
Under-Eye Hollowing Collagen Injections? We’ll Answer All Your Questions. <feat. Sculptra, Rituo, Rejuran>
Hello.
I’m Yoo Hyo-seob, a dermatologist with 23 years of experience.
When patients share their concerns while looking in the mirror in the exam room, their gaze usually settles first around the eyes.
The under-eye area is the thinnest and most mobile part of our face, so it is also the area that reveals the passage of time first and most honestly.
When you suddenly notice that the under-eyes look sunken or that dark circles have settled in more deeply,
the feeling can weigh on you—not just because you look tired, but because it can make you appear older.
In particular, the hollowing caused by reduced volume under the eyes is not something that makeup can easily conceal.

That is why many people look into under-eye hollowing injections or various procedures to improve this concern,
but this is also an area where things can easily become uneven or unnatural if done incorrectly.
This is because under-eye treatment is a very delicate and difficult area where a simple, one-dimensional approach of just filling in the hollow does not easily produce satisfying results.
So today, for those who are worried about under-eye hollowing,
I’d like to explain, step by step, the limitations of existing treatments and collagen injections from a medical perspective.^^
Table of Contents
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The under-eye area is a region that is harder to manage than to fill.
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Rituo collagen injection? It does not fill; it helps regeneration.
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Selection criteria vary depending on the area and purpose
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The under-eye area is a region that is harder to manage than to fill.

Fillers, which have long been used, have the advantage of providing an immediate volume-improvement effect, but in the under-eye area, several precautions are necessary.
Because the skin under the eyes is thinner and more translucent than in other areas, filler injections can sometimes create a bluish appearance through the skin, known as the ‘Tyndall effect.’
In addition, the injected filler may not spread evenly and can clump together, or it may protrude unnaturally when making facial expressions, so the clinician’s skill is very important.

Fat grafting using one’s own fat can also be an alternative, but there is a variable that makes the survival rate difficult to predict.
Collagen-stimulating agents such as Sculptra, which are injected after dissolving powder-like particles, can also help create natural-looking volume,
but in areas where the skin is thin, such as under the eyes, there is a rare possibility of nodules being felt, so a very cautious approach is needed.

Because the under-eye area has structural sensitivity that does not improve by simply filling it in,
it should be approached in a way that minimizes the risk of side effects while still achieving a natural improvement.
- Collagen injection? It does not fill; it helps regeneration.
To compensate for the limitations of these existing methods,
collagen booster treatments with no particles, or with very fine particles and a lower risk of nodules, are being used more often these days.

They are commonly referred to as ‘collagen injections,’ but if you look at their ingredients and mechanisms of action, each has its own use.
Treatments such as Rituo help smooth skin texture while also creating a subtle sense of volume.
Rather than forcing a space to be occupied by an artificial substance, they are closer to improving the skin environment and enhancing its own elasticity.
Therefore, rather than producing the same volume-building effect as fillers, you can expect the hollowed area to gradually fill in, making the eyes look more comfortable and lively.

In addition, Rejuran, which is well known as a regenerative injection, focuses on restoring the thickness of the thinned dermis using DNA fragments extracted from salmon as its main ingredient.
Products that add hyaluronic acid, which attracts moisture,
help improve dryness and fine lines around the eyes at the same time, making the dull under-eye area clearer and firmer.
In this way, under-eye treatment is moving away from the idea of simply filling something in,
and toward restoring structures weakened by aging and building the skin’s own ability to regenerate.
- Selection criteria vary depending on the area and purpose

Areas with thin skin and a lot of muscle movement, such as around the eyes, around the mouth, and the neck, require a different approach from other parts of the face.
In thicker areas like the cheeks or forehead, adding some volume can blend in naturally,
but under the eyes, even a very slight difference in amount can significantly change the overall impression.

That is why I usually recommend to patients that, rather than aiming for too much volume at once, it is better to treat within a safe and natural range, even if it feels slightly insufficient.
I believe the key to under-eye treatment is not a rapid change, but the feeling that it has “gradually improved” over time.
The treatment that is right for you should not be the one that others say is good,
but the one chosen after comprehensively considering your skin thickness, the degree of hollowing, and even the amount of under-eye fat.^^
In closing,
Under-eye hollowing treatment is not simply about filling in the hollow area.
It is more like a delicate design that requires both medical knowledge and aesthetic sense,
since it must take into account the patient’s skin thickness and elasticity, the location of blood vessels, and the overall harmony of the face.

Under the name of collagen injections, there are various procedures with different principles and purposes, and each has its own advantages and disadvantages.
For those of you considering under-eye hollowing injections,
rather than simply following a trending name or a low price, I hope you will carefully evaluate the condition of your under-eyes and make a decision only after sufficient communication with the medical team about the changes you expect.
We will always do our best to help you regain a brighter, more comfortable appearance.
Thank you for reading this long post.
This has been Director Yoo Hyo-seob.
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