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Nice to meet you

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I'm Kim Eungsam, a plastic surgeon at SOON  Plastic Surgery

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Today, I'm going to talk about lower eye fat repositioning

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(What is lower eye fat repositioning?)

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Lower eye fat repositioning just like its name

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is repositioning the fat 

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that is in the wrong place

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(What kind of patients need the procedure?)

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It's the same as what I just said

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The fat under the eyes is the fat that surrounds our eyes

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This fat has to be in the eyeball cavity, but with some reason when it's pushed out

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the procedure is performed to relocate it to its original position

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So the meaning of repositioning is really repositioning to its right place

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Therefore this procedure is open to everyone

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(What causes the fat under the eye?)

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A lot of people are misunderstanding

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The fat under your eyes doesn't suddenly appear

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Usually, facial bone growth is completed at the age of 16 for women

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And 17 for men

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The fat around the eyes that formed around that time doesn't disappear

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no matter what happens

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In the process of aging, the fat around the eyes only decreases

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Not increases

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(At what age should people undergo the lower eye repositioning?)

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As I just said, fat under the eyes is

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Not caused by external factors

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But most of the cases where

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Fat itself is abnormally outwards

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At the base of the eyeball that surrounds the eye

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There is a structure called meridian 

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This structure called meridians is blocking the fat

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This loosens in the process of aging

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And as a result, fat under the eyes often bulges out

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Therefore, older people may think they are subject to surgery

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However, if the fat is loose from the beginning

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It is common to see young people with bulging eyes even though they are young

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All of those people are subject to lower eye repositioning

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(What is the difference between lower eye repositioning and Lower Blepharoplasty?)

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Lower eye repositioning is literally a procedure to reposition the fats

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If the person who underwent this surgery is at an age with good skin elasticity

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The elasticity of the skin will shape the outside

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But in the case of people with age

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Even if they undergo surgery to reposition the fat under the eyes, the skin's elasticity is insufficient

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In that case, the stretched skin itself should be pulled up to undergo an incision

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This operation is called Lower Blepharoplasty

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Therefore, it is divided into three types:

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Lower Blepharoplasty,

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Lower eye repositioning 

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Or conducting lower eye repositioning and Lower Blepharoplasty at the same time

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(What is the recovery period for the lower eye repositioning?)

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In the case of just the repositioning 

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Surgery is performed through the conjunctiva in the eye

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Which is usually called the red of the eyes

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The conjunctiva is not exposed to the outside because it has the same structure as the mucous membrane

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Also, as you've commonly experienced, if you have a wound in your mouth

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you'll it recovers faster than your skin

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Therefore, if the fat under the eyes is repositioned, the wound of the conjunctiva recovers very quickly

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And there is no separate treatment or stitch removal process is needed

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So there is nothing special for patients to pay attention to

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(What are the aftercare?)

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You only have to be careful about one thing after the surgery

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Of course, bleeding occurs when surgery is performed

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All bleeding during surgery is stopped during the surgery

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Hemostatic vessels may cause bruises 

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from bleeding for any reason

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In severe cases, surgery should be performed again

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Then, in what case do blood vessels bleed?

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Very simply. When there are high blood pressures

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The reason why we recommend cold packs for patients who have undergone surgery for as little as 24 hours or as long as 72 hours is

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To constrict blood vessels

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This reduces the possibility of bleeding

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And it is recommended that you relax and not eat stimulating foods

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You may wonder what it has to do with eating spicy or hot food

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when the surgery was performed in the eyes

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But if you eat something hot

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A person's face turns red. Being red means that there is more blood circulation

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Then it can cause bleeding

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Also, if you suddenly sneeze while eating stimulating food like ramen

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Your face's blood pressure rises momentarily

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The pressure may cause bleeding

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Therefore, for as long as two weeks

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It is recommended that you avoid stimulating food or things that cause flushes

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Also, many people are curious about this because they exercise these days, and it's the same with exercise

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It's okay to enjoy light aerobic exercise

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Not something intense that cause reddening of the face

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However, it is recommended that

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You avoid bench pressing

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Or doing yoga movements that require a lot of energy

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(Is it okay to fly after the surgery?)

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Many people are also curious about boarding the plane after surgery

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The air pressure difference from the ground is not large

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In the space where passengers board a typical passenger plane

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It's a joke, but

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You don't have a problem taking an airplane

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Because you're not returning by fighter jet

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(Is under eye fat removal not enough?)

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I've talked about removing fat under the eyes and repositioning fat under the eyes before

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But I'll explain them again

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If there is too much fat under the eyes

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And it is pushing out the dura mater, removing the fat is essential

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Because when you simply reposition the fat and strengthen the dura mater

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The amount of fat can cause to bulge out

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If it's not because there's too much fat

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But because the dura mater is loose, you don't have to remove the fat

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but just by strengthening the dura mater, you can get good results

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So what if we just remove the fat?

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Of course it works

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But like I said before

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We call this the fat under the eye but it's actually the fat that covers the entire eyeball

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But the reason why we call this fat under the eyes is because

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Because we're affected by gravity, this fat

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can't bulge out at the top

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If there are fat on the top, it means there's lots of fat

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So it's brought down by gravity

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For example, if the bulge under your eyes is solved

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It will be solved at that moment, but as time goes by

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Because the dura mater in the front has not been strengthened

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The fat in the back could be pushed out again

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So, I think only removing fat under the eyes

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It's not desirable. Removing fat under the eyes and strengthening the dura mater

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Or don't remove the fat under the eyes and just strengthen the dura mater

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I think it's better to do one of the two

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(Last words)

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Today, we looked at the lower eye repositioning 

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Was it helpful for you today?

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I'll see you with better content next time