Aegyo Sal Filler in Korea: Complete Guide to Under-Eye Filler Prices & Risks 2025

Aegyo sal filler, one of Korea's most distinctive beauty treatments, creates the charming "under-eye fat" that's considered a hallmark of youthful, attractive eyes in Korean beauty culture. This specialized filler technique adds a subtle cushion of volume just below the lower lash line, making eyes appear larger, brighter, and more youthful.

However, the delicate under-eye area presents unique challenges and risks that international visitors must understand. This comprehensive guide covers everything about aegyo sal filler in Korea - from authentic pricing and specialized techniques to critical complications like Tyndall effect and choosing the right injector.

⚠️ Medical Disclaimer: This article provides general information about aegyo sal filler procedures. It is not intended as medical advice. The under-eye area is high-risk for filler complications. Always consult with a qualified, experienced injector and understand potential risks before treatment.

What is Aegyo Sal?

Cultural Context

"애교살" (aegyo sal) literally translates to "charming fat" or "cute fat" in Korean. It refers to the small, puffy fat pocket that appears naturally under the eyes when smiling - similar to what some call "eye smiles" or "smiling eyes."

In Korean beauty culture:

• Considered highly attractive and youthful
• Associated with innocence and cuteness
• Makes eyes appear larger and more expressive
• Creates a friendly, approachable appearance

Western equivalent: Somewhat similar to what Westerners might call "bright eyes" or "under-eye highlights," though the aesthetic is distinctly Korean.

Natural vs. Enhanced Aegyo Sal

Natural aegyo sal:

• Appears when smiling due to orbicularis oculi muscle movement
• More prominent in some people naturally
• Typically subtle, about 2-4mm of elevation
• Positioned directly under lower lash line

Filler-enhanced aegyo sal:

• Creates or enhances the appearance
• Visible even when not smiling (if desired)
• Can be customized in size and projection
• Uses specialized injection techniques

Aegyo Sal vs. Eye Bags (Important Distinction)

Aegyo sal (desirable):

• Located immediately under lower lash line
• Small, firm, upward-projecting
• Appears when smiling
• Youthful appearance

Eye bags (undesirable):

• Located lower, under aegyo sal area
• Larger, saggy, downward-projecting
• Present at rest, worsen with age
• Tired appearance

Treatment approach: Aegyo sal fillers ADD volume at lash line. Eye bag treatments REMOVE or reposition lower fat pads. Completely different procedures.

Aegyo Sal Filler Prices in Korea (2025)

Based on 2025 data from over 1,000 Seoul clinics:

Average Pricing

Per Treatment:

• Overall average: $62 (₩80,000)
• Budget range: $40-80 (₩50,000-₩104,000)
• Mid-range: $90-150 (₩117,000-₩195,000)
• Premium clinics: $180-385 (₩234,000-₩500,000)

Minimum reported: $77 (₩100,000) Maximum reported: $385 (₩500,000)

Prices as of January 2025. Exchange rate: ₩1,300 = $1 USD.

Pricing by Seoul Location

Gangnam District:

• Average: $120-200 (₩156,000-₩260,000)
• 1,006+ clinics with reviews and pricing
• Premium for experienced injectors
• English support widely available

Apgujeong:

• Average: $150-250 (₩195,000-₩325,000)
• Celebrity-favored clinics
• Highest concentration of specialists

Myeongdong:

• Average: $80-140 (₩104,000-₩182,000)
• Tourist-friendly pricing
• Convenient location

Hongdae/Sinchon:

• Average: $60-100 (₩78,000-₩130,000)
• Younger demographic
• Competitive prices

What Affects the Cost?

Filler brand and type:

• Korean brands (Neuramis, Eloquence): Lower cost
• Restylane: Mid-range
• Juvederm: Mid to high range
• Belotero: Premium (often preferred for under-eye)
• Teosyal RHA: Premium

Volume used:

• Minimal (0.3-0.5cc): Lower cost, subtle result
• Standard (0.5-1cc total): Average pricing
• Enhanced (1-1.5cc): Higher cost, more dramatic

Injector experience:

• General aesthetician: Lower price, higher risk
• Experienced nurse injector: Mid-range
• Dermatologist/plastic surgeon: Premium, safer

Clinic reputation:

• New or unknown clinics: Cheapest
• Established clinics: Mid-range
• Famous/celebrity clinics: Most expensive

Types of Fillers Used for Aegyo Sal

Not all fillers are suitable for the delicate under-eye area. Here's what's commonly used:

Recommended Filler Types

Hyaluronic Acid (HA) Fillers - Soft, Fine Particle:

Belotero Balance/Soft:

