BLOG

column (e.g. in newspaper)

2025.09.07

夏目流、くぼみ目の治し方

夏目 隆太郎
Supervising Physician
Ryutaro Natsume

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.

 

くぼみ目は疲れて見える、老け見えの原因になります

くぼみ目の原因解説と治療

・眉が上がる場合:

この図のように、上瞼の皮膚が弛んだり、眼瞼下垂の影響で瞼の開けにくさがあり、額を持ち上げることでなんとか代償的に見えやすくしている時です。

瞼はこのように眉毛側が厚く、睫毛側が薄いです。

なので眉が上がると薄いところが眉毛側に上がってきます。

そのため瞼が窪んで見えやすくなります。

治療法:二重埋没、眼瞼下垂手術、場合によっては眉下切開

 

・脂肪が引き込まれる場合

眼窩脂肪が目の奥に引き込まれると瞼は窪みます。

原因は眼瞼下垂で起こります。

挙筋腱膜という瞼を開ける腱が、主に加齢とともに力が伝わりにくくなり、場合によっては瞼から外れて瞼の深いところにずれます。

挙筋腱膜にくっつくように眼窩脂肪は存在しているので、同時に瞼の深いところに引き込まれてしまうのです。

治療法:眼瞼下垂手術

引き込まれた脂肪も引きずり出すように移動、場合によっては固定して再配置することで改善します。

 

・脂肪萎縮or手術で減る

痩せ型の方は、加齢性変化でほぼ必発でおきます。

加齢で眼窩の周囲の骨が萎縮して、眼窩という目が入っているスペースが広がる。

眼球を支える靭帯が緩んで眼球自体下に移動する。

それによって上瞼が凹みます。

脱脂で眼窩脂肪を取りすぎても同様の変化が起きます。

 

治療:ヒアルロン酸/脂肪注入 

眼窩のボリュームを足すことで改善します 

・症例紹介

施術内容:上瞼くぼみ目ヒアルロン酸(製剤:テオシアルRHA1)、下瞼ベビーコラーゲン

 

施術内容:切らない眼瞼下垂手術(MT法)

 

施術内容:眼瞼下垂手術(切開)

くぼみ目の治し方

①ヒアルロン酸、②埋没法、③切らない眼瞼下垂手術、④眼瞼下垂手術(切開)

 

Reservations can be made here.

Complete your reservation in 60 seconds ▶︎

👉 https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15

※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

 

 

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation
アイコン RESERVATION