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2018.11.30
What is the recovery process for under-eye fat removal (transconjunctival fat removal)? A doctor explains swelling, bruising, and final results [Bianca Clinic]
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Hello, I'm Yuu Okubo from Bianca Clinic.
Today, we'll discuss "transconjunctival fat removal" (under-eye dark circles and sagging removal), a procedure to improve dark circles and sagging under the eyes.
How long will the swelling and bruising last, and what will the progression be?
I'll explain it as clearly as possible using actual case examples.
What is transconjunctival fat removal?

Transconjunctival fat removal is performed by accessing the inner surface of the eyelid (conjunctival side),Treatment to remove the fat (orbital fat) causing puffiness under the eyesis.
Since it can be performed without cutting the skin surface,No scarring and minimal downtimeis a characteristic.
Corrects dark circles, shadows, and sagging caused by aging or congenital fat protrusions,A natural and youthful impressioncan be regained.
Causes of dark circles and sagging
The puffiness under the eyes occurs when the fat beneath the eyeball (orbital fat) is pushed forward.
As we age, the skin and muscles lose their support, causing fat to sag. This makes dark circles and sagging more noticeable,look tired look oldIt leads to an impression.
Transconjunctival fat removal is precisely the treatment that addresses this cause.
Furthermore, by eliminating the bulge,The tear troughs stand out, brightening the entire eye area.You will be able to see.
Transconjunctival Fat Removal: Procedure Flow and Characteristics
Transconjunctival fat removal involves the inner surface of the eyelid (conjunctival side) that becomes visible when you stick out your tongue.Make a small incision of just a few millimeters to remove fat.I will do so.
To avoid damaging the skin surface,No stitches need to be removed, and the scar won't be visible from the outside.
When necessary, combining treatments such as baby collagen or fat grafting (condensed rich fat) can further enhance firmness and smoothness.
Postoperative Course and Downtime Summary for Transconjunctival Fat Removal
When considering treatment, it's important to know key points like "How long will the swelling and bruising last?" and "How long does it take to see the final results?"
The postoperative course and downtime are summarized below.
| period | Estimated Progress |
|---|---|
| 1 to 3 days after surgery | Mild swelling or bruising may occur. Pain is minimal, and washing your face and showering are possible starting the next day. |
| 4 to 7 days after surgery | The swelling begins to subside, and the bruising gradually fades. You can resume wearing makeup the next day to 3 days later. |
| 1 to 2 weeks after surgery | Swelling subsides, revealing a natural expression. This period also serves as a guideline for returning to work. |
| One month after surgery | Swelling and redness completely subside, revealing bright, youthful-looking eyes. The tear troughs gain definition, sometimes making the eyes appear larger. |
Estimated downtime
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Swelling and bruising: Approximately 1 to 2 weeks
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Suture removal: Not required (conjunctival approach)
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Tape compression: 24 hours
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Makeup: Can be applied the next day or several days later.
Transconjunctival fat removalBenefits and Considerations
Transconjunctival fat removal, of course, isn't all benefits. Here's a summary of the advantages and points to note.
Benefits of Transconjunctival Fat Removal
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To avoid cutting the skinNo scars remain
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Minimal downtime, allowing for light makeup the very next day
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Dark circles and shadows are improved, making the eye area appear naturally brighter.
Points to Note for Transconjunctival Fat Removal
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After removing fat, in rare casesFine wrinkles on the skin are noticeable.There are times when... (In such cases,Baby collagen injections and fat injections(Adjustable.)
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Removing too much fat can sometimes cause indentations.Finding the right balance is crucial.It is!)
Case Presentation of Transconjunctival Fat Removal
Top: Pre-operative / Bottom: 3 months post-operative
💴 Under-Eye Dark Circles & Sagging Removal (Transconjunctival Fat Removal) ¥298,000
⏳ Treatment time: 20 minutes 😷 Swelling and bruising: Approximately 10 days
⚠️ Risks: Indentations, hematomas, and increased wrinkles
In cases like this monitor's, where only the orbital fat bulges without noticeable orbital hollows, fat grafting is often unnecessary.
We often get asked, "Is fat grafting necessary?" While it may be needed in some cases, it really depends on the individual's original condition.
If you have concerns, it is possible to remove only the fat first and perform fat grafting later. Rest assured that the results will be the same whether done simultaneously or separately.
Top: Pre-operative / Bottom: One month post-operative
💴 Under-Eye Dark Circles & Sagging Removal (Transconjunctival Fat Removal) ¥298,000
⏳ Treatment time: 20 minutes 😷 Swelling and bruising: Approximately 10 days
⚠️ Risks: Indentations, hematomas, and increased wrinkles
This patient underwent transconjunctival fat removal without combining it with fat grafting.
One month after surgery, the unevenness has become less noticeable, resulting in a vibrant, lively look around the eyes.

