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2025.11.21
What is Lower Eyelid Blepharoplasty? ⸻ Treatment Options Considering Sagging and Skin Quality
As a board-certified plastic surgeon, I have handled numerous cases involving trauma, reconstruction, and congenital conditions, cultivating precise techniques and deep anatomical understanding. Driven by the desire to deliver the transformative power of beauty—where visible change uplifts the spirit—I pursued a career in cosmetic surgery. My areas of expertise include comprehensive eye treatments, injectable therapies, and anti-sagging procedures. Guided by a commitment to sincerely address each patient's aspirations, I provide meticulously crafted treatments focused on achieving beauty.
Hello!
Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
In previous articles,We have explained how to treat the underlying structural causes of dark circles—specifically, bulging or hollowed-out orbital fat—focusing on treatments like the Hamra procedure and fat removal plus fat grafting.
However, there is another crucial factor that must not be overlooked when considering bear treatment.
That is “Skin sagging” is.
When it comes to bear treatment, it's easy to focus on the internal structure, butThe condition of the surface skin actually plays a major role in determining the final result.
This time, it is a treatment that effectively improves skin laxity.Lower Eyelid Blepharoplasty(Bending and Stretching Therapy) We will explain it in an easy-to-understand manner.
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■ When skin laxity is present, structural treatments alone have their limitations.
For dark circles under the eyes,Fat bulge / Skeletal indentation / Thin skin,There are various factors such as these,Severe skin laxity typeEven if we fix the internal structure, it's difficult to achieve satisfactory results.There are times when...
The reason is simple:Stretched skin won't naturally return to its original state.is.
Over the years, the protrusion of orbital fat stretches the skin,As we age, skin elasticity decreases and sagging occurs.
When you deflate a balloon you've been blowing up, the rubber returns to its original state, but skin doesn't bounce back like rubber.
In other words, just because you treated the inside“It doesn't snap right back to its original position.
Therefore,reducing bulges of fat,Even if you improve the indentation with the Hamra method,If there is significant excess skin, wrinkles and sagging will remain.is.
In such cases, internal treatment alone is insufficient,We need to address the skin itself.
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■ Lower Eyelid Blepharoplasty: Surgery to simultaneously tighten the skin and orbicularis oculi muscle
Suitable for those with significant sagging is Lower Eyelid Blepharoplasty is.
When you hear about surgery to remove skin,"Just cut off the excess skin, right?"It's often thought to be simple, but in reality, it's not that easy.
If you remove too much skin,The lower eyelid droops and flips up like a tongue-out gesture.「Lower eyelid ectropionriskwill increase.
What becomes crucial here is the layer immediately beneath the skin.orbicularis oculi muscleis.
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■ The key is "lifting the orbicularis oculi muscle"
When the skin is sagging,In most cases, the one below it The orbicularis oculi muscle is also relaxed.。
If only the skin is excised without addressing this area, it becomes prone to recurrence.Fixing the orbicularis oculi muscle to the periosteum at the outer corner of the eye for lifting (orbicularis oculi muscle suspension)I will do so.
As a result:
• The entire lower eyelid is lifted, improving sagging
• Minimize the amount of skin excisedcan
• Natural-looking finish,Preventing Bunionscan also
has the advantage of.
In fact, even in cases where the skin must be cut 8 to 10 mm without performing an orbicularis oculi muscle lift,By performing the hoisting operation approximately 4mm Often, that's all it takes.
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■ Are the scars okay?
The aspect patients feel most anxious about with lower eyelid wrinkle removal surgery is Scar Right?
To cut to the chase,The lower eyelid is an area where scars tend to heal very cleanly.is.
At one month post-surgery, redness may appear, making it recognizable as a scar, but3 months or moreI've gotten pretty used to it in six months.It becomes something you can't tell unless you look closely.
Cases of concern regarding postoperative scars are extremely rare.
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■ Summary
Lower eyelid wrinkle removal surgery is,Skin sagging,Lower eyelid laxity,Shadows caused by sagging skin,To improve such problems,Treatment targeting the skin and orbicularis oculi muscleis.
Bear treatment is not solely dependent on internal structure.
Thoroughly evaluate the condition of the skin,If necessary, combining treatment on the skin side,Restore a more natural and youthful appearance to your eyes.
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【Profile】
Masataka Fujihashi, MD, Plastic Surgeon
Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.
We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.
Designing natural beauty with trust.
We cherish that sentiment and apply it to our daily practice.
Read other blog posts ▼
https://biancaclinic.jp/author_cat/fujihashi/
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【Career】
March 2015: Graduated from the School of Medicine, Showa University
April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training
April 2017 Showa University Hospital Department of Plastic Surgery
October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery
April 2019 Nishio Municipal Hospital Plastic Surgery Department
April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department
November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery
July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery Department Head
July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)
April 2024 Deputy Director, Ginza TA Clinic
November 2025 BIANCA CLINIC
【Professional Affiliations and Qualifications】
Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon
Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)
Member of the Japanese Society of Aesthetic Surgery (JSAS)
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