Dark Circle · Under-Eye Solution
Whether it's an under-eye structural issue or a skin and pigmentation issue —
the solution is entirely different depending on the cause.
Pleasure precisely analyzes each patient's under-eye condition and designs a treatment plan matched to the root cause.
Diagnostic results may vary by individual.
Treatment plans are custom-designed following a precise evaluation.
Diagnosis Method
1-on-1 Precision Diagnosis
Treatment Area
Surgery + Skin Care
Incision Method
Conjunctival Micro-Incision
Return to Daily Life
Quick Recovery
What is Dark Circle
Dark circles is a broad term for any darkening or dullness around the eyes.
Even when dark circles look the same, the shape, color, and location all differ depending on the cause.
The most important thing is knowing your exact type.
A one-size-fits-all approach will not work — a tailored solution matched to the cause is essential.
Dark circles are not simply a pigmentation issue —
structural factors such as under-eye fat, hollowing, and skin thickness often play a role as well.
Two Cause Categories
Determining whether the issue is structural or skin-related
is the starting point for choosing the right treatment.
Cause 01
Under-Eye Anatomy
When under-eye fat protrudes, it casts a downward shadow in light, making dark circles appear more pronounced. Conversely, a deeply sunken tear trough creates shadowing even when pigmentation is minimal, resulting in a tired, dark appearance. Because the cause is structural rather than pigment-based, skincare alone cannot achieve fundamental improvement.
Rather than simple fat removal, Under-Eye Fat Repositioning or Fat Grafting that addresses both protrusion and hollowing together
Cause 02
Skin · Pigmentation · Functional
The under-eye area is one of the thinnest areas of skin on the face, making it easy for underlying blood vessels and muscle color to show through. Repeated irritation or UV exposure can also cause pigmentation to accumulate, leaving the under-eye area dull and dark. Functional factors such as fatigue and rhinitis further impair circulation around the eyes, worsening dark circles.
Depending on the cause, dermatological approaches such as vascular laser, toning, or skincare are prioritized or combined
In many cases, causes from both categories appear simultaneously. The appropriate surgical or non-surgical approach is determined after precise diagnosis.
4 Types of Dark Circle
We classify under-eye conditions into 4 types
to provide precise diagnosis and tailored solutions.
Under-eye fat protrudes forward
This type is characterized by under-eye fat that bulges outward, casting a deep shadow beneath it. It creates a persistently tired appearance and can occur in young individuals due to genetic factors.
Under-Eye Fat Repositioning (with Reset Orbital Septum)
The under-eye is sunken, creating shadowing
This type occurs when under-eye fat is insufficient or the tear trough is deeply sunken, causing shadowing. It creates a gaunt, hollow appearance with more pronounced dark circles, and tends to worsen with age.
Under-Eye Fat Grafting (Micro + Nano fat grafting)
Pigment has accumulated in the skin around the eye
Melanin has accumulated in the skin around the eye, giving it a brown or dark hue. External factors such as UV exposure, frequent eye rubbing, and makeup irritation are the primary causes, and improvement is difficult even with adequate rest.
Hollywood Toning, Clarity Toning, Genesis Toning, Elravie Re2O Fine (other skin boosters)
Blood vessels beneath the skin are visible through
Thin under-eye skin allows subcutaneous blood vessels or muscle color to show through. This type is most common in individuals with fair skin and causes a bluish or reddish tint around the eyes.
Under-Eye Vascular Laser, Elravie Re2O Fine (other skin boosters), Nano Fat Grafting
Example 1. When fat protrusion (Type 1) + tear trough hollowing (Type 2) coexist, simple fat removal can worsen the hollowing — making repositioning essential.
Example 2. When structural issues (Types 1 & 2) and pigmentation or vascular issues (Types 3 & 4) coexist, surgery and skincare are sequenced and combined in a coordinated plan.
