Removes the fat that causes under-eye bags and dark shadows, from inside the lower eyelid. No skin incision and no visible scar.
- Price
- ¥198,000
- Anesthesia
- Chosen at your examination
- Common recovery
- Swelling peaks at 2–3 days and settles over 1–2 weeks; bruising can last 2–3 weeks and may show in the white of the eye
- Stitches
- No skin stitches to remove
- Final result
- Checked about 1 month after, once swelling has gone down
- How often
- Usually a single operation
What is transconjunctival fat removal?
Transconjunctival fat removal takes out fat through the inside of the lower eyelid (the conjunctiva) to improve under-eye bags and dark circles.
It softens a puffy, tired or older look for brighter, more youthful eyes.
Because it is done from inside the eyelid, there is no scar on the skin and less impact on daily life. That is why it is a common choice for treating dark circles.
At ECLAT CLINIC OMIYA, if hollows under the eyes are noticeable, we may combine it with hyaluronic acid or fat grafting for a smooth, natural result.
What causes under-eye bags and dark circles?
Some people are born with more fat under the eyes. With age, the muscles and ligaments that support the eye area weaken and push the fat forward, and thinner skin makes the fat more visible.
There are four types of dark circles, with different causes:
- Blue: poor circulation, lack of sleep, cold
- Brown: pigmentation from rubbing or UV
- Red: muscles and blood vessels pressed by bulging fat show through
- Black: shadows cast by bulges
Transconjunctival fat removal is especially suited to black and red circles caused by bulging fat.
What it can do
- Less puffiness and shadow. Improving the bulges makes the eye area look neater and less tired or aged, and reduces the shadows they cast.
- Long-lasting results. Removed fat does not come back, so the improvement in bulges can be expected to last. Skin and tissue still change with age.
- No scar on the skin. Done from inside the eyelid, there is no skin wound and no skin stitches. The inner wound is usually left to heal naturally without stitches.
Who it is for
- You have noticeable fat bulges under your eyes
- You are bothered by black (shadow) circles
- You do not have much loose skin
- You do not want a scar on your face
- You are in your 20s to 40s and have started to notice under-eye bags
- You want to improve dark circles with little impact on daily life
Under-eye treatment at ECLAT
- We choose the method for your eyes. Besides transconjunctival fat removal, we offer the inner (transconjunctival) Hamra, outer Hamra and lower eyelid skin removal, as well as fat grafting and hyaluronic acid. We examine bulges, hollows, loose skin and color, and suggest whether this procedure is right for you. We do not assume you need fat grafting or extra treatments.
- We think about what to leave, not just what to remove. Removing too much fat can make the area hollow or even look more sagging. We check how the inner, middle and outer fat pads bulge and how deep the hollows are, and adjust only what is needed.
- One doctor from start to finish. The doctor manages your examination, surgery and follow-up. We share the expected result, recovery and risks in detail before surgery.
Fat removal, Hamra or fillers?
All of these address the shadow from bulging eye-socket fat, the main cause of black circles, but they differ in how they treat the hollow below the bulge and loose skin.
Treating dark circles involves two steps: reducing the bulge and filling the hollow.
- Transconjunctival fat removal: removes excess fat. If there is a hollow, it is filled with hyaluronic acid or fat grafting.
- Inner Hamra: moves excess fat into the hollow, doing both steps at once.
- Outer Hamra and lower eyelid skin removal: remove loose skin through a skin incision.
If you have bulges without hollows, fat removal alone is often enough. If hollows are deep, we compare the inner Hamra and combinations with fillers. If you have a lot of loose skin, we suggest outer Hamra or lower eyelid skin removal, because fat removal cannot remove skin.
The procedure
- Consultation and examination.We hear your concerns, examine your lower eyelids, and explain the expected effect, risks and side effects.
- Anesthesia.We give anesthesia before starting. The method is decided at your examination.
- Incision.A few millimeters inside the lower eyelid, with care to limit bleeding.
- Fat removal.We remove the eye-socket fat that causes the bulges, checking left-right balance, and stop any bleeding carefully.
- Fillers if needed, and aftercare instructions.If hollows are noticeable, we may add hyaluronic acid. We explain how to care for yourself before you leave.
