Dark circles, sagging and puffiness under the eyes

The most common cause of dark circles and sagging under the eyes is age-related muscle weakness around the eyes. This weakening prevents the muscles from adequately supporting the eyeball, causing the fat around the eyes to be pushed forward. This results in bulges or sagging under the eyes. The shadow cast by this bulging fat is what creates the dark circles. Dark circles and sagging make the eye area appear dark, giving an impression of tiredness or aging. There are also other types of dark circles around the eyes with different causes. We will propose the appropriate treatment method based on the cause, such as fat removal procedures (methods to remove fat), or injections of hyaluronic acid or your own fat.

Case Presentation

CASES

眼瞼下垂MT法・目頭切開・目の下クマたるみ取り・コンデンスリッチフェイス（額・コメカミ・目の下・ゴルゴライン）

Blepharoplasty MT, craniotomy, removal of dark circles and sagging under the eyes, condense rich face (forehead, comedo, under the eyes, gorgon line)

Treatment Period and Number of Sessions: Top: Pre-operative / Bottom: 3 months post-operative
Side Effects and Risks: Swelling, bruising, scarring, asymmetry, infection, etc.
Cost: Ptosis Correction MT Method ¥360,580
Inner Canthus Surgery: ¥300,080
Under-Eye Dark Circles and Sagging Removal: ¥360,580
Condense Rich Face Treatment ¥302,500
Condense Rich Face Temple ¥242,000
Condense Rich Face Under Eyes ¥121,000
Condense Rich Face ¥181,500

Under-Eye Dark Circles & Sagging Removal · Condensed Rich Facial Treatment

Treatment Period and Number of Sessions: Top: Pre-operative / Bottom: One month post-operative
Side Effects and Risks: Swelling, bruising, lumps, asymmetry, hematoma, unevenness, infection, etc.
Cost: Under-Eye Dark Circles and Sagging Removal: ¥558,000
Condense Rich Face Under Eyes ¥121,000

Baby collagen (under eyes)

Treatment Period and Number of Sessions: Top: Before treatment Bottom: Immediately after treatment
Side Effects and Risks: Swelling, internal bleeding, redness, etc.
Cost: Baby collagen: 118,580 yen, separate treatment fee: 24,200 yen, cannula fee: 2,420 yen/piece

Baby collagen (under eyes)

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: Immediately after treatment
Side Effects and Risks: Swelling and internal bleeding: several days, infection, blood flow disturbance, unevenness, etc.
Cost: ¥118,580

Frontal Hamra Method

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: One month after treatment
Side Effects and Risks: About 1 week of swelling, internal bleeding, etc.
Cost: ¥602,580

Ura-Hamra method

Treatment Period and Number of Sessions: Top: before the surgery, Middle: 1 month after the surgery with makeup, Bottom: 1 month after the surgery without makeup
Side Effects and Risks: About 1 week of swelling, internal bleeding, etc.
Cost: ¥602,580

Frontal Hamra Method

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: One month after treatment
Side Effects and Risks: Swelling, internal bleeding, etc. for about 1 week
Cost: ¥602,580

Double implantation, back hamula method

Treatment Period and Number of Sessions: Top: Preoperative Bottom: 6 months postoperatively
Side Effects and Risks: Numbness, swelling, swelling, internal bleeding, infection, left-right difference, etc.
Cost: Double implantation 4-point clamping: 179,080 yen, Ura-Hamra method: 602,580 yen

Frontal Hamra Method

Treatment Period and Number of Sessions: Upper: before treatment Lower: 1 month after treatment
Side Effects and Risks: Numbness, swelling, swelling, internal bleeding, infection, hematoma, contracture, rare left-right difference, recurrence, etc.
Cost: ¥602,580

Baby collagen (under eye), hyaluronic acid injection (golgolines)

Treatment Period and Number of Sessions: Top: Before treatment Bottom: Immediately after treatment
Side Effects and Risks: Swelling, internal bleeding, redness, pain, swelling, swelling, allergic reaction, different morphology than desired, infection, nerve damage, etc.
Cost: Hyaluronic acid: JuvedermVOLUMA XC 84,700 yen, Baby collagen: 118,580 yen

Hamra law

Treatment Period and Number of Sessions: Left: Before surgery Right: 3 months after surgery
Side Effects and Risks: Numbness, swelling, swelling, internal bleeding, infection, hematoma, contracture, rare left-right difference, recurrence, etc.
Cost: Hamra method: 602,580 yen

Double implantation 4-point clamping and back hamula method

Treatment Period and Number of Sessions: Upper: before surgery, lower: 2 months after surgery
Side Effects and Risks: Swelling, internal bleeding, about 2-3 days (depending on the individual), back and forth, left-right difference, infection, left-right difference, contraction, ectropion, etc.
Cost: Double implantation with 4 points 179,080 yen
Urahamura Method ¥602,580

Tare eye lid incision and back hamula method

Treatment Period and Number of Sessions: Upper: before surgery, lower: one month later
Side Effects and Risks: Swelling and internal bleeding About 2 weeks, left-right difference, contracture, ectropion, hematoma, infection, etc.
Cost: Droopy Eye Corner Surgery: ¥484,000
Back hamula method 602,580 yen

目の下クマ・たるみ取り＋コンデンスリッチフェイス（目の下〜ゴルゴライン）・眼瞼下垂切開法（MT法）・ヒアルロン酸（鼻先〜鼻筋）

Removal of dark circles and sagging under the eyes + condense rich face (under the eyes to golgolines), blepharoplasty incision (MT method), hyaluronic acid (tip of nose to bridge of nose)

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: After treatment
Side Effects and Risks: Swelling, internal bleeding for around 10 days, lumps, left-right difference, hematoma, unevenness, thread exposure, infection, allergy, blood flow disorder, etc.
Cost: Dark circles and sagging under eyes + Condense Rich Face (under eyes to golgolines) set: ¥602,580
Non-ablative Blepharoplasty MT (tucking) method: ¥360,580
Hyaluronic acid (tip of the nose to bridge)
Juvederm/Restylane 118,580 yen
NEUVIA 165,000 yen
Additional treatment fee: ¥24,200

Baby collagen (under eyes)

Treatment Period and Number of Sessions: Top: Before treatment Bottom: Immediately after treatment
Side Effects and Risks: Risks: swelling, internal bleeding, redness, etc.
Cost: Baby collagen: 118,580 yen, separate treatment fee: 24,200 yen, cannula fee: 2,420 yen/piece

Ura-Hamra method

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: One month after treatment
Side Effects and Risks: Swelling and internal bleeding About 2 weeks, residual dark circles and coloration, recurrence, external and internal warping, contracture, etc.
Cost: ¥602,580

Back Hamula Method, 4-point clamping for double implantation

Treatment Period and Number of Sessions: Top: Preoperative Bottom: One month postoperatively
Side Effects and Risks: Numbness, swelling, swelling, internal bleeding, infection, left-right difference, lump, thread exposure, etc.
Cost: Back hamula method: 602,580 yen, double implantation 4-point clamping (one eye): 125,356 yen

Baby collagen (under eyes)

Treatment Period and Number of Sessions: Left: Before treatment / Right: After treatment
Side Effects and Risks: bruising
Risk: Infection, bruising
Cost: ¥118,580
Additional treatment fee: ¥24,200
Cannula fee: 2,420 yen per site

Baby collagen (under eyes)

Treatment Period and Number of Sessions: Left: Before treatment / Right: After treatment
Side Effects and Risks: Slight swelling, internal bleeding, infection, blood flow disturbance, etc.
Cost: ¥118,580
Additional treatment fee: ¥24,200
Cannula fee: 2,420 yen per site

Removal of dark circles and sagging under the eyes, hyaluronic acid injection (tear troughs)

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: 3 months after treatment
Side Effects and Risks: Bruises/Infections
Cost: Removal of dark circles and sagging under eyes 360,580 yen
Hyaluronic acid (tear troughs) Juvederm VOLBELLA 84,700 yen

Removal of dark circles and sagging under eyes Fat injection (under eyes)

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: One month after treatment
Side Effects and Risks: Internal bleeding, infection, bruising
Cost: Removal of dark circles and sagging under eyes 360,580 yen
Fat injection (under the eyes) 121,000 yen

Sagging dark circles under the eyes, Condensed Rich Face (CRF), Picospot

Treatment Period and Number of Sessions: Upper: preoperative, lower: 1 month postoperative
Side Effects and Risks: Bruising, swelling, lumps, asymmetry, hematoma, infection, unevenness, etc.
Cost: Removal of dark circles and sagging under eyes 360,580 yen
Condense rich face (CRF) Fat extraction and processing fee: ¥242,000 Under the eyes: ¥121,000
Pico spot 3,605 yen per spot

Baby collagen (under eyes)

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: After treatment
Side Effects and Risks: Slight swelling, internal bleeding, infection, blood flow disturbance, etc.
Cost: ¥118,580
Additional treatment fee: ¥24,200
Cannula fee: 2,420 yen per site

Hamra law

Treatment Period and Number of Sessions: Upper: before treatment Lower: 3 months after treatment
Side Effects and Risks: Numbness, swelling, swelling, internal bleeding, infection, hematoma, contracture, rare left-right difference, recurrence, etc.
Cost: Hamra method: 602,580 yen

Nanostem (face)

Treatment Period and Number of Sessions: Left: Before treatment Right: 1 month after treatment
Number of times: 1 time

