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