Under-Eye Puffiness in Korea —Eye-Specialized Care & Cost Guide

At a Glance

  • Main causes: Under-eye fat bulge (eye bags), tear-trough groove (shadow), mild skin laxity/crepe lines, lower-lid laxity
  • Best fixes: Lower blepharoplasty with fat repositioning (often transconjunctival, no external scar); add skin-pinch and/or canthopexy when needed
  • Non-surgical helpers: PRP/skin boosters, fractional/CO₂ or RF microneedling (for texture), selective tear-trough filler for true hollows only
  • Fly-in stay: Typically 7–10 days in Seoul for stitch removal and early checks


Why Korea — and Why an Eye-Specialized Clinic?

1) High-volume eyelid expertise

Korean periorbital surgeons handle large case numbers, sharpening techniques like fat preservation/repositioning and septal reset that smooth puffiness without hollowing.

2) Whole-unit planning

Eye-focused teams evaluate the lid margin, canthi (corners), tear-trough, midface support, and skin together—so results look natural and stable.

3) Modern, structure-preserving methods

We move bulging fat to fill the groove rather than “scooping it out,” and add canthopexy support when laxity risks a rounded eye.

4) Traveler-friendly systems

Clear English consults, photo reviews, transparent quotes, and itinerary-aware aftercare.

5) Value without cutting corners

Surgeon-led care, hospital-grade protocols, meticulous closure/scar strategy—at competitive pricing.

What Actually Causes the “Puffy” Look?

  • Protruding lower-lid fat (bags) that push forward
  • A tear-trough groove under the bulge that creates a shadow
  • Skin laxity/crepe and lower-lid laxity, which exaggerate the contour
  • Note: Filler does not remove bags and can worsen puffiness if misused over a bulge

Treatment Menu (Customized)

Surgical (long-lasting for structural bags)

  • Transconjunctival Lower Blepharoplasty – Inside the eyelid; no external scar. Ideal when skin quality is decent.
  • Subciliary Lower Blepharoplasty – Fine line under lashes; adds skin-pinch/skin handling and muscle redraping for crepe lines.
  • Fat Repositioning / Septal Reset – Moves protruding fat to fill the groove for a smooth lid–cheek transition.
  • Canthopexy/Canthoplasty – Corner support to keep shape in lax lids or revision cases.

Non-Surgical (adjuncts, not substitutes for bags)

  • PRP / Skin boosters – Dermal quality and glow.
  • Fractional/CO₂ or RF microneedling – Fine lines/texture (settings tailored to skin type).
  • Tear-trough HA filler – Only for true hollows (not for bulging bags); micro-dosed, deep, reversible.

Who Is a Good Candidate?

  • Persistent morning-independent puffiness
  • Visible bulge + groove/shadow
  • Mild–moderate skin laxity or crepe lines
  • Desire a rested look without changing natural eye shape

Cost Estimates (Guide)

Final fees depend on anatomy, technique, add-ons, and revision status. Ranges typically include surgeon + facility + anesthesia (KRW).
  • Lower Bleph (Transconjunctival): ₩1.8M–₩3.5M
  • Lower Bleph (Subciliary + Skin Handling): ₩2.5M–₩4.8M
  • Fat Repositioning / Septal Reset (add-on): ₩0.8M–₩1.8M
  • Canthopexy/Canthoplasty (if needed): ₩0.8M–₁.5M
  • Revision Lower Bleph: ₩3.5M–₩6.5M

Adjuncts (per session):

  • PRP / Skin Booster: ₩300K–₩600K
  • Fractional/CO₂ or RF Microneedling: ₩300K–₩800K
  • Tear-Trough HA Filler: ₩300K–₩700K per 1cc (for hollows only)

Example Scenarios

  • A. Bags + good skin: Transconjunctival + fat repositioning → ~₩2.2M–₩4.0M
  • B. Bags + crepe skin/laxity: Subciliary + skin-pinch + fat repositioning (± canthopexy) → ~₩3.3M–₩6.0M
  • C. Lax lid / prior rounding: Lower bleph + fat repositioning + canthopexy/tarsal strip → ~₩3.2M–₩6.2M

Travel Timeline (Typical)

  • Day 0: Outpatient surgery (60–120 min)
  • Days 1–3: Peak swelling/bruise; cool compresses, head elevated
  • Day 5–7: Stitch removal (if subciliary)
  • Day 7–10: Socially presentable; concealer OK after clearance
  • Weeks 3–6: Contour refines; 3–6 months for final polish

Get Your Personal Estimate (Fast)

Send (email or upload):

  1. Photos: front, 45°, side—neutral + gentle smile, bright even light
  2. Any prior eyelid procedures/fillers (what & when)
  3. Travel window and downtime preference
  4. Notes: dry eye, contact lenses, allergies, blood thinners

You’ll receive a provisional plan (approach + add-ons), fee range, and a 7–10 day recovery calendar aligned to your trip.

FAQs

Can filler fix puffiness?
Only if your issue is a true hollow. Over a bulging bag, filler can increase puffiness. Structural bags = surgery.

Is there a visible scar?
 Transconjunctival has no external scar. Subciliary hides under the lashes and typically heals very well.

Will I look hollow?
We prioritize fat preservation/repositioning and conservative reduction to keep a youthful, smooth lid–cheek line.

How long do results last?
Typically many years; aging continues, but the structural step-off is corrected.