision below the lashes so loose skin can also be tightened and removed, which suits older or more lax lids.

Will the scar be visible after lower blepharoplasty?

The incision sits just below the lashes and usually fades to a fine line that is hard to see. It may look pink for a few months, and sun protection and scar care help it mature.

How long is the recovery?

Stitches come out after about a week, and most bruising fades within two weeks. Many people return to office work at that point. Residual swelling and scar redness continue to improve for several months.

Does lower blepharoplasty hurt?

The surgery itself is done under anesthesia and sedation. Afterward, discomfort is usually mild, described as tightness or soreness, and controlled with oral pain relievers. Severe or increasing pain should be reported immediately.

How long do results last?

Results are typically long-lasting, often many years, because excess skin and fat bulges are corrected. Natural ageing continues, so some new laxity may appear over time, but bags rarely return to their original degree.

Medical disclaimer: Seomyeon.Clinic is an independent information directory. Content is for general education and does not replace a consultation with a licensed physician. Suitability, risks, results and costs vary by person and clinic. In an emergency in Korea, call 119.