Lower blepharoplasty reaches the lower lid either through a cut just below the lash line, with skin stitches removed after about 5–7 days, or through an incision inside the lid that closes with absorbable stitches. Settling which route suits your lid is the core of choosing a surgeon in Korea. ENTER Plastic Surgery in Seoul offers both routes, with surgery by Dr. Jang Jin-woo, a Korean board-certified plastic surgeon, under IV sedation.
Before you book
Eight things to pin down before lower blepharoplasty
Lower-lid surgery changes the lid edge and the way the lid meets the cheek, so small planning choices stay visible for years. Each of these points can be raised by email before you travel.
What causes the bags
Bulging fat, loose skin, a deep groove at the tear trough and a slack lid edge each call for a different step. Ask the surgeon to say which ones they see in your photos.
The incision route
A skin-muscle approach below the lashes lets extra skin be trimmed. The transconjunctival approach works from inside the lid and leaves the outer skin uncut. Ask which one is proposed for you, and why.
Fat trimmed or moved
Lower-lid fat can be cut away or shifted down into the hollow beneath it. Removal by itself can deepen a groove, so ask how much of each is planned.
Support for a loose lid
A lax lower lid can be pulled downward as it heals. Ask whether lid tone was tested and how the outer corner would be supported if needed.
The operating surgeon
Ask for the name and specialist title of the person who performs the operation, and check that the same name is on the consent form.
Sedation as its own line
ENTER Plastic Surgery performs it under IV sedation, adding local anesthesia when needed, and the sedation fee has its own place on the quote.
When stitches come out
The skin stitches are removed around one week after the operation, and the clinic plans your flight for after that appointment.
Your eyes' history
Mention eye drops, long hours in contact lenses or past dry eye. The tear film can change after lower-lid surgery, and the route may affect how.
Practice types
Best Lower Blepharoplasty in Seoul: Four Settings and Their Trade-offs
Lower-lid surgery is offered in several kinds of practice in Seoul. The setting tells you little about the outcome, but it does shape who looks at your lids and when. Below, each format comes with a question you can send ahead.
| Setting | Who plans your lower lid | Question to send |
|---|---|---|
| Plastic surgery clinic with one eyelid surgeon | The same surgeon assesses, marks and operates | Will I meet the operating surgeon before surgery day? |
| Large hospital with several surgeons | Your case goes to whichever surgeon is assigned | Can I choose the surgeon who decides my route? |
| Injection and laser clinic | Under-eye filler or devices; surgery may be referred | If I need surgery, who performs it, and where? |
| Overseas patient agency | A coordinator passes on photos and dates | Can I get the clinic's own itemized quote? |
Any of these can lead to a good operation. The useful test is whether the route, the fat plan and the lid support are explained for your own lids by the person holding the scalpel.
Prices
Lower blepharoplasty cost in South Korea: two lines on the quote
A quote for this operation at ENTER Plastic Surgery has two parts. The first card is the lower blepharoplasty fee from the clinic's price sheet. The second is IV sedation, which is billed as a separate line from the surgery fee.
Both cards show amounts before tax; 10% VAT is added to the total at payment. If your plan grows to include anything else, ask for each item on its own line before you pay.
Prices exclude VAT (10% VAT is added at payment).
Before & after
Lower blepharoplasty case photos from ENTER Plastic Surgery
BEFORE
AFTER
Your doctor
Chief Director · Korean board-certified plastic surgeon
“Natural, yet clearly visible change.”Eyelid and facelift surgery at ENTER is planned and performed by Dr. Jang himself.
- NowChief Director, ENTER Plastic Surgery
- TrainingPlastic surgery, Kyung Hee University Medical Center
- FormerChief Director, Jang Plastic Surgery
- FormerDirector, Secret Plastic Surgery
- MemberKSPRS · KSAPS · ISAPS · ESOPRS · ASPS
Days in Seoul
Planning your days in Seoul around lower blepharoplasty
The clinic's written aftercare gives a clear shape to the first month. Your surgeon can adjust it after seeing how your lids heal.
| When | What happens |
|---|---|
| Surgery day | 30–90 minutes under IV sedation. A little blood on the dressing for one to two days is normal. |
| Days 1–3 | Cold packs over the lids. Avoid blowing your nose for two weeks and sneeze gently. |
| From day 4 | Switch to warm packs: 30 seconds of warmth, five minutes of rest, in cycles. |
| About day 7 | Skin stitches out. An inner-lid incision has absorbable stitches instead. |
| About one month | Going out and daily routines without strain. |
| Months 3–6 | The incision line settles. |
Plan on one to two clinic visits after surgery. The clinic's guidance sets the return flight about seven days after the operation, once the stitches are out or your check is done. Gentle walks are fine from the start; running, weight training and carrying heavy bags are left for roughly two weeks, which is the general advice after eyelid surgery.
Research
What studies of lower blepharoplasty measure
No study can tell you how one surgeon's patients do. Published work does show which trade-offs are worth raising when you compare plans.
Fat handling changes the lid itself. When fat was removed, the lower lid became shorter; when fat was moved into the groove, the junction between lid and cheek was smoother, over an average follow-up of 5.6 months. The authors suggest matching the two techniques to each patient (Ramesh, 2019).
