BIO Plastic Surgery

In the past, the fat-grafting techniques used often resulted in high absorption rates, so the results did not last long. However, modern micro-fat grafting techniques have a much higher survival rate of the transferred fat, leading to significantly better and longer-lasting results.

Yes, the grafted area can become uneven after fat grafting. However, with current micro-fat grafting techniques, the fat is divided into very small amounts and layered evenly, making surface irregularities far less likely.

When liquid-type fillers were injected in the past, they sometimes migrated downward over time. But in the case of fat grafting, the transplanted fat integrates with the surrounding tissue, so it does not sag or flow downward.

After Botox wears off, the skin that was previously smoothed becomes active again, so the original wrinkles reappear. This sometimes makes people mistakenly think that new wrinkles have formed. However, Botox does not create additional wrinkles. When the effect disappears, your face simply returns to its original pre-injection state. No other side effects occur.

No. The amount of Botox used for wrinkle treatment is extremely small, and it does not affect the body systemically.

The effects of an endoscopic forehead lift generally last around 10 years. After that, aging of the face occurs more slowly, meaning that most patients do not need repeat surgery.

When the eyebrows droop and the distance between the eyes and eyebrows becomes narrow, the eyes can look heavy or tired. In this case, lifting the eyebrows back to their proper position will improve the appearance. An endoscopic forehead lift can elevate the brows and create brighter, more open-looking eyes.

A facelift for the face and neck involves an incision starting from the temporal hairline, passing in front of and behind the ear, and extending to the hairline behind the occipital area. The skin of the face and neck is lifted, then pulled upward and backward, and the excess skin is removed. There are several techniques depending on the plane of dissection, but lifting along the SMAS (fascia) layer deeply tends to produce the most natural and effective results. For areas where facial nerve branches may be vulnerable, micro-cannula liposuction is used to minimize bleeding. Sagging fat along the cheeks, jawline, and neck can be removed, and deep folds around the mouth and nose can be improved by combining micro-fat grafting. Recovery is relatively quick — patients can wash their hair and go outside by day 2, and by two weeks, they can appear significantly more rejuvenated.

Aging of the lower eyelids is not just simple wrinkles. It includes: - Sagging of skin and muscle - Bulging fat under the eyes - Weakening of the membrane that holds the fat Unlike the upper eyelid (which has two fat compartments), the lower eyelid fat is divided into three compartments, and because the surrounding blood vessels are well-developed, the under-eye skin can appear dark or purplish. These issues are more prominent in people with naturally thin skin, making them look tired or older regardless of age. For people in their 40s with multiple aging components, the most effective treatment is lower eyelid incision surgery that removes fat and tightens the skin simultaneously. Recently, instead of only removing fat, surgeons often reposition the remaining fat onto the infraorbital rim and tighten the sagging muscle, creating a firmer and more youthful under-eye appearance.

Among fillers, collagen can sometimes cause immune reactions, so it is not preferred. A safe, non–immune-reactive, and naturally absorbable filler is Restylane, whose main ingredient is hyaluronic acid, a natural component of the body. Hyaluronic acid supports collagen, binds separated cells, and maintains skin moisture — helping smooth wrinkles while improving elasticity and hydration. For deeper wrinkles, micro-fat grafting (autologous fat transfer) is often superior in terms of cost-effectiveness and long-term results.

Botox is a biochemically produced version of the muscle-paralyzing toxin from the Clostridium botulinum bacterium, which can appear in spoiled sausage or canned foods. When Botox is injected into facial muscles, it blocks the release of acetylcholine, the neurotransmitter that allows nerves to signal muscles. This prevents muscle movement and therefore prevents wrinkles from forming. The injected solution is absorbed quickly and is not noticeable externally. Effects appear within 3–5 days and last for about 6 months. To maintain the result, reinjection is needed after six months. There are no systemic side effects, as Botox only affects the area where it is injected. Botox is the best treatment for dynamic wrinkles caused by facial expressions such as smiling, frowning, or squinting. However: Botox should not be injected into areas where muscle paralysis would impair function. Deep wrinkles visible even without movement may not fully improve with Botox alone; in such cases, fillers or fat grafting may be required.

Double-eyelid surgery can make the eyes look bigger, and in some cases, the eyes truly become larger. If sagging upper-eyelid skin is covering the eyes, creating a double crease removes that sagging skin, making the eyes appear larger. In some cases, the eyes truly become bigger with more of the iris exposed after surgery, giving a brighter and clearer appearance. This happens when double-eyelid surgery is combined with eye enlargement procedures (such as ptosis correction).

Thick eyelids can be caused by excess fat, but in many cases, the real cause is thick skin or thick eyelid muscles. If fat is the main reason, removing it will help. But if the skin or muscle is thick, removing only fat will not solve the issue.

The eyelids very rarely develop keloids or hypertrophic scars. Even if you easily scar on other parts of the body, the eyelids typically do not form keloids. Therefore, it is safe to undergo eye surgery.

Yes. At the clinic, your postoperative eyelid shape, crease size, and crease intensity are simulated using a special pin technique and shown to you in a mirror. If you like how it looks, you can then consider surgery.

In some cases, revision can be done 1 month after the first surgery. However, the best and most stable results usually occur when revision is done after 3–6 months, once swelling and tissues have fully settled.

If the crease looks too large and the eyes appear small or sleepy, it is often because ptosis (weak lifting muscle) was not corrected. Eye-opening correction (ptosis surgery) will strengthen the lifting muscle, lower the crease, make the crease more natural, and make the eyes look larger and clearer.

Yes. Even normal eyes can look bigger with eye enlargement surgery. Normally, the upper eyelid covers about 2 mm of the iris. Eye-enlargement surgery can reduce that coverage by about 1 mm, making the eyes look more open and larger.

Heat and steam can increase swelling or open the surgical site in the early phase. It is safest to wait about 2 weeks before going to a sauna or jjimjilbang.