3 reasons why ‘U look tired’ | Korean Aesthetic Clinic

i look tired
I LOOK TIRED | Ask Dr Daniel Chang

‘I look tired’ is the most common concern I hear from my patients.

 It is a reflection of our rat race society.

In the last decade, non-surgical solutions to reduce our ‘tired look’ have surged in popularity.

In my practice, nearly 1 in 3 patients can benefit from non surgical undereye treatment.

I believe this trend in people seeking aesthetic answers for their tired look is due to the effective nature, limited downtime and low cost of this treatment in comparison to surgical interventions.


Do u know?

1 night of no sleep, 3 minutes of rubbing your eyes, 5 minutes of crying,  can have a dramatic effect on your eyes. Traditionally, some show of us show our age and tiredness more than others.


What are the causes of ‘looking tired’ in Asians?

Commonly, this is due to

  1. Dark eye circles
  2. Eyebags
  3. Droopy eyelids


What are the causes of dark eye circles?

  1. Poor Circulation – leading to congested veins
  2. Genes
  3. Allergies – recurrent colds leads to constant rubbing


How does dark eye circles differ across the ages?

  1. In your 20 to 30s, patients present with an inherited tear trough indentation under the eye, giving them a tired look and causing them to look older.
  2. In your 30 to 40s, cheek volume deflation leads to later onset tear trough under the eye, as your tear trough loses its underlying support.
  3. In your 40 to 50s, eye bags develop, caused by the protrusion of your orbital fat pad
  4. In your 50 to 60s, eyelid droopiness, due to excess skin and lack of firmness and elasticity is a common occurrence.


What causes eyebags?

In your younger days, this is due to fluid retention, through allergies, diet rich in salt, illness etc. This increases pressure around the areas and pushes your blood vessels closer to the skin surface, hence your dark rings become more visible.

When you are older, your eyebags which are orbital fat, becomes more prominent due to the weakening of your overlying eyelid skin and septum.


What are the symptoms of droopy eyelid?

  1. Unilateral or bilateral upper eyelids sagging
  2. Dry or watery eyes
  3. Eye strain, eyebrow ache and tired eyes



How is under-eye treatment done?

Non surgically, in my experience, your eyelid skin can be beautifully reinforced with a combination of rejuran +/- skinboosters +/-  plasma skin resurfacing to improve skin quality. Add a touch of dermal fillers strategically placed around your eye to create a harmonised contour and a lifted, brighter look.

This creates near surgical results without the downtime of surgery. Skin changes take time though, but good things are worth waiting


How do we treat under-eye sunken-ness non-surgically?

One of the most popular non-surgical treatments is the introduction of hyaluronic acid (HA) to reduce the depth of the tear trough, in order to achieve a refreshed look.



What is the best filler for undereye treatment?

In my experience, the best fillers for your undereye are those that cause minimal swelling and water retention.

My preference is for Restylane Vital, Boletero Soft and RD2.


What is the review of undereye treatment?

Majority of patients will benefit from non surgical aesthetic treatments.

Post treatment, temporary swelling, bruising may be encountered.

For those who seek a more permanent fix, or are unsuitable for aesthetic modalities, surgery is the next step.


What is the cost of undereye filler treatment?

Cost of treatment varies, depending on the experience of your physician. In experienced hands, prices can start from $1000.



Remember, your eyes are the windows to your soul. So treat them well. =)

  • Dr Daniel Chang




  1. Flowers RS. Tear trough implants for correction of tear trough deformity, ClinPlast Surg. 1993;20:403–15.
  2. Haddock NT, Saadeh PB, Boutros S, Thorne CH. The tear trough and lid/cheek junction: Anatomy and implications for surgical correction. Plast Reconstr Surg. 2009;123:1332–40.
  3. Tear Trough Deformity: Review of Anatomy and Treatment Options Ross L. Stutman, MD Mark A. Codner, MD Aesthetic Surgery Journal, Volume 32, Issue 4, 1 May 2012, Pages 426–440.


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