This case had combined symptoms including fat protrusion (Type 1) and tear-trough hollowing (Type 2), so surgery was performed combining under-eye fat repositioning + nano fat grafting. As pigmentation·vascular issues (Type 3) still remained after surgery, Hollywood Toning + skin booster treatments were used to improve the pigmented areas — achieving the desired result.
Customized Solution
Depending on the symptom and type — surgical or non-surgical, standalone or combined —
the optimal approach varies.
Surgical Treatment
Structural Domain
When protruding under-eye fat makes you look tired
Under-Eye Fat Repositioning
When the under-eye is hollowed and casts a shadow
Under-Eye Fat Grafting
When both protrusion and hollowing are present
Under-Eye Fat Repositioning improves both at once through repositioning
When under-eye muscle becomes prominent when smiling
Under-Eye Fat Repositioning precise fat rearrangement
When a structural cause such as under-eye fat or the tear trough is clearly identified,
the most fundamental improvement is possible.
Non-Surgical Care
Skin & Pigmentation Domain
When thin under-eye skin allows blood vessels to show through
Under-Eye Vascular Laser, Elravie Re2O Fine
When the under-eye appears brown or grayish-dark
Hollywood Toning, Clarity Toning, Genesis Toning
When elasticity around the eye decreases and fine lines appear
Rejuran Eye, Elravie Re2O Fine, Eye Thermage
When the cause is skin-related — pigmentation, vascular show-through, or loss of elasticity —
stepwise improvement through laser, toning, and skincare is possible.
Combined Plan
Structural + Skin Combined
When skin improvement is needed after surgery
Under-Eye Fat Repositioning + Skincare in combination
When structural issues and pigmentation coexist
Surgery + toning laser in sequential plan
When protrusion, hollowing, and vascular show-through all occur together
Repositioning + vascular laser integrated care
When two or more causes are present,
surgery and skincare are sequenced and combined appropriately.
When causes are complex, the optimal sequence and combination are designed together following a precise diagnosis.
Why PLEASURE
Precise cause identification, a scar-free approach,
surgery and skincare completed in one place.
We first accurately distinguish whether the cause is structural or skin and pigment-related. By comprehensively analyzing under-eye fat volume, tear trough depth, skin thickness, and vascular and pigment conditions, we recommend only what is truly necessary.
A micro-access approach through the inner conjunctiva achieves natural results with no visible external scarring. Minimizing the dissection range reduces bruising and swelling, enabling a faster return to daily life.
Plastic surgery structural correction and skin/aesthetic care are designed together in one space. This integrated approach elevates the skin condition before surgery and helps maintain results longer afterward.
FAQ
Before & After
Actual results from our patients — before and after results. Only cases with patient consent are published.
Consultation
What type it is, whether surgery is needed, and in what order to proceed —
we will precisely assess your current condition during an in-person consultation and design the optimal plan for you.
PLEASURE DUAL SYSTEM
Pleasure's dual system, where plastic-surgical structural improvement and dermatological texture restoration work in tandem. We design only what is needed, in the most harmonious sequence.
Plastic Surgery
Fundamental anatomical repositioning. We return age-displaced fat and loosened ligaments and muscles to their original positions, and use anatomical expertise to re-establish the central axis of the face, achieving the most natural three-dimensionality.
Dermatology
Skin vitality that amplifies surgical results. Through barrier restoration and regenerative treatments, we elevate skin condition to its peak before and after surgery, so results last longer and look more beautiful.
Refined Surgery
For those who need skilled surgery first, we propose the most advanced surgical methods.
Skin Care
If skin care alone can achieve enough improvement, we never recommend unnecessary surgery.
Optimal Synergy
When combining both delivers the best synergy, we design the most efficient sequence and combination.
Pleasure Promise
The anti-aging Pleasure pursues is not artificial change, but revealing your unique beauty in the healthiest and most natural way. With a clinical heritage spanning 60 years, we promise results that shine more deeply as time goes on.
