For lower eyelid fat repositioning, the condition of the tear trough must also be examined.

The cause of puffiness under the eyes may not be explained solely by fat protrusion.

If the tear trough is deep or the surrounding tissue lacks volume, the shadows under the eyes may become more prominent.

Therefore, the location of the fat, the condition of the skin, and the surrounding structures must be evaluated together.

It is also important to determine the surgical method by considering the overall balance of the lower eyelid area.

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