service / Filler
We precisely analyze under-eye hollowing and shadow
and carefully restore the area with an appropriate amount.
Why Lisoom
Tear trough filler is a treatment in which cross-linked hyaluronic acid (HA) is injected at a safe depth to correct the under-eye shadow and hollowing seen along with the tear trough.
Under-eye shadow is a mix of hollowing, pigmentation, skin thickness, the orbicularis oculi muscle, and fat protrusion, so not all dark circles can be corrected with filler, and another method may be suitable for pigmented dark circles.
Because the skin is thin, a small amount of a soft product with a low G' is injected with a cannula into the deep layer above the periosteum at the orbital rim; bruising, the Tyndall effect, and other responses vary by individual, so we proceed conservatively.
The Area That Demands the Most Delicacy, Treated Carefully with the Right Amount
Tear Trough Filler Before & After
Complications such as bleeding, infection and inflammation may occur depending on the individual, so caution is needed.
Results may vary by individual. Please confirm the method and expected results that suit you through a consultation.
No before & after photos match these criteria.
DESIGN PRINCIPLE
The basic depth is the deep layer above the periosteum (preperiosteal plane) at the orbital rim. The superficial layer close to the dermis is avoided because of the possibility of the Tyndall effect (a bluish shadow), and we do not inject directly into the orbicularis oculi muscle. Because the skin here is thin, control of depth determines the result.
The angular artery runs close to the under-eye area, so we give priority to a cannula to lower the risk of vascular injury. We inject small amounts slowly and monitor the pressure. To prepare for possible vascular complications, we check in advance that a dissolving enzyme (hyaluronidase) is on hand and that emergency procedures are in place.
For the under-eye area, we use soft products with a low G' value and a high absorption rate. Injecting a highly cohesive product close to the surface tends instead to make the contour stand out or to form nodules. The choice is made at the consultation based on suitability for the area.
The amount injected in 1 session is kept conservative, within 0.5-1ml for both sides combined. Our basic approach is staged: we start with less and add more after 4 weeks. Overfilling causes a puffy contour and nodules, and removing filler once it has been placed is the more burdensome process.
OUR PRINCIPLE
The under-eye skin is thin, making this the area where control of depth and amount matters most. We first identify the cause of the shadow and proceed only when filler is suitable.
Cause Assessment
The causes of under-eye shadow are a mix of several factors, including hollowing, pigmentation, skin thickness, the thickness of the orbicularis oculi muscle, and fat protrusion, so not every shadow can be corrected with filler. At the consultation we assess the cause of the shadow and then suggest a suitable method, whether filler or another procedure (such as laser, a PN booster, or fat repositioning surgery).
Safe Depth
A small amount is injected with a cannula into the deep layer above the periosteum at the orbital rim. The superficial layer close to the dermis is avoided because it causes the Tyndall effect, and the inside of the orbicularis oculi muscle because it causes bruising and swelling. We review the course of the angular artery and control the safe depth.
Conservative Volume
The amount injected in 1 session is kept conservative, within 0.5-1ml for both sides combined. Overfilling causes a puffy contour and nodules. Our basic approach is staged: we start with less and add more after 4 weeks.
Tear trough filler works by injecting a gel made by cross-linking hyaluronic acid, a component naturally present in the skin, with BDDE or a similar agent. The cross-linked structure makes the gel more stable so that it does not break down easily, helping volume to be maintained for a certain period. The injected HA attracts water, gently filling the hollow, shadowed area. Cross-linked HA gel injected at a safe depth under the eyes · BDDE cross-linking slows breakdown, supporting longevity · Shadow gently filled through water affinity · Partly adjustable with hyaluronidase if needed
Because the under-eye skin is thin, we use a soft product with a low storage modulus (G'); placing a highly cohesive product close to the surface tends to make the contour stand out or to form nodules. The basic injection layer is the deep layer above the periosteum (preperiosteal plane) at the orbital rim, and the superficial layer close to the dermis is avoided because of the possibility of the Tyndall effect. Because the angular artery is close by, we give priority to a cannula and inject small amounts slowly. Soft product with a low G' · Injection into the deep layer above the periosteum at the orbital rim · Tyndall effect minimized by avoiding the superficial layer · Cannula first, kept conservative within 0.5-1ml for both sides
NOTICE
PROCEDURE DATA
Treatment Overview
FOR WHOM
Consider a Consultation If
05 Recommended Cases
Doctor's Note
The under-eye skin is thin, making this the area where control of depth and amount matters most. At the consultation we first assess what is causing the shadow and proceed only when filler is suitable. A small amount is injected conservatively with a cannula above the periosteum at the orbital rim.
PROCEDURE FLOW
01
PHASE I
We assess the type of dark circles, the degree of hollowing, and skin thickness to determine whether filler is suitable.
02
PHASE II
We decide the treatment area, the amount, the soft product, and the supraperiosteal depth at the orbital rim.
03
PHASE III
After topical anesthesia, we inject precisely in small amounts at a safe depth with a cannula.
04
PHASE IV
We explain management of the Tyndall effect and edema, and the timing of any additional treatment after 4 weeks.
FREQUENTLY ASKED
We have compiled the questions patients ask most often before a consultation.
6F #601, 599-4 Sinsa-dong, Gangnam-gu, Seoul
(No lunch break on weekends and public holidays) *Dr. Won-Suk Kook is not available on the 1st and 3rd Saturdays of each month.
Parking Information Parking is available in the building. 1 hour of free parking
Subway 5-minute walk from Exit 3 of Apgujeong Station on Line 3 (right next to the 14-story CGV building at Exit 3)
