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Effect of lower eyelid formation that leads to improvement of wrinkles and sagging of lower eyeli...
The skin around the eyes is the thinnest in the body, and since there are few sebaceous glands that secrete sebum, it tends to dry out, due to the weakening of the orbicularis oculi muscle (ganrinkin) that opens and closes the eyelids. , Wrinkles, bears, and sagging of the lower eyelids become more noticeable. Lower eyelid formation is a cosmetic treatment that mainly improves wrinkles, bears, and sagging of the lower eyelids that appear with age .
There are various types of lower eyelid formation, such as surgical methods that involve incision of the skin of the lower eyelid, partial excision of fat and muscle under the skin, and injection that does not require an incision, such as wrinkles and sagging. The appropriate surgical procedure depends on the symptoms and causes of the disease .
Therefore, when undergoing lower eyelid formation, it is important to know in advance the characteristics of each surgical procedure and the symptoms and downtime risk of the lower eyelid that can be expected to improve, and to consider the treatment method that suits you. .. By understanding the characteristics of lower eyelid formation, which has various surgical procedures, you can deepen your understanding of the counseling content received at medical institutions .
Table of contents
- Lower eyelid formation that leads to improvement of fine wrinkles and bears on the lower eyelid
- Causes of each symptom that appears in the lower eyelids
- Types and characteristics of major lower eyelid formation techniques
- Main lower eyelid formation Each orientation and unsuitability
- What you need to know before undergoing lower eyelid formation
- Other lower eyelid cosmetological treatments
- How to choose a medical institution to undergo lower eyelid formation
Lower eyelid formation that leads to improvement of fine wrinkles and bears on the lower eyelid
Lower eyelid formation is a procedure that improves the problems such as bears, wrinkles, and sagging that appear on the lower eyelids, which means the lower eyelids .
There are various types of treatment, such as surgical treatment in which the skin of the lower eyelid is incised to remove excess skin and fat, and treatment without incision, and the lower eyelid is reduced by reducing the substances that maintain the firmness and elasticity of the skin. Treatments that correspond to each problem, such as fine wrinkles and bears due to pigmentation, are selected.
In order to know exactly what kind of lower eyelid formation is suitable for your own lower eyelid trouble , you need to actually get a doctor's diagnosis at a medical institution . There are multiple problems with the lower eyelid that can be expected to improve by lower eyelid formation other than fine wrinkles and bears, but in order to understand the cause of each symptom, we will first briefly explain the structure of the eyelid and the parts related to the treatment.
The part related to the structure of the lower eyelid and the treatment that you want to know in advance
The eyeball is contained in the hollow of the skull called the orbit (cancer), and the eyelid (cancer), which means the eyelid, has the role of protecting the eyeball from external stimuli and dryness. Eyelid and eyelid upper, generally referred to as upper eyelid consists lower eyelid called lower eyelid, by moving the upper and lower eyelids by orbicularis oculi (Ganrinkin) is a muscle that exist around the eyeball, blinking Can be done.
The lower eyelid does not move up and down much more than the upper eyelid, and there is little movement when blinking. Under the skin of the lower eyelid, the orbicularis oculi muscle, the fat orbital fat (cancer tarsal) that protects the eyeball from external impact, the orbital septum that wraps the orbital fat (cancer tarsal) , and the eyelid There is a tarsal plate (kenban) with a tissue like a plate in which collagen fibers existing at the edge are densely packed .
Causes of each symptom appearing on the lower eyelid
Basically, the lower eyelid does not move much up and down, so it is said that there are few symptoms caused by daily overuse of tissues such as muscles under the skin of the lower eyelid.
In addition, the skin of the lower eyelid is extremely thin, about 0.6 mm, and it is characterized by having almost no sebaceous glands (sebaceous glands) that secrete sebum or sweat glands (kansen) that secrete sweat .
Small wrinkles and sagging of the lower eyelid due to a decrease in collagen and elastin
Fine wrinkles that appear on the eyes and mouth with few sebaceous glands, such as the shallow layer of the skin and the lower eyelids, are called "small wrinkles" or "crepe wrinkles." The skin, including the lower eyelid, has a three-layer structure of epidermis, dermis, and subcutaneous tissue from the outside, and fine wrinkles and crepe wrinkles basically occur in the dermis layer .