Recovery
- Swelling: peaks 2–3 days after surgery and settles gradually over 1–2 weeks
- Bruising: can last 2–3 weeks and may appear in the white of the eye
- Stitches: no skin stitches
- Result: checked about a month after, once swelling has gone down
- Washing, makeup, contact lenses, exercise and alcohol: the doctor tells you when to restart
- Eyelash extensions and lash lifts: avoid for about a month
Price
| Treatment | Price |
|---|---|
| Under-eye fat removal (transconjunctival) | ¥198,000 |
| Fat grafting to the mid-face, together with under-eye fat removal | ¥165,000 |
Tax included. Additional costs for anesthesia or combined treatments are explained at your examination. The English consultation fee for your first visit is ¥55,000. See the International Price List.
Who should not have this treatment
- You are pregnant or breastfeeding
- You have an infection or strong inflammation around the eyes
- You have a bleeding disorder or your general health is unstable
- You have a serious allergy to anesthetics
- The doctor decides surgery is not suitable for you
Always tell us at your examination if you take blood thinners or antiplatelet medicines, have an eye condition such as glaucoma or dry eye, or have had eye surgery or fillers before. Do not stop any medicine on your own.
Risks and side effects
- Swelling, bruising and puffiness: noticeable for a few days to about a week. How much and how long varies.
- Pain, discomfort and blurred vision: for about a week, closing your eyes tightly may hurt, your eyes may feel gritty, or vision may be blurred. Usually settles in 1–2 weeks. Contact us if it lasts longer.
- Asymmetry, hollows and damage to vessels or muscles: asymmetry can result from the amount of fat removed, and removing too much can make the area hollow. Because the surgery is close to the eye, blood vessels or muscles can be injured. Infection, bleeding or hematoma, allergy to anesthetics and, rarely, serious complications such as vision problems can occur.
- Contact us at once if you have sudden difficulty seeing or loss of vision, severe eye pain, rapidly increasing swelling or bleeding that will not stop. If you cannot reach us, go to an emergency eye service. If you are already home, see a doctor near you straight away and let us know.
After surgery
- Do not rub your eyes, and rest.
- Avoid alcohol, hard exercise and long baths, which increase blood flow and can cause swelling or bleeding. The doctor tells you when to restart.
- Use the eye drops and medicines you are given as instructed, and do not massage the eye area on your own.
- If redness or a clear swelling in the white of the eye, or blood in your tears, is strong or lasts, contact us without waiting.
FAQ
Is it painful?
Most people feel little pain during surgery because of the anesthesia. The sting of the anesthetic injection and dull pain or discomfort afterwards ease over a few days to a week, and prescribed painkillers are usually enough.
Will there be a scar on my face?
No. It is done from the conjunctiva, so there is no scar on the skin. The inner wound heals naturally in about a week.
The white of my eye is red after surgery. Is that normal?
Widened blood vessels (conjunctival redness) or blood under the surface of the white of the eye (subconjunctival hemorrhage) can occur and usually fade on their own. Contact us if you have pain or difficulty seeing, or if it gets worse.
There is a clear swelling on the white of my eye.
This is chemosis, where the conjunctiva swells like jelly with fluid. It is common during recovery and usually settles on its own. See us if the swelling is strong, lasts, or makes it hard to close your eye.
My tears have blood in them.
A little bleeding from the inner wound can mix with tears for about a week, and usually stops on its own. Contact us at once if bleeding continues, is heavy or comes with strong swelling.
My vision is blurry after surgery.
Oil can spread over the surface of the eye during the procedure, or inflammation can increase discharge, causing temporary blurring. Use the prescribed eye drops and contact us if it continues. Contact us at once if you have sudden vision loss or severe pain. [Book a consultation] Private medical care, not covered by insurance. Results and recovery vary from person to person.
Book a consultation in English
Tell us your dates in Japan and the treatments you are interested in. We reply by email.
English consultation with Dr. Sando: ¥55,000 for your first visit. Follow-up visits for the same treatment are free.
Open Tue, Wed, Fri–Sun 10:00–19:00 · Closed Mon & Thu · By appointment only