It brings you closer to how you looked when you were younger
Removes puffiness of the eyelid without scarring the skin
Who is lipectomy of the lower eyelid suitable for?
- For those with bags under their eyes
- For those who want to look younger
- For those who want a sharper look
An explanation of lipectomy of the lower eyelid
Lipectomy of the lower eyelid is a procedure to remove bulges of orbital fat in the lower eyelids, known as eye bags, to give a younger look.
The lower eyelid is puffy, and depending on how the light hits it, shadows are accentuated and appear as dark circles, either because there is naturally a lot of orbital fat, or because the orbital fat has projected outwards due to aging.
Lipectomy of the lower eyelid is a technique to remove excess fat from the conjunctival side of the eyelid.
The surgery is performed through the conjunctiva, so there is no scarring of the eyelid skin. It is an easy and effective anti-aging technique with short downtime due to minor swelling.

Features of our lipectomy of the lower eyelid
- The approach is from the back (conjunctival side), so there is no scarring of the skin.
- The swelling goes down quickly, in about 3 – 7 days.
- Make-up can be applied the next day.
- 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.
Lipectomy of the lower eyelid explained

The fat is removed through a small hole on the underside of the eyelid (conjunctival side).
The orbital fat of the lower eyelid is located in three compartments. The key is to remove an appropriate amount of fat from each compartment, but not too much.
The scar is only on the underside of the eyelid, so there is no need to worry about it being noticeable.
Post-operative swelling will go down in a few days.
Aftercare for lipectomy of the lower eyelid
《After surgery》
Condition of the affected area
Edema may cause the whites of the eyes to temporarily turn jelly-like, but this will disappear over time.
Eye discharge with blood may appear, but this is normal and should be wiped off gently.
Bruising may occur, and sometimes in the white part of the eye. 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.
Antibiotics, painkillers (the pain is usually mild, but we prescribe them just in case), and gastric medicine will be prescribed for 3 days after surgery.
Lifestyle advice
You can wash your hair and take a shower on the same day after surgery.
Please refrain from taking a bath or doing any strenuous exercise for about a week.
Make-up can be applied from the day of surgery.
Eye make-up can be applied the day after surgery.
Contact lenses can be worn from the third day after surgery if there is no discomfort. However, please refrain from wearing them if you have conjunctival swelling.
Please do not rub the eye area. In rare cases, bleeding or dislodging of the sutures may occur. Also, please rest as much as possible.
When sleeping, please use cushions to elevate your upper body and head.
Please refrain from drinking alcohol and smoking for about a week.
《Day 7 after surgery》【It is recommended that you visit for a checkup at this time】
Condition of the affected area
The swelling will go down in a week or two.
Edema may cause the whites of the eyes to temporarily turn jelly-like, but this will disappear over time.
Eye discharge with blood may appear, but this is normal and should be wiped off gently.
Bruising may occur, and sometimes in the white part of the eye. It will disappear in 1-2 weeks.
Post-operative checkup and aftercare
You will be examined by a doctor.
Lifestyle advice
From the 7th day after the day of surgery, you will be able to bathe and exercise as usual.
Please do not rub the eye area. In rare cases, bleeding or dislodging of the sutures may occur.
《1-3 months after surgery》【It is recommended that you visit for a checkup at this time】
Condition of the affected area
The wound will gradually heal completely, but there will be some swelling for a while.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative procedure.
Lifestyle advice
Please do not rub the eye area. In rare cases, bleeding or dislodging of the sutures may occur.
《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
No. Since the lipectomy is performed from the conjunctival side (backside approach), there is no scarring on the skin.
Make-up can be applied right after surgery.
The swelling usually goes down in 3-4 days, but the feeling of swelling may last up to a week.
Post-operative pain is usually very mild.
We will prescribe a mild analgesic and anti-inflammatory drugs just in case.
About 1 hour.
Yes, sometimes.
If it appears on the skin, concealer can be used. If bruising appears on the sclera, it will take 1 – 2 weeks to clear.
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. The local anesthetic is administered very slowly which further minimizes pain.
For those who are still afraid of pain, we offer general anesthesia, where you will be comfortably unconscious and breathing as usual.
Fees
| Lipectomy of the Lower Eyelid | ¥330,000 |
|---|
All fees displayed include tax.
Risks and side effects of lipectomy of the lower eyelid
Underneath is a list of things that may occur.
In order to prevent any of these symptoms 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 in 1 – 3 days after surgery, then any mild swelling will be noticeable for another week.
Things will completely settle down in about 6 months.
Bruising after surgery
There may be bruising around the eye, but it will disappear in a week or two.
Eyelid discomfort
Immediately after lipectomy of the lower eyelid, the eyelids will feel strange, but this will disappear over time.
Scars
A scar will be on the conjunctiva, so it will be hidden. It will become less noticeable over time.
Risks and complications
When surgery results are not enough, or too much
We can perform lipectomy of the lower eyelid again, or administer fat or hyaluronic acid injections.
Changes in eyelid morphology
There may be a slight increase in fine lines and wrinkles.
Tear troughs may become more prominent.
Bags under the eyes
This surgery improves bags under the eyes, but the color of the skin will remain the same.
Double vision
This can occur if the extraocular muscles are damaged by surgery.
Eye surgery 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~