In the dermis layer, the fibrous protein "collagen" is bundled with an elastic protein called "elastin", and the jelly-like substance "hyaluronic acid" fills the space between them while holding water. It supports the firmness, elasticity and moisturization of the skin.
However, when the dermis is damaged mainly by aging, ultraviolet rays, and disturbance of skin metabolism called turnover, collagen and elastin, which maintain the firmness and elasticity of the skin, and hyaluronic acid, which has a role of storing water, deteriorate and decrease. As a result, it may cause skin problems such as fine wrinkles and sagging .
The main treatments that can be expected to improve fine wrinkles and sagging on the lower eyelids are surgery to remove the skin by making an incision in the skin just below the hairline of the lower eyelashes, and hyaluronic acid, which has the effect of supplementing the volume of the skin. Examples include injection and baby collagen injection, which has the effect of promoting the activation of skin cells.
Bear due to pigmentation of the lower eyelid
When the skin is intermittently exposed to external stimuli such as UV rays and friction, it produces melanin in the lower layers of the epidermis to protect the skin cells from the stimuli. The melanin produced is normally excreted from the body together with old keratin by turnover, which is the metabolism of the skin, but when the amount of melanin produced exceeds the excreted amount due to intermittent external stimuli, it stays in the skin. Causes pigmentation that looks dull brown .
The condition in which the skin of the lower eyelids causes pigmentation and becomes dull brown to dark brown is called a bear, and it may be seen on a tired face or give the impression of being older than the actual age.
Pigmented bears can be improved by topical retinoic acid, which regulates turnover, which is the metabolism of the skin, and promotes melanin excretion, and light or laser machine irradiation treatment, which aims to remove melanin by destroying it with heat or shock waves. Can be expected.
Eye bags and shadow bears due to protrusion of orbital fat
When the bones contract or the muscles and ligaments that support the eyeball weaken due to aging, the eyeball gradually sinks, and the orbital fat that covers the eyeball is pushed forward (on the surface side of the skin), and the lower eyelid. Bulging or sagging may occur just below . The swelling and sagging caused by the protrusion of orbital fat is called the eye bag ( mebukuro ) or eye bag .
In addition to aging, eye bags may be noticeable regardless of age due to their natural skeleton and high orbital fat. In addition, the state in which the eyelids due to the protruding orbital fat , which is not caused by pigmentation , becomes a step between the lower eyelid and the cheek and a shadow is formed, is called a "shadow bear" .
Shadow bears, also known as baggy eyelids, can look older or look tired than they really are. Orbital fat-induced eye bags and shadow bears can be improved by removing the orbital fat under the lower eyelid or moving it to the depression between the lower eyelid and the cheek.
Golgoline caused by weakening of the orbicularis oculi muscle and reduction of subcutaneous fat
The main cause of wrinkles that enter diagonally from the inner corner of the eye to the cheek, which is generally called the Golgo line, is that the boundary of the facial muscle becomes conspicuous due to the weakening of the orbicularis oculi muscle and the decrease in subcutaneous fat due to aging. Will be done. The origin of the Golgo line is a popular name because it resembles the characteristic line on the face of the main character of a famous comic, and it is correctly called Mid Cheek Groove.
The main treatments that can be expected to improve Golgoline are hyaluronic acid injection, which has the effect of compensating for dents such as wrinkles on the skin, and calcium hydroxyapatite, which is composed of calcium and phosphate ions that originally exist in the body. There is a ready essence injection using a dermal filler.
Eclusion with eyelashes facing inward
The symptom that the eyelashes that should originally grow outwards grow inward (on the eyeball side) is called varus, and is generally called upside down eyelashes. When varus occurs, the cornea and conjunctiva of the eyeball may be stimulated by the eyelashes, causing irritation and a foreign body sensation in the eyeball.
