


11/21/2025
This is a procedure note for Decode under-eye bumps: Understanding their causes and modern treatment approaches. at Beomgye(Opening Soon) KKEUT Korean Clinic.
Kkeut Korean Medicine Clinic: Addressing Under-Eye Bumps

Kkeut Korean Medicine Clinic's Approach to Under-Eye Bumps
We prioritize identifying the underlying cause before proceeding with treatment.
Simply treating the surface often leads to recurrence.
For syringoma, procedures focused solely on shaving off the visible lesion are generally not advised.
Understanding the issue: enlarged sweat duct (the cause) and the visible bump (the result).
To help reduce the likelihood of recurrence, both aspects typically need to be managed.
Shaving procedures for sebaceous hyperplasia are often not recommended, as they may cause undue irritation.
Given the delicate and thin nature of the under-eye skin,
Each step, including Agnes device parameters, heat settings, peeling depth, and area-specific energy control, is precisely adjusted to ensure a safe approach.
01. What Are Under-Eye Bumps?
Visible or palpable bumps beneath the eyes are often colloquially termed 'under-eye chicken skin' or 'under-eye bumps,' yet these can actually encompass various conditions stemming from distinct skin structures.
Since visual assessment alone can make differentiation challenging, a precise diagnosis and a tailored treatment strategy are often beneficial.
02. Common Underlying Conditions
1) Sebaceous Hyperplasia
This condition develops when sebaceous glands become overly abundant or enlarged.
A frequently observed cause of under-eye bumps.
It often manifests as several small, clustered bumps.
Merely shaving the surface often does not resolve the issue; instead, direct treatment targeting the sebaceous gland at its depth may be more effective.
2) Syringoma
This condition arises from enlarged sweat glands or their ducts.
The bumps tend to be slightly larger and more elevated compared to those of sebaceous hyperplasia.
While sometimes mistaken for milia, syringomas are characterized by a tendency for recurrence.
The raised lesions are frequently a cosmetic concern.
03. The Importance of Accurate Differentiation
Despite their similar appearance to the naked eye, the underlying causes are quite distinct, often necessitating different treatment approaches.
Without a precise diagnosis, applying general peeling methods or a single device may lead to outcomes such as recurrence, overtreatment, or scarring.
Thus, a personalized treatment plan developed after a thorough diagnosis is often recommended.
04. Treatment Strategies Based on Diagnosis
1) Treating Sebaceous Hyperplasia: Agnes (Insulated Needle Radiofrequency)
An insulated needle is used to deliver focused heat directly to the deep sebaceous glands.
This process aims to help reduce the size of enlarged sebaceous glands.
It can be carried out with consideration for the thin skin of the under-eye area.
Rather than surface shaving, the size of the bumps may gradually diminish over time.
Suggested Frequency: Typically administered at 1-month intervals.
An initial course of 3 treatments is commonly suggested.
2) Treating Syringoma: A Combined Approach with Agnes and Er:YAG Laser
① Agnes: This aims to target the underlying cause, which is the enlarged sweat duct.
고주파 열에너지를 땀샘 덕트 부위에만 집중적으로 적용하여 증식된 땀샘관을 정밀하게 파괴합니다.
재발 가능성을 낮추기 위해 원인에 대한 치료를 우선적으로 진행합니다.
② Er:YAG 레이저: 돌출된 병변 관리
이미 돌출되어 있는 병변 부위를 정확하게 제거합니다.
CO2 레이저와 비교했을 때, 주변 조직의 손상이 적고 홍반 발생 부담도 줄어듭니다.
눈 밑과 같이 피부가 얇고 민감한 부위에 적합합니다.
권장 시술 간격: 2개월
총 3회 시술을 권장합니다.
05. 눈 밑 비립종 및 쥐젖 치료의 차별점
원인을 정확히 파악한 후 필요한 치료만을 진행합니다.
단순히 표면만 깎아내는 시술은 재발 위험이 높을 수 있습니다.
한관종의 경우, 표면만 깎아내는 단독 시술은 권장하지 않습니다.
깊은 땀샘관 (원인) + 돌출된 병변 (결과)
→ 재발 가능성을 낮추려면 두 가지 모두 개선되어야 합니다.
피지선 증식증의 경우, 불필요한 자극을 줄 수 있으므로 깎아내는 시술은 권하지 않습니다.
눈 밑 부위는 피부가 얇고 예민하므로,
아그네스 시술 시 열 설정, 필링 깊이, 부위별 에너지 조절을 통해 안전하게 진행됩니다.