Table of contents

• Eyelid Retraction: Common Pseudonyms and Terminology
• Eyelid Fat Grafting: A Detailed Look at the Medical Procedure
• Best Clinics in Korea for Eyelid Retraction
• Embarking on Treatment in South Korea: The Process for Medical Tourists
• Cost Considerations: Eyelid Fat Grafting in South Korea and Beyond
• Patient Experiences: Real Stories and Outcomes
• Conclusion
• References

Eyelid retraction is a condition where the eyelid is pulled back abnormally, affecting both the look and health of the eyes. This happens when the upper eyelid moves upward or the lower eyelid moves downward from its usual position. People with eyelid retraction often experience symptoms like dry, gritty eyes and irritation. They may also find it hard to fully close their eyes, which can cause more problems. Sometimes, scarring develops that might impact vision. Other signs include swelling around the eyes, fatty deposits, excessive tearing due to dryness, double or blurred vision, and a persistent staring look. A key sign is "scleral show," where the white part of the eye (sclera) is visible between the eyelid and iris. Chronic redness and a feeling of something in the eye are also common. The inability to close the eyelids completely, called lagophthalmos, can lead to very dry eyes and corneal damage. The eye’s shape may also look distorted because of the eyelid’s abnormal position. These symptoms show how eyelid retraction can seriously affect both function and appearance, making effective treatment important.

The causes of eyelid retraction vary widely. The most common is Graves' disease, an overactive thyroid condition also known as thyroid ophthalmopathy. Other causes include facial nerve palsy, scarring from injury or previous surgeries like blepharoplasty, midbrain disease, tumors, blepharitis (eyelid inflammation), paralysis, Cushing syndrome, hydrocephalus, and congenital factors. Inflammatory changes or chronic shortening of the skin or conjunctiva (the membrane lining the eyelid and eye) can also cause retraction. Weakness in the orbicularis muscle, which closes the eyelids, such as from facial nerve palsy, contributes as well. Mechanical factors like proptosis (bulging eyes) and the anatomy of the orbit and eyelids can lead to retraction. Previous eyelid surgery, especially if too much skin was removed, is a major cause of lower eyelid retraction. Aging and sun exposure also increase risk, as do certain medications like prostaglandin analogues. Because of these many possible causes, a thorough medical evaluation is essential to identify the root cause and choose the best treatment.

Eyelid retraction doesn’t just affect appearance; it can cause serious eye health problems. When eyelids don’t close fully, the eyes dry out, causing irritation, pain, and a gritty sensation. Severe dryness can lead to corneal ulcers, scarring, and even vision loss. Ironically, eyelid retraction can also cause excessive tearing because tears don’t drain properly. Treating eyelid retraction helps protect eye health by allowing the eyelids to cover and lubricate the eye surface fully. Treatment also improves the eyes’ appearance and facial symmetry. Because of these functional risks, treatment is often medically necessary, not just cosmetic.

Eyelid Retraction: Common Pseudonyms and Terminology

While "eyelid retraction" is the main medical term, several related terms are used in clinical settings. Knowing these can help patients understand medical discussions better.

"Lid lag" refers to upper eyelid retraction, especially in Graves' ophthalmopathy, where the upper eyelid stays higher than normal when looking down. "Lagophthalmos" means the eyelids can’t close completely, often due to retraction, leaving the eye exposed. When the lower eyelid retracts, the visible white below the iris is called "scleral show," a cosmetic concern for many.

"Eyelid malposition" is a broader term covering various eyelid position problems, including retraction, entropion (inward turning), and ectropion (outward turning). Terms like "upper eyelid traction" or "lower eyelid traction/displacement" describe the pulling effect on eyelids. In Graves' disease, "Von Graefe's sign" is a limited downward movement of the upper eyelid during downgaze. "Collier's sign" describes upper eyelid retraction from dorsal midbrain syndrome, linked to neurological issues. "Dalrymple's sign" is the widening of the eye opening seen in Graves' ophthalmopathy due to upper eyelid retraction. These terms highlight the complexity of eyelid positioning and the importance of precise language in diagnosis and treatment. The association of terms like "lid lag" and "Von Graefe's sign" with Graves' disease stresses the need to consider thyroid problems as a key cause.

