Lower Eyelid Fat Repositioning

TTL Under-Eye Fat Repositioning

Remove unnecessary fat

and precisely correct even underlying causes that are not visible

- Surgery time

Approximately 40 minutes

- Anesthesia

Local anesthesia / sedation anesthesia

- Hospitalization

Not required

- Stitch removal

Not required

- Follow-up visits

1–2 times

- Recovery period

3–5 days

LUHO PLASTIC SURGERY

What is TTL?

* Tear-trough ligament TTL (Tear-Trough-Ligament), A - Depressed area due to fat loss / B - Shadow formation

When fat protrudes in the upper area and the lower area becomes hollow,

the TTL (tear-trough ligament) located directly beneath the eyes

is firmly anchored, creating shadows

and making dark circles appear deeper.

Dark circles are not simply a fat-related issue;

they are a structural issue caused by the TTL.

Precise assessment

with ultrasound examination of the TTL

Through ultrasound examination, LUHO

precisely evaluates even the location and structure of the TTL

to accurately determine the surgical approach.

Why is an ultrasound examination important?

Precise diagnosis

Ultrasound precisely diagnoses foreign bodies and abnormal areas that cannot be seen with the naked eye.

Accurate surgical approach

Real-time evaluation of tissue condition reduces surgical risks and enhances safety.

- High-resolution ultrasound imaging

- Diagnosis of the cause of dark circles

Conventional Under-Eye Fat Repositioning VS TTL Under-Eye Fat Repositioning

What is the difference?

Conventional under-eye fat repositioning

- Improves the area by repositioning under-eye fat

- Depending on the surgical method, hollowness or shadows may remain

TTL under-eye fat repositioning

- Separates the tear-trough ligament (TTL) before repositioning fat

- Improves the under-eye structure together to achieve more natural-looking results

TTL Under-Eye Fat Repositioning

After sufficiently releasing the TTL (tear-trough ligament), under-eye fat is evenly repositioned into the hollow areas.

* A - Conjunctival incision / B - Hollow tear trough / C - Reposition and secure fat into the tear trough / D - Securely stabilize the conjunctiva

The ligament must first be released so that the fat can spread naturally,

resulting in a smoother, more natural-looking under-eye area.

*The location and structure of the TTL are assessed through ultrasound examination to design a personalized surgical plan.

Personalized dark circle treatment considering the TTL (tear-trough ligament)

Under-eye fat improvement by cause

Case 01. Protruding under-eye fat

When under-eye fat protrudes forward and a tear trough forms beneath it

Case 02. Hollow under-eye fat

When there is insufficient under-eye fat, making the tear trough and under-eye contour appear pronounced

Case 03. Skin translucency type

When the amount of under-eye fat is not excessive, but thin skin makes blood vessels or muscles visible

Case 04. Pigmentation type

When the under-eye area appears dark due to pigmentation in the skin itself

*Structural issues and pigmentation issues may also coexist.

Increase longevity Up

Reduce recurrence risk Down

Before surgery

Under-eye fat protrusion caused by the TTL (tear-trough ligament)

The under-eye structure is fixed by the TTL (tear-trough ligament),

causing fat to protrude and the tear trough to appear deeper,

resulting in a tired appearance.

Surgical procedure

TTL release and fat repositioning

After separating the TTL (tear-trough ligament) through the conjunctiva,

under-eye fat is repositioned into the hollow tear-trough area

to naturally improve the under-eye structure.

After surgery

TTL release and repositioning completed

As the TTL (tear-trough ligament) is released,

the under-eye area becomes smoother and the fat is evenly distributed,

creating a brighter, more natural appearance.

No need to worry about scars

NO STITCH

The TTL (tear-trough ligament) is released through the inner conjunctiva of the eye,

and fat is repositioned for natural-looking results and a fast recovery.

Non-incisional fat grafting

* A - Tear-trough fat grafting / B - Harvest autologous fat and inject it into the tear trough

Even when fat grafting is needed, non-incisional fat grafting

allows for a comfortable recovery without stitch removal, including at the donor site.

TTL Under-Eye Fat Repositioning

Here is how it makes a difference!

☑️ 01. Naturally preserve the aegyo-sal

By releasing the tear-trough ligament (TTL), without unnecessary fat movement,

the aegyo-sal is preserved without being affected.

☑️ 02. No worries about under-eye hollowness after surgery

The TTL is released and fat is evenly repositioned

for natural improvement without under-eye hollowness.

☑️ 03. Fast and comfortable recovery

The conjunctival surgical approach reduces the burden of incisions

and allows for a quick return to daily life.

*Recovery may vary from person to person.

LUHO Care Program

At LUHO Plastic Surgery, the surgeon performing the procedure oversees all treatment and care.

Direct care by the medical team

The assigned board-certified plastic surgeon is responsible from beginning to end

Recovery laser/radiofrequency care

Shortens recovery time by enhancing pain relief, swelling reduction, regeneration, and healing

Scar care

Cleaner scar management with treatment by a board-certified plastic surgeon