*This graph shows the ranking (percentile) of skin condition compared to the same age group. Yellow is the evaluation before the treatment and purple is the evaluation at one month after the treatment. After the treatment, an increase in score is observed, and it can be confirmed that the wrinkle condition has improved to a more favorable level compared to the same age group.
Side Effects and Risks: Swelling, internal bleeding, pain, redness, dryness, tingling, induration, unevenness, allergic reaction, etc.
Cost: Nanostem (face): 110,000 yen
Fat extraction processing fee: 242,000 yen

Removal of dark circles and sagging under the eyes (transconjunctival blepharoplasty)

Treatment Period and Number of Sessions: Upper: before treatment Lower: 1 month after treatment
Side Effects and Risks: Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc.
Cost: Removal of dark circles and sagging under eyes: ¥360,580

Under-Eye Dark Circles & Sagging Removal

Treatment Period and Number of Sessions: Left: Before treatment Right: One month after treatment
Side Effects and Risks: Redness, unevenness, left-right difference, unscheduled wrinkles, tightness, etc. of the wound
Cost: ¥360,580

Removal of dark circles and sagging under the eyes + condense rich face (under the eyes and gorgonas)

Treatment Period and Number of Sessions: Left: Before treatment / Right: After treatment
Side Effects and Risks: Swelling, bruising, asymmetry, lumps, hematoma, unevenness, infection, etc.
Cost: Dark circles and sagging under eyes + Condense Rich Face (under eyes and gorgon) set: ¥602,580

Removal of dark circles and sagging under eyes, double implantation (natural adhesion method)

Treatment Period and Number of Sessions: Top: Pre-operative / Bottom: One month post-operative
Side Effects and Risks: Swelling and internal bleeding around 10 days, left-right difference, hematoma, unevenness, infection, etc.
Cost: Removal of dark circles and sagging under eyes 360,580 yen
Double implantation (natural fixation method) 239,580 yen

CRF for removal of dark circles and sagging under the eyes (under the eyes to the gorgonas)

Treatment Period and Number of Sessions: Top: Pre-operative / Bottom: One month post-operative
Side Effects and Risks: Swelling and internal bleeding around 10 days
Risks: lumps, left-right difference, hematoma, unevenness, infection, etc.
Cost: ¥602,580

Hamra law

Treatment Period and Number of Sessions: Left: Pre-operative Right: One month post-operative
Side Effects and Risks: Numbness, swelling, swelling, internal bleeding, infection, hematoma, contracture, rare left-right difference, recurrence, etc.
Cost: Hamra method: 602,580 yen

Droopy Eye Corner Incision ・Glamorous Line Formation ・Inverted Hamra Method

Treatment Period and Number of Sessions: Left: Before treatment / Right: 3 months after treatment
Side Effects and Risks: Swelling, bruising, infection, regression, hematoma, asymmetry, lower eyelid entropion, blood flow impairment, etc.
Cost: Droopy Eye Corner Surgery ¥484,000
Glamorous Line Formation ¥421,080
Urahamura Method ¥602,580

Ura-Hamra method

Treatment Period and Number of Sessions: Top: Preoperative Bottom: One month postoperatively
Side Effects and Risks: Numbness, swelling, swelling, internal bleeding, infection, left-right difference, etc.
Cost: Back hamula method: 602,580 yen

Ura-Hamra method

Treatment Period and Number of Sessions: Upper: before treatment Lower: 1 month after treatment
Side Effects and Risks: Numbness, swelling, swelling, internal bleeding, infection, left-right difference, infection, swelling, internal bleeding, eyelid discomfort, eyelid closure failure, dry eye, trismus, inverted eyelashes, diplopia, etc.
Cost: Back hamula method: 602,580 yen

mid facelift

Treatment Period and Number of Sessions: Left: Before treatment / Right: 3 months after treatment
Side Effects and Risks: Bruising, hematoma, infection, asymmetry, skin wrinkles or bulging/indentation of orbital fat, sunken cheeks, peripheral nerve damage in the cheeks, ectropion (outward turning of the eyelid), redness at the wound edges, unevenness, changes in the tear trough, etc.
Cost: Mid-Face Lift (Subperiosteal) ¥770,000

Midface Lift (Subperiosteal)

Treatment Period and Number of Sessions: Left: Before treatment Right: One year after treatment
Side Effects and Risks: Residual symptoms such as internal bleeding, hematoma, infection, indentations, and peripheral neuropathy in the cheek
Cost: Subperiosteal: 880,000 yen

Midface Lift (Subperiosteal)

Treatment Period and Number of Sessions: Left: Before treatment Right: 6 months after treatment
Side Effects and Risks: Residual symptoms such as internal bleeding, hematoma, infection, indentations, and peripheral neuropathy in the cheek
Cost: Mid face lift (subperiosteal): 880,000 yen

Under-eye dark circles and sagging -Condense rich face (under eye to gorgonas)

Treatment Period and Number of Sessions: Top: Before treatment / Bottom: One month after treatment
Side Effects and Risks: Lumps, asymmetry, hematoma, unevenness, infection, etc.
Cost: ¥822,800

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