• Ultra-fine particles
• Integrates smoothly into thin skin
• Minimal Tyndall effect risk
• Popular choice for under-eye

Restylane Vital/Vital Light:

• Specifically designed for thin skin areas
• Low G-prime (soft consistency)
• Natural-looking results

Juvederm Volbella:

• Very soft formulation
• Smooth texture
• Good for delicate areas

Teosyal Redensity II:

• Specifically formulated for under-eye
• Contains peptides and vitamins
• Lower swelling risk

Why Fine Particle Fillers Matter

Under-eye skin characteristics:

• Thinnest skin on the face (0.5mm thick)
• Highly vascular (many blood vessels)
• Constant movement from blinking
• Shows irregularities easily

Requirements for aegyo sal fillers:

• ✅ Very fine, uniform particles
• ✅ Low viscosity (soft, spreadable)
• ✅ Low G-prime (flexibility)
• ✅ Minimal water absorption (less swelling)
• ✅ Easily dissolvable if needed

Fillers to AVOID Under Eyes

❌ Thick, volumizing fillers (Juvederm Voluma, Restylane Lyft):

• Too firm for thin skin
• Visible lumps
• High Tyndall effect risk

❌ Long-lasting fillers (Radiesse, Sculptra):

• Difficult to correct if problems occur
• Not recommended for this area

❌ Unknown or cheap brands:

• Quality inconsistency
• Higher complication risk

The Aegyo Sal Filler Procedure

Consultation (Critical Step)

What a good consultation includes:

1. Facial analysis: Face shape, eye structure, existing aegyo sal
2. Realistic expectations: Show example photos, discuss achievable results
3. Filler selection: Explain which brand and why
4. Volume recommendation: How much filler needed (usually 0.5-1cc total)
5. Risk discussion: Tyndall effect, lumps, asymmetry, blindness (rare but possible)
6. Before photos: Documentation from multiple angles

Red flags:

• ❌ No discussion of specific filler brand
• ❌ Rushes through risks
• ❌ Recommends excessive volume
• ❌ No consideration of your eye structure
• ❌ Doesn't show portfolio of actual results

Before Treatment

1 Week Before:

• Avoid blood thinners (aspirin, ibuprofen, fish oil)
• Stop vitamin E supplements
• No alcohol for 48 hours before
• Discontinue retinoids for 2-3 days

Day Of:

• No caffeine (increases bruising)
• Arrive with clean, makeup-free eyes
• Eat a light meal
• Wear comfortable clothes

During the Procedure

Duration: 20-40 minutes

Steps:

1. Cleansing and marking:

   • Eye area thoroughly cleaned
   • Injection points marked
   • Desired aegyo sal shape outlined

2. Numbing (15-20 minutes):

   • Topical anesthetic cream applied
   • Some clinics offer local anesthetic injection for extra comfort

3. Injection technique:

   • Linear threading: Filler deposited in thin lines
   • Serial puncture: Multiple tiny deposits
   • Combination approach: Most common
   • Very shallow depth (just under skin)
   • Typically 4-8 injection points per eye

4. Molding and shaping:

   • Gentle massage to distribute filler evenly
   • Sculpting to create natural contour
   • Careful to avoid spreading too much

5. Evaluation:

   • Check symmetry
   • Ensure natural appearance
   • Touch-ups if needed

6. Ice application:

   • Reduce immediate swelling
   • Minimize bruising

Pain level: 3-5/10 with numbing (more sensitive than other face areas)

Sensation: Pressure, slight burning, awareness of filler placement

Immediately After

What to expect:

• Swelling (normal and expected)
• Small bumps where filler was placed
• Possible bruising
• Temporary asymmetry
• Tightness or fullness feeling

Do NOT be alarmed by: Initial over-correction - injectors often slightly overfill knowing swelling will subside.

Recovery and Results Timeline

First 24 Hours

Typical reactions:

• Moderate to significant swelling (peaks at 12-24 hours)
• Bruising (50% of patients)
• Small visible bumps or ridges
• Watery eyes (from irritation)
• Tightness

Care instructions:

• Sleep elevated (45-degree angle)
• Ice packs: 10 minutes on, 10 minutes off
• Avoid touching or pressing the area
• No makeup for 12-24 hours
• Arnica supplements/cream for bruising

Days 2-7

What happens:

• Swelling gradually decreases
• Bruising peaks then fades
• Results start to look more natural
• Bumps smooth out
• Can resume makeup (gently)

Care:

• Continue sleeping elevated
• Gentle skincare only
• SPF protection
• Avoid intense exercise
• No facial massages or treatments

Weeks 2-4

Final settling:

• Swelling completely resolved
• True results visible
• Filler integrates into tissue
• Natural appearance achieved
• Can evaluate if touch-up needed

Long-Term (Months 3-12)

Maintenance phase:

• Results stable for 6-12 months
• Gradual natural breakdown
• May notice subtle decrease in volume
• Plan maintenance treatment

Longevity factors:

• Under-eye area: 6-8 months typical (high movement area)
• Faster metabolism: Shorter duration
• Repeat patients: Often longer lasting
• Filler brand: Some last longer than others

Potential Complications and Risks

The under-eye area is considered high-risk for filler injections. Understanding complications is essential.

