Under-eye dark circles
and puffiness removal

For bright and youthful eyes

  • An experienced doctor with over 5,000 cases of eye area surgery will assist you
  • We propose the optimal method from all surgical techniques
  • Minimizes pain and scarring

Dark Circle and Under-Eye Bag Removal

The procedure for dark circle removal aims to improve under-eye sagging and puffiness.
Under-eye bags can form when individuals are naturally predisposed to excess fat under the lower eyelids, or when aging causes weakened support structures, pushing fat outward and creating puffiness.

By addressing orbital fat under the eyes, this procedure improves under-eye sagging and puffiness.

Recommended for the following people

  • Those concerned about sagging or wrinkles under the eyes

  • Those with significant under-eye puffiness

  • Those worried about dark circles or hollows under the eyes

  • Those who feel they look older than their actual age

Reasons to Choose LIVELY CLINIC

POINT1

Over 5,000 cases of eye surgery experience

The fat under the eyes is divided into several compartments, and the amount of fat removed from each compartment greatly affects the final result.
At our clinic, experienced specialists with expertise in anatomy provide optimal treatments tailored to each patient, ensuring a natural and beautiful outcome. Please feel free to leave it to us.
With advanced techniques and a focus on safety, we fully support patients in achieving their ideal beauty.

POINT2

All Types of Dark Circle Removal Procedures

Our clinic offers all surgical methods for dark circle removal, from basic transconjunctival fat removal to the back and front Hamra methods.
With the knowledge and techniques accumulated by our specialists, we can propose the most suitable treatment for each patient.

Comparison Chart of Each Procedure

POINT3

Minimizing Downtime with Procedures that Cause Less Swelling

We take measures to minimize downtime by reducing bleeding during the procedure.
Transconjunctival fat removal requires advanced techniques to suppress bleeding while removing fat around the eye socket, where blood vessels are concentrated.
At our clinic, we make efforts in blood vessel treatment during the procedure to prevent bleeding.

Dark Circle Removal Surgery Menu

Transconjunctival Fat Removal

The lower eyelid contains orbital fat in three areas: inner, central, and outer. Among these, the inner and central areas are more prominent. Our transconjunctival fat removal technique involves carefully removing a balanced amount of fat from these three areas based on the patient’s condition, leaving the skin naturally smooth and achieving a beautiful finish.
If there is significant skin sagging and puffiness under the eyes, simply removing the fat may leave excess skin, resulting in more wrinkles and an older appearance.
In such cases, methods like lower eyelid lift or Hamra procedure might be more suitable.
For moderate to severe under-eye sagging or shadowing with clear hollows between the lower eyelid and cheeks, combining transconjunctival fat removal with condensed fat injection treatment is recommended.
Details about fat injection here
After a thorough consultation with a doctor, we will propose the most suitable treatment method.
Comparison table of treatments here

Merits
  • No visible scars as fat is removed from the inside of the lower eyelid
  • The incision in the lower eyelid naturally closes, so no sutures are needed
  • As the removed orbital fat does not regenerate, long-lasting effects can be achieved
  • Makeup can be applied immediately after surgery
Demerits
  • If you have naturally less orbital fat, changes may not be noticeable before and after the surgery
  • Excessive fat removal may result in unnatural hollows

¥297,000

Eye Bag Removal

This method improves under-eye bags and skin sagging by removing excess skin and orbital fat.
For individuals with weak lower eyelid support, additional procedures such as lifting and fixing the orbicularis oculi muscle or shortening the loosened lower eyelid may be required.

Merits
  • The incision is made along the lash line, making scars less noticeable
  • Removes excess skin and fat around the eyes, significantly enhancing the impression of the eye area

¥480,000

Transconjunctival Hamra Method

The transconjunctival Hamra method improves under-eye hollows and sagging by relocating orbital fat through the conjunctival side. An incision is made on the inside of the lower eyelid to redistribute fat from bulging areas to hollow areas.
Unlike the external Hamra method, it does not involve cutting the skin on the eyelid surface, leaving no visible scars.
This method is recommended for those with minimal eyelid puffiness or excess skin.
Comparison table of treatments here

Merits
  • No scars on the skin surface as no external incision is made, preserving the tear trough
  • Effective for long-term results, reducing the risk of recurrence
Demerits
  • Requires high surgical skill, and results may not be noticeable with inexperienced surgeons
  • Not suitable for severe under-eye sagging as no skin removal is performed

¥550,000

External Hamra Method

The external Hamra method involves cutting the skin and orbicularis oculi muscle from the outer side of the lower eyelid to redistribute orbital fat and remove excess skin. It is recommended for those whose dark circles were not improved by fat removal or fat injection.

Merits
  • Removes excess skin, addressing wrinkles and sagging simultaneously
  • Provides a long-lasting solution for under-eye hollows and dark circles
Demerits
  • Requires high surgical skill, and results may not be noticeable with inexperienced surgeons
  • Longer downtime as the incision is made on the skin surface
  • Potential loss of the tear trough

¥660,000

Comparison of Procedures

Transconjunctival Fat Removal Transconjunctival Fat Removal
+
Fat Injection		 Eye Bag
Removal		 Subciliary Approach Transcutaneous Approach
Procedure

Incision made on the inside of the lower eyelid (transconjunctival) to remove an appropriate amount of orbital fat to resolve the discrepancy in volume.

