Sagging and dark circles under the eyes UNDER EYES
Pursuing a universal sense of beauty
Professional and confident eyes
- Receive treatment at BIANCA CLINIC in Tokyo from the comfort of your home in Hiroshima!
- Weekly appointments for cosmetic surgery available from November 2025.
- Based on a universal sense of beauty, we will accompany each and every individual's lifestyle.
Concerns such as
Do you have any?
- I want to eliminate sagging and dark circles under my eyes.
- looking tired easily
- I want to have youthful eyes.
- I want to make fundamental improvements.
- I want to look healthy.
For these concerns, please contact us.
Sagging and dark circles under the eyes
We recommend the treatment of
Pursuing a universal sense of beauty
Professional and confident eyes
The condition of sagging lower eyelids and dark circles is different for each individual.
Appropriate treatment according to individual conditions, such as strong skin sagging or fat bulging, will bring you closer to your ideal eye area. If you feel that you would like to improve the puffiness or shadow of your lower eyelids or slow down the changes caused by aging, please contact us for a consultation.
Removal of dark circles and sagging under the eyes (transconjunctival blepharoplasty)
The removal of dark circles and sagging under the eyes (transconjunctival blepharoplasty) is,Surgery to remove orbital fat that causes mild sagging and dark circles through a 5 to 7 mm incision on the back of the lower eyelidIt is.
It is suitable for dark circles that bulge and shadow under the eyes,Removal of fat improves symptoms.If removal of orbital fat alone is not enough to make the indentation more noticeable,Fat injections can also be used to achieve a smooth finish.It is.
case photograph
| Name of treatment | Cosmetic Surgery Dark circles and sagging under eyes (conjunctival blepharoplasty) |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 1 hour |
| Side Effects risk |
Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
| cost | Removal of dark circles and sagging under eyes ¥360,580(tax included) *Prices for cosmetic surgery are those of BIANCA CLINIC. |
| Name of treatment | Cosmetic Surgery Dark circles and sagging under eyes (conjunctival blepharoplasty) + fat injection |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 2.5 hours |
| Side Effects risk |
Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
| cost | Dark circles and sagging under eyes + CRF (under eyes and gorgonas) set Regular fee: ¥602,580 (tax included) *Prices for cosmetic surgery are those of BIANCA CLINIC. |
| Name of treatment | Cosmetic Surgery (Deglycation x Fat Injection) |
|---|---|
| Treatment period frequency |
twice |
| Treatment Time | About 3 hours *Counseling time is not included. |
| Side Effects risk |
Swelling, internal bleeding, scar (liposuction area), pain (liposuction area), lethargy, heat, headache, urticaria, itching, swelling, fever, cough, cold sweat, chest pain, anaphylactic shock, difficulty breathing, etc. |
| cost | Removal of dark circles and sagging under the eyes + CRF (Under eye, Golgo) Set $602,580 |
| Name of treatment | Cosmetic Surgery Dark circles and sagging under eyes (conjunctival blepharoplasty) + fat injection |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 2.5 hours |
| Side Effects risk |
Post-treatment bleeding, edema, erythema without swelling, redness, swelling, itching, hematoma, tenderness, etc. |
| cost | Dark circles and sagging under eyes + CRF (under eyes and gorgonas) set Regular fee: ¥602,580 (tax included) *Prices for cosmetic surgery are those of BIANCA CLINIC. |
| Treatment | A 5 to 7 mm incision is made on the conjunctiva behind the lower eyelid, |
|---|---|
| Treatment Time | Approx. 30 min. |
| Number of treatments and duration | 2 to 3 times *Pre- and post-operative visits |
| Side Effects/Risks | Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
Charge
| Removal of dark circles and sagging under the eyes | - | - | ¥360,580 |
|---|
Dark circles and sagging under eyes + condense rich face (under eyes and gorgon) set
Treatment for severe under-eye puffinessIt is. After making a 5-7mm incision on the back of the lower eyelid, we inject Condense Rich Fat (CRF), which is taken from the patient's own skin and from which impurities have been removed.Treatment to prevent postoperative skin sagging and increased wrinkles for more youthful looking eyes.It is.