Common, Manageable Issues (10-30%)

Swelling:

• Expected, especially first 2-3 days
• Some people more prone (thin skin, allergies)
• Usually resolves in 1 week

Bruising:

• Occurs in ~50% of patients
• Highly vascular area
• Lasts 5-10 days
• Coverable with makeup after 24 hours

Asymmetry:

• Initial swelling creates temporary unevenness
• True asymmetry (5-10% of cases) correctable with dissolving or adding filler
• Touch-ups common at 2-week follow-up

Small Lumps or Bumps:

• Visible ridges where filler placed
• Usually smooth out within 2 weeks
• Gentle massage may help
• Persistent lumps require dissolving

Serious Complications (Uncommon but Important)

Tyndall Effect (5-15% with improper technique):

• Bluish or grayish discoloration under eyes
• Caused by filler placed too superficially
• Light scatters through hyaluronic acid
• Very noticeable in photos
• Treatment: Dissolve filler with hyaluronidase

Prevention:

• Use appropriate filler type
• Proper injection depth
• Don't overfill

Malar Edema/Festoons:

• Prolonged swelling on cheekbones
• Filler attracts water, causes persistent puffiness
• Can last weeks to months
• Treatment: Dissolve filler, lymphatic massage

Migration:

• Filler spreads beyond intended area
• Creates puffy, unnatural appearance
• More common with thicker fillers or overfilling
• Treatment: Dissolve and start over

Nodules or Granulomas:

• Hard lumps under skin
• Inflammatory response to filler
• Rare but persistent
• May require surgical removal in worst cases

Rare but Serious Complications (<1%)

Vascular Occlusion:

• Filler blocks blood vessel
• Can cause skin necrosis (tissue death)
• Vision loss (if ophthalmic artery affected - extremely rare)
• Medical emergency requiring immediate hyaluronidase injection

Symptoms (seek immediate help):

• Severe pain during or right after injection
• Sudden vision changes
• Skin blanching (turning white)
• Purple discoloration

Infection:

• Very rare with proper sterile technique
• Symptoms: Increasing redness, heat, pus
• Requires antibiotics

How to Minimize Risks

Choose the Right Injector

Essential qualifications:

• ✅ Board-certified dermatologist or plastic surgeon
• ✅ Extensive experience with under-eye fillers specifically
• ✅ Portfolio showing natural aegyo sal results
• ✅ Transparent about risks and complications
• ✅ Conservative approach (starts with less, adds if needed)

Warning signs:

• ❌ No medical license (aesthetician-only clinic)
• ❌ Limited experience with eye area
• ❌ Recommends large volumes immediately
• ❌ Dismisses complications as "won't happen"
• ❌ Can't explain filler choice rationale

Questions to Ask

1. "How many aegyo sal filler procedures have you personally performed?" (Should be hundreds)
2. "What filler brand will you use and why is it appropriate for under-eye?"
3. "What is your Tyndall effect rate?" (Should be very low, <5%)
4. "Do you have hyaluronidase available if needed?" (Must be YES)
5. "Can you show me before/after photos of your actual patients with similar eye shape to mine?"
6. "What is your revision policy if results are unsatisfactory?"

Aegyo Sal Filler vs. Other Under-Eye Treatments

Note: Aegyo sal filler is distinct from tear trough filler - different locations and purposes.

Natural Alternatives and Complementary Treatments

Non-Filler Options

Makeup techniques:

• Aegyo sal makeup (highlight technique)
• Cost: $5-30 for products
• No risks, temporary, customizable
• Popular K-beauty tutorial topic

Fat repositioning surgery:

• Moves existing orbital fat to create aegyo sal
• Permanent results
• Cost: $1,500-3,500
• Surgical risks and downtime

Combination Treatments

Aegyo sal filler + Botox:

• Botox relaxes muscle pulling down lower lid
• Enhances aegyo sal appearance
• Additional cost: $50-150
• Popular combination

Aegyo sal filler + Skin boosters:

• Improves under-eye skin quality
• Better "canvas" for filler
• Additional cost: $150-300

Aegyo sal filler + Dark circle treatment:

• Laser or brightening injections
• Comprehensive under-eye improvement
• Additional cost: varies

Frequently Asked Questions

Q: Does aegyo sal filler hurt? A: With numbing cream, pain is moderate (3-5/10). The under-eye area is more sensitive than other face areas, but most find it tolerable.

