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Aegyo-Sal Filler and Under-Eye Volume: What to Know Before the Procedure

Aegyo-Sal Filler and Under-Eye Filler: Why Treat Them Separately When They Are the Same Area?

Procedures that add volume beneath the eyes fall broadly into two types. One is aegyo-sal filler, which creates "aegyo-sal," the soft fullness that rises just under the eyes. The other is under-eye filler, which fills the hollow, sunken area under the eyes. Both procedures inject filler, but their goals and injection sites differ.

Aegyo-sal filler places a small amount of filler in the skin layer just above the muscle under the eye to shape a gently raised aegyo-sal line that appears naturally when you smile. Its main purpose is to give the eyes a larger, more youthful impression. Under-eye filler focuses on adding volume to a deep tear trough or a sunken, dark-circle-like area to create a fresher-looking eye area.

Some people have both procedures at the same time, but because the areas that need treatment and the desired results differ, it is important to design them separately by area at the consultation.

A view of the interior and decor of Repic Clinic in Gangnam.
A view of the interior and decor of Repic Clinic in Gangnam.

How Is Aegyo-Sal Filler Performed?

Aegyo-sal filler is injected into an area where the soft tissue is thin and the muscles move a lot, so the amount and the placement directly affect the result. If too much is injected, the eyes may look heavy or the area may look unnaturally prominent. Conversely, too little has only a minimal effect.

Before the procedure, your facial expressions are checked and the spot where the aegyo-sal will form is marked, and then a small amount is injected with a very fine needle. Mild swelling or bruising may appear right after the injection, and it generally settles within a few days. It is recommended to avoid washing your face and wearing makeup on the same day, and avoiding strenuous exercise for 24 to 48 hours after the procedure is generally advised.

If you are combining both procedures, you can receive specific guidance at a consultation.

Is It Okay to Get Botox and Filler Together?

Botox and filler work by different mechanisms. Botox suppresses muscle contraction to soften expression lines, and filler adds volume to sunken areas. The two can be done on the same day, but when both are applied to the same area, they can affect how the filler is distributed, so the order of treatment needs careful planning.

In general, having Botox first and adding filler 7 to 14 days later allows the amount and placement of filler to be designed more precisely once the change in the muscle is taken into account. Doing both on the same day is also possible, and in that case the order is designed differently depending on the area and purpose.

Whether the two can be combined for each area is best confirmed at a consultation.

The dermatology logo of Repic Clinic in Gangnam is displayed.
The dermatology logo of Repic Clinic in Gangnam is displayed.

What Precautions Apply After Under-Eye Volume Treatment?

The skin under the eyes is thin and rich in blood vessels, so bruising and swelling after the procedure may be more noticeable than in other areas. Applying a cold compress right after the procedure may help reduce swelling. It is better to avoid bending your head down for long or rubbing your eyes hard, as this may affect the position of the filler.

It generally takes one to two weeks for the filler to settle. During this time, it is recommended to avoid massages that apply pressure, saunas and alcohol. Results may differ depending on the type of filler used, the amount injected and your individual skin condition.

How long the result lasts varies from person to person depending on the type of filler and your metabolism, and areas with little movement, such as under the eyes, tend to show a relatively longer duration. Because the exact duration differs by individual, a follow-up consultation is recommended to check.

Profile of Dr. Yong-Heon Ha, head physician at Repic Clinic in Gangnam, with his credentials. He is a full member of the Korean Society for Aesthetic and Plastic Laser Medicine and the Korean Society for Laser Dermatology and Trichology.
Profile of Dr. Yong-Heon Ha, head physician at Repic Clinic in Gangnam, with his credentials. He is a full member of the Korean Society for Aesthetic and Plastic Laser Medicine and the Korean Society for Laser Dermatology and Trichology.

How Are Fillers Chosen for Each Area?

To adjust the three-dimensional shape of the whole face, a design that considers the overall contour is needed rather than treating a single area.

If your goal is to refine the nose line, you can consider nose filler, and if neck wrinkles are your concern, you can consider neck wrinkle filler separately. Each area differs in skin thickness, blood vessel distribution and degree of movement, so even with the same filler product, the injection technique and amount are designed differently.

  • Emphasizing aegyo-sal fullness → aegyo-sal filler
  • Softening under-eye hollows and dark-circle-like shadows → under-eye filler
  • Designing overall facial dimension → 3D design filler
  • Refining the nose line → nose filler
  • Lip volume and mouth corners together → lip filler + mouth-corner Botox
  • Improving neck wrinkles → neck wrinkle filler

Repic Clinic in Gangnam is located at 318 Gangnam-daero, Gangnam-gu, Seoul, floors B1 and B2, and the exact design for each area can be explained at a consultation.

Related official information

You can find more details on the official website.

Repic Clinic official website →

In rare cases, side effects such as vascular compression or skin necrosis can occur, so the procedure is generally decided after a thorough consultation with a doctor.

※ This content is for general information only and does not replace a medical diagnosis or treatment. Please consult a medical professional before any procedure. Results, downtime and side effects vary from person to person.

Dr. Yong-Heon Ha3D design fillernose fillerunder-eye filleraegyo-sal filler