Do you have any concerns about it looking unnatural or being noticeable when you smile?

Because this procedure creates the very "structure" of the under-eye area, the result looks natural and moves with your expressions. Overly large results can appear unnatural, so at our clinic we check the shape of your eyes and how your expressions move, finishing with a subtle and soft line.

Tear Bag Formation (Hyaluronic Acid / Fat Injection)

Q: What is the difference from hyaluronic acid injections?

Hyaluronic acid is absorbed over time and requires periodic maintenance, whereas surgical reshaping addresses the underlying structure of muscles and ligaments, resulting in a more natural and longer-lasting outcome. It is also suitable for those who tend to achieve unnatural results with injections.

Q: Can it be done simultaneously with other eye surgeries (droopy eye correction, double eyelid surgery, etc.)?

In most cases, simultaneous treatment is possible. Since we can design the final result while viewing the overall balance of the eye area, synergistic effects can also be expected. However, depending on the combination of procedures, it may be better to adjust the order, so we will make a recommendation at the time of your consultation.

Tear trough correction (aegyo sal formation) is a procedure that approaches tissues such as the orbicularis oculi muscle from the inside of the lower eyelid (conjunctival side) to create a natural fullness under the eye.
It creates a youthful, cute impression and soft eye area.
At our clinic, we offer methods such as suture (non-incision), fat injection, and incision, and will recommend the most suitable option based on your wishes.

It is also possible to form tear troughs with hyaluronic acid injections; however, since the filler is absorbed over time, regular treatments are required.
Surgical treatment structurally creates the shape by adjusting the position of muscles and ligaments, allowing for a more natural and long-lasting result.

Recommended for those with the following concerns

Want to make eyes look larger
Considering or have had hyaluronic acid injections
Want to make the mid-face appear shorter
Drooping of the upper eyelid
Want to add dimension to the eye area
Want a youthful, cute impression

Treatment Details

We offer a variety of methods at our clinic.

Suture Method (Non-incision)

This tear trough formation procedure places sutures in the internal ligaments and orbicularis oculi muscle without incising the eyelid, creating a "contour" and three-dimensional effect.
Since the natural tear trough structure is reproduced with sutures, the results look natural and leave no scarring.

Fat Injection

Your own fat is purified and carefully injected in small amounts under the eye to form a natural fullness.
It offers greater longevity than hyaluronic acid and results in a soft texture. It is suitable for those who do not want foreign substances or who desire long-term results.
※Individual differences in fat retention may occur.

Depending on the condition and your wishes, we may also recommend the incision method.

Frequently Asked Questions

Q. What is the difference from hyaluronic acid injections?

Hyaluronic acid is absorbed over time and requires regular maintenance, whereas surgical formation corrects the structure of muscles and ligaments, resulting in more natural and longer-lasting results. It is also suitable for those who tend to look unnatural with injections.

Q. Can it be performed at the same time as other eye surgeries (lower eyelid lowering, double eyelid surgery, etc.)?

In most cases, simultaneous procedures are possible. Since the overall balance of the eye area can be considered when planning the results, synergistic effects can also be expected. However, depending on the combination of procedures, it may be better to adjust the order, so we will make recommendations at the consultation.

Q. Will it look unnatural or noticeable when smiling?

Since we create the "structure itself" of the tear trough, it naturally follows facial movements. Making it excessively large tends to look unnatural, so at our clinic, we finish with a modest and soft line while checking the shape of the eye and the movement of expressions.

Recovery / Downtime / Precautions

Swelling / Bruising

Swelling and bruising are most noticeable for 2–3 days after surgery, but gradually subside within 1–2 weeks and fully settle in about 3 months.

Daily Activities

Washing your face, showering, and wearing makeup are possible from the next day.
Please wait approximately 1 week before drinking alcohol, bathing, or exercising.

Risks / Side Effects

Swelling, redness, pain, bruising, edema, asymmetry, allergic reactions, etc.

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