Entropion is "congenital varus" due to a natural defect or abnormality in the tissue that supports the tarsal plate at the edge of the eyelid, and the aponeurosis that supports the lower eyelid mainly due to aging. It is said that there is "senile entropion of the eyelids" due to loosening and sagging of the aponeurosis. In addition, contrary to varus, the symptom that the edge of the eyelid is inverted to the outside (the surface side of the skin) is called valgus, and varus and valgus are lower. It is a symptom that can occur not only on the eyelids but also on the upper eyelids .
Vaginal palsy is a condition in which the lower eyelids are turned outward and the red conjunctiva on the back is visible. The main cause is the deterioration of the skin, muscles, and fascia around the eyes due to aging, but the face. It can also be caused by paralysis. Since the eyelids cannot be opened and closed normally, there is a risk of dry eye and damage to the cornea.
Even if varus or valgus occurs, self-treatment such as tweezers may cause eye damage or infection, and simple plucking may cause symptoms to recur, so please refrain from doing so. .. Treatment methods include removing excess skin from the eyelids to change the direction of the eyelashes and destroying the roots of the eyelashes that are facing inward or outward, and some medical institutions apply health insurance. In some cases.
Types and characteristics of major lower eyelid formation techniques
Suitable lower eyelid formation differs depending on the wrinkles, bears, and sagging problems that occur in the lower eyelids. In order to know your lower eyelid problems and the treatment that suits the cause, you need to see a doctor at a medical institution.
Types of lower eyelid formation that make an incision in the skin
| Technique | Overview | Expected effects |
|---|---|---|
| Transconjunctival defatting (Keiketsu Makuda Shijutsu) | An incision is made in the conjunctiva inside the lower eyelid to remove excess orbital fat | ・ Eye bag ・ Shadow bear |
| Lower eyelid incision (Kaganken Sekaijutsu) | An incision is made in the skin just below the hairline of the lower lashes to remove excess skin and loose orbicularis oculi muscles. | ・ Mild lower eyelid sagging ・ Small wrinkles on the lower eyelid |
| Lower eyelid wrinkle removal (Kagankenjosujutsu) | An incision is made in the skin just below the hairline of the lower lashes to remove excess orbital fat and then the loose lower eyelid skin is excised. | ・ Sagging lower eyelids ・ Deep wrinkles ・ Eye bags |
| Hamra method (percutaneous orbital fat transfer: Keihiki cancer Kashiboidojutsu) | An incision is made in the skin just below the lower eyelashes to move the protruding orbital fat to the depression between the lower eyelid and the cheek, while removing excess skin. | ・ Lower eyelid sagging ・ Deep wrinkles ・ Eye bags ・ Shadow bear |
| Back Hamra method (transconjunctival orbital fat transfer: Keiketsu Maku Cancer Kashiboidojutsu) | An incision is made in the conjunctiva on the back of the eyelid to move the protruding orbital fat to the depression between the lower eyelid and the cheek. | ・ Lower eyelid sagging ・ Deep wrinkles ・ Eye bag * Tendency to be selected mainly when there is not enough excess skin to be excised |
"Transconjunctival defatting" to remove orbital fat by making an incision in the conjunctiva
Transconjunctival defatting (transconjunctival degreasing) is a method of incising the conjunctiva inside the lower eyelid and removing part of the orbital fat in the back, which is also called "lower eyelid defatting" depending on the medical institution. It is said. By removing the orbital fat that protrudes forward due to bone atrophy and muscle weakness from the conjunctival side, the step created between the lower eyelid and the cheek is eliminated, and improvement of the eyelid and shadow bear is expected. You can .
Since the conjunctiva inside the lower eyelid is incised with a scalpel, there is no risk of scarring on the skin surface of the lower eyelid, so downtime after surgery tends to be shorter than other lower eyelid formations . When removing orbital fat, the skin surface of the lower eyelid is removed in a well-balanced manner from the inside, center, and outside according to the amount of different facial skeleton and orbital fat so that the skin surface of the lower eyelid does not become uneven after surgery.
In addition, since transconjunctival defatting does not remove the skin, it is mainly used by young people who do not have sagging skin due to a decrease in collagen and elastin that maintain the firmness and elasticity of the skin due to aging. It is often selected when the protrusion is noticeable.