Q: How long does aegyo sal filler last? A: Typically 6-12 months. The under-eye area has high muscle movement, so filler breaks down faster than cheeks or lips.

Q: Can aegyo sal filler fix dark circles? A: No, filler creates volume for aegyo sal shape. It doesn't address pigmentation. Some lighting effect may make circles less noticeable, but it's not the primary purpose.

Q: What if I don't like the results? A: Hyaluronic acid fillers can be dissolved with hyaluronidase enzyme within 1-2 days. This is why HA fillers are preferred over permanent options.

Q: Is aegyo sal filler natural looking? A: When done properly with appropriate volume, yes. Overfilling creates an unnatural, puffy appearance.

Q: Can Western eyes have aegyo sal? A: Yes! Anyone can get this treatment, though the aesthetic is distinctly Korean. Discuss natural-looking proportions for your eye shape.

Q: Will people know I had filler? A: If done well, people will notice you look more youthful and bright-eyed, but shouldn't be able to identify filler specifically.

Q: Can I wear makeup after treatment? A: Wait 12-24 hours, then use makeup gently. Avoid rubbing or dragging on the area.

Expert Recommendations

Our Advice for International Visitors

Before booking:

1. Research extensively - this is a specialized technique
2. Budget appropriately - don't choose cheapest option for your eyes
3. Allow recovery time - plan for 1 week of visible swelling
4. Understand cultural context - make sure you want this distinctly Korean aesthetic

During consultation:

1. Be conservative - start with less, you can always add more
2. Communicate clearly - bring example photos
3. Ask about hyaluronidase - ensure clinic has it ready
4. Request specific filler - don't accept "whatever we have"

After treatment:

1. Follow all aftercare strictly - your cooperation affects results
2. Plan follow-up - 2-week check common for touch-ups
3. Don't panic about swelling - first few days look worse than final result
4. Have dissolving enzyme available - if you're unhappy, act quickly

Who Should Skip Aegyo Sal Filler

❌ Not recommended if you:

• Have very prominent natural eye bags (makes them look worse)
• Have extremely thin skin prone to showing irregularities
• Are prone to severe swelling or edema
• Have active eye infections or conditions
• Cannot accept any risk of complications
• Want completely zero downtime
• Are looking for dark circle treatment (wrong procedure)

Cultural Sensitivity Note

Aegyo sal is a distinctly Korean beauty ideal. While international visitors are welcome to try this treatment, it's important to:

• Understand the cultural context - this is considered cute/youthful in Korea
• Consider your features - results look different on various eye shapes
• Respect the aesthetic - don't expect Western "lifted" or "contoured" results
• Communicate your desired level (subtle vs. noticeable)

Not everyone finds prominent aegyo sal attractive in their home culture - make sure you're choosing this for yourself, not just because it's trendy in Korea.

Conclusion

Aegyo sal filler represents one of Korea's most distinctive cosmetic contributions to global beauty culture. When performed skillfully with appropriate fillers, it can create a charming, youthful under-eye appearance that's beloved in Korean aesthetics.

However, the delicate under-eye area demands respect, expertise, and conservative technique. Complications like Tyndall effect, persistent swelling, and lumps are real risks that require experienced injectors to minimize.

For international visitors to Seoul:

Pros:

• Access to specialists experienced in this specific technique
• Competitive pricing ($60-250 vs $400-800+ in the US)
• Cultural expertise in achieving the Korean beauty aesthetic
• Many English-speaking clinics in medical tourism hubs

Cons:

• High-risk area requiring experienced injector
• 1 week recovery time (visible swelling)
• Results may look different on non-Korean eye structures
• Distinctly Korean aesthetic may not translate well to your home culture

Our recommendation: If you decide to get aegyo sal filler in Korea:

1. Choose an experienced, board-certified doctor (not just any clinic)
2. Budget for mid to high-range pricing (experience worth it)
3. Start conservative - you can always add more
4. Allow proper recovery time
5. Ensure clinic has hyaluronidase available

Remember: Your eyes are precious. No cosmetic treatment is worth risking vision or serious complications. Choose your provider carefully, communicate clearly, and don't let budget considerations override safety.

Last Updated: January 17, 2025 Reading Time: 15 minutes Prices and information current as of publication. Individual results and risks vary. Always consult qualified medical professionals.