To give double eyelids a lighter look
Who is upper eyelid fat removal (orbital fat debulking) suitable for?
- For those who want to improve the durability of the non-incisional double eyelid surgery (buried suture method).
- For those who wish to have a lighter double eyelids.
- For those who wish to remove fat that interferes with the formation of a double eyelid.
Upper eyelid fat removal (orbital fat debulking) explained
Upper eyelid fat removal (orbital fat debulking) is a procedure in which the orbital fat of the upper eyelid is removed to form a firm, stable double eyelid.
It is recommended for those with puffy eyelids and those who wish to have a wider double eyelid. The non-incisional double eyelid surgery (buried suture method) can be performed at the same time as upper eyelid fat removal. In this case, one of the needle holes of the buried suture method is used to perform upper eyelid fat removal using microsurgical instruments.
If only upper eyelid fat removal is performed, a needle hole is made on the existing double eyelid line. This will not disrupt the double eyelid line.
For those with a single eyelid, it is also possible to perform upper eyelid fat removal only.
Upper eyelid fat removal is often used in conjunction with incisional double eyelid surgery, partial incision or ptosis surgery (levator advancement).
Features of our upper eyelid fat removal (orbital fat debulking)
- For local anesthesia, we use 34G ultra-fine needles (needle thickness 0.2mm) to minimize pain.
- Surface anesthesia and intravenous anesthesia are used for those who are afraid of even the slightest pain.
- The fat is removed through a needle hole of approximately 2 mm, making the scar almost invisible.
- You can wash your face and take a shower on the same day after surgery.
Surgical method
Fat is removed through the needle hole with a tool.
The yellow area is orbital fat.
Upper eyelid fat removal (orbital fat debulking) videos
Aftercare for upper eyelid fat removal (orbital fat debulking)
《After surgery》
Condition of the affected area
Needle holes due to lipectomy will remain, but they will become less noticeable over time.
Discomfort in the upper eyelids may occur after surgery, but it will ease over time.
Bruising may occur around the eye, but it will disappear in 1-2 weeks.
Post-operative checkup and aftercare
You will be examined by the doctor just before you go home after surgery.
Lifestyle advice
You can wash your hair and take a shower on the same day after surgery.
Please only wash your face with water, not soap. You can use soap or facial cleansing foam from the next day onwards. However, please do not rub the wound. If the thread gets stuck or it tears, it may bleed. Please do not pick the scab or any other part of the wound, and try to rest.
Please do not apply any make-up to the affected area until the stitches are removed. However, make-up can be applied after surgery except around the eyes.
Please refrain from taking a bath or doing any strenuous exercise for about a week.
When sleeping, please use cushions to elevate your upper body and head.
Please refrain from drinking alcohol and smoking for about a week.
Contact lenses can be worn from the day after surgery if there is no discomfort. They certainly can’t be worn 2-3 hours after surgery due to the effects of anesthesia.
《Days 7-14 after surgery》【It is recommended that you visit for a checkup at this time】
Condition of the affected area
The swelling will subside in 7-10 days.
Initially, the scar will be red. The redness varies from person to person, but it will subside in 1-2 months.
Bruising may occur around the eye, but it will usually disappear in 1-2 weeks.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative procedure.
Lifestyle advice
Eye make-up, skin lotions and creams can be applied from the third day after surgery.
Please avoid rubbing the eye area too much.
From the 7th day after surgery, you will be able to bathe and exercise as usual.
Please keep the scar moisturized and UV protected.
《1-3 months after surgery》【It is recommended that you visit for a checkup at this time】
Condition of the affected area
It will gradually heal completely.
The redness of the scars will vary from person to person, but will settle down in 1-2 months.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative procedure.
Lifestyle advice
Please continue to moisturize and UV-protect your scars.
《6 months after surgery》【It is recommended that you visit for a checkup at this time】
Condition of the affected area
The wound has almost fully healed.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative procedure.
Lifestyle advice
You can resume all of your daily activities.
FAQ
For those who have protruding upper eyelids due to excessive orbital fat, removal of fat will result in a slimmer eyelid.
In addition, orbital fat interferes with creation of a double eyelid using the buried suture method, so if a wider double eyelid is desired, fat removal will stabilize the double eyelid and make it less likely to disappear.
Usually, it will go down in a few days.
If the buried suture method is not perform at the same time, the swelling will go down even faster.
Make-up can be worn immediately after the surgery except for the eyelids.
Eyelid make-up can be applied on the third day after surgery.
At our clinic, we administer eye drop anesthesia and use a corneal protection plate during surgery.
The plate completely separates the eyeball from the eyelid, so there is no damage to the eyeball.
Pain will be minimal because our local anesthetic contains extra agents to reduce any discomfort.
To minimize injection pain, the amount of anesthetic used is kept to a minimum of 1-1.5 cc for both eyelids.
Pain is also minimized by using an ultra-fine 34G needle, as well as a new needle for each eyelid, and by administering the local anesthetic very slowly.
For those who are still afraid of pain, we offer intravenous anesthesia, where you will be unconscious and breathing as usual.
Fees
| Upper Eyelid Fat Removal (Orbital Fat Debulking) | Non-incisional Double Eyelid Surgery (Buried Suture Method) + Upper Eyelid Fat Removal (Orbital Fat Debulking) | Non-incisional Double Eyelid Surgery (buried Suture Method) + ￥132,000 |
|---|---|---|
| Upper Eyelid Fat Removal (Orbital Fat Debulking) only | ￥198,000 |
All fees displayed include tax.
Risks and side effects
In order to prevent any of these symptoms below from occurring, we take safety measures and perform treatment with the utmost care.
We will always improve your symptoms.
Normal post-operative symptoms
Swelling
Major swelling will improve quickly in 2-3 days after surgery. Any mild swelling will be noticeable for another week or two.
Things will completely settle down in about 6 months.
Bruising around the eye
There may be bruising around the eye, but it will disappear in a week or two.
Eyelid discomfort
Immediately after upper eyelid fat removal (orbital fat debulking), the eyelids will feel strange, but this will disappear over time.
Scars
Initially, the needle holes can be seen, but they become less noticeable over time.
Risks and complications
Double Eyelid
Rarely, a double eyelid forms after upper eyelid fat removal (orbital fat debulking).
Depressed Scar
In rare cases, a scar may be visible.
Remaining puffiness
If fat is not the sole cause of puffiness, other surgeries such as sub-brow lift (infrabrow excision blepharoplasty) may be necessary to reduce it.
Fat shortage
In rare cases, such as with revision surgery, there may be a lack of fat to remove.
Upper eyelid concavity
The upper eyelid may become sunken after surgery.
Eyelid surgery (blepharoplasty) list
Detailed information on each eye surgery procedure, including case photos, case progress photos, procedure duration, post-operative course, downtime, aftercare, risks, side effects, and complications.
Supervising Doctor
Under the supervision of our plastic surgeons, we operate our website in accordance with medical advertising guidelines.
NORIHIRO OHBA M.D. Ph.D.
HEAD DIRECTOR/DIRECTOR
Qualifications and Academic Affiliations
Doctor of Medicine
Board Certified Plastic Surgeon, Japan Society of Plastic and Reconstructive Surgery
Board Certified Aesthetic Plastic Surgeon, Japanese Society of Aesthetic Plastic Surgery
Board Certified Aesthetic Plastic Surgeon, Japanese Society of Aesthetic Surgery
Anesthesiologist certified by the Ministry of Health, Labor and Welfare
Member of International Society of Aesthetic Plastic Surgery (ISAPS)
International Member of American Society of Plastic Surgeons (ASPS)
Member of Japan Society of Cranio-Maxillo Facial Surgery
Member of Japan Society of Laser Surgery and Medicine
Career
Graduated from Osaka City University Faculty of Medicine, 1996
Osaka City University Hospital Plastic and Reconstructive Surgery, 1996-1999
Osaka City University Graduate School of Medicine, 1999-2003
Osaka City University Hospital Plastic and Reconstructive Surgery, 2003-2005
Sano Memorial Hospital Plastic and Reconstructive Surgery, 2003-2005
Daito Central Hospital Plastic and Reconstructive Surgery, 2003-2005
Ritz Cosmetic Surgery Tokyo Clinic, 2005-2008
Primo Azabujuban Clinic, 2009~
Head Director, Primo Medical Corporation, 2011~
Head Director/Director, Primo Azabujuban Clinic, 2020~
