Some mornings, patients tell me they feel their eyes look tired—even after a full night of sleep, their gaze seems weighed down, as if every glance carries the fatigue of yesterday’s worries. If you’ve been wondering whether there’s relief beyond creams or fillers, you’re not alone. Many patients don’t realize that the under-eye area isn’t just skin—it’s architecture, movement, memory.

That’s where Triple Lower Blepharoplasty comes in: a thoughtful, three-part surgical approach that aims not just to refresh, but to re-sculpt, support, and restore the lower eyelid. It's not about dramatic change—it’s about gentle transformation, elegantly aligned with each individual’s natural expression.

At Arumline Plastic Surgery, Skin & Beauty Clinic, led by Dr. Lee Joong-geun, we understand that eye rejuvenation is deeply personal. The eyes are not only the focal point of facial communication—they reflect your vitality and emotional history. Our Triple Lower Blepharoplasty technique is designed for those who seek subtle, lasting improvement that feels like you—only brighter.

What Is Triple Lower Blepharoplasty?

Triple Lower Blepharoplasty is a next-generation surgical method developed for comprehensive lower eyelid rejuvenation. Unlike traditional lower eyelid surgery, which often involves straightforward fat removal and skin excision, this technique layers three discreet, highly refined surgical steps:

1. Fat Repositioning – We carefully move under-eye fat pads into hollow areas rather than removing them. This preserves natural volume while addressing tear-trough shadows and under-eye puffiness. Think of under-eye fat like the soft foundation of a watercolor painting—remove it entirely, and the canvas appears flat or sunken. Reposition it thoughtfully, and the light catches the area beautifully.

2. Skin-Muscle Tightening – Next, we gently tighten the skin and orbicularis oculi muscle to restore smoothness and improve the contour of the lower lid. It’s like easing tension in a silk thread—just enough to restore its elegance without losing its natural flow.

3. Support Reinforcement – The final step involves reinforcing the structural support of the lower eyelid, often through a canthal suspension or internal ligament tightening. This prevents downward sagging or laxity over time. Think of it as rebuilding scaffolding beneath a delicately sagging arch—ensuring long-term stability and grace.

Combined, these steps produce a harmonious balance: smoothing fine lines, reducing puffiness, restoring soft volume, and enhancing overall eye vitality—without the hollow or pulled look many fear.

Why Choose This Approach?

Natural-looking results are the hallmark of true surgical artistry, especially in delicate zones like the lower eyelid. Many clinics still rush to remove fat without considering the long-term implications—only for patients to return with new hollowing, visible vessels, or chronic dryness.

At Arumline, we believe in restoration, not reduction. Our approach is rooted in preserving facial identity while gently softening the signs of aging. Here’s why the Triple technique is so uniquely suited to today’s aesthetic priorities:

• Preserving personality: You want your eyes refreshed, not replaced. By repositioning rather than removing fat and using minimal skin tightening, we preserve your natural curvature, gaze, and emotional nuance.

• Minimizing revision risk: To be candid, we’ve treated many revision cases resulting from overly aggressive or outdated techniques—excessive skin trimming, asymmetrical fat removal, or poor support. The Triple approach reduces these risks by considering all layers of the lower eyelid.

• Enhanced long-term stability: That final step—structural support—is often skipped in basic procedures. Yet it’s vital. Without it, even beautifully performed fat work may not hold its shape. Reinforcing the architecture helps the eyes stay balanced and youthful over the years.

• Cultural emphasis on natural beauty: Particularly in Korea, there is a deep cultural appreciation for subtlety. Our patients often say, "I want to look refreshed, not different." The Triple technique aligns with that sensibility—it works beneath the surface to enhance, not erase.

How It’s Done—With Precision and Empathy

1. Pre-operative Insight

Before any surgical plan is made, we start with conversation and detailed clinical analysis. We assess under-eye volume, skin quality, eyelid tone, facial symmetry, and even how your eyes move when you smile. What many patients don’t realize is that lower-lid concerns aren’t just about aging—sometimes they’re tied to genetics, lifestyle, or previous filler use.

Dr. Lee Joong-geun’s signature 3-STEP surgical system plays a critical role here. While separate from the three steps of Triple Lower Blepharoplasty itself, this patented system ensures intraoperative symmetry, incision precision, and safe tissue handling—three core pillars of Arumline’s surgical ethics.

