How precisely
the repositioned fat is secured
determines the outcome
The under-eye is complex, so anatomical understanding determines the result.
Pleasure secures the repositioned fat at two points — internally and externally — simultaneously.
Built on a deep understanding of under-eye structure and extensive experience, we design long-lasting results with a low chance of recurrence.
Surgery details may vary by individual,
and side effects such as inflammation, bleeding, and nerve damage may occur. Please consult your doctor.
Surgery Duration
30 min - 1 hour
Anesthesia
IV Sedation
Return to Daily Life
Same-day discharge
Suture Removal
Not required
Recommended For
If any of the following applies to you,
Under-Eye Fat Repositioning may be worth considering.
Puffiness beneath the eyes
makes you look constantly tired
Under-eye swelling does not subside
even after sleeping
Deep tear troughs create
dark-circle shadows
The under-eye area looks uneven
when you smile
Sunken under-eyes give
an aged appearance
Results from another clinic recurred
or were unsatisfactory
Anatomical Expertise
The under-eye is a region where fat, muscle, the tear-trough ligament, the septum and blood vessels are intricately layered in a narrow space.
Built on a deep anatomical understanding of this structure and extensive clinical experience,
Pleasure is a clinic specialized in the under-eye, focusing on the under-eye and dark circles.
We map the tear-trough ligament, septum and fat distribution as structural units and approach each case with precision.
We have built experience focused on the under-eye area — from fat repositioning and grafting to lower blepharoplasty.
We tailor each treatment on the principle that even the same “under-eye” needs a different surgical plan depending on its condition.
Why Pleasure
Three pillars — fixation strength, suture quality, and recovery —
define the excellence of our Under-Eye Fat Repositioning.
The repositioned fat is secured simultaneously at two points. Compared to single-point fixation, there is less room for the fat to shift, keeping results more stable.
We use a proprietary suture developed based on sutures used in university hospital surgeries. The structure and binding strength of the thread itself increases fixation and enhances durability.
Dissection is minimized and hemostasis is precisely performed to reduce bruising and swelling. Post-operative clinic visits are kept to a minimum, easing the recovery burden for busy patients.
One of the root causes of under-eye fat protrusion is weakening of the orbital septum surrounding the fat. Pleasure reinforces the septum alongside fat repositioning to reduce the chance of recurrence and maintain results longer. The septal reinforcement approach is fine-tuned case by case as a key step in achieving a complete result.
Dual Fixation System
Fixation strength is the key to keeping repositioned fat in place.
Pleasure applies both internal and external fixation simultaneously, stabilizing the fat from two directions.
Fat secured to internal ocular tissue
Using Pleasure proprietary suture, repositioned fat is stably secured to firm internal tissue. Fat position is held without any visible external scar.
No external scar · No follow-up visit required
Additional securing from outside the skin
Movement in directions difficult to control with internal fixation alone is supplemented by external securing. One follow-up visit for suture removal is required, but this method provides the strongest hold.
1 follow-up visit for suture removalBy securing both internally and externally simultaneously, you can expect more stable results and a lower chance of recurrence compared to single-point fixation.
Proprietary Suture
Even with the same fixation method, fixation strength and durability vary depending on the suture used.
Pleasure applies a proprietary suture developed based on sutures used in university hospital surgeries.
| Category | Standard Suture | Pleasure Proprietary Suture |
|---|---|---|
| Thread Characteristics | General surgical suture | Custom-developed based on university hospital sutures |
| Binding Strength | Standard level | Thread structure itself enhances binding |
| Fixation Durability | Standard | Long-lasting durability |
Custom Cases
The amount of fat, tear trough depth, and degree of skin laxity —
different conditions require different approaches.
BEFORE
AFTER
Protrusion and tear trough hollowing often appear together.
After releasing the tear trough ligament, fat is redistributed evenly; excess fat is partially removed. Results are stabilized with septal reinforcement and dual internal & external fixation.
BEFORE
AFTER
Preserving the fat while repositioning it is the key.
