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2025.09.07
Natsume Method for Treating Sunken Eyes
A dual-specialty doctor with a background in plastic surgery, bridging cosmetic surgery and ophthalmology. At the university hospital, he performed numerous high-difficulty cases, primarily focusing on eye and facial bone surgeries, cultivating precise techniques grounded in anatomy. He prioritizes achieving both aesthetic beauty and functional safety, offering customized treatments around the eyes that incorporate ophthalmological expertise. He actively utilizes not only incisional surgery but also non-invasive procedures like hyaluronic acid injections. By carefully assessing each individual's condition and unique appeal, he provides bespoke treatments that guide patients toward naturally harmonious, well-defined eyes.
Hello, I'm Ryutaro Natsume, an image designer and cosmetic surgeon.

Sunken eyes make you look tired and can cause you to appear older.

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Explanation of the Causes of Sunken Eyes and Treatment
・When the eyebrows rise:

As shown in this diagram, this occurs when the upper eyelid skin becomes lax or when ptosis makes it difficult to open the eyelids, and the person compensates by raising their forehead to see more clearly.
The eyelid is thicker on the brow side and thinner on the lash side.
So when your eyebrows lift, the sparse areas move toward the eyebrow side.
This makes the eyelids appear sunken.
Treatment Methods: Double Eyelid Suture Technique, Ptosis Surgery, Brow Lift Surgery (when necessary)
・When fat is drawn in

When orbital fat is pulled back into the eye socket, the eyelid becomes sunken.
The cause is ptosis.occurs.
The levator aponeurosis, the tendon that opens the eyelid, primarily loses its ability to transmit force with age. In some cases, it detaches from the eyelid and shifts deeper within the eyelid.
The orbital fat exists attached to the levator aponeurosis, so it is simultaneously drawn deep into the eyelid.
Treatment: Ptosis Surgery
Improvement is achieved by moving trapped fat as if pulling it out, and in some cases, fixing and repositioning it.
・Fat atrophy or reduced by surgery

For those with a slender build, it almost invariably occurs due to age-related changes.
With aging, the bone surrounding the eye socket atrophies, causing the space where the eye is housed to expand.
The ligaments supporting the eyeball become loose, causing the eyeball itself to shift downward.
This causes the upper eyelid to become sunken.
Excessive removal of orbital fat during fat removal surgery can cause similar changes.
Treatment: Hyaluronic acid/Fat injection
Adding volume to the eye sockets will improve the appearance.
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・Case Presentation
Treatment Details: Upper Eyelid Hollow Hyaluronic Acid (Product: Teosyal RHA1), Lower Eyelid Baby Collagen

Procedure: Non-Invasive Ptosis Surgery (MT Method)

Procedure: Ptosis Surgery (Incision)

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How to Fix Sunken Eyes
① Hyaluronic acid, ② Buried suture method, ③ Non-incisional ptosis surgery, ④ Ptosis surgery (incisional)
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Reservations can be made here.
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https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
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※There are various approaches to aesthetic medicine, and opinions and practices may differ among physicians. Please consider the information provided here as one reference only, and we hope you will choose medical care that suits you and meets your expectations.
We apologize if any unintended inaccuracies or misleading expressions were included. In such cases, we will make appropriate corrections or additions.
【Profile】
Plastic Surgeon Dr. Ryutaro Natsume
https://biancaclinic.jp/doctor/natsume/
Performed numerous facial surgeries, particularly focusing on the eye area and facial bones, in the field of plastic surgery.
Regarding treatments for the eye area, I believe that not only aesthetic appearance but also ophthalmic functionality is extremely important. To provide safer and more reliable treatments, I am currently deepening my expertise as an ophthalmologist.
We actively incorporate non-surgical procedures such as hyaluronic acid injections, in addition to treatments requiring surgical instruments.
From a multifaceted professional perspective encompassing cosmetic surgery, cosmetic dermatology, reconstructive surgery, and ophthalmology
BIANCA CLINIC, a leading Japanese clinic specializing in beauty and regenerative medicine, provides the latest aesthetic treatments.
【Career】
2020: Graduated from Tokyo Medical University Tokyo Metropolitan Saiseikai Central Hospital
2022 Jikei University Hospital Department of Plastic Surgery
2023 Department of Plastic Surgery Jikei University School of Medicine Kashiwa Hospital
2024 BIANCA CLINIC
【Professional Affiliations/Qualifications】
Japanese Society of Aesthetic Surgery (JSAS)
Full Member of the Japan Society of Plastic and Reconstructive Surgery
Full Member of the Japanese Society of Craniofacial Surgery
Full Member of the Japanese Ophthalmological Society
Full Member of the Japanese Society of Aesthetic Medicine
【SNS】
Instagram account
https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr