Treatment Overview
Arcus Marginalis Release with Fat Repositioning is an advanced form of lower blepharoplasty performed to treat under-eye hollowness, tear trough deformity, and prominent eye bags. The arcus marginalis is a fibrous structure along the orbital rim that can tether the skin, creating a hollow or sunken appearance. During this procedure, surgeons release the arcus marginalis and reposition the existing orbital fat to fill depressions, smooth under-eye contours, and rejuvenate the lower eyelid without excessive fat removal.
In Korea, this technique is highly refined and is a preferred choice for patients seeking a natural, youthful look rather than a hollowed or over-corrected appearance.
Purpose & Benefits
The goal of Arcus Marginalis Release with Fat Repositioning is to restore a smooth and youthful transition between the lower eyelid and cheek. Benefits include:
- Correction of tear trough deformity and deep under-eye hollows
- Smoother under-eye contour without a hollowed-out look
- Reduction of puffiness by repositioning fat rather than removing it
- More natural, long-lasting results compared to traditional fat removal blepharoplasty
- Preserves eyelid structure while rejuvenating appearance
Ideal Candidates
This surgery is best suited for individuals who:
- Have under-eye bags combined with hollowness or tear trough deformity
- Want a natural, youthful correction without excessive fat removal
- Are experiencing early to moderate signs of aging in the lower eyelids
- Have good skin elasticity and no severe eyelid laxity
- Prefer a long-term solution over fillers or temporary treatments
Possible Risks & Complications
Although considered safe, potential risks include:
- Temporary swelling, bruising, or discomfort
- Minor asymmetry in fat repositioning
- Rare risks such as infection or hematoma
- Under- or over-correction requiring revision surgery
In Korea, complication rates are very low due to specialized surgical training and advanced techniques.
Surgical Techniques Used
Korean surgeons utilize cutting-edge approaches for Arcus Marginalis Release with Fat Repositioning:
- Transconjunctival Access – incision made inside the lower eyelid, leaving no external scar
- Arcus Marginalis Release – freeing the fibrous tether to smooth the lid-cheek junction
- Fat Repositioning – instead of removing fat, it is redistributed to fill hollows and create a youthful contour
- Combination with Laser or Skin Tightening – in cases with mild skin laxity, laser resurfacing or pinch excision may be added
These refinements help achieve highly natural, scarless results.
Recovery & Aftercare
Recovery is usually quick, with patients returning to normal activities within 7–10 days. Typical aftercare includes:
- Cold compresses to minimize swelling
- Sleeping with the head elevated for the first few nights
- Avoiding heavy exercise for 1–2 weeks
- Following the surgeon’s aftercare protocol closely
Most swelling resolves within 2 weeks, and final results are visible by 1–3 months.
Results & Longevity
Results are long-lasting and can make patients look 5–10 years younger. Since the fat is repositioned rather than removed, the under-eye maintains a natural fullness instead of becoming hollow. Results can last 10+ years, depending on skin quality, genetics, and lifestyle.
Treatment Process in Korea
Korea is one of the top destinations for eyelid surgeries, including advanced fat repositioning techniques. Reasons include:
- Refined surgical artistry focused on natural Asian and international aesthetics
- Use of scarless transconjunctival approaches
- High-volume experience—surgeons in Seoul perform thousands of eyelid surgeries yearly
- Integration of modern technology such as 3D facial imaging and precision microscopes
- Customized designs to match each patient’s facial proportions
International patients choose Korea because of its reputation for minimally invasive, safe, and aesthetically balanced eyelid surgery.
Cost Range
In Korea, Arcus Marginalis Release with Fat Repositioning typically costs:
- ₩2,500,000 – ₩5,500,000 KRW (approx. $1,900 – $4,100 USD)
The cost varies depending on the clinic, surgeon’s expertise, and whether the procedure is combined with additional treatments such as skin tightening or upper blepharoplasty.
Popular Clinics in Korea
- ID Hospital
- Dream Medical Group
- Banobagi Plastic Surgery
- View Plastic Surgery
- Wonjin Plastic Surgery
- TL Plastic Surgery
- BIO Plastic Surgery
- Regen Plastic Surgery
- The PLUS Plastic Surgery
- JK Plastic Surgery Center