case photograph
| Name of treatment | Cosmetic Surgery Dark circles and sagging under eyes (conjunctival blepharoplasty) |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 1 hour |
| Side Effects risk |
Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
| cost | Removal of dark circles and sagging under eyes ¥360,580(tax included) *Prices for cosmetic surgery are those of BIANCA CLINIC. |
| Name of treatment | Cosmetic Surgery Dark circles and sagging under eyes (conjunctival blepharoplasty) + fat injection |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 2.5 hours |
| Side Effects risk |
Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
| cost | Dark circles and sagging under eyes + CRF (under eyes and gorgonas) set Regular fee: ¥602,580 (tax included) *Prices for cosmetic surgery are those of BIANCA CLINIC. |
| Name of treatment | Cosmetic Surgery Dark circles and sagging under eyes (conjunctival blepharoplasty) + fat injection |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 2.5 hours |
| Side Effects risk |
Post-treatment bleeding, edema, erythema without swelling, redness, swelling, itching, hematoma, tenderness, etc. |
| cost | Dark circles and sagging under eyes + CRF (under eyes and gorgonas) set Regular fee: ¥602,580 (tax included) *Prices for cosmetic surgery are those of BIANCA CLINIC. |
| Treatment | After removing orbital fat through a 5 to 7 mm incision in the conjunctiva behind the lower eyelid, the surgeon injects condense rich fat, which has been harvested from the patient's own body and free of impurities. |
|---|---|
| Treatment Time | Approx. 150 min. |
| Number of treatments and duration | 2 to 3 times *Pre- and post-operative visits |
| Side Effects/Risks | Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
Charge
| Removal of dark circles and sagging under eyes + Condense Rich Face (Under eye, Golgo) Set |
- | - | ¥602,580 |
|---|
Hamra law
Hamra Law,Incision at the lash line of the lower eyelid, causing puffiness
Surgery to move and fix fat (orbital fat) into the hollow of the lower eyelidIt is.
Although there will be a scar along the lower lash line,By removing excess skin.
Can improve sagging and fine lines and wrinklesIt is. The method of dark circles removal depends on the condition of the eye area,
The doctor will make a proposal tailored to each individual in a consultation.
| Treatment | The lower eyelid is incised along the lash line, and excess skin is removed while orbital fat is moved and fixed. |
|---|---|
| Treatment Time | Approx. 60 min. |
| Number of treatments and duration | 2 to 3 times (stitches removed after 1 week) |
| Side Effects/Risks | Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
Charge
| Hamra law | - | - | ¥602,580 |
|---|
Ura-Hamra method
The back hamra method is,An incision is made on the back of the lower eyelid and the fat that causes puffiness is removed from the lower eyelid.
Surgery to move it into a hollow and fix it in place.It is.
Since no incision is made on the skin surface, it is easy to preserve the tear troughs.It is.
Since the method of removing dark circles varies depending on the condition of the eye area, the doctor will make a customized proposal for each individual during a consultation.
| Treatment | An incision is made on the underside of the lower eyelid, and the orbital fat is moved and fixed. |
|---|---|
| Treatment Time | Approx. 90 min. |
| Number of treatments and duration | 2 to 3 times *Pre- and post-operative visits |
| Side Effects/Risks | Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
Charge
| Ura-Hamra method | - | - | ¥602,580 |
|---|
Lower eyelid sagging removal
The lower eyelid sagging removal is,Surgery to align the eyelid muscles through an incision at the lower lash line while removing excess skin that causes sagging.It is.
By this,Sagging lower eyelids and wrinkles are improved, giving a clean, youthful lookcan be aimed for. The scar is to follow the lower lash line,It becomes less noticeable over time.
Depending on the condition of sagging under the eyes, we can also suggest the hamula method or removal of orbital fat.
