Eye Fillers (2cc) in Korea – Treating the Appearance of Sunken Eyes

This post was written in accordance with the Medical Service Act and was created by a medical institution operated by a board-certified dermatologist at Hev Clinic, with the consent of the patient who received treatment.
It is not intended to emphasize treatment effects or personal treatment experiences, but rather to provide general information about dermatology and aesthetic procedures.
The photos used in this post meet the following conditions:

  • The same individual appears in both the before and after photos.
  • The dates when the photos were taken before and after treatment are specified.
  • The photos were taken under the same conditions.

This post provides various medical information, including possible side effects that may occur from the procedure. In accordance with Article 56, Paragraph 2, Subparagraph 7 of the Medical Service Act, diagnoses and treatment results may vary depending on the individual, and both effects and side effects may differ from person to person.
※ This article was written directly by the director of Hev Clinic for the purpose of providing information about dermatologic and aesthetic procedures.

Before & After: Tear Trough Filler for a Tired-Looking Eye Area (Case 114)

Before procedure: February 5, 2024  |  After procedure: March 5, 2024

Photo notice: These images are shared with consent and show the same person, taken in the same location, with no edits.

Important: Results vary from person to person. A thorough consultation is essential, including a discussion of possible side effects such as pigmentation, bruising, or swelling.

Recently, we’ve had many questions about “eye wrinkles”. In a lot of cases, though, what’s bothering someone isn’t a true wrinkle—it’s actually upper eyelid hollowing (loss of volume that makes the eye area look sunken).

Upper eyelid hollowing vs eye wrinkles example

Let’s take a closer look.

Why the Upper Eyelid Can Look Hollow

Many people don’t realize that the upper eyelid naturally has a soft layer of fat. This gentle “cushion” helps the eye area look smooth and youthful.

Anatomy illustration showing the fat layer of the upper eyelid

As we age—similar to how baby fat fades—the fat in the upper eyelid can gradually decrease, and the skin may become thinner. This can make the area around the eyes look more shadowed or sunken over time.

Some people are also simply born with less upper-eyelid fat and thinner eyelid skin. In those cases, even mild fatigue (or just reaching the end of a long day) can make the eyes look hollow and tired.

That’s when you might hear comments like, “Are you feeling okay?” or “Did you not sleep well?”—even if you feel totally fine.

Case 114: Female, Late 30s

Before treatment photo showing under-eye hollowing (tear trough)

In this case, the hollowing under the eyes is more noticeable because the upper eyelid fat layer is relatively thin and the skin is delicate, which can make shadows appear stronger.

Before treatment angle showing tear trough shadowing

Treatment Plan: Choosing the Right Filler

Because everyone’s eye area is different, we choose the product and technique based on factors like skin thickness, elasticity, and the depth of the tear trough.

For today’s case, treatment was performed using Belotero Soft.

Tear trough filler (2cc) — Before vs After

Before and after results after 2cc tear trough filler

Downtime varies, but in this case, bruising and swelling right after the procedure were very mild. Many people are able to return to their usual routine quickly.

Natural Finish Matters (Even with Eyes Closed)

One way to judge tear trough filler technique is to look at the result when the eyes are closed. After treatment, the surface should look smooth—without lumps or uneven texture.

After treatment photo with eyes closed showing smooth tear trough filler result

And here’s how it looks in everyday photos provided by the patient.

Real-life after photo showing brighter, less tired-looking under-eye area

The eye area looks brighter and more refreshed—without looking overdone.

Thank you for reading.

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