Tear trough ligament is released and fat is redistributed evenly. Septal reinforcement and customized fixation help maintain stable results and prevent recurrence.
BEFORE
AFTER
Repositioning alone may not be enough to restore volume.
After Under-Eye Fat Repositioning, micro Fat Grafting is added to deficient areas to balance volume. Preventive septal reinforcement may also be considered.
BEFORE
AFTER
If loose skin remains after fat repositioning alone, results may be incomplete.
Fat repositioning after tear trough ligament release, combined with Lower Blepharoplasty to address skin laxity. Septal reinforcement and dual fixation prevent recurrence.
BEFORE
AFTER
Both structural and skin-related causes must be addressed together.
Tear trough improvement and micro Fat Grafting for volume restoration. When skin pigmentation is present, toning laser treatment is combined for ongoing management.
Fast Recovery
Under-Eye Fat Repositioning is often thought to require a long recovery, but this varies greatly depending on the surgical approach.
Pleasure follows these principles to shorten recovery time and accelerate your return to daily life.
Only the necessary area is dissected to minimize tissue damage, reducing bruising and swelling for a faster recovery.
Meticulous hemostasis during surgery minimizes bleeding, reducing bruising and helping swelling subside more quickly.
Post-operative care is completed with just one visit for external suture removal, minimizing recovery burden even for busy patients.
Recovery Timeline
Surgery Day
Return home same day
Days 1-2
Peak swelling & bruising
Days 3-5
Return to daily life
1 Week
Most bruising absorbed
2 Weeks
Most swelling reduced
1-3 Months
Final result complete
Results may vary depending on individual condition and under-eye status.
Why PLEASURE
Under-Eye Fat Repositioning clinical experience over the past 3 years
Clinical experience accumulated through diverse cases forms the foundation for accurate diagnosis and personalized surgery.
Based on over 7,000 procedures performed in the past 3 years, we accurately determine the optimal approach for diverse under-eye cases.
By applying both internal and external fixation using Pleasure proprietary suture simultaneously, we achieve more stable results and greater durability than single-point fixation.
The surgical method, fixation position, and use of septal reinforcement are designed individually based on fat volume, tear trough depth, and degree of skin laxity.
With minimized dissection, precise hemostasis, and reduced clinic visits, we aim for a return to daily life within 2-3 days — pursuing both excellent surgical results and a fast recovery.
FAQ
Before & After
Actual results from our patients — Under-eye before & after results. Only cases with patient consent are published.
Consultation
Through an in-person consultation, we will assess fat distribution, fixation method, and septal condition
and plan your treatment together.
PLEASURE DUAL SYSTEM
Pleasure's dual system — surgical structural improvement and dermatological skin quality restoration working together. Only what is needed, designed in the most harmonious order.
Plastic Surgery
Fundamental repositioning of anatomical structures. Fat displaced by aging and stretched ligaments and muscles are returned to their original position, and the facial axis is re-established with anatomical expertise to restore the most natural three-dimensionality.
Dermatology
Skin regenerative power that enhances surgical results. Skin barrier reconstruction and regenerative treatments elevate skin condition to its peak before and after surgery, so results last longer and look more beautiful.
Refined Surgery
For those who need skilled surgery first, we propose the most advanced surgical methods.
Skin Care
If skin care alone can achieve enough improvement, we never recommend unnecessary surgery.
Optimal Synergy
When combining both delivers the best synergy, we design the most efficient sequence and combination.
Pleasure Promise
The anti-aging Pleasure pursues is not artificial change, but revealing your unique beauty in the healthiest and most natural way. With a 60-year clinical heritage, we promise results that grow more beautifully radiant with time.
Medically Reviewed
Yuseok Son, M.D.
Director · Board-Certified Plastic Surgeon, Pleasure Plastic Surgery
A board-certified plastic surgeon specializing in under-eye and anti-aging surgery, Director Son has performed numerous under-eye fat repositioning procedures, with a focus on anatomical precision and stable, long-lasting results.
View full profile →Last medically reviewed: June 17, 2026