Please feel free to contact us first.
| Treatment | This surgery involves an incision at the lower lash line, removal of excess skin and treatment of the orbicularis oculi muscle. |
|---|---|
| Treatment Time | Approx. 60 min. |
| Number of treatments and duration | 2 to 3 times (stitches removed after 1 week) |
| Side Effects/Risks | Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
Lower eyelid inverted eyelash correction
Lower eyelid inverted eyelash correction is,Surgery to remove the skin of the lower eyelid to align the eyelashes in a semi-permanent direction.It is. Eyelashes are not normal.The condition of inverted lashes growing backwards will be improved, eliminating pain and discomfort.Because the scar is hidden at the lower lash line,It will become less noticeable over time.
| Treatment | The skin of the lower eyelid is removed and the eyelashes are oriented. |
|---|---|
| Treatment Time | Approx. 40 min. |
| Number of treatments and duration | 2 to 3 times (stitches removed after 1 week) |
Pickup Case Introduction
Removal of dark circles and sagging under the eyes (conjunctival blepharoplasty) + fat injection
| Name of treatment | Cosmetic Surgery Dark circles and sagging under eyes (conjunctival blepharoplasty) + fat injection |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 2.5 hours |
| Side Effects risk |
Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
| cost | Dark circles and sagging under eyes + CRF (under eyes and gorgonas) set Regular fee: ¥602,580 (tax included) *Prices for cosmetic surgery are those of BIANCA CLINIC. |
Removal of dark circles and sagging under the eyes (conjunctival blepharoplasty)
| Name of treatment | Cosmetic Surgery Dark circles and sagging under eyes (conjunctival blepharoplasty) |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 1 hour |
| Side Effects risk |
Post-treatment bleeding, pain, swelling, edema, erythema, redness, itching, hematoma, discomfort, infection, etc. |
| cost | Removal of dark circles and sagging under eyes ¥360,580(tax included) *Prices for cosmetic surgery are those of BIANCA CLINIC. |
Removal of dark circles and sagging under eyes (conjunctival blepharoplasty) + CRF + Nanostem
| Name of treatment | Cosmetic surgery (removal of dark circles and sagging under eyes + CRF (forehead, temples, laugh lines) + NanoStem) |
|---|---|
| Treatment period frequency |
2 times Postoperative hospital visit |
| Treatment Time | About 3 hours *Counseling time is not included. |
| Side Effects risk |
Swelling, internal bleeding, scar (liposuction area), pain (liposuction area), lethargy, heat, headache, urticaria, itching, swelling, fever, cough, cold sweat, chest pain, anaphylactic shock, difficulty breathing, etc. |
| cost | Dark circles and sagging under eyes (under eyes, gorgon) + CRF (forehead, temples, laugh lines) set $602,580 Nano stem 110,000 yen |
Concerns about the skin body and face, questions about the treatment, etc.
Please feel free to contact us from LINE
If you would like to schedule a counseling or treatment, please contact us.
Click here to make a reservation!
YAYOI CLINIC's
Sagging and dark circles under the eyes
Why Choose Us
Tokyo and BIANCA CLINIC's treatment.
You can take it while you are in Hiroshima.
You can receive treatment at BIANCA CLINIC, which has clinics in Ginza and Omotesando, from the comfort of your home in Hiroshima. With the philosophy of "going beyond cosmetic medicine to propose Lifestyle Beauty," BIANCA CLINIC offers a total beauty experience that will enrich not only your appearance, but also your life itself. You can experience an advanced beauty experience without the burden of travel.
From November 2025,
Cosmetic Surgery Appointments Available Weekly
Starting November 2025, cosmetic surgery appointments will be available weekly. From now on, cosmetic surgery treatments will be available at our clinic. We will propose a customized treatment plan based on your individual needs, downtime tolerance, and budget.
Based on a universal sense of beauty,
Accommodating to each individual's lifestyle
Based on a universal sense of beauty while sensing trends that change with the times.
We offer cosmetic surgery treatments that are tailored to each individual's lifestyle. We support you in bringing out your unique charm that you have not yet noticed, and enriching your life itself.
Recommended for
- To improve sagging lower eyelids and dark circles
- I want to remove the puffiness under my eyes and look younger.
- I want to improve the shadows under my eyes.
- I would like to receive suggestions for better eye area along with improvement of dark circles.
- I want to have youthful eyes.
Flow of treatment
counseling
After confirming your hopes and concerns at the counseling session, the doctor will examine you to confirm the indications for treatment. Based on the condition of the eye area and your desired results, we will propose a method tailored to your individual needs. If you have any concerns or questions, please do not hesitate to contact us.
medical treatment (esp. surgical)
The doctor will design the eye contour while assessing the condition of sagging and dark circles under the eyes. For design confirmation, it is recommended that patients with poor eyesight bring contact lenses. After administering eye drop anesthesia, local anesthesia, etc., the applicable treatment will be performed. Please check the description of each treatment for the time required.
