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2019.05.28
Case Study: Under-Eye Dark Circles & Sagging Removal (Transconjunctival Fat Removal)! What's the Downtime Like?
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Hello.
I am Yuu Okubo of BIANCA CLINIC.
"I look tired because of my dark circles." "Lately, I've been noticing shadows under my eyes."
Many people come to our clinic with such concerns.
Actually, those “shadows” and “sagging” are oftenThe cause is the bulge of the orbital fat.
Today, we will discuss the transconjunctival fat removal procedure performed at our clinic.I will discuss (keiketsu makudasshijutsu) along with actual case examples.
What is Transconjunctival Fat Removal? A treatment for dark circles and sagging skin without cutting the skin surface

Transconjunctival fat removal is a procedure that accesses the inner side of the eyelid (conjunctival side) to remove excess bulging fat in a balanced manner.
To avoid cutting the skin's surface,The wound is not visible from the outside.is a major feature.
“Want to restore a youthful look to your eyes!” “Don't want it to look like you've had work done...” This is the choice for many people.
Treatment time isApproximately 30 minutes, which is short,Downtime isApproximately one week (swelling and bruising).Makeup applicationAvailable starting the next day. (Downtime varies by individual)
By flattening puffiness around the eyes, shadows disappear, softening the impression of looking tired or aged.
▼Specialist in Eye Area Treatments! Be sure to check out Dr. Natsume's blog here as well.
Characteristics of People Who Fail at Non-Invasive Bear Removal (Liposuction)
What is the downtime for under-eye dark circles and sagging removal (transconjunctival fat removal)?

💴 Under-Eye Dark Circles & Sagging Removal (Transconjunctival Fat Removal) ¥298,000
😷 Swelling and bruising: Approximately 10 days ⚠️ Risks: Indentations, hematomas, and increased wrinkle visibility

This document records the downtime from the day of the procedure to three days post-operative for under-eye dark circles and sagging removal (transconjunctival fat removal).
As you can see, significant swelling and bruising will become less noticeable within about 3 days to a week.
Case Study 1: A Case Where Simply Reducing Bulge Changes the Impression
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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
Here we will introduce case photos.
First, this patient.
By gradually removing orbital fat from behind the eyelids, the puffiness under the eyes has been smoothed out, and the shadows have become less noticeable.
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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 next patient is also a case requiring only fat removal.
The dark shadows became less noticeable, and the entire eye area took on a brighter appearance.
Case Study 2: Restoring Natural Firmness Through Liposuction and Fat Injection
Top: Pre-operative / Bottom: One month 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.
Under-eye puffiness was addressed by removing an appropriate amount of orbital fat and injecting Condenrich Fat (CRF) harvested from the thighs, thereby smoothing out the hollows around the eyes.
Your skin looks firmer and much more youthful now.

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 is another example of combining fat removal with Condensed Rich Face (CRF injection).
For some individuals, simply removing orbital fat can achieve a beautiful result. However, for patients like our current monitor subject who exhibit significant hollows along the orbital rim, we may also recommend simultaneous fat grafting.
In any case, since we approach from the underside of the lower eyelid, the incision will not be visible.
Identifying the type of dark circles and their cause is crucial for effective treatment.
“Even when we say ”dark circles," the causes vary from person to person.
| Bear Types | Main cause | Treatment Methods |
|---|---|---|
| Dark circles (shadow circles) | Fat bulges and shadows | Transconjunctival Fat Removal / Fat Injection |
| Dark circles under the eyes | Poor blood circulation and thin skin | Regenerative Therapy / Oral and Injection Therapy |
| dark circles under the eyes | hyperpigmentation | Pico Toning & Brightening Care |
| Hybrid | The above factors combined to cause | Combined with fat removal and regenerative therapy, etc. |
At Bianca Clinic, we assess the type of dark circles and the overall balance of your face to determine suitability and make recommendations.
Summary|Natural Youthful Appearance is the “Aesthetics of Subtraction”
The most important thing in treating dark circles and sagging under the eyes is,Don't take too much.
Reducing fat too much can cause hollows to appear, which conversely makes you look older.
Transconjunctival fat removal is a “subtractive cosmetic procedure” that meticulously refines only the necessary areas.
If you're thinking, "I want to change my tired-looking eyes but keep a natural look," please come in for a consultation.
At Bianca Clinic, our experienced doctors assess each individual's bone structure, fat distribution, and skin thickness to propose a treatment plan tailored to their specific needs.
Feel free to reach out anytime.