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Medi LifeBefore the consultation

Before the consultation

Under-Eye Filler for Dark Circles: How to Decide

Under-Eye Dark Circles: Which Types Can Filler Improve?

Under-eye dark circles do not have just one cause. Pigmentation, visible blood vessels, thinning skin and hollowing caused by loss of volume under the eyes can all play a part. Of these, the type that filler can directly improve is a sunken under-eye area caused by volume loss (the tear trough type).

When a hollow forms, light casts a shadow, so the area looks dark regardless of skin color. In this case, filling the missing volume with hyaluronic acid filler may reduce the shadow and bring a fresher look to the eye area. On the other hand, if visible blood vessels or pigmentation are the main cause, filler alone has limited effect. Identifying the type of cause at the consultation first directly affects the result of the procedure.

Interior of Repic Clinic in Gangnam
Interior of Repic Clinic in Gangnam

How Is Under-Eye Filler Performed?

At Repic Clinic in Gangnam, under-eye filler involves injecting small amounts of hyaluronic acid-based filler into the hollow area under the eyes to restore volume. Before the procedure, the distribution of fat under the eyes and the thickness of the skin are assessed, and then the amount and injection layer are decided.

The skin under the eyes is thin and dense with blood vessels. The choice of injection depth and position affects both the result and safety. The procedure itself is short, but the assessment that takes place beforehand shapes the actual result. After the procedure, bruising and swelling may appear for several days to about a week, and this varies from person to person.

What Should You Check Before the Procedure to Stay Safe?

Filler side effects often come from the injection technique rather than from the product itself. In an area with tightly packed blood vessels such as the under-eye, the practitioner's understanding of blood vessel distribution is especially important. Things to check before the procedure are as follows.

  • Whether genuine filler is used — whether it is an officially imported product approved by the Korean regulator (KFDA), and whether you can check the box and sticker yourself
  • Whether blood vessel distribution is understood — the under-eye and glabella areas carry a risk of serious side effects if a blood vessel is damaged
  • Whether hyaluronidase is always on hand — whether a filler-dissolving enzyme can be used immediately
  • Whether the practitioner is a physician — confirm that the procedure is not performed by a non-medical person

Repic Clinic in Gangnam performs procedures in an environment that meets all four of the items above.

Logo of the Repic Clinic dermatology practice in Gangnam.
Logo of the Repic Clinic dermatology practice in Gangnam.

When Under-Eye Filler Alone Is Not Enough: What Combination Options Are There?

If the eyes look tired because of under-eye hollowing together with a lack of the small fullness beneath the eyes (aegyo-sal), you can consider under-eye filler together with aegyo-sal filler.

When the overall facial dimension is lacking, there is also an approach that considers several areas such as the cheekbones, cheeks and forehead together, such as 3D design filler. However, which areas to combine is best decided at a consultation by looking at the proportions of the whole face. Injecting more volume than needed can actually harm a natural look.

Botox and filler are sometimes combined. For example, if downturned mouth corners add to a tired look around the eyes, a combined procedure such as lip filler + mouth-corner Botox can be planned together. Whether to combine them and in what order should generally be designed at a consultation to suit your individual condition.

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.

FAQ

Q. Can filler help with dark circles even when the under-eye is not sunken?

For dark circles caused mainly by visible blood vessels or pigmentation, filler alone has limited effect. Under-eye filler is effective for shadow-type darkness caused by volume loss, and for pigment or vascular types, lasers or other approaches may be combined. Identifying the type at the consultation comes first.

Q. How long does under-eye filler last?

Hyaluronic acid filler breaks down gradually in the body, and how long it lasts depends on your metabolic rate, the amount injected and the area. It is generally reported to last around six months to a year, but there are individual differences. After that period, a repeat procedure can be considered as needed.

Q. How long do bruising and swelling last after the procedure?

The skin under the eyes is thin and has many blood vessels, so bruising and swelling tend to occur relatively easily there after a procedure. They usually settle within several days to about a week, though this varies from person to person. It is better to schedule the procedure with some time to spare before an important event.

Q. Can I get under-eye filler and aegyo-sal filler on the same day?

Both procedures use hyaluronic acid filler, and in some cases they can be done on the same day. However, because the injection sites are adjacent, swelling may overlap and the injection amounts need to be planned together, so it is best to decide after checking the current condition of your eye area at a consultation.

Q. What should I do if a filler side effect occurs?

Hyaluronic acid filler can be dissolved with hyaluronidase (a filler-dissolving enzyme). If warning signs such as vascular compression or a color change appear, you should contact the clinic that performed the procedure right away. Repic Clinic in Gangnam keeps hyaluronidase on hand at all times and has a system in place to respond to emergencies.

Q. Is it okay to get Botox and filler on the same day?

Botox (muscle relaxation) and filler (volume replenishment) work by different mechanisms, so in some cases they can be combined. However, the order of treatment, the spacing between areas and the injection amounts vary with your individual condition. If you are planning both, it is safer to be guided on them together at the consultation.

Q. Where is Repic Clinic in Gangnam located?

Repic Clinic in Gangnam is located on floors B1 and B2 at 318 Gangnam-daero, Gangnam-gu, Seoul. Visiting by booking a consultation before the procedure is recommended.

Related official information

You can find more details on the official website.

Repic Clinic official website →

※ 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 fillerunder-eye filleraegyo-sal fillerlip filler + mouth-corner Botox