As for downtime after surgery, symptoms such as swelling, swelling, and redness tend to continue for about 2 to 7 days , and makeup including eye makeup is possible from the day after surgery. The main risks and side effects include dents in the lower eyelids due to excessive fat removal, laterality, and rarely infections from the surgical site .
The time required for surgery is about 30 to 40 minutes per eye, and the method of suturing the incised conjunctiva differs depending on the medical institution, and suturing with a type of thread that is naturally absorbed in the body that does not require surgical removal. There are treatments with electric scalpels and lasers.
| Surgical flow |
|---|
| (1) Doctor counseling and medical examination (2) Use local anesthesia and intravenous anesthesia (3) After inverting the lower eyelid, make a few mm incision in the conjunctiva inside the lower eyelid. (4) Remove the orbital fat in the back (5) Suture of the incision site with an absorbent thread or an electric knife or laser |
| Price quote |
| Approximately 250,000-400,000 yen per eye |
Lower eyelid incision to remove excess skin and loose orbicularis oculi muscle
Lower eyelid incision is the main indication for middle-aged and older people who have fine wrinkles and sagging skin due to a decrease in collagen and elastin due to aging and weakening of the orbicularis oculi muscle. It is an art (kaganken sekaijutsu) . The general surgical procedure is to make an incision in the skin just below the hairline of the lower eyelashes, peel it off once, remove the excess skin, and if there is looseness in the orbicularis oculi muscle, also remove it and suture it. ..
By eliminating the excess looseness of the lower eyelid skin and orbicularis oculi muscle, fine wrinkles and sagging can be expected to improve, but since the incision site is sutured, the thread is removed 5 to 7 days after surgery. You need to receive. In addition, the downtime after surgery tends to be swelling, pain, and swelling for about 2 weeks, and it takes about 3 months for the scars to become less noticeable and to be finished naturally.
In addition, excessive excision of the lower eyelid skin involves the risk of valgus in which the edge of the eyelid is inverted to the outside (the surface side of the skin). Therefore , in order to prevent failure, the number of cases of lower eyelid incision is performed. It is important to have surgery at a medical institution where a doctor with abundant and proven results is enrolled.
| Surgical flow |
|---|
| (1) Doctor counseling and medical examination (2) Use local anesthesia and intravenous anesthesia (3) Make an incision in the skin along the edge of the lower eyelid (4) Excision of excess skin and part of loose orbicularis oculi muscle (5) Suture the stump of the excised tissue (6) Suture of the incision site (7) Thread removal after 5 to 7 days |
| Price quote |
| Approximately 300,000 to 500,000 yen per eye |
"Lower eyelid wrinkle removal" that removes orbital fat and excises the skin
One of the surgical lower eyelid formations aimed at improving lower eyelid sagging, eyelids, and shadow bears is lower eyelid wrinkle removal . The basic surgical procedure is to make an incision along the edge of the lower eyelid to remove the skin just below the hairline of the lower eyelash, and remove some of the orbital fat in the back, and remove the loosened orbicularis oculi muscle from the outer corner of the eye. After fixing to the lateral ligament, the slack skin of the lower eyelid is excised and the incision is sutured.
By removing the protruding orbital fat , improvement of the eyelids can be expected , and by eliminating the loosening and sagging of the orbicularis oculi muscle and skin, deep wrinkles such as Golgoline and sagging of the lower eyelid are improved. .. It is mainly indicated for middle-aged and elderly people who have sagging skin and weakened orbicularis oculi muscles with aging, and prominent protrusion of orbital fat.
The time required for surgery is about 50 minutes per eye, and thread removal is performed 5 to 7 days after surgery. In addition, since lower eyelid wrinkle removal involves incision and excision of the skin, swelling, pain, and swelling tend to appear for about 2 weeks during downtime, and the scars from the incision become less noticeable and it takes 3 months to finish naturally. Is a guide.
