目の下のたるみは自力で治せますか？

むくみなどによる一時的なふくらみは、生活習慣を見直すことで目立ちにくくなる場合があります。一方、眼窩脂肪の突出や余った皮膚は、クリームやマッサージでは取り除けません。原因や状態に応じて、経結膜脱脂術や下まぶたのたるみ取りなどを検討します。

目の下のたるみの原因は何ですか？

主な原因は、眼窩脂肪の突出や皮膚のゆるみです。複数の原因が重なって、たるみが目立つ場合もあります。

目の下の皮膚のたるみを取る方法には何がありますか？

皮膚のたるみが目立つ場合は、下まぶたのたるみ取りが選択肢になります。脂肪のふくらみもある場合は、皮膚側から行うハムラ法を検討することもあります。

目の下の膨らみの原因と改善方法を教えてください。

目の下の膨らみは、眼窩脂肪が前に突出することなどで生じます。状態に応じて経結膜脱脂術や、脂肪を移動させて段差を整える裏ハムラ法などを検討します。

目の下の膨らみが片方だけの場合も、クマ取りで相談できますか？

以前から気になる左右差は、クマ取りの診察でご相談いただけます。ただし、片側だけ急に腫れた場合や、痛み・赤みがある場合は、まず眼科で原因を確認してください。

自分におすすめのクマ取り方法は、どう選べばよいですか？

脂肪のふくらみだけでなく、くぼみや皮膚の薄さ・ゆるみも確認して選びます。診察では、外科施術や注入施術、それらの組み合わせも含めて、目元の状態に合う方法をご提案します。

クマ取りのダウンタイムが心配です。手術以外の方法はありますか？

くぼみや肌のハリ不足が気になる場合は、注入施術なども選択肢になります。ただし、注入施術でも腫れや内出血が生じる可能性があるため、目元の状態に合わせて方法を検討します。

クマ取りで脂肪を取ると、目の下がくぼみませんか？

もともとのくぼみや脂肪を取り除く量によっては、術後にくぼみが目立つ可能性があります。診察では、脂肪を移動させて目の下の段差を整える裏ハムラ法なども含めて検討します。

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 the eyes), Pico Spot (dark spot removal), Rejuran i

Treatment Period and Number of Sessions: Left: Before treatment Right: 2 weeks after treatment
Side Effects and Risks: Swelling, bruising, redness, infection, vascular embolism, unevenness, erythema, depigmentation, hyperpigmentation, blistering, etc.
Cost: Baby Collagen (Under the Eyes): 124,600 yen
Pico Spot (Full Face): 124,600 yen
Separate treatment fee: 25,500 yen
Cannula cost: 2,600 yen per piece
Rejuran i 1 mL: 63,600 yen

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

目の下クマ・たるみ取り、コンデンスリッチフェイスフェイス(目の下・ゴルゴライン・額・こめかみ・頬)、ヒアルロン酸注射(鼻、唇、顎)、ボトックス注射(顎)

Under-eye dark circles and sagging treatment, Condensed Rich Face Treatment (under-eye area, nasolabial folds, forehead, temples, cheeks), hyaluronic acid injections (nose, lips, chin), Botox injections (chin)

Treatment Period and Number of Sessions: Left: Before treatment Right: One month 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
Fat Grafting (Forehead, Temples, Sunken Cheeks): 825,900 yen
Hyaluronic Acid Injections: 101,800 yen
Botox Injections (10 units): 30,690 yen

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: Top: Preoperative Bottom: 1 month postoperatively
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

To Case List

Under-Eye Dark Circles, Sagging, and Puffiness: Top Popular Treatments Ranking

RANKING

Ura-Hamra method

REVERSE HAMRA METHOD

Tackle signs of aging with the Hamra Method!
Achieve a flat eye area

Baby Collagen｜Baby Derm Collagen Boost

BABY COLLAGEN

Enhances the power of bare skin and leads to smooth baby skin
Next generation human collagen formulation

Fat injection (face)

CONDENSED RICH FACE (CRF)

Fat injections to address facial volume loss and to address tired and aged-looking face.

Frequently Asked Questions About Dark Circles, Sagging, and Puffiness Under the Eyes

Q&A

Can I fix sagging under my eyes on my own?

Temporary puffiness caused by swelling or other factors may become less noticeable by making adjustments to your lifestyle. On the other hand, protruding orbital fat and excess skin cannot be removed with creams or massage. Depending on the cause and condition, we may consider procedures such as transconjunctival fat removal or lower eyelid lift surgery.

What causes sagging under the eyes?

The main causes are protruding orbital fat and sagging skin. In some cases, sagging may be more noticeable due to a combination of multiple factors.

What are some ways to reduce sagging skin under the eyes?

If sagging skin is noticeable, lower eyelid lift surgery may be an option. If there is also bulging fat, the Hamra procedure—which is performed through an incision in the skin—may be considered.

Please tell me the causes of puffiness under the eyes and how to treat it.

Puffiness under the eyes is caused by factors such as the protrusion of orbital fat. Depending on the condition, we may consider transconjunctival fat removal or the "reverse Hamra" technique, which involves repositioning the fat to smooth out unevenness.

If I have puffiness under only one eye, can I still consult about dark circles?

If you’ve been concerned about asymmetry between your eyes, you can discuss this during your consultation for dark circles. However, if one side suddenly becomes swollen, or if you experience pain or redness, please visit an ophthalmologist first to determine the cause.

How should I choose the best dark circle treatment for me?

We select the appropriate treatment by evaluating not only fat deposits but also hollows, thin skin, and sagging. During the consultation, we will recommend the method best suited to the condition of your eyes, including surgical procedures, injectable treatments, or a combination of both.

I'm worried about the downtime associated with under-eye bag removal. Are there any alternatives to surgery?

If you are concerned about hollows or a lack of firmness in the skin, injectable treatments may be an option. However, since swelling and bruising can occur even with injectable treatments, we will consider the appropriate method based on the condition of the eye area.

If I have fat removed to treat dark circles, won't the area under my eyes become sunken?

Depending on the amount of fat removed or the depth of the original hollows, the hollows may be noticeable after surgery. During the consultation, we will consider various options, including the "Ura-Hamura" method, which involves repositioning fat to smooth out unevenness under the eyes.

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