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Duhan Plastic Surgery Dark Circles - Treatment Methods for Under-Eye Dark Circles

Duhan Plastic Surgery Clinic · 두한성형외과 DUHANISM · April 10, 2020

#HowToRemoveEyeWrinkles #UnderEyeDarkCircles #DarkCircleInjection #DarkCircleVascularLaser #DarkCircleInjection #DarkCircleLaserTreatment #UnderEyeFatRemoval #UnderEyeFatSagging #D...

AI translation notice

This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Duhan Plastic Surgery Clinic

Original post date: April 10, 2020

Translated at: April 25, 2026 at 6:29 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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Duhan Plastic Surgery Dark Circles - Treatment Methods for Under-Eye Dark Circles image 1

Dark circle surgery is~

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It can be performed at any clinic,

but there are not many clinics that accurately analyze the patient’s type

and choose the appropriate surgical method accordingly.

�A0

People may think dark circle surgery is easy, but it is definitely not.

We have extensive experience with various types of surgery and the answers for them.

http://www.darkcare.com

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Treatment Method for Under-Eye Dark Circles - COL-FAT Under-Eye Fat Grafting

COL-FAT fat grafting is a trademark created from Dr. Shin Duhan of Duhan Plastic Surgery’s 20 years of know-how in fat grafting surgery, leading a new paradigm in dark circle clinics.

There are several principles behind why micro fat grafting can be effective.

It raises sunken skin to eliminate the shadow effect, can lighten skin tone through skin expansion caused by fat grafting, improves fine wrinkles, and can dilute dark reddish tones by laying down yellowish fat.

It can also improve fine wrinkles through skin expansion.

At our clinic, the procedure is performed using our own specially developed micro needles.

The core of the micro needle is a design that precisely processes the tip of the Phroove to induce collagen production during subcutaneous tunneling.

We have also achieved ultra-precise fat grafting with the COL-FAT technique.

Even very fine wrinkles or difficult areas such as under the eyes and above the eyes can be treated without problems.

With a procedure using the micro Phroove for correcting under-eye dark circles, highly effective correction with almost no irregularity is possible.

Through tunneling with the micro Phroove and micro fat grafting using micro needles, even the most demanding under-eye procedures can be performed effectively.

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Treatment Method for Under-Eye Dark Circles - Under-Eye Fat Removal

Fat under the eyes protrudes and at the same time creates shadowed wrinkles beneath it.

When fat protrudes while the skin is thin, the skin under the eyes usually appears red because the reddish orbicularis muscle layer beneath the skin is visible through it.

As the fat pushes out more, the under-eye area becomes puffier, the skin becomes thinner, and the reddish muscle layer beneath the skin becomes more visible.

Therefore, protruding fat creates red dark circles and also produces a shadow effect from the sunken wrinkle line beneath it.

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★ Effects of under-eye fat removal ★

① It can correct puffy-looking eyelids.

② In the case of under-eye fat removal, under-eye wrinkles are corrected along with restoration to a smoother eye contour.

③ No scar remains and the result looks natural.

④ There is almost no bruising or swelling, so you can return to daily life immediately.

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Treatment Method for Under-Eye Dark Circles - Under-Eye Fat Repositioning

This refers to a method of moving the protruding orbital fat downward and placing it over the area below it instead of removing the under-eye orbital fat.

It is a method intended to correct both the protruding area and the sunken area at the same time.

It was devised to compensate for the drawback of fat removal, which can solve the protruding area but not the sunken area.

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★ Advantages of under-eye fat repositioning ★

① It can improve dark circles.

② It corrects puffy-looking eyelids.

③ It helps prevent the hollowed appearance that can occur with under-eye fat removal.

④ It restores a smoother eye contour and corrects under-eye wrinkles.

⑤ Almost no scar remains and the result looks natural.

⑥ There is almost no bruising or swelling, so you can return to daily life immediately.

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Treatment Method for Under-Eye Dark Circles - Lower Blepharoplasty

This is a surgery performed to neatly smooth out lower eyelids that have sagged downward with age, or wrinkle-type dark circles caused by high skin density, in order to make the face look younger and give a more improved appearance.

Lower blepharoplasty refers to removing under-eye skin when there is so much sagging or so many fine wrinkles that the skin under the eyes appears dark as a result.

The surgery is performed by making an incision 1 mm below the lower lash line, lifting and pulling up the skin, removing the excess skin, and then suturing it closed again.

However, the frequency of correcting dark circles with lower blepharoplasty is not high.

Under-eyes with many fine wrinkles due to excessively dense skin are inevitably dark in color.

In the case of dark circles caused by high density, the skin density needs to be reduced. If the condition is not severe, it can be corrected with fat grafting, but if the skin has too many wrinkles, there is a limit to how much fat grafting can expand the skin.

In such cases, it becomes necessary to remove the excess skin and smooth it out, and that method is lower blepharoplasty.

By removing the skin and smoothing it out, density can be reduced, wrinkles improved, and the skin tone lightened.

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Treatment Method for Under-Eye Dark Circles - Sclerotherapy for Blood Vessels

Many blood vessels gather under the eyes, and because the under-eye skin is very thin and transparent, blue blood vessels can show through.

As the subcutaneous fat becomes thinner due to aging of the skin, it can look worse.

Causes include lack of sleep, stress, and poor circulation around menstruation, all of which can cause blood circulation under the eyes to stagnate and make blue dark circles look more severe.

If blue veins are visible under the eyes, symptoms can be improved by injecting a sclerosing agent into the blood vessels to harden the larger vessels.

However, because this is a procedure that targets only partial blood vessels, hardening the blood vessels does not improve the overall dark appearance of the eyes.

At best, one should be satisfied with removing about one or two blood vessels.

Also, very fine red blood vessels are difficult to treat with sclerotherapy.

Red blood vessels can be treated with a pigment laser, but in the case of under-eye dark circles, the laser effect is usually very slight or often nonexistent.

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Treatment Method for Under-Eye Dark Circles - Other Procedures

Whitening treatment

There is a treatment that administers vitamin C to brighten the skin, but in reality it is impossible to make the skin white.

Its effect is minimal, so it is almost impossible to expect a satisfactory result.

Most of the causes of dark skin itself are cases where the skin density is excessively high, like a wrinkled peel, or where the reddish orbicularis muscle layer beneath the skin is visible, so whitening treatment is far from removing these causes.

Method using fillers

The under-eye area is a delicate area, so introducing foreign substances is not desirable.

There are cases where fillers such as Restylane or Aquamid are used to correct sunken areas, but this can create a bumpy under-eye appearance, and since it does not convert the area back to its original skin tone, it can cause side effects such as making the skin look pale and bloodless, or the contour becoming uneven, so it is not a recommended treatment.

Vascular laser treatment

It can be used simply for localized vascular dilation, but it cannot reduce dark circles.

The cause of red dark circles is that the orbicularis muscle under the eyes is generally visible through the skin, so no matter how much laser is used, the muscle does not change, and treatment effects can hardly be expected.

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http://www.darkcare.com

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http://www.duhans.com

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