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