The route also seems to matter for tears. Optical coherence tomography showed tear meniscus height falling after skin-incision surgery and rising after the transconjunctival approach. It was an observational study, so it suggests a difference without proving one (Lee, 2018).
Lid retraction is the complication most worth naming before surgery: the lower lid heals lower than before and shows more white below the iris. A 2023 review links it to untreated lid laxity, scarring in the lid's middle layer and removing too much skin, and puts careful assessment and conservative skin removal at the center of prevention (Sobti, 2023).
After surgery, contact the clinic about:
- Swelling that keeps building after the third day
- A tense, painful lid with spreading bruising
- Any change in vision
- A lid edge that starts to pull away from the eye
Our approach
How ENTER Plastic Surgery approaches the lower lid
Plastic surgery training at Kyung Hee University Medical Center and membership of the Korean Society of Plastic and Reconstructive Surgeons (KSPRS), ESOPRS and ASPS are part of Dr. Jang Jin-woo's background. The clinic's surgery is weighted toward the eyes and forehead, and Dr. Jang operates on every case personally.
Both routes are offered: the skin-muscle approach below the lashes and the transconjunctival approach inside the lid. When loose skin is not the issue and bulging fat sits above a hollow, under-eye fat repositioning, a separate operation at the clinic, may be discussed. The surgery takes 30–90 minutes under IV sedation, with local anesthesia when needed.
English-speaking staff are available at the clinic, which is on Gangnam-daero near Nonhyeon Station. Send close-up photos of your lower lids, looking straight ahead and then upward, through the form on this page or on WhatsApp, and we will get back to you as soon as possible.
Evidence
Research behind this page
- Changes in Tear Meniscus Height Following Lower Blepharoplasty as Measured by Optical Coherence TomographyKorean Journal of Ophthalmology · 2018 · Lee S et al. · doi:10.3341/kjo.2017.0125
Tear meniscus height fell after skin-incision lower blepharoplasty and rose after the transconjunctival approach; an observational study, so the route difference is suggested rather than proven.
- Objective Comparison of Nasojugal Fold Depth and Lower Eyelid Length After Fat Excision Versus Fat Transpositional Lower BlepharoplastyAesthetic Surgery Journal · 2019 · Ramesh S et al. · doi:10.1093/asj/sjz082
Fat excision shortened the lower lid, while fat transposition gave a smoother lid-cheek junction over about 5.6 months; the authors favor combining techniques per patient.
- Lower Eyelid Blepharoplasty: Minimizing Complications and Correction of Lower Eyelid MalpositionFacial Plastic Surgery · 2023 · Sobti M · doi:10.1055/s-0043-1761912
A review of how lower-lid malposition arises after blepharoplasty and how careful assessment and conservative skin removal help prevent it.
FAQ
Lower blepharoplasty in Korea: questions before choosing a surgeon
How do I compare lower blepharoplasty surgeons in Korea from abroad?
Send each clinic the same photos and the same questions. Ask what they see as the cause of your bags, which incision route and fat plan they propose, how lid support is handled, and who operates. Replies that describe your own lids give you far more to compare than brochures.
When is the incision placed inside the lid instead of below the lashes?
When the problem is mainly bulging fat with little extra skin. The inner incision leaves the outer skin uncut and closes with absorbable stitches. If loose skin needs trimming, the cut sits just below the lash line, and those stitches are taken out 5–7 days later.
How many days should I plan in Seoul for lower blepharoplasty?
Plan on at least a week. The clinic's guidance sets the flight home about seven days after surgery, after stitch removal or your check. Swelling keeps easing after that, and going out without strain takes about a month, so your lids will still be healing on the flight.
Does the lower blepharoplasty fee include sedation and VAT?
No. The surgery fee is ₩2,600,000 before VAT, and IV sedation is a separate line at ₩300,000 before VAT. 10% VAT is then added when you pay. Ask for anything else in your plan as its own line.
Can lower blepharoplasty pull the lower lid down?
It can. Lid retraction, where the lower lid heals lower than before, is a named risk. A 2023 review links it to untreated lid laxity, scarring in the lid's middle layer and over-removal of skin. Ask how your lid tone was tested and what support is planned.
How long do lower blepharoplasty results last?
The clinic's guidance gives seven to eight years or more, with good care. Aging continues, so the lower lid keeps changing slowly after surgery. If a cut below the lashes is used, that line takes three to six months to settle.
Is lower blepharoplasty done under general anaesthesia (the UK spelling)?
No. At ENTER Plastic Surgery it is done under IV sedation, with local anesthesia added when needed. The sedation fee appears separately from the surgery fee on your quote, and the operation itself takes 30–90 minutes.
Google reviews
Reviews on Google Maps
Great experience! Dr. is very sweet and kind. He listened to what I wanted to fix and correct. He explained everything very well. Wasn’t pushy and didn’t try to sell anything extra. This isn’t a clinic that comes out on instagram, which I…
Jennifer LyuA month agoI came to Enter Plastic Surgery on a friend’s recommendation for under-eye fat repositioning. I was pretty nervous going in, but the doctor took the time to explain what would work for my under-eyes, what the procedure involved, and what…
Michael2 months agoThe staff are incredibly friendly, and the consultation was very thorough. I was very worried since it was my first procedure, but the director explained the aftercare in detail, so I felt completely confident trusting them!!
ROOHEUI SHIN (RHS)2 months ago · Translated by Google