After treatment
If stitches are required, they will be removed after one week. The procedure may cause swelling and internal bleeding, but it usually settles down within a few days to a week. After the surgery, the doctor or nurse will give you more details about each treatment.
Why do you have that problem?"
with care
Why do people age in the first place?
If you invest in cosmetic medicine without understanding the underlying
The effect is temporary.
That's why our clinic offers
My first counseling session.
The concerns of each and every one of you.
We listened carefully,
The mechanism of aging and its causes are carefully explained.
First, we all age slowly.
How to achieve slow aging.
Why don't we think about it together?
Please feel free to make reservations and consult with us by registering on line.
Concerns about the skin body and face, questions about the treatment, etc.
Please feel free to contact us from LINE
If you would like to schedule a counseling or treatment, please contact us.
Click here to make a reservation!
Treatment Details
| Time required for treatment | Transconjunctival debridement: about 30 minutes Hamra method: about 60 minutes Back hamula method: about 90 minutes Lower eyelid sagging removal: about 40 minutes Lower eyelid sagging removal + condense rich fat: about 150 minutes Lower eyelid inverted stubble correction: about 40 minutes *There are individual differences depending on the counseling and treatment. |
|---|---|
| Approximate number of treatments | 1-2 times *Stitch removal and follow-up visits are required depending on the treatment. |
| Approximate duration of treatment | Surgery requiring suture removal is about 1 week. |
| Bathing and washing face | Showering is possible from the day after the procedure. |
| make | No suture removal: possible from the day after the procedure With stitches: Possible from the next day after the stitches are removed. |
| Side Effects/Risks | Post-treatment bleeding, edema, erythema without swelling, redness, swelling, itching, hematoma, tenderness, etc. |
| Equipment used | Treatment of sagging eyelids for cosmetic purposes is not approved in Japan. |
Frequently Asked Questions
Where can I inquire about cosmetic surgery?
Please contact YAYOI CLINIC.
What is the follow-up system after the surgery?
Post-operative follow-up will be performed by the primary surgeon at our clinic or online, and stitches and other procedures will be performed by Dr. Bianca at our clinic. If the primary surgeon deems it necessary, you may be asked to go to BIANCA CLINIC. Please understand this in advance.
What is the difference between transconjunctival debridement and the back hamula procedure?
Both transconjunctival debridement and the back hamula procedure involve incisions on the underside of the lower eyelid. The difference is in the way the fat is treated. Transconjunctival blepharoplasty removes the fat that causes puffiness and shadows under the eyes. The back hamula procedure, on the other hand, aims to improve both puffiness and hollowness by moving the fat and fixing it in the area that will become depressed. Since there are individual differences in which is applicable, please consult with us at your first consultation.
How long is the downtime for the Hamra Method?
Swelling and internal bleeding peak at 72 hours after surgery and settle down after 1 to 2 weeks; after stitches are removed one week later, redness and swelling of the wound will most likely be less noticeable after a few months. However, the intensity of downtime symptoms varies from person to person, so please ask us if you have any concerns.
How long is the downtime for the back hamula procedure?
Swelling and internal bleeding are more likely to occur during the first 24-72 hours after surgery. The internal bleeding will then settle down over the next 1-2 weeks. There are no postoperative stitches, and swelling will subside after a few months. However, the intensity of downtime symptoms varies from person to person, so please ask us if you have any concerns.
Sagging and dark circles under the eyes in Hiroshima
If you want to get treatment
YAYOI CLINIC へ
| address (e.g. of house) |
〒730-0013 6F KMM Building, 11-12 Hacchobori, Naka-ku, Hiroshima City, Hiroshima Prefecture View in GoogleMap |
|---|---|
| Access | Hatchobori Station" and "Tatemachi Station" of Hiroshima Electric Railway 2 minutes walk from |
Concerns about the skin body and face, questions about the treatment, etc.
Please feel free to contact us from LINE
If you would like to schedule a counseling or treatment, please contact us.
Click here to make a reservation!
Gently change with age, Injection therapy that fosters youthfulness without discomfort
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Supplementation with glutathione, a highly effective antioxidant Detoxification, skin whitening and skin beautification
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