Fat removal from the lower eyelid with transconjunctival fat removal, followed by fat injection from the thigh to fill the hollows under the eyes, resolving volume discrepancies.

Excess skin removal and orbital fat removal under the eyes to improve puffiness and sagging.

Incision on the inside of the lower eyelid (transconjunctival), moving orbital fat to improve both hollowing and puffiness simultaneously.

Incision made on the outside of the lower eyelid to remove excess skin and move orbital fat to improve hollowing, sagging, and puffiness comprehensively.
Recommended For
  • Those who cannot afford downtime
  • Those with significant fatty bulging
  • Those with puffiness under the eyes
  • Those with moderate to severe under-eye sagging or shadowing combined with visible hollows between the under-eye and cheek area
  • Older individuals
  • Those with noticeable skin sagging or wrinkles
  • Those with significant fatty bulging
  • Relatively younger individuals
  • Those who do not want visible scars on the skin's surface
  • Those who want to improve both puffiness and hollows under the eyes simultaneously
  • Older individuals
  • Those with noticeable skin sagging or wrinkles
  • Those who can afford downtime
  • Those seeking rejuvenation
  • Those with significant fatty bulging
Benefits
  • As fat is removed from the inside of the lower eyelid, there are no visible scars.
  • The incision on the lower eyelid naturally heals, so no suturing is required.
  • Orbital fat cells, which are the cause of sagging, do not regenerate, offering a semi-permanent effect.
  • You can apply makeup immediately after the procedure.
  • Can eliminate skin sagging after fat removal
  • High durability of results
  • Fills hollows under the eyes, offering a rejuvenating effect.
  • Scars are less noticeable as the incision is made along the lash line under the eyes.
  • Removal of excess skin and fat around the eyes can drastically change the overall appearance.
  • Improves puffiness and hollows under the eyes
  • No scars on the skin's surface
  • Shorter downtime compared to transcutaneous approach
  • Improves sagging, eye bags, wrinkles, and hollows
  • Excess skin can be removed
  • Can improve significant puffiness under the eyes
Drawbacks
  • If there is little orbital fat to begin with, the changes before and after the procedure may not be noticeable.
  • Over-removal of orbital fat may cause unnatural hollows.
  • If the fat injection amount is not appropriate, the result may look unnatural.
  • Downtime may be longer than expected.
  • There may be significant swelling immediately after the procedure.
  • It may cause persistent tearing.
  • Improvement may be difficult for those with significant sagging/puffiness under the eyes.
  • Longer downtime compared to fat removal procedures.
  • Scars under the eyes may become less noticeable over time, but temporary wounds may appear.
  • Requires suture removal after one week, so downtime is longer compared to subciliary approach.
Price ¥297,000 ¥660,000 ¥480,000 ¥550,000 ¥660,000

Price List

Eye Bag Removal

Transconjunctival Fat Removal ¥297,000
Transconjunctival Fat Removal + Fat Injection ¥660,000(Condensed Rich Extraction Processing Fee, Nano Rich Processing Included)
Eye Bag Removal ¥480,000
Subciliary Approach ¥550,000
Transcutaneous Approach ¥660,000

Anesthesia Options

Block Anesthesia ¥33,000
Inhalation Anesthesia ¥8,800
Intravenous Anesthesia ¥55,000

Surgery Flow

01

Reservation

Lively Clinic operates on a reservation-only basis to ensure the privacy of our clients. You can make a reservation through our website or by phone.

*Depending on the reservation status on the day, it may be possible to perform the surgery on the same day as the consultation.

02

Arrival Registration

Upon arrival, please fill out the questionnaire regarding your concerns and wishes.

03

Consultation

We will guide you to a private room where we will discuss your concerns regarding under-eye bags and sagging. The doctor will then carefully explain the treatment plan and post-surgery downtime according to your wishes.
If you have any concerns or questions, feel free to consult with us.

04

Design

We will confirm your wishes based on the consultation and mark the areas to remove fat.
Once confirmed, we will begin preparing for the surgery.

05

Anesthesia

The affected area is disinfected, and local anesthesia is administered.
We inject the anesthesia slowly to minimize pain.
You can also choose nitrous oxide as an option.

06

Surgery

Fat is removed from the back of the eyelid along the marked design.
The surgery takes approximately 30 minutes.

07

Post-Surgery Follow-Up

We will explain the aftercare and send you home. If you have any concerns after returning home, feel free to contact us via official LINE, etc.
If you feel any discomfort or abnormalities after the surgery, please consult a doctor immediately.

Cautions and Risks

Surgery Time Approximately 30 minutes
Post-Surgery Swelling About 1 week
Bruising About 1 week

FAQ

Q

Is there any downtime?

A

Generally, there is little downtime, but rarely, swelling or bruising may occur. These symptoms typically settle within 1 to 2 weeks, so there's no need to worry.

Q

Is follow-up treatment necessary?

A

Since the procedure is outpatient and does not require stitches to be removed, there is no need for follow-up visits.

Q

How long will the effect last?

A

The orbital fat that is removed does not regenerate, so the effect can be expected to last semi-permanently. Rarely, around 20 years later, orbital fat may gradually return.

Q

Will the scar be noticeable?

A

Since the procedure is performed on the underside of the eyelid, there will be no visible scars on the surface of the skin.