Aegyo Sal Filler
Aegyo sal is the small roll of fullness just under the lower lashes that shows when you smile. A tiny amount of soft filler can define it, but the skin here is the thinnest on the face. Dr Sin Yong, Medical Director of IN Eternity Clinic, explains who it suits and what can go wrong.
Treatment page: under-eye filler in Singapore.
WhatsApp to Enquire →Key facts ↓Aegyo sal is a Korean term for the small roll of fullness directly under the lower eyelashes, formed by the muscle that closes the eye. Aegyo sal filler places a very small amount of soft hyaluronic acid just under the lash line to define it. It is different from tear trough filler, which treats the hollow lower down, and it is not a treatment for eye bags. Because the skin is very thin, lumps, puffiness and a bluish tint are the main risks. It lasts about six to twelve months and can be dissolved.
- It is muscle, not fat: the roll is formed by the pretarsal part of the eyelid muscle and is more visible on smiling; it has been measured in studies of East Asian eyelids [1].
- Thin skin shows everything: filler placed too superficially or in excess can show as a lump or a bluish tint, known as the Tyndall effect [2].
- It is not for eye bags: adding filler above a puffy lower lid usually makes the area look heavier.
- Hyaluronic acid can be reversed: if the result is unsatisfactory, the filler can be dissolved [2].
What aegyo sal is
Aegyo sal sits two to three millimetres below the lower lash line. It is the bulge of the eyelid muscle, and it appears or becomes fuller when you smile [1]. In East Asian beauty culture it is associated with a youthful, friendly look. Some people have it naturally; others have a flat lower lid.
- Aegyo sal is directly under the lashes and moves with your smile.
- Eye bags sit lower, are present at rest, and are caused by fat bulging forward. See eye bag treatment.
- The tear trough is the hollow between the lower lid and the cheek. See under-eye filler.
How aegyo sal filler is done
After numbing cream, a very small amount of soft hyaluronic acid filler is placed just under the lash line, usually in one or two passes. The whole treatment takes minutes. Mild swelling is common for a few days, and bruising can occur. The result typically lasts six to twelve months.
Less is safer here. The aim is a soft roll that looks natural when you smile, not a ridge that is visible at rest.
What can go wrong
- Lumps or a sausage-like ridge from too much product or product placed unevenly.
- A bluish tint where filler sits too close to the surface [2].
- Puffiness that is worse in the morning, as hyaluronic acid holds water.
- Asymmetry, since the two eyes are rarely identical to begin with.
- Bruising and swelling for several days.
- Blocked blood flow is rare but possible with any filler near the eye. Skin colour change, severe pain or a change in vision is an emergency [2].
Most of these problems can be improved by dissolving the filler. See under-eye filler removal and under-eye filler problems.
Who it suits, and who should avoid it
- It suits people with a flat lower lid, good skin tone and no puffiness.
- It is usually not advised with eye bags, lower lid puffiness, very loose lower lid skin or a history of prolonged swelling.
- It is not done in pregnancy or breastfeeding, or with active infection around the eye.
- If you already have under-eye filler, the area is assessed first, sometimes with ultrasound.
Suitability is decided at consultation. Results vary between people.
Frequently asked questions
What is aegyo sal filler?
It is a small amount of soft hyaluronic acid filler placed just under the lower lash line to define the natural roll of fullness there, known in Korean as aegyo sal.
How is aegyo sal different from eye bags?
Aegyo sal sits directly under the lashes and shows more when you smile. Eye bags sit lower, are visible at rest and are caused by fat bulging forward.
How long does aegyo sal filler last?
Usually about six to twelve months. It can last longer in some people, since filler under the eye is broken down slowly.
Is aegyo sal filler safe?
It is a low-volume treatment, but the skin under the lashes is very thin, so lumps, puffiness and a bluish tint are recognised risks. Serious complications are rare. Hyaluronic acid filler can be dissolved.
Can aegyo sal filler be dissolved?
Yes. Hyaluronic acid filler can be dissolved with hyaluronidase if there is a lump, puffiness or a result you do not like.
Who should not have aegyo sal filler?
People with eye bags, lower lid puffiness or very loose lower lid skin are usually advised against it, as it tends to make the area look heavier.
How much does aegyo sal filler cost in Singapore?
It depends on the product and the amount used, and is set out after assessment. Market ranges for filler are in our price guide. The consultation fee is S
Book an assessment
IN Eternity Clinic, 9 Scotts Road, #12-01 Pacific Plaza, Singapore 228210. By appointment with Medical Director Dr Sin Yong. Monday to Saturday, 11am to 8pm. WhatsApp or call +65 8815 3008. At IN Eternity Clinic a consultation fee applies, and it is waived if you go ahead with any medical treatment; the fee is S
International KOL — CLASSYS · HIRONIC · DEKA · ALMA · FOTONA · LUTRONIC
References
- Chen MC, Ma H, Liao WC. Anthropometry of pretarsal fullness and eyelids in Oriental women. Aesthetic Plast Surg 2013;37(3):617-624. PubMed
- Funt D, Pavicic T. Dermal fillers in aesthetics: an overview of adverse events and treatment approaches. Clin Cosmet Investig Dermatol 2013;6:295-316. PubMed
Figures taken from the published papers and abstracts. Results vary between people; suitability is decided at an in-person consultation.