2. Gentle Anesthesia & Precision Marking

Depending on the case, we use light sedation or local anesthesia. The eyelid is carefully marked to define where fat will be repositioned, how much skin will be tightened, and where support needs reinforcement. This isn't a one-size-fits-all template—it’s a bespoke map tailored to each face’s subtle asymmetries.

Patients often say that even at this stage, they feel reassured. Dr. Lee’s calm, deliberate style instills trust, especially for those who've had disappointing past procedures or feared unnatural outcomes.

3. Fat Repositioning

We begin by accessing the fat pads via a transconjunctival (inside the eyelid) or subciliary (under the lash line) approach, depending on your anatomy. Instead of removing the fat, we delicately mobilize and reposition it into the tear trough and midface junction. This corrects under-eye shadows while preserving fullness.

Think of this as repurposing rather than eliminating—allowing your face to retain its youthful convexity instead of creating a flat or gaunt appearance. This step alone often transforms the under-eye area dramatically, yet naturally.

4. Skin-Muscle Refinement

Next, we address mild laxity in the skin and muscle. A small amount of excess skin may be removed, but more often, the goal is gentle redraping. The orbicularis oculi muscle may be slightly tightened to enhance eyelid tone and smoothness.

It’s crucial here not to overcorrect. A heavy hand can lead to rounded eyes or ectropion (outward turning of the lid). That’s why precision and restraint define our technique.

5. Structural Support

In the final phase, we reinforce the lid’s anchoring points. If the eyelid lacks firmness or there's risk of future laxity, we use canthal tightening or ligament reinforcement. These subtle maneuvers ensure that the lid margin remains well-positioned and the results endure.

It’s a small but essential step that makes a world of difference, especially over time. Think of it as ensuring the curtain rod is stable before you admire how the drape falls.

6. Thoughtful Recovery

Recovery is typically smooth. Swelling peaks around day three, then subsides steadily. Bruising may last a week or so, depending on your skin type. Stitches are usually removed within 5–7 days, and most patients feel camera-ready in about 10–14 days.

What surprises most is how manageable the discomfort is. Many describe it more as a sensation of tightness than pain. With Arumline’s structured aftercare, including cooling therapy, gentle lymphatic massage, and scar prevention strategies, recovery becomes not just tolerable—but empowering.

Reflecting on Real Patient Experience

One patient shared, “I didn’t expect my eyes would look… like myself—but refreshed.” That’s the goal. Another said, “No one suspects I had surgery—it’s just that my eyes look rested.” It’s voices like these that remind us: surgery isn’t what makes someone beautiful—responsible artistry and understanding of individuality do.

Some come to us after years of trying eye creams, patches, or injectables with mixed results. Others arrive post-filler complications, tired of masking the issue and seeking a more stable, aesthetic solution. In every case, the common thread is the desire to look like themselves—only lighter, brighter, and truer.

Who Might Be a Good Candidate?

• You have under-eye puffiness, mild hollows, or crepey skin texture that doesn’t improve with skincare or filler.

• You value subtle, stable results over fast, dramatic change.

• You’ve experienced complications from filler or previous surgery and seek a second opinion.

• You want to address both volume and structure, not just surface concerns.

There is no ideal age—some patients are in their 30s addressing genetic under-eye bags, others are in their 60s restoring softness. What matters most is anatomical suitability and clear aesthetic goals.

At Arumline, candidacy is not just about appearance—it’s about mindset. Patients who seek refinement, not reinvention, often find the most satisfaction.

Wrap-Up: What It Means to Choose This Path

Triple Lower Blepharoplasty isn’t about chasing youth—it’s about quiet renewal. It’s about respecting the complex layers of the lower eyelid and honoring the story your eyes already tell.

It’s also about trust. In a world of fast fixes and trending treatments, we remain committed to timeless principles: surgical precision, personalized beauty, and honest outcomes.

If natural beauty is your priority, consider a personalized consultation at a results-proven clinic like Arumline. Here, under the guidance of Dr. Lee Joong-geun, you’ll find a team who sees not just your eyes—but the life behind them—and treats them with the respect they deserve.