[Yonsei Star Dermatology Sinchon] Laser Lesion Removal for Under-Eye Fat: Expected Effects if You're Concerned About Bulging Under-Eyes

Have you ever stood in front of the mirror in the morning and noticed your under-eyes bulging, while the area directly beneath them appears sunken? These changes are often not due to conditions like lack of sleep, but rather structural changes caused by the displacement of under-eye fat.

Under-eye concerns are often thought to be an issue only for middle-aged and older individuals, but they can actually appear from the 20s and 30s. The answer to the initial question, "Why do I look tired even after resting well?" lies in this fat structure.

Under the eyes, there are naturally fatty tissues that protect the eyes. However, as we age or skin elasticity decreases, this fat can push forward and start to bulge.

The problem arises from the double shadow phenomenon caused by uneven fat distribution. The upper part bulges while the lower part appears sunken, creating shadows at the boundary that can make one look tired and older. Dark circles and deeper-looking wrinkles are also often caused by these structural reasons.

Laser Lesion Removal for Under-Eye Fat is a method that addresses under-eye fat issues without incision or surgery. The process proceeds as follows:

• A special patch containing black diamond components is applied under the eyes.
• The patch absorbs laser energy and converts it into shockwaves.
• The shockwaves are delivered deep into the skin, gently loosening hardened fat tissue.
• This helps the fat to be more evenly redistributed.
• Fibroblasts can be stimulated, which may aid in collagen regeneration.

During this process, microcirculation in the skin can be activated, which may help with waste removal and improved circulation. It is characterized by inducing subtle changes in the tissue through mechanical stimulation, rather than just applying heat to the surface.

For collagen regeneration and elasticity, some individuals also consider Gouri·Juvelook·Rejuran Skin Boosters or Water-Luminous Injection for skin hydration management. The best combination for you will depend on your condition.

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If many of the following apply to you, it may be helpful to have your under-eye structure checked:

• If your under-eyes bulge and the area beneath them appears sunken.
• If your under-eyes look swollen and tired even after enough sleep.
• If dark circles and fine wrinkles are a concern together.
• If you feel burdened by the idea of surgery.
• If you want to return to daily life relatively quickly after the procedure.

In the clinic, the under-eye area is very thin and sensitive, so the approach needs to be carefully considered. Simply focusing on reducing fat can actually make hollowness more prominent or emphasize fine wrinkles.

Laser Lesion Removal for Under-Eye Fat is characterized by not only focusing on removing fat but also working to fill the area with elasticity once the fat is organized. Therefore, it is gaining attention for its potential to create a natural and smooth under-eye line.

However, results may vary depending on an individual's skin condition and under-eye structure. If a greater improvement in skin elasticity itself is needed, elasticity treatments such as Ulthera Prime lifting or Thermage FLX tightening may also be considered. It is important to find the right approach for you through thorough consultation with a specialist.

Under-eye concerns may seem like something only you are particularly sensitive about, but in reality, many people in their 20s and 30s are also concerned about this area. There is also a growing trend of methods that can address these concerns without surgery.

As the under-eye area significantly influences one's impression, many people experience stress due to these concerns. If you are worried about changes in your under-eyes and are hesitant about surgical methods, consulting a hospital with a dermatologist could be a good alternative.

Chief 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 2026-04-28 / Last Reviewed 2026-06-16

This content is for general information purposes only, and treatment effects and responses may vary by individual. Accurate diagnosis and treatment direction should be determined through consultation with medical staff.