Under-eye bags and hollows are common concerns. Korean clinics offer both surgical and non-surgical solutions. Understanding the difference helps you choose wisely.
Understanding Under-Eye Issues
Fat Bags
Puffy appearance caused by herniated orbital fat. Often genetic, worsens with age.
Tear Troughs
Hollows or dark grooves under the eye. Can exist with or without bags.
Dark Circles
Discoloration from various causes: pigmentation, thin skin, blood vessels.
Surgical Options
Lower Blepharoplasty (Eye Bag Removal)
- Removes or repositions excess fat
- Permanent results
- Can tighten loose skin
- Recovery: 1-2 weeks
Transconjunctival Approach
- Incision inside eyelid (no visible scar)
- Fat removal or repositioning
- Best for younger patients without excess skin
Fat Repositioning
- Moves fat to fill tear troughs
- Natural correction using own tissue
- Addresses both bags and hollows
Non-Surgical Options
Fillers
- Fill tear troughs only
- Cannot remove bags
- Temporary (12-18 months)
- Risk of Tyndall effect (bluish color)
- No downtime
Fat Grafting
- Natural filler using own fat
- Longer lasting than HA fillers
- Some recovery required
Korean Approach
Korean surgeons often combine techniques:
- Remove excess fat
- Reposition remaining fat
- Add fat grafting if needed
- Laser tighten skin
Making the Choice
- True bags → Surgery recommended
- Hollow only → Fillers may work
- Both → Combination approach
