The skin around the eyes is the thinnest on the face, so signs of aging appear there first and most distinctly. When fine lines or under-eye sagging become more noticeable in the mirror, many people first ask, "Can this be solved with a single procedure?" To answer directly, periorbital aging often involves a combination of wrinkles, reduced elasticity, and skin sagging, so an approach that combines treatments based on individual causes is more naturally reported.
Yonsei Star Dermatology Sinchon offers Tailored Eye Solution, which addresses different aspects of periorbital aging, such as fine lines around and under the eyes, and eyelid sagging, by tailoring treatments to individual concerns. In this article, we will explain why periorbital aging cannot be attributed to a single cause and how different treatment elements are combined.
Why Does Periorbital Skin Age First?
The orbicularis oculi muscle moves tens of thousands of times a day with blinking, and the periorbital skin is vulnerable to external stimuli and moisture loss due to its thin sebaceous glands and support layers. In consultations, many patients complain that only their eye area looks particularly aged, even at the same age. As collagen and elastic fibers decrease, fine lines deepen, and if the supporting tissues of the skin loosen, the eyelids can appear heavily sagged.

The problem is that these changes occur simultaneously. Focusing only on wrinkles or only on sagging might leave the most bothersome aspects unaddressed.
Why a Single Procedure Isn't Enough
Tailored Eye Solution began with the realization that "periorbital aging is difficult to explain as a single phenomenon." This is because elasticity, sagging, hydration, and regeneration each act on different layers and in different ways.

Therefore, when approaching periorbital aging, we examine the following aspects separately:
- Reduced elasticity due to collagen loss
- Skin sagging due to loosened tissue
- Hydration and regeneration issues, leading to dryness and dullness
- Deepened fine lines resulting from a combination of the above factors
Each factor is evaluated separately, and then only the necessary components are selected and combined.
The Three Pillars of Tailored Eye Solution

Tailored Eye Solution consists of three elements with different mechanisms of action.
| Component | Mechanism of Action | Primary Concern Targeted |
|---|---|---|
| Eye Thermage | Induces collagen production with radiofrequency energy | Periorbital elasticity |
| Eye Ultra | Subtly refines loosened skin tissue to correct sagging | Eyelid sagging |
| Eye Rejuran | Replenishes moisture and elasticity with regenerative substances | Dullness, vitality |
Eye Thermage involves penetrating powerful radiofrequency energy to generate new collagen, thereby improving elasticity in the periorbital skin. This is combined with Eye Ultra, which subtly removes loosened skin tissue to correct sagging, and Eye Rejuran, an eye-specific skin booster that uses skin tissue regenerative substances to increase moisture and elasticity, creating a more vibrant eye area.
If you are curious about Thermage-type procedures, referring to Thermage FLX Tightening and the principles of periorbital elasticity lifting in Ulthera Prime Lifting may help with understanding.

How these three are combined depends on the individual's skin condition. If reduced elasticity is prominent, the proportion of radiofrequency treatment is adjusted; if sagging is a concern, the proportion of other elements is adjusted.
Periorbital aging is not caused by a single factor but results from a combination of elasticity, sagging, and regeneration issues. Therefore, a customized combination approach, addressing each cause separately, is reported to lead to more natural changes.
If it's difficult to determine which combination is right for you, you can first assess your condition by contacting us for a chat consultation regarding periorbital anti-aging combinations.
Things to Consider for Periorbital Care
Daily care is as important as the procedure itself. Since the eye area is sensitive to irritation, it's good to pay attention to a few things in your daily life.
- UV rays weaken elastic fibers, so block them with sunscreen and sunglasses.
- Reduce habits of rubbing or harshly touching the eye area.
- Consistently use eye-specific moisturizers to reduce dryness.
- Manage sleep deprivation and smoking, as they are detrimental to skin regeneration.
- After the procedure, follow the recovery precautions provided by the medical staff.
While such care may not infinitely extend the effects of the procedure, it can help maintain the changes.
What to Know Before the Procedure
Since the periorbital skin is thin, it is crucial to adjust the treatment intensity and depth according to the condition of the area. Even with the same procedure, there may be individual differences in perceived changes and recovery patterns depending on one's skin thickness, elasticity, and degree of aging.

Yonsei Star Dermatology uses genuine Thermage tips for Thermage procedures, and the specific combination of elements and their intensity are decided together during the pre-procedure consultation.

Can Periorbital Aging Be Managed Slowly?
While periorbital skin aging cannot be completely stopped, approaching it by addressing its causes can help slow its progression and cultivate a more defined appearance. The starting point is to identify what concerns you most among periorbital elasticity, eyelid sagging, and dullness.

If you are curious about regenerative skin boosters used for overall skin elasticity, the principles of Rejuran and Water-Luminous Injection can also be helpful.
💬 Chat for a consultation nowChief Director Lee Sang-joo (MD, PhD, Yonsei University College of Medicine and Graduate School, completed dermatology residency at Severance Hospital, President of the Korean Dermatological Association) Chief Director Lee Sang-joo's Profile First published 2023-05-04 / Last reviewed 2026-06-16
This article is for general informational purposes only, and treatment results and recovery may vary depending on individual skin conditions. Please consult with medical staff for an accurate diagnosis and treatment plan.
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