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2024.08.10
Puffy Eyelids! Causes and Treatments Explained by Type! [Medical Expert Reviewed]
With deep medical insight cultivated as an internal medicine specialist, I bridge aesthetic surgery, dermatology, and internal medicine. Having spent my childhood in China, I communicate fluently in Japanese, Chinese, English, and Korean. Possessing an international perspective—evidenced by invitations to present at overseas conferences—I actively promote techniques as a Key Opinion Leader (KOL) for GOURI and REJURAN®. My specialty procedures include double eyelid surgery, skin-nurturing boosters, and body hyaluronic acid treatments. My approach leverages the holistic understanding of the body cultivated through internal medicine to guide patients toward natural, healthy beauty.
Hello!
Dr. Hime of BIANCA CLINIC, also known as Senki Akashi.
Our popular double eyelid series continues with this installment focusing on "puffy eyelids."
While we may simply say “swollen eyelids,” the causes are not limited to just one.
Actually, there are four main types of reasons why eyelids appear heavy.
Let's go through them one by one.
1. Type caused by skin laxity
▶ Double Buried Suture Method Btwice (Inner Fixation) ¥239,580
☑️Downtime: If bruising occurs, approximately one week
☑️Risks: Infection, asymmetry (due to original bone structure), etc.
This type is especially common among those with monolids.
Daily use of eyelid tape or eyelid glue gradually stretches the skin, leading to a pattern where excess skin overlaps the eyelid when the tape is removed.
In this case,Double Buried MethodSimply performing this step can tighten sagging skin and create a natural, light-looking eye area.
2. Type with weakened eye opening
Top: Pre-operative Bottom: 1 month post-operative
💴Non-Invasive Eyelid Ptosis Correction: ¥298,000
😷DT: Swelling & bruising for about 10 days ⚠️Risks: Infection, asymmetry, exposed sutures, lumpy sensation, etc.
💴 Under-Eye Dark Circles and Sagging Removal: ¥298,000
😷DT: Swelling & bruising for about 10 days ⚠️Risks: Infection, hematoma, indentation, etc.
When the muscles that open the eyes weaken, the eyelids may appear heavy and droopy.
This is a condition known as ptosis.
This condition is more likely to occur due to aging or long-term contact lens use. If you feel that "your eyes look smaller than before" or "they appear puffy," this is a strong possibility.
As an improvement measure,Ptosis SurgeryTreatments such as those that support eyelid opening are examples.
3. The type with naturally voluminous eyelids
Top: Before treatment / Bottom: After treatment
Full Brow Lift (Brow Lift + Upper Fat Removal + ROOF Resection), Fat Removal, CRF (Under-Eye to Gorgon Line)
◼️Brow Lift + ROOF Resection: ¥542,080
Risks: Asymmetry, infection, etc.
DT: Swelling/Bruising: Approximately 10 days
Upper Eyelid Fat Removal: ¥239,580
Risks: Asymmetry, infection, indentation, etc.
◼️Fat Removal + Fat Injection ¥602,580
DT: Swelling and bruising for about 1 to 2 weeks
The heaviness of the eyelids involves multiple tissues, including orbital fat, ROOF (suborbicularis fat pad), and the thickness of the orbicularis oculi muscle itself.
If you want to reduce the volume,A procedure to remove fat by making a 2mm incision from the inner side of the eyelidis effective.
If the upper ROOF is thicker,Brow LiftWhile other methods exist to remove it, careful observation of post-operative changes is necessary. Therefore, starting with the less invasive procedure of orbital fat removal is recommended.
4. The type with small eyes
Top: Preoperative / Bottom: 3 months postoperative
💴Non-Invasive Ptosis Correction (MT Method) ¥298,000
💴Revision from other clinics: ¥100,000
💴Inner Corner Blepharoplasty: ¥248,000
💴Eyelid Surgery: ¥248,000
💴Glamorous Line Formation ¥348,000
😷DT: Swelling and bruising for about 10 days
⚠️Risks: Asymmetry, infection, hematoma, scarring, indentation, etc.
Even if your eyelids aren't heavy, having small eyes can give the impression of puffy-looking eyes.
If you want to increase the vertical height,Double-fold suture method and double-fold incision methodIf you want to increase the width,Inner Canthus Surgery, Outer Canthus Surgery, Glamorous Line FormationWe will design by combining elements such as these.
By designing the line to suit each individual's bone structure, you can achieve a clean, well-balanced eye area.
Summary: Why Are Your Eyelids Swollen? Identifying the Cause Is Key!
The puffiness of the eyelids is influenced by multiple factors, including skin laxity, muscle separation, fat volume, and eye size.
Even with the same “heavy eyelids,” the treatment varies depending on the cause. First, it's important to get examined to determine the cause.
At Bianca Clinic, we offer treatments tailored to your eye area through anatomically based examinations and design.
If you're troubled by puffy eyes or unsure which double eyelid style suits you, please feel free to consult with us.
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