Scarless Lower Blepharoplasty & Tear Trough Correction — Fat Repositioning, No Filler

Why This Instead of Under-Eye Filler

Many patients come to us specifically because they do not want injectable filler under the eyes — and for good reason:

• No lumps or unevenness — repositioned natural fat integrates smoothly, without the palpable bumps that filler can leave in this thin, delicate area

• No Tyndall effect — filler beneath thin under-eye skin can cast a bluish-grey tint; using your own fat avoids this discoloration entirely

• No migration or long-term buildup — filler can shift, accumulate, or puff over repeated sessions; a single surgical correction addresses the concern for the long term

• Truly natural — the contour is restored with living tissue that moves and ages with your face, not a temporary gel that sits on top

Key Benefits

• Removes the appearance of under-eye bags without an external scar

• Fills and softens the deep tear trough using your own repositioned fat — no synthetic filler

• Preserves under-eye volume to protect against future hollowing as you age

• Avoids the lumps, discoloration (Tyndall effect), and unnatural look associated with filler

• Smoother, brighter, more rested under-eyes in a single procedure

• Natural, long-lasting results that preserve your facial identity

• Minimal swelling and a faster recovery than open techniques

Suitable For

• Women concerned about puffy under-eye bags and deep tear trough hollows

• Those who want no external scar on the lower eyelid

• Patients who prefer their own fat repositioned rather than fat removed — to prevent future hollowing

• Those who do not want under-eye filler due to fear of lumps, unnatural results, or the Tyndall effect

• Anyone seeking a fresher, more youthful, and naturally rested appearance

Surgical Techniques

▶  Transconjunctival Lower Blepharoplasty with Fat Repositioning — our core technique for this concern: fat is released and transposed to fill the tear trough through a hidden inner-eyelid incision (4–5 mm), with no external scar; smooths the bags and lifts the hollows in one step while preserving volume for the future

▶  Orbital Fat Transposition & Repositioning — orbital fat repositioned over the orbital rim after arcus marginalis release, restoring a seamless lid–cheek transition with your own tissue instead of synthetic filler

▶  Advanced Nanofat Graft Transfer — fine autologous fat grafting for additional under-eye or cheek volume where hollowing or bone resorption is more advanced

Dr. Suwin Somngeon (License No. 22337) & Dr. Witsanu Jullamusi (License No. 47752) — Facial Plastic Surgeons

Dr. Thitipon Treebupchatsakul (License No. 50095) — Oculoplastic Surgeon, specializing in eyelid and orbital reconstructive surgery

All three specialists collaborate to provide precise, individualized analysis of complex lower eyelid and midface concerns.

Expected Results

The under-eye area looks smoother, brighter, and refreshed, with the bags reduced and the tear troughs visibly softened — all with no external scar. Because the correction uses your own repositioned fat rather than filler, the result looks completely natural, avoids lumps and discoloration, and helps protect against hollowing as you age.