Both filler and fat grafting address under-eye hollows. Understanding the differences helps you choose the right approach.
The Problem: Tear Troughs
Hollows under the eyes that create tired, aged appearance. Can be genetic or age-related.
Filler Approach
How It Works
- Hyaluronic acid injected
- Fills hollow immediately
- Quick procedure (15-30 min)
Advantages
- Immediate results
- Reversible if needed
- No surgery required
- Minimal downtime
- Adjustable over time
Disadvantages
- Temporary (6-18 months)
- Risk of Tyndall effect (bluish tint)
- May migrate or cause lumps
- Ongoing cost
Fat Grafting Approach
How It Works
- Fat harvested from body
- Processed and purified
- Injected under eyes
Advantages
- Natural material
- Longer lasting (semi-permanent)
- No allergic reactions
- Improves skin quality
- One-time investment
Disadvantages
- Requires donor site
- Some fat absorbs
- May need touch-up
- Longer recovery
- Not reversible
Korean Preference
Korean clinics often prefer fat grafting for under-eyes due to natural appearance and lasting results.
Making Your Choice
Choose Filler If
- First time treating area
- Want to test results
- Minimal downtime needed
- Prefer reversible option
Choose Fat If
- Want lasting results
- Have volume for harvest
- Can afford recovery time
- Want natural approach