Top: Pre-operative / Bottom: One month post-operative
💴 Under-Eye Dark Circles & Sagging Removal (Transconjunctival Fat Removal) ¥298,000
⏳ Treatment time: 20 minutes 😷 Swelling and bruising: Approximately 10 days
⚠️ Risks: Indentations, hematomas, and increased wrinkles
The tear troughs, previously hidden beneath layers of fat, now appear plump and defined.
Since the approach is made from the underside of the lower eyelid, the scar will not be visible from the outside.

Top: Pre-operative / Bottom: 3 months post-operative
💴 Under-Eye Dark Circles & Sagging Removal (Transconjunctival Fat Removal) ¥298,000
⏳ Treatment time: 20 minutes 😷 Swelling and bruising: Approximately 10 days
⚠️ Risks: Indentations, hematomas, and increased wrinkles
By removing excess orbital fat from the underside of the lower eyelid, the area under the eyes became noticeably more defined.
For those experiencing significant skin laxity, we recommend "skin tightening procedures." For individuals where fat removal alone might cause hollowed areas, we suggest "combining fat grafting." At Bianca Clinic, we tailor treatment plans to each patient's specific needs.
Please feel free to consult us about any concerns regarding your eye area!
Top: Pre-operative / Bottom: One month post-operative
💴 Under-Eye Dark Circles and Sagging Removal: ¥298,000
⏳ Treatment time: 20 minutes 😷 Swelling and bruising: Approximately 10 days
⚠️ Risks: Indentations, hematomas, and increased wrinkles
By removing the appropriate amount of orbital fat—the cause of under-eye puffiness—we achieve a refreshed, defined eye area, as you can see.
Since we approach from the underside of the lower eyelid, there will be absolutely no visible scarring.
Case Presentation of Transconjunctival Fat Removal Combined with Other Procedures
Top: Pre-operative / Bottom: 3 months post-operative
📍 Under-Eye Dark Circles & Sagging Removal (Transconjunctival Fat Removal) / Condensed Rich Face (CRF) Under-Eye
¥558,000 / 1 hour
😷 Swelling and bruising: Approximately 10 days 🏥 Suture removal: 1 week later (fat harvest site)
⚠️Risks: Lumps, asymmetry, hematoma, unevenness, infection, etc.
This patient underwent a combined procedure of transconjunctival fat removal and fat grafting.
By removing an appropriate amount of orbital fat and injecting Condenrich fat harvested from the thighs, we smoothed the hollows around the eyes and along the nasolabial folds.
Your skin looks firmer and much more youthful now.
Top: Before treatment / Middle: After hyaluronidase injection / Bottom: One month post-treatment
📍Under-Eye Dark Circles and Sagging Removal: ¥298,000
😷 Swelling and bruising: Approximately 10 days
⚠️ Risks: Indentations, hematomas, and increased wrinkles
📍Hyaluronidase ¥30,000
💉Anesthesia: Topical anesthesia available
😷DT: Swelling and bruising for about one week
⚠️Risks: Anaphylaxis, infection, etc.
This monitor had previously received hyaluronic acid injections in their tear troughs.
Before the procedure, the hyaluronic acid caused puffiness under the eyes, making them appear swollen. The protruding orbital fat further accentuated the swelling.
First, hyaluronidase was used to break down the hyaluronic acid. Then, the appropriate amount of orbital fat that appeared under the eyes was removed. As you can see, the result is refreshed-looking eyes!
Many people who have had hyaluronic acid injections for years become so accustomed to their appearance that they fail to notice the unnaturalness, but when compared side-by-side like this, the difference is stark.
Summary|Bear Removal (Transconjunctival Fat Removal) Results in a Natural Appearance with Minimal Downtime
Transconjunctival fat removal is,A treatment that improves under-eye dark circles and sagging without cutting the skinis.
Swelling and bruising typically subside within 1 to 2 weeks, and the results become more natural over time.
If you're thinking about getting a bear tattoo but are worried about downtime or the healing process, feel free to schedule a consultation to discuss your concerns.
We aim for the most natural and beautiful results by carefully considering your facial balance and fat distribution.