Under Eye Fat Removal
Interpretation and counseling services are free of charge.
*Some doctors may require an additional fee for selection.
Price List
Treatment Area
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Eyelids
Interpretation and counseling services are free of charge.
*Some doctors may require an additional fee for selection.
Recommended for
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Those who cannot hide dark circles under their eyes with concealer
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People who are told they look sleep-deprived even though they get enough sleep
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People who look older than their actual age due to under-eye puffiness
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People who look tired despite being healthy because of under-eye bags
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People whose under-eye dark circles have not improved despite using eye creams or patches
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People who want to consult about non-surgical options, fat removal only, or treatment without fat injection
RESULTS
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FEATURES
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What is Under Eye Fat Removal?
Under Eye Fat Removal is a scar-free under-eye rejuvenation procedure that removes excess orbital fat from inside the lower eyelid without cutting the outer skin. By improving puffiness and dark circles, it brightens the under-eye area and refreshes the overall facial impression. This procedure is suitable for those concerned about looking tired or older due to under-eye bags. Additionally, removing excess fat helps the lower eyelids open more naturally, making the eyes appear slightly larger while defining the tear trough area. As the incision is made inside the eyelid, there is no visible scarring, allowing patients to achieve a natural, youthful look with minimal downtime while maintaining a refreshed and bright appearance under the eyes.
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Tailored Treatment for Your Type of Dark Circles
Dark circles have different causes, such as shadows from protruding fat, translucency due to thin skin, and pigmentation. We provide customized treatments depending on the type of dark circles you have. For shadows, transconjunctival fat removal reduces puffiness. For translucency, fat or baby collagen injections can reduce the visibility of underlying blood vessels. For pigmentation, lasers and medications gradually improve the condition. Our clinic carefully examines each patient’s condition through consultation to determine the optimal treatment plan, ensuring personalized care. We also explain the effects, side effects, expected downtime, and post-treatment progression in detail to give you confidence and clarity in your under-eye treatment journey.
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Comprehensive Eye Area Rejuvenation in One Procedure
For patients with severe under-eye sagging, simply removing fat may result in skin looseness or wrinkles. To address this, we combine fat removal with autologous fat injections under the eyes to restore volume and smoothness, creating a youthful appearance. We can also perform glamorous line formation (lower eyelid expansion) simultaneously, which enhances the size of the eyes and creates a naturally attractive droopy eye look. By combining treatments in one session, we efficiently rejuvenate the eye area while minimizing downtime and maximizing results. This comprehensive approach allows for a smoother recovery and significant improvement in under-eye and overall facial aesthetics in a single procedure.
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Downtime after Under Eye Fat Removal
While the recovery timeline can vary, most visible effects, such as swelling, usually clear up within a week. The final results may take a bit longer as the skin continues to heal.
Treatment Benefits
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Smooth Under-Eye Rejuvenation Without Visible Scars or Skin Damage for a Naturally Youthful Appearance
This procedure removes under-eye fat through an incision inside the eyelid, avoiding visible scars while improving dark circles and puffiness. It refreshes the under-eye area for a youthful, bright appearance without damaging the skin, making it ideal for those wanting natural-looking results without external cuts.
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Quick 30-Minute Procedure with Minimal Pain and Short Downtime for Daily Life Continuity
The surgery takes about 30 minutes under local anesthesia, causing minimal discomfort. Swelling subsides within 10 days, and makeup is allowed the next day, enabling a swift return to daily activities. This is ideal for busy individuals seeking effective under-eye rejuvenation without significant lifestyle interruption.
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Long-Lasting Results Without the Need for Frequent Maintenance Treatments
Unlike hyaluronic acid injections requiring repeated sessions, transconjunctival fat removal offers long-term results lasting years or decades. It directly removes under-eye fat, reducing puffiness and shadows sustainably. This makes it a reliable, cost-effective option for lasting under-eye improvement with a natural appearance.
TREATMENT PROCESS
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Counseling & Medical Examination
During your consultation, we will assess the type of dark circles under your eyes to determine if transconjunctival fat removal alone is suitable or if additional treatments like fat injection are needed. If you have other concerns around your eyes besides dark circles and sagging, please feel free to discuss them with us during your visit.
During your consultation, we will assess the type of dark circles under your eyes to determine if transconjunctival fat removal alone is suitable or if additional treatments like fat injection are needed. If you have other concerns around your eyes besides dark circles and sagging, please feel free to discuss them with us during your visit.
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Design ＆ Anesthesia
The procedure is performed under eye drop anesthesia combined with local, relax, or IV anesthesia.
The procedure is performed under eye drop anesthesia combined with local, relax, or IV anesthesia.
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Procedure
After local anesthesia, a 5–7 mm incision is made in the conjunctiva behind the lower eyelid to remove the orbital fat that causes dark circles and sagging. The incision is then sutured, and the same procedure is performed on the other eye. If only fat removal is performed, the surgery takes about 30 minutes. There are no visible scars on the face, and swelling after the procedure is minimal.
