Quick Overview

• What causes puffiness: Under-eye fat herniation (eye bags), fluid retention/edema, allergies, skin laxity/dermatochalasis, weak lid support, brow descent
• Approaches: Surgical (lower blepharoplasty, fat repositioning/septal reset, canthopexy), non-surgical (PRP/skin boosters, fractional/CO₂ or RF microneedling for texture, selective tear-trough filler for hollows only)
• Anesthesia: Local with sedation for surgery; topical/local for non-surgical
• Downtime: Non-surgical 0–3 days; surgical ~7–10 days social downtime
• Goal: Smooth, rested eyes with a natural lid–cheek transition—no hollows, no over-correction

Why Choose Sinsa L

• Periorbital specialists: We focus on eyelids and eye shape, not one-size fixes. Plans are anatomy-driven and preserve volume.
• Root-cause diagnosis: We separate fat bulge (bags) from true hollows, fluid, and skin laxity—then treat the right cause.
• Natural outcomes: Preference for fat repositioning and lid support (when needed) to avoid a scooped look.
• International-friendly: Clear English consults, photo reviews, transparent quotes, and travel-aware scheduling near Sinsa Station (Exit 3).

What Makes Eyes Look Puffy?

• Structural fat (eye bags): Forward herniation of lower-lid fat pads
• Shadow + groove: A deep tear trough/palpebromalar groove below a bulge makes puffiness look worse
• Skin & support: Thin/crepey skin, weak canthus/lid tone, or midface descent
• Upper-lid fullness: Extra upper-lid skin/fat or brow descent can add a “heavy” look above

Treatment Options (Customized Mix)

1) Surgical—Long-Lasting for Structural Bags

• Transconjunctival Lower Blepharoplasty (no external scar): Access and reposition fat to fill the groove; conservative reduction as needed.
• Subciliary Lower Blepharoplasty (skin incision): Adds skin-pinch/skin handling for crepe lines or laxity.
• Septal Reset / Arcus Marginalis Release: Smooths the lid–cheek step-off by releasing the tether at the rim.
• Canthopexy/Canthoplasty (as needed): Supports the lower lid to prevent rounding or retraction.
• Upper-Lid Options (if upper puffiness): Upper blepharoplasty, selective fat contouring, or temporal/brow lift for lateral hooding.

2) Non-Surgical—For Skin Quality & Mild Hollows

• PRP / Skin Boosters: Improve dermal quality and glow; helpful for crepey skin.
• Fractional/CO₂ Laser or RF Microneedling: Refine fine lines/texture (parameters tailored to skin type).
• Tear-Trough Filler (HA): For true hollows only. Not for prominent bags—filler over bulging fat can worsen puffiness. Reversible if needed.

3) Lifestyle/Medical Adjuncts

• Manage allergies, salt intake, alcohol, and sleep; consider cold compresses for morning edema. (These won’t fix structural bags but can help day-to-day swelling.)

Who Is a Good Candidate?

• Persistent under-eye puffiness that doesn’t respond to sleep or skincare
• Visible fat bulge with a dark groove/shadow
• Mild–moderate skin laxity or crepe lines
• Desire a rested look without changing your natural eye shape
• Able to follow aftercare and allow appropriate downtime

Your Treatment Journey

1. Consultation & Imaging – Assess fat pads, groove depth, skin quality, lid tone, canthal tilt, and midface support.
2. Plan & Quote – Surgical vs. non-surgical mix; whether fat repositioning, skin handling, or lid support is needed.
3. Treatment Day – Precise, conservative technique; most non-surgical options are lunch-time friendly.
4. Aftercare & Checks – Cooling, head elevation (surgery); sunscreen and gentle skin care for lasers/peels; scheduled follow-ups.

Recovery Timeline (Typical)

• Non-Surgical: Redness/swelling 0–72 hrs; makeup usually next day (per clearance).
• Surgical: Stitch removal ~5–7 days (if any), social downtime ~7–10 days, refinement 3–6 months.

Aftercare Tips

• Sleep with head elevated 1–2 weeks after surgery
• Avoid heavy exercise, saunas, alcohol for ~2 weeks
• Use prescribed ointments/drops; protect scars from UV
• Report increasing redness, pain, or sudden asymmetry promptly

Risks & Considerations

• Surgery: Swelling/bruising, contour irregularity, asymmetry, visible scarring (skin-incision cases), prolonged edema, rare lid malposition or need for revision.
• Filler/Fat: Swelling, Tyndall effect if placed too superficially, asymmetry, possible dissolution (HA) or touch-up.
• Lasers/Peels: Redness, PIH risk—settings individualized for your skin type.

Pricing (Guide)

• Transconjunctival Lower Blepharoplasty: ₩1.8M–₩3.5M
• Lower Bleph + Skin Handling (subciliary): ₩2.5M–₩4.8M
• Fat Repositioning / Septal Reset (add-on): ₩0.8M–₩1.8M
• Canthopexy/Canthoplasty (if needed): ₩0.8M–₩1.5M
• PRP / Skin Booster (per session): ₩300K–₩600K
• Fractional/CO₂ or RF Microneedling (per session): ₩300K–₩800K
  Exact fees depend on anatomy and plan; final quote follows in-person evaluation.

Frequently Asked Questions

Will I look hollow after surgery?
Our approach favors fat preservation and repositioning to smooth the groove while maintaining youthful volume.

Is filler right for puffy eyes?
Only when hollowness is the main problem. If you have a bulging bag, filler can make it look puffier—surgery may be the better solution.

Will there be a visible scar?
The transconjunctival approach leaves no external scar. Subciliary incisions hide under the lash line.

Can I combine procedures?
Yes—common pairings include fat repositioning + fractional laser or lower bleph + canthopexy; upper-lid/brow work if upper heaviness contributes.

How long should overseas patients stay?
Most plan 7–10 days for early checks and stitch removal when applicable.

Visit Sinsa L Plastic Surgery (Sinsa, Gangnam)

• Address: 3F–4F, 598 Gangnam-daero, Gangnam-gu, Seoul (Road name)
  Lot address: 17-4 Nonhyeon-dong, Gangnam-gu
• Subway: Line 3 Sinsa Station, Exit 3 → ~1 minute walk
• Hours: Weekdays 10:00–19:00 | Saturday 10:00–17:00 | Sun/Holidays Closed
• Tel: 02-517-7410

Book a Consultation

Send front and oblique photos and describe your main concern (bulge, groove, crepe skin, morning swelling). We’ll design a targeted plan—from fat repositioning to laser/PRP/filler—for a smooth, natural, and safe result.