Woman in her thirties hesitating as she reads about under-eye surgery

Board-certified dermatologists · AUVEL Clinic · BELLUTI

Belluti

Belluti — non-surgical under-eye bag laser in SeoulUnder-eye bags.
Does it have to be surgery?

If the fat under your eyes bulges only slightly, try this before surgery — Belluti, a 5-minute non-incision treatment using a diamond-particle patch and laser.

Incision NoneTreatment time About 5 minRecommended 3 sessions, 3 weeks apartDoctor Board-certified dermatologist

Illustrative image

If the fat under your eyes bulges only slightly, try this before surgery — Belluti, a 5-minute non-incision treatment using a diamond-particle patch and laser.

Incision NoneTreatment time About 5 minRecommended 3 sessions, 3 weeks apartDoctor Board-certified dermatologist

Sound familiar?

Do mornings like these sound familiar?

Woman applying concealer under her eyes in the morningIllustrative image
Concealer is the first thing you reach for
Woman being told by a colleague that she looks tiredIllustrative image
You slept well, yet people say you look tired
Woman looking at her under-eyes on a video call screenIllustrative image
On video calls, your under-eyes are what you notice first

If surgery still feels like too much, read on.

The cause

Under-eye fat doesn't appear — it gets pushed forward

There is fat under the eyes to begin with, held in place by a thin membrane (the orbital septum).

With age, this membrane and the ligaments around it weaken, so the fat is pushed forward — creating a bulge and a shadow below it.

Meanwhile, the ligament attached to the bone stays put, so the groove between the bulging fat and the ligament (the tear trough) deepens. That's why it isn't just about removing fat — the membrane, ligaments and skin all need to be looked at together.

Three-step illustration of under-eye fat being pushed forward as the membrane weakens
  1. The membrane holds the fat firmly
  2. The membrane thins and stretches
  3. The fat pushes forward and casts a shadow

Options

The options so far — and the gap in between

For under-eye fat, these were the choices. But there was a gap: under-eyes where surgery feels like too much, yet creams and fillers don't help.

Eye creamIllustrative image

Eye cream · home care

Easy, no downtime

Can't reach fat that has been pushed forward

Filler syringeIllustrative image

Filler

Fills hollow areas

Not suited to bulging fat

Laser handpieceIllustrative image

Standard laser

Good for texture and pigmentation

Doesn't reach under-eye fat

Before surgery · the gap it fills

Genuine Belluti black diamond particle patch

Belluti

Reaches the membrane, ligaments and fat layer with shock waves — no incision

For under-eyes where the fat bulges only slightly

Tray of eye surgery instrumentsIllustrative image

Fat repositioning surgery

Most definitive when the bulge is large

Involves an incision and recovery time

The key isn't the laser — it's the patch

1064nm
Q-switched Nd:YAG laser
About 5 min
From patch to laser (3–5 min per manufacturer)
0
Incision · anesthesia
Genuine Belluti patch caseA pair of Belluti under-eye patches and the compression lens
  1. Black diamond + gold patchTiny particles in the patch capture the laser light. The gold particles amplify that energy
  2. Light → shock waveThe captured light turns into a shock wave (laser-induced shock wave) instead of heat
  3. Compression lensGently presses and holds the skin so the shock wave travels straight into the under-eye area
Official name
BELLUTI
Manufacturer
SIMFLE STICK (Korea)
Components
Dedicated patch · compression lens · 1064nm laser
Principle
Laser-induced shock wave (LISW)
Patch
Shaped to the under-eye curve · single-use
Main area
Under the eyes

The moment laser light becomes a shock wave

When the laser light hits the diamond particles, the area around each particle expands in an instant and tiny bubbles burst. That force becomes the shock wave. Here it is in the manufacturer's test footage.

Video · SIMFLE STICK photoacoustic effect test footage
  1. Black diamond and gold particles in the patch absorb the 1064nm laser light
  2. Within nanoseconds the area around each particle expands rapidly, tiny bubbles burst, and a shock wave forms
  3. Through the compression lens, the shock wave reaches the membrane, ligaments and fat layer without burning the skin surface

How it works

Four things the shock wave does under the eye

Membrane · ligamentsGives mechanical stimulation to the weakened orbital septum and surrounding ligaments, helping the support that holds the fat back
FatWorks toward reducing the size of fat cells rather than bursting them
SkinSupports collagen production, addressing fine lines and firmness under the eyes
CirculationSupports micro-circulation and lymph flow, helping with puffiness and shadows

Sources: SIMFLE STICK Belluti product brochure (2026) · research on Piezo1, which turns pressure into cell signals (Lu et al., EMBO J 2022, among others). Mechanism descriptions are based on manufacturer materials, and results vary by person.

The research behind it

  • Lu et al. · EMBO Journal 2022 — mechanical stimuli such as shock waves open the Piezo1 channel in cells and switch on regeneration signals
  • Byun et al. · Int J Mol Sci 2024 — Piezo1 activation increases collagen synthesis in aged dermal fibroblasts
  • Kuehne et al. · J Invest Dermatol 2021 — the role of Piezo1 in skin fibrosis and tissue remodeling
  • Nagahara · Analytical Chemistry 2011 — the principle of generating shock waves with a laser (laser-induced shock waves)

vs. surgery

Belluti and fat repositioning surgery, side by side

Repositioning surgery
Consult · testsAnesthesiaIncision · surgeryRecovery period
Recovery period needed
Belluti
AssessmentPatch · lens5-min treatment
Most return the same day
BellutiRepositioning surgery
IncisionNoneYes
AnesthesiaNoneSurgical anesthesia
Procedure timeAbout 5 minSurgery time required
Sessions3 sessions, 3 weeks apart recommendedOne surgery
RecoveryRedness and swelling for a few daysExplained at consultation
Back to daily lifeUsually the same dayRecovery period needed
Best suited toSlightly bulging fatLarge bulge or sagging
ScarringNoneDepends on incision site

If the bulge is large, we'll tell you honestly that surgery may be the better fit.

Send one photo of your under-eyes and we'll tell you whether it looks like a surgery case or a Belluti case

Send a photo and we can guide you before your visit. The final decision is made at your consultation.

Your type

3-second check — what kind of under-eye do you have?

Question 1 of 3

Are your under-eyes puffier when you wake up?

This is a self-check. An accurate diagnosis is made by a dermatologist at your consultation.

3 common misconceptions about under-eyes

The visit

In and out in under an hour

From assessment to heading back out, it fits into one short visit — easy to slot into a trip. No anesthesia, and you can freshen up afterwards before you leave.

Arrive · doctor's assessment
Cleanse · remove makeup
Dedicated patch applied · gel
Compression lens · laser (about 5 min from patch)
Patch removed · soothing
Back on your way
Actual treatment: patch on the under-eye with laser applied through the compression lens
About 5 min
From patch to laser
3 sessions
3 weeks apart recommended (per manufacturer)
3–4 months
How long one session's effect lasts (manufacturer data · varies by person)

Message us your dates in Seoul and we'll check available times

Send a photo and we can guide you before your visit. The final decision is made at your consultation.

The next few days

Eye area on the day of treatmentIllustrative image
D-DayRedness, swelling and pinpoint bleeding may appear
Eye area the day after treatmentIllustrative image
D+1Redness starts to fade
Eye area two days after treatmentIllustrative image
D+2Only faint traces remain
Eye area three days after treatmentIllustrative image
D+3Mostly back to normal

Recovery varies by person.

When causes are mixed, we plan them together

Close-up of bulging under-eye fatIllustrative image
FatBulge → Belluti
Close-up of a sunken tear troughIllustrative image
HollowSunken groove → filler or similar
Close-up of brown pigment dark circlesIllustrative image
PigmentBrown shadow → pigment treatment

If this mix sounds like your under-eyes, ask us

If surgery is right for your under-eyes, we'll recommend surgery.

How AUVEL Clinic practices

Doctors

For under-eyes, see a dermatologist who can tell the causes apart

Fat, hollowness or pigment — identifying the cause first is what changes the result.
Two board-certified dermatologists see patients at AUVEL Clinic, and both can consult in English.

Dr. Ko Young-wook, Medical Director

AUVEL Clinic · Board-certified dermatologist

Dr. Ko Young-wook Medical Director

Diagnoses and performs Belluti personally

Lifting · RenuvionUnder-eye · BellutiFiller ligament lifting

  • Board-certified dermatologist · Dermatology residency, Hanyang University Hospital
  • Member, Korean Dermatological Association · Korean Association of Dermatologists
  • Member, Korean Society for Skin Anti-aging · Korean Society for Clinical Dermatologic Treatment
  • Current) Medical Director, AUVEL Clinic
Dr. Song Chang-hwa, Director

AUVEL Clinic · Board-certified dermatologist

Dr. Song Chang-hwa Director

Skin texture · firmnessRejuran · skin boostersUnder-eye · Belluti

  • Board-certified dermatologist · M.S. in Dermatology, Hanyang University College of Medicine
  • Member, Korean Dermatological Association · Korean Association of Dermatologists
  • Current) Director, AUVEL Clinic

Book a consultation

12th floor, Sinsa — a clinic built around one patient at a time

AUVEL Clinic waiting loungeAUVEL Clinic consultation roomAUVEL Clinic reception
2
board-certified dermatologists
1:1
private consultation and treatment rooms
English
consultation on WhatsApp

Genuine patches, opened in front of you

  • We use only officially supplied devices and patches
  • A new patch is opened in front of you
  • Our certificate of genuine adoption is displayed at the clinic

Message us

  1. Message us — tell us your concern and your dates in Seoul, and send a photo if you like
  2. Doctor's consultation — we assess your type and suggest another option if Belluti isn't the right fit
  3. If it fits, treatment can be done the same day
AUVEL Clinic consultation room

Frequently asked questions

Does it really work without surgery?

If the fat under your eyes bulges only slightly, it can be treated without an incision. If the bulge is large, surgery may suit you better — we'll tell you honestly at your consultation.

Does it hurt?

It's done without anesthesia. You may feel brief sensations over the patch, and how much you feel varies by person.

How long does the treatment take?

About 5 minutes from applying the patch to the laser (3–5 minutes per the manufacturer). Including the assessment, cleansing and soothing, the whole visit fits in under an hour.

Can I go straight back to sightseeing or meetings?

Most people can go about their day, but there may be some redness or swelling.

Will I bruise?

Pinpoint bleeding may be visible for a few days. If you have an important event or photos planned, let us know in advance.

How many sessions do I need?

The manufacturer recommends at least 3 sessions, 3 weeks apart. After the first, you'll notice a change as the puffiness goes down, and changes in the membrane and skin continue as sessions add up. Your doctor will advise the exact number after seeing your under-eyes, and can help plan sessions around your trips to Seoul.

How long do the results last?

According to the manufacturer, one session's effect lasts about 3–4 months, and this varies by person. Maintenance is planned together at your consultation.

Can I have it after fat repositioning surgery?

The manufacturer also describes using it after repositioning surgery to care for under-eye firmness and fine lines. It depends on your post-surgery condition, so we check at your consultation.

How is it different from a standard laser?

A standard laser turns light into heat and works on the skin's surface layers. With Belluti, the patch turns light into a shock wave that travels to the deeper membrane, ligaments and fat layer without burning the surface.

How is Belluti different from under-eye fat repositioning surgery?

Repositioning surgery involves an incision to move the fat. Belluti reaches the membrane, ligaments and fat layer with a patch and laser shock waves, without an incision. If the bulge is large, surgery may be the better fit, and we'll tell you honestly at your consultation.

Does Belluti help with dark circles?

It's for dark circles caused by fat pushed forward and casting a shadow. Brown pigment and blue vascular types have different causes, so we recommend treatment suited to them.

Is it for under-eye hollows (tear troughs)?

If a sunken groove is the main cause, filler or similar may come first. Under-eyes with both bulging fat and hollowness are planned together.

How much does Belluti cost?

It depends on the area and extent. Message us and we'll let you know.

3 minutes' walk from Sinsa Station (Line 3 · Shinbundang) · 12F, 138 Dosan-daero, Gangnam-gu, Seoul, Republic of Korea · valet parking
Mon–Fri 10:00–20:00 · Sat 10:00–16:00 · closed Sundays and Korean public holidays (KST)

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