Transconjunctival Blepharoplasty (Eye Bag Removal for a Youthful Look)

· Those in Tokyo who want to remove excess fat around the eyes without incising the skin.
· Those with dark circles under the eyes.
· Those who want to reduce puffiness under the eyes.
· Those who wish to improve under-eye hollows and enhance the tear trough area.
· Those who wish to achieve a refreshed look.

Transconjunctival Blepharoplasty is a minimally invasive surgical procedure designed to address under-eye bags, puffiness, and excess fat around the eyes. By making small incisions inside the lower eyelid, this technique removes or repositions fat deposits without visible scarring. The procedure helps to smoothen the under-eye area, reduce puffiness, and restore a youthful, refreshed appearance.

Transconjunctival Blepharoplasty promotes natural healing by targeting excess fat and tissue, resulting in a rejuvenated eye contour. The technique is particularly effective for individuals who have puffiness or under-eye bags but minimal skin excess. Over time, the skin appears smoother, firmer, and more youthful, all without the need for external incisions or significant downtime.

Transconjunctival Blepharoplasty works by using specialized surgical instruments to treat under-eye puffiness and excess fat. After administering local anesthesia for comfort, a fine incision is made on the inside of the lower eyelid (conjunctiva), allowing the doctor to access the fat pads without leaving any external scars.

During the procedure, the fat is either removed or repositioned depending on the individual’s anatomy and aesthetic goals. In many cases, the Ura-Hamra technique is used—this method carefully redistributes the fat rather than simply removing it. By repositioning the fat over hollow areas such as the tear trough, this technique helps flatten the transition between the lower eyelid and cheek, reducing shadowing, and creating a fuller as well as youthful appearance.

1. Consultation and skin examination will be conducted.
2. The treatment area will be marked and thoroughly cleaned.
3. Local anesthesia will be applied on the treatment area.
4. A small, precise incision will be made inside the lower eyelid.
5. Excess fat will be removed or repositioned as needed.
6. The incision will be closed with fine sutures.
7. Post-care instructions will be provided by the doctor.
8. Removal of sutures once recovered.

1) Age-related eye bags
· More common after the age of 30.
· The orbital septum (under the eyelid) loosens, and the tone of the muscle around the eyes weakens.
· Orbital fat pushes forward, making the area under the eyes more prominent.
· As we age, subcutaneous fat in the cheeks decreases, causing the cheeks to sag and making under-eye bags more noticeable.

2) Juvenile eye bags
· Caused by an excess of orbital fat present from birth.
· Surgery can improve the appearance of juvenile eye bags.
· For younger people, especially high school students, improving the under-eye area can significantly enhance the overall facial appearance.

<Advantages>
· Natural-looking results
· No visible scars
· Minimally invasive
· Reduces puffiness and under-eye bags
· Youthful and refreshed look
· Long-lasting results

<Limitations>
· Not suitable for those with certain eye conditions such as eyelid laxity and certain thyroid issues

· Avoid blood-thinning medications and aspirin for at least 1 week before the treatment
· Refrain from smoking for at least 2 weeks before the treatment
· Avoid direct sun exposure for at least 2 weeks prior to the treatment
· Do not consume alcohol for at least 24 hours before the treatment

· Sleep with your head elevated on 2 to 3 pillows for the first few nights after the treatment
· Apply ice packs for the first 24 to 48 hours after the treatment to reduce swelling
· Do not rub or touch your eyes for at least 1 week after the treatment
· Avoid strenuous activities for at least 2 to 3 weeks after the treatment
· Avoid wearing contact lenses and eye makeup for at least 1 to 2 weeks after the treatment
· Avoid smoking and drinking alcohol for at least 1 week after the treatment
· Use sunglasses outdoors to protect the eyes from the UV exposure and wind
· Refrain from hot springs and saunas for at least 2 weeks after the treatment

Q1: Is there any way to get rid of dark circles under my eyes with this treatment?
A1: If dark circles are caused by fatty swelling, they can be improved by removing the excess fat without harming the skin.

Q2: Will this treatment leave a scar?
A2: Fat is removed from the inside of the eyelid, so there is no damage to the skin. Swelling is minimal, and mild puffiness may occur for 2 to 3 days.

Q3: Will removing fat cause more wrinkles?
A3: Just like wrinkles can appear when someone loses weight, they may increase slightly in people in their late 40s or older. In such cases, a skin incision may be needed to lift the skin and muscles.

Q4: Can this treatment also help get rid of sagging skin?
A4: Transconjunctival degreasing does not affect the skin or muscles, so it would not change sagging. However, if the protrusion of orbital fat resembles sagging, it may appear reduced.

Q5: Can I wear makeup immediately after the treatment?
A5: You can begin wearing makeup 1 week after the surgery. However, if you experience any side effects like bleeding, it is important to consult with the doctor before applying makeup.

[Clinic Name] Biotope Clinic
[Location] Tokyo, Japan
[Nearest Station/ Nearest Tourist Destination] Located in Minato-Ku, Biotope clinic is easily accessible via train and is only 1-min walk from Sirokanedai Station Exit 1
[Clinic Opening Time] Monday - Friday (10:00AM - 7:00PM); Saturday (10:00AM - 5:00PM)