After local anesthesia, a 5–7 mm incision is made in the conjunctiva behind the lower eyelid to remove the orbital fat that causes dark circles and sagging. The incision is then sutured, and the same procedure is performed on the other eye. If only fat removal is performed, the surgery takes about 30 minutes. There are no visible scars on the face, and swelling after the procedure is minimal.
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Aftercare
Resting for several days after your procedure is important for healing. Avoid strenuous activities and exercises that raise your heart rate for 1 to 2 weeks to reduce inflammation. Swelling and bruising around the eyes are common; gently apply a cold compress without pressing hard to help reduce swelling. Keep the treatment area clean by following your practitioner’s instructions, cleaning gently without rubbing to prevent infection. You can wear makeup from the next day, however avoid applying makeup near the treated area for at least one week to minimize irritation. Protect the area from direct sunlight and avoid tanning for several weeks to promote proper healing. Attend all scheduled follow-up appointments so your doctor can monitor your progress and address any concerns. If needed, take prescribed or over-the-counter pain medication to manage discomfort. Most swelling and bruising should resolve within a week, but complete healing and final results may take longer.
Resting for several days after your procedure is important for healing. Avoid strenuous activities and exercises that raise your heart rate for 1 to 2 weeks to reduce inflammation. Swelling and bruising around the eyes are common; gently apply a cold compress without pressing hard to help reduce swelling. Keep the treatment area clean by following your practitioner’s instructions, cleaning gently without rubbing to prevent infection. You can wear makeup from the next day, however avoid applying makeup near the treated area for at least one week to minimize irritation. Protect the area from direct sunlight and avoid tanning for several weeks to promote proper healing. Attend all scheduled follow-up appointments so your doctor can monitor your progress and address any concerns. If needed, take prescribed or over-the-counter pain medication to manage discomfort. Most swelling and bruising should resolve within a week, but complete healing and final results may take longer.
PRICE LIST
View the price list for Under Eye Fat Removal
| Regular price | ¥ 360,580（tax inc.） |
FAQ
- Q Can dark circles under the eyes be removed by fat reduction alone?
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A
If the swelling is mild, degreasing alone can effectively reduce dark circles. However, if swelling is severe, degreasing alone may cause the skin to sag and wrinkles to form. For hollow areas in the mid-face or along the nasolabial fold, combining degreasing with fat injection is recommended. In cases of significant swelling or sagging skin, removal of excess lower eyelid skin may be necessary.
- Q Will dark circles and puffiness under my eyes return after treatment?
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A
Dark circles and puffiness may recur, especially if only fat removal was performed. Some patients notice a return after 2-3 years despite treatment. Multiple procedures may be necessary depending on the symptoms. At BIANCA CLINIC, we offer follow-up surgeries for those with recurrence, even if previously treated elsewhere. Fat injection can help prevent recurrence. After fat injection, we recommend avoiding excessive eye touching and significant weight loss to maintain results.
- Q Where is fat harvested for under-eye fat injection?
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A
Fat is typically harvested from the thighs. If there is insufficient fat due to a slim physique or recent liposuction on the thighs (within six months), fat is taken from the abdomen. The harvested fat is then purified and injected during the procedure.
- Q Does the area of the thigh where fat was harvested hurt?
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A
You may experience tingling or a mild muscle pain-like heaviness for about three weeks. The harvested thigh area may also feel temporarily firm. Starting two to three weeks after surgery, you’ll be advised to begin massaging the area to aid recovery.
- Q How much downtime is there for fat removal or fat injection?
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A
Downtime varies by individual. For fat removal alone, recovery takes about one week. If fat injection is included, downtime can extend from several days up to around 10 weeks. Swelling usually peaks 2 to 3 days post-surgery. Most swelling occurs under the eyes, so wearing a mask pulled up can help conceal it and reduce impact on daily activities. Pain generally peaks between 2 to 4 days after treatment.
- Q I don’t know what type of dark circles I have.
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A
Although all are called dark circles, there are three types: black (shadow), purple, and brown. Many people have a mix of these types. The most common concern at BIANCA CLINIC is under-eye puffiness. Treatment varies by type, so during your consultation, we will identify your dark circle type and recommend the best treatment accordingly.
- Q Will wrinkles disappear after dark circle removal?
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A
Unfortunately, eyelid surgery cannot remove wrinkles completely. Fat injections may slightly reduce some wrinkles depending on their type, but won’t eliminate them entirely. Wrinkles caused by facial muscles, like smile lines, can be improved with Botox injections.
- Q Can men also undergo eyelid fat removal surgery?
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A
Yes, many male patients seek treatment for dark circles under their eyes, and BIANCA CLINIC performs this procedure for men frequently. Removing dark circles helps make the eyes look younger, so it is popular among both men and women.
- Q From what age can I have under-eye bag removal surgery?
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A
If you are under 18 years old, parental consent and the presence of a guardian may be required for certain procedures. For consultations only, you may come to the clinic alone without any paperwork. However, for surgery, you may come to the clinic alone, but a guardian must be present at the time of payment. A guardian may also attend the consultation regarding the surgery if desired.
- Q Is under-eye bag removal covered by insurance?
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A
Under-eye bag removal (transconjunctival fat removal) is considered a cosmetic procedure and is therefore not covered by insurance.