It Is Suitable For
· Those in Tokyo looking to fix stubborn dark circles.
· Those who want to reduce eye bags without scarring.
· Those who want to look more refreshed.
· Those who wish to treat sagging that cannot be helped with skincare.
· Those who want to achieve long-lasting under-eyes results safely.
What Is Transconjunctival Blepharoplasty?
Transconjunctival Blepharoplasty is a surgical procedure that removes excess fat from under the eyes through a small incision inside the lower eyelid. Since the incision is made on the inner side (the conjunctiva), there is no visible scarring on the skin. This procedure is ideal for reducing puffiness, dark circles, and under-eye bags caused by protruding fat. It helps create a smoother, more youthful look around the eyes without damaging the outer skin.
How It Works
Transconjunctival Blepharoplasty involves making a small incision (5mm to 7mm) within the lower eyelid (the conjunctiva), so there will be no visible scar on the skin. Through this incision, excess fat causing puffiness and sagging is carefully removed or repositioned using precise surgical tools. The procedure is usually done under local anesthesia or light sedation and takes about 30 minutes. Since the outer skin is not touched, recovery is quicker and swelling is generally mild.
Transconjunctival Blepharoplasty Procedure
1. Consultation and assessment will be conducted.
2. Local anesthesia will be administered.
3. A small incision will be made on the inner side of the lower eyelid.
4. The excess fat will be removed or repositioned.
5. The incision will be closed with sutures.
6. Post-care instructions will be provided by the doctor.
Types and Features of Dark Circle Removal
Transconjunctival Degreasing
· Fat under the eye (orbital fat) is removed through an incision inside the lower eyelid, leaving no visible scar.
· Best for mild to moderate sagging; can be combined with fat injection for a smoother finish if needed.
Hamra Method
· Involves an external incision along the lower lash line to reposition orbital fat into hollow areas under the eyes.
· Ideal for improving both sagging and hollowness without removing fat.
Secret (Ura) Hamra Method
· Repositions orbital fat through an incision inside the lower eyelid, avoiding visible scars.
· Lower risk of complications compared to the regular Hamra method; maintains natural tear bags.
Types of Under-Eye Bags
Black (Shadow) Circles
· Caused by bulging orbital fat creating shadow-like depressions under the eyes.
· Treated by removing excess fat to reduce puffiness and darkness.
Purple Circles
· Result from thin skin revealing underlying muscles and blood vessels; often worsened by poor circulation or lack of sleep.
· Improved by injecting fat or baby collagen to reduce translucency.
Brown Circles
· Caused by skin pigmentation, often from rubbing or skin conditions like hay fever or atopic dermatitis.
· Treated gradually with fat injections, medical lasers, or topical medication.
Advantages and Limitations of Transconjunctival Blepharoplasty
<Advantages>
· No visible scarring
· Preserves natural eyelid structures
· Repositions excess fat
· Minimal impact on eye shape
· Reduces risk of complications
· Provides youthful look
<Limitations>
· Mainly effective for black dark circles
Transconjunctival Blepharoplasty Preparation
· Stop blood thinners or anti-inflammatory drugs for at least 1 week before the procedure
· Avoid alcohol and smoking for at least 1 week before the procedure
Transconjunctival Blepharoplasty Post Care
· Showering and applying makeup can be done on the day of the procedure
· Refrain from strenuous activity and drinking alcohol for at least 1 week after procedure
Contraindications for Transconjunctival Blepharoplasty
This treatment is not suitable for those with/who are/who have:
· Pregnant or breastfeeding
· Allergies
· Bleeding disorders
· Severe heart disease
· Experienced shock after using anesthesia
· Scars, infectious or bleeding diseases in the treatment area
FAQ
Q1: How do I know what type of dark circles I have?
A1: There are 3 types of dark circles – black, purple, and brown – and sometimes people have a mix of these. The most common concern is under-eye puffiness. The doctor at our affiliated clinic will identify your specific type and recommend the best procedure for your condition.
Q2: Can men also undergo Transconjunctival Blepharoplasty?
A2: Yes, many men choose this procedure to reduce dark circles and achieve a younger look.
Q3: Will the dark circles reappear after Transconjunctival Blepharoplasty?
A3: They can come back, especially after fat removal alone; CRF Injection helps prevent this. Multiple treatments may be needed in some cases.
Q4: Will wrinkles disappear after Transconjunctival Blepharoplasty?
A4: No, wrinkles will not fully disappear. CRF Injection may reduce some, but Botox Injection is preferable for muscle-related wrinkles. Consult with the doctor at our affiliated clinic if you want to address other concerns for a personalized treatment plan.
Q5: What is the downtime?
A5: Recovery usually takes about 10 days. You can shower and wear makeup the day after procedure but avoid rubbing or applying pressure on the treatment area.
Clinic Information
[Clinic Name] Bianca Clinic Ginza
[Location] Tokyo, Japan
[Nearest Station/ Nearest Tourist Destination] 5 mins drive from Tokyo Station, Ginza Sony Park, as well as many other attractions nearby
[Clinic Opening Time] Monday to Sunday (10:00AM - 7:00PM)
Operation Time |
30 mins |
Recovery Time |
10 days |
Number of Postoperative Visit |
1 visit for sutures removal |
Hospitalization |
Not required |
Limitations |
Potential side effects are bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, and infection |
Cancellation Policy |
No charge for cancellations made at least 48 hrs prior appointment date* |
Include In This Price |
Interpreter Fee, Tax |
Location |
Japan, Tokyo, Chuo City, Ginza, 1 Chome−5−6 BIANCA CLINIC 銀座 |
Terms of Service
Trambellir is a health tourism platform and does not in any way provide, promote, or sell any
medication or medical treatment to the Customers.
Customers are advised to contact the healthcare providers directly for any enquiries related to
medical treatments.