The main risks and side effects of lower eyelid wrinkle removal include dents in the lower eyelids due to excessive fat removal, infections, and temporary swelling of the white of the eyes . Excessive skin excision can also cause lower eyelid valgus, so consult your doctor carefully when deciding how much skin to excise.
| Surgical flow |
|---|
| (1) Doctor counseling and medical examination (2) Use local anesthesia and intravenous anesthesia (3) Make an incision in the skin along the edge of the lower eyelid (4) Remove the orbital fat in the back (5) Fix the loose orbicularis oculi muscle to the ligament of the outer corner of the eye (5) Excision of excess lower eyelid skin (6) Suture of the incision site (7) Thread removal after 5 to 7 days |
| Price quote |
| Approximately 300,000 to 500,000 yen per eye |
"Hamra method" to make an incision from the skin surface of the lower eyelid
The Hamra method is a lower eyelid formation developed by Dr. Hamra, a plastic surgeon in the United States. Since an incision is made from the skin surface of the lower eyelid, percutaneous orbital fat transfer (Kashibuki cancer) It is a technique that is also called Idojutsu. It tends to be selected for the treatment of eyelids and shadow bears caused by protrusion of orbital fat, sagging lower eyelids mainly due to aging, and deep wrinkles such as Golgoline .
The operation of the Hamra method (percutaneous orbital fat transfer) is to make an incision in the skin just below the lower eyelashes, and then it occurs between the lower eyelid and the cheek without cutting off a part of the orbital fat in the back. The general procedure is to perform a pedunculated procedure to move the skin to the dent, remove excess slack skin, and suture the incision site .
The time required for surgery is about 50 minutes per eye, and after surgery, the lower eyelid may be taped and fixed for about 5 days in order to stabilize the site where the orbital fat was moved. The thread will be removed after 5 to 7 days. The treatment of fixing the lower eyelid by taping depends on the medical institution.
In addition, during downtime, symptoms such as swelling and internal bleeding tend to appear for about 1 to 2 weeks , and it takes about 3 months for the natural finish to make the scars from the incision less noticeable. Risks and side effects of surgery include left-right differences in finish and excessive movement of orbital fat may cause dents in the lower eyelids .
| Surgical flow |
|---|
| (1) Doctor counseling and medical examination (2) Use local anesthesia and intravenous anesthesia (3) Make an incision just below the lower lashes (4) Move to the depression of the lower eyelid without separating the orbital fat in the back (5) Excision of excess lower eyelid skin (6) Suture of the incision site (7) Thread removal after 5 to 7 days |
| Price quote |
| Approximately 300,000 to 500,000 yen per eye |
"Back Hamra method" that makes an incision from the back side of the lower eyelid
Unlike the normal Hamra method, the back Hamra method is a method of making an incision from the conjunctiva, which is the back side of the lower eyelid, instead of the skin surface of the lower eyelid. Transconjunctival orbital fat transfer (Keiketsumaku cancer) It is also called (Dojutsu). It is a procedure that tends to be selected when there is no need to perform a skin resection of the lower eyelid, and the incision is made on the back of the eyelid so that scars are not noticeable.
After making an incision on the back side (conjunctiva) of the lower eyelid, the wrinkle dent is supplemented by moving a part of the orbital fat in the back to the dent formed between the lower eyelid and the cheek without separating it. It can be expected to have the effect of making deep wrinkles such as lines less noticeable, and to improve the sagging of the eyelids and lower eyelids due to the protrusion of orbital fat . In addition, since the suture at the incision site uses an absorbent thread, there is no need to remove the thread after surgery.
Similar to the Hamra method, the back hamra method may promote the fixation of the treated area by taping and fixing the lower eyelid for about 5 days after surgery to move the orbital fat. The time required for surgery is about 50 minutes for one eye, and it is common for symptoms such as swelling and internal bleeding to appear for about 1 to 2 weeks during downtime, and the scars are not noticeable because the incision is made from the back of the eyelid. There is a risk of lower eyelid dents and laterality due to excessive orbital fat movement .
| Surgical flow |
|---|
| (1) Doctor counseling and medical examination (2) Use of local anesthesia and intravenous anesthesia (3) Incision of the conjunctiva inside the lower eyelid (4) Move to the depression of the lower eyelid without separating the orbital fat in the back (5) Suture the incision site