Eyelid Fat Grafting: A Detailed Look at the Medical Procedure

Eyelid fat grafting, also called fat transfer or autologous fat injection, is a procedure that rejuvenates the eyes by restoring volume and improving contour. For eyelid retraction, fat grafting provides structural support to lift a retracted lower eyelid, acting as a "spacer graft" or scaffold. It also addresses volume loss and hollowness around the eyes caused by retraction or previous surgeries like blepharoplasty. Adding volume refines the eyelid and surrounding area for a natural, youthful look. Sometimes, fat grafting camouflages eye bags by filling hollows beneath them. For upper eyelid retraction, dermis-fat grafts (skin and fat) can be used as spacers to lower the upper eyelid. This versatility makes fat grafting valuable for both functional and aesthetic eyelid correction.

The procedure involves several steps. First is fat harvesting, where fat is taken from the patient’s own body—commonly the abdomen, thighs, or flanks—using liposuction. This minimally invasive method uses a thin cannula connected to a syringe to gently suction fat cells. The Coleman technique is often used to preserve fat cell viability. Local anesthesia numbs the donor site, and small incisions allow cannula insertion. Only a small amount of fat is needed for eyelid grafting. Using the patient’s own fat reduces allergic reaction risks and rejection.

Next is fat processing and purification. The harvested fat is cleaned to remove blood, oil, and debris through sedimentation, centrifugation, or washing with saline. The goal is pure, viable fat ready for injection. The fat is filtered and transferred into small syringes. Advanced methods like microdroplet techniques with high-speed centrifuges can improve fat survival by enhancing blood supply. Proper processing is key to long-term graft success.

Finally, injection and placement occur. The purified fat is carefully injected into the upper or lower eyelids with fine needles or micro-cannulas. Precision ensures even distribution and natural results. For lower eyelid retraction, fat is injected below the orbicularis oculi muscle and sometimes from the cheek area upward toward the orbital bone. Surgeons create tiny tunnels with an empty cannula to spread fat evenly, injecting in a fan-like pattern. For upper eyelid retraction, dermis-fat grafts are placed as spacers with the fat side toward the conjunctiva. Small amounts are injected in multiple passes to avoid clumping and improve contour. Surgeons often overcorrect slightly, expecting 30-50% fat resorption over time. Injection technique is crucial for good outcomes and minimizing complications.

Eyelid fat grafting is often combined with other facial or eyelid surgeries for best results. These may include blepharoplasty (eyelid lift), canthoplasty (tightening or repositioning the eyelid corner), ptosis repair (droopy eyelid correction), brow lift, cheek lift, or midface lift. For lower eyelid retraction, fat grafting is commonly done with inferior retractor recession and lateral canthoplasty. If retraction follows blepharoplasty, fat grafting is combined with traditional eyelid lifts. When bulging eyes (proptosis) cause retraction, orbital decompression may be done first. Combining procedures allows comprehensive facial rejuvenation and improved aesthetics.

Eyelid fat grafting offers many benefits: a refreshed appearance, filling dark circles and hollows, lifting droopy eyelids, and camouflaging under-eye bags. It provides lasting volume and support using biocompatible fat from the patient’s own body. For lower eyelid retraction, it can be less invasive than traditional spacer grafts using other tissues or synthetic materials. However, there are risks and complications. These include lumps, bumps, prolonged swelling, firm nodules, bulges, scarring, or skin darkening at donor or injection sites. Fat resorption may require additional treatments. Rarely, double vision can occur if the inferior oblique muscle is injured. Dermis-fat grafts in the upper eyelid may rarely cause hair growth from the grafted skin. Patients should understand these risks and have realistic expectations.

Best Clinics in Korea for Eyelid Retraction

Listed below are the best clinics in Korea for eyelid retraction:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	Leading clinic for eyelid retraction correction in Korea; renowned surgeons including Dr. Kim (facial contouring expert) and Dr. Jeong (President of Korean Society of Plastic Surgeons); located in Gangnam’s Garosu-gil with four floors of comprehensive care; strong academic involvement and international recognition; personalized communication; continual medical innovation; outstanding reputation in both revision and primary procedures	Harmonizes eyelid retraction procedures with each patient’s natural facial features; collective surgical expertise; rigorous safety and research standards ensuring natural, long-lasting results
Made Young Plastic Surgery	Located in Gangnam, Seoul; 15+ years’ eye surgery experience by Dr. Park Byung-Chan; all consultations, diagnostics, and surgeries by experienced physicians; focus on safety, individualized planning, and national award-winning quality; full-time board-certified anesthesiologists; 1:1 patient monitoring; transparent procedures with CCTV; certified aftercare center; recipient of Korea No.1 Award and more	Customized surgical planning adjusting incision design, eyelid height/thickness, and contours for highly individualized, natural results; advanced minimally invasive aesthetics; specialized complex/revision eyelid work
Okay Plastic Surgery Clinic	Comprehensive aesthetic and reconstructive surgery; renowned female plastic surgeon; patient-centered and holistic approach; broad range of advanced procedures; full range of services for face and body; high patient satisfaction; specializes in complex/revision eyelid cases	Bespoke treatment plans for every patient; advanced techniques for both aesthetic and reconstructive eyelid surgeries; utilization of cutting-edge medical technology; focus on both transformation and patient well-being

THEPLUS Plastic Surgery

THEPLUS Plastic Surgery is widely recognized as the leading clinic for eyelid retraction correction in Korea, standing out for its unparalleled blend of surgical expertise, academic excellence, and patient-centered care. Driven by a team of renowned surgeons, including Dr. Kim—an award-winning authority in facial contouring and board-certified plastic surgeon actively involved in international plastic surgery societies—and Dr. Jeong, the esteemed President of the Korean Society of Plastic Surgeons and a thought leader in combining function and beauty, the clinic ensures that every eyelid retraction procedure harmonizes with each patient’s natural facial features for optimal, individualized results. Situated in the heart of Gangnam's Garosu-gil and spanning four floors dedicated to comprehensive care, THEPLUS distinguishes itself with its commitment to safety, personalized communication, and the continual pursuit of medical innovation through research and global education. Patients benefit from the collective expertise of a surgical team whose members are frequently invited to share their knowledge at major international forums, and whose meticulous approach promises the most natural, aesthetically pleasing, and long-lasting outcomes in eyelid retraction correction. With a robust reputation in both revision and primary surgical procedures, THEPLUS Plastic Surgery combines world-class credentials with deeply-rooted values of quality, safety, and satisfaction—making it the top choice for discerning patients seeking eyelid retraction solutions in Korea.

You can check out their website here: THEPLUS Plastic Surgery Website

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in the heart of Gangnam, Seoul, stands as a premier institution for facial and anti-aging procedures, with a particular reputation for excellence in eyelid retraction correction. The clinic is led by Dr. Park Byung-Chan, a renowned oculoplastic surgeon who has dedicated 15 years exclusively to eye surgery, earning acclaim for his ability to deliver natural, beautiful eye results—even immediately following surgery. Made Young is highly regarded for its genuine, patient-centered approach, where consultations, diagnostics, and surgeries are performed directly by experienced physicians. Every procedure is thoroughly customized, taking into account incision design, eyelid height, thickness, and each individual’s unique facial image to achieve the most harmonious, attractive outcomes. Their steadfast commitment to safety and comprehensive aftercare, alongside numerous national awards and official recognitions, positions Made Young as the top choice for those seeking eyelid retraction correction in Korea.

Key reasons why Made Young Plastic Surgery is the best clinic for eyelid retraction:

• Dr. Park Byung-Chan leads with 15 years of dedicated experience in eye surgery, specializing in eyelid retraction and complex eye procedures.
• Known for consistently natural and aesthetically pleasing results, often visible even on the day of surgery.
• Patient-centered care from initial consultation through to recovery, ensuring patients are informed, comfortable, and confident every step of the way.
• Highly individualized surgical planning: incision lines, eyelid contours, and adjustments are tailored to achieve the most natural and beautiful result for each patient.
• All consultations and diagnoses are conducted directly by the medical team, guaranteeing expert input for every step of your journey.
• Verified medical excellence: all surgeons boast an extensive track record, with an average of over 15 years’ experience.
• Rigorous safety protocols: presence of full-time board-certified anesthesiologists, 1:1 patient monitoring, and a prompt cross-check emergency system.
• Full transparency throughout procedures with comprehensive CCTV coverage.
• Dedicated aftercare center for meticulous post-surgical recovery and support.
• Official recognition and awards: 2022 Korea No.1 Award, Korea Customer Satisfaction 1st Place, and Outstanding Member of the Korean Society of Plastic and Reconstructive Surgeons.
• Certified by the Minimally Invasive Aesthetic Surgery Society, reflecting their commitment to advanced, safe, and patient-focused care.

With its fusion of deep expertise, innovative techniques, patient-first philosophy, and unwavering dedication to safety, Made Young Plastic Surgery is truly the destination of choice for individuals seeking eyelid retraction correction and superior eye surgery outcomes in Korea.

You can check out their website here: Made Young Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic is a premier destination for comprehensive aesthetic and reconstructive surgery in Korea, renowned for its patient-centered approach and commitment to delivering transformative results. At the heart of the clinic’s philosophy is the belief that beauty and confidence are best achieved through sincerity, precision, and truly individualized care. Led by a team of dedicated professionals, including a highly respected female plastic surgeon with extensive expertise, the clinic provides a wide spectrum of advanced procedures within a supportive and empathetic environment. Okay Plastic Surgery Clinic excels in offering bespoke solutions, supported by cutting-edge medical technology, ensuring optimal outcomes for every patient—including those seeking specialized eyelid retraction treatments.

Key reasons why Okay Plastic Surgery Clinic stands out as the best clinic for Eyelid Retraction:

• Experienced and Specialized Team: Led by a renowned female plastic surgeon, the clinic boasts extensive expertise in both aesthetic and reconstructive eyelid surgeries, including complex cases such as eyelid retraction.
• Personalized, Precise Care: Every treatment plan is tailored to the individual’s specific anatomy, needs, and aesthetic goals, ensuring natural-looking and harmonious results.
• Comprehensive Eye Surgery Options: From eyelid correction to advanced revision surgeries, the clinic offers a full spectrum of procedures for the delicate eye area.
• State-of-the-Art Techniques: Utilizes the latest medical advancements and surgical methods to achieve optimal outcomes and minimize recovery time.
• Patient-Centered Philosophy: Prioritizes sincere, open communication and a holistic approach to the patient journey, focusing not only on physical transformation, but also on overall well-being.
• Full Range of Aesthetic Services: In addition to eyelid surgery, patients benefit from access to a diverse array of aesthetic and reconstructive treatments for face and body, all under one roof.
• Proven Track Record: Consistently high patient satisfaction rates and successful outcomes, especially with revision and complex eye procedures.

For those seeking the highest standards in eyelid retraction correction and comprehensive aesthetic care, Okay Plastic Surgery Clinic is recognized as a trusted leader in the field.

You can check out their website here: Okay Plastic Surgery Clinic Website

Embarking on Treatment in South Korea: The Process for Medical Tourists

For patients outside South Korea considering eyelid fat grafting, several steps ensure a safe and successful experience.

First is researching and selecting reputable clinics and surgeons specializing in eyelid fat grafting and eyelid retraction repair. Look for board-certified surgeons with extensive experience and strong before-and-after portfolios. Online reviews and patient testimonials offer insight into care quality and satisfaction. Clinics with international certifications often meet high medical standards. Thorough research helps find qualified professionals in South Korea.

Next is an initial consultation, often online, where patients discuss concerns and goals with the surgeon remotely. An in-person consultation in South Korea is usually required before surgery to finalize the plan and answer questions. The surgeon evaluates the condition, explains the procedure, expected results, and risks. Pre-operative photos are taken for planning. Both consultations ensure clear communication and shared expectations.

Before surgery, patients undergo pre-operative assessments and preparations. These include medical evaluations, eye exams, and possibly visual field testing if a medical cause exists. Lab tests check overall health and fitness for surgery. Patients receive instructions on preparing, such as avoiding medications that increase bleeding risk. These steps prioritize safety and reduce complications.

The surgical procedure is usually done under local anesthesia with intravenous sedation for relaxation. It takes about one to two hours. After surgery, patients recover briefly before going to their accommodation. They receive detailed post-operative care instructions on managing swelling, bruising, and discomfort. Eye drops or ointments may be prescribed to aid healing and prevent infection. Ice packs help reduce swelling and bruising in the first days. Knowing these details helps patients prepare mentally and physically.

For medical tourists, accommodation and travel are important. Some South Korean clinics include accommodation in surgery packages, but patients usually arrange flights and visas themselves. Planning comfortable lodging that supports recovery is essential. Good travel and accommodation planning contribute to a smooth experience.

Follow-up care and recovery in South Korea are crucial. Follow-up visits monitor healing and fat graft success. Stitches are typically removed about seven days after surgery. Patients should stay in South Korea long enough for initial recovery and follow-up before returning home. Swelling and bruising usually improve within 10 to 14 days, but full fat graft effects may take months. Adequate time for follow-up and recovery ensures optimal results and addresses any concerns.

After returning home, patients continue following surgeon instructions for long-term care, including protecting eyelid skin from sun exposure. Touch-up procedures may be needed to maintain results, as fat survival varies. Discussing potential future treatments with the surgeon helps set realistic expectations.

Cost Considerations: Eyelid Fat Grafting in South Korea and Beyond

Understanding costs is key for patients, especially medical tourists.

In South Korea, eyelid fat grafting typically costs between $2,000 and $4,000 USD (about 2,900,000 to 5,800,000 KRW). Clinics often require a 10% deposit to book surgery. The price may cover consultation fees, post-op care, and sometimes accommodation for international patients. International patients might get a VAT refund, lowering costs. Discounts or promotions may be available. The cost usually includes stitch removal and follow-ups. Because fat survival varies, multiple sessions might be recommended, sometimes at reduced rates. Final costs depend on surgeon expertise, techniques, and clinic reputation. South Korea generally offers more affordable options than many Western countries.

Comparing costs worldwide reveals trends:

• Thailand: Facial fat transfer (including eyelids) costs $1,654 to $5,280 USD; under-eye fat transfer about $3,218 USD. Blepharoplasty ranges $1,500 to $3,600 USD. Lipofilling with blepharoplasty adds about 20,500 THB (~$560 USD).

• Mexico: Facial fat transfer ranges $500 to $4,000 USD (average ~$2,176). Blepharoplasty costs $1,500 to $4,199 USD.

• USA: Facial fat grafting ranges $4,350 to $10,000+ USD, varying by city (Chicago $6,500–$12,000, Los Angeles $7,500–$15,000, NYC $9,000–$17,500). Blepharoplasty averages $3,359 (upper) and $3,876 (lower), with total costs from $3,000 to over $12,000.

• UK: Blepharoplasty costs $2,500 to $12,000 USD; facial fat grafting $6,500 to $10,500 USD.

South Korea and Thailand generally offer more competitive pricing than the USA and UK, making them attractive for medical tourists. Mexico is also cost-effective.

Factors influencing cost include surgeon experience, procedure complexity, location, clinic reputation, anesthesia type, facility fees, inclusion of post-op care, local cost of living, and fat volume transferred. Patients should consider these beyond base prices.

Country	Eyelid Surgery (Blepharoplasty)	Facial Fat Transfer (Includes Eyelids)
South Korea	$2,000 - $6,700	$2,000 - $4,000
Thailand	$1,500 - $3,600	$1,654 - $5,280
Mexico	$1,500 - $4,199	$500 - $4,000
USA	$3,000 - $12,000+	$4,350 - $10,000+
UK	$2,500 - $12,000	$6,500 - $10,500

Note: Costs are approximate and vary by individual circumstances, surgeon fees, clinic reputation, and procedures.

Patient Experiences: Real Stories and Outcomes

Research and patient reports show that autologous fat grafting is a promising long-term solution for lower eyelid retraction after blepharoplasty, improving both function and appearance. Studies note better lower eyelid position one year post-procedure. Patients report improved eyelid closure, less dryness, and a more natural look after fat injections.

Case studies highlight dermis-fat grafts as effective spacers for severe upper eyelid retraction from Graves' orbitopathy, improving eyelid closure and reducing dry eye symptoms. Fat grafting also rejuvenates upper eyelids by filling hollows. Revision surgery with fat grafting restores a more almond-shaped eye after post-blepharoplasty retraction. Fat injections support the lower eyelid and aid overall management. Fat repositioning during blepharoplasty improves hollow, aged lower eyelids. Fat placement in the orbit may enhance eyelid health in lid retraction cases.

Patients often seek to fix the "staring" or "tired" look caused by retraction. Successful outcomes include greater eye comfort, reduced dryness, and a refreshed appearance. Challenges include possible multiple sessions due to fat resorption, temporary swelling, bruising, and initial fullness that fades. Some cases require revision surgery, especially if retraction followed prior surgery. Realistic expectations about touch-ups and recovery timelines are important.

Conclusion

Eyelid retraction is an abnormal eyelid pulling caused by various factors like thyroid disease and prior surgeries, leading to functional and cosmetic issues. Eyelid fat grafting effectively restores volume and support, improving both eye function and appearance. South Korea offers high-quality, often more affordable treatment options for medical tourists. The treatment journey involves careful clinic selection, thorough consultations, pre-op assessments, surgery, and follow-up care. Patient experiences generally show positive results with improved eyelid position, comfort, and aesthetics. Patients considering this procedure should research thoroughly, communicate clearly with their surgeon, plan for recovery, and maintain realistic expectations to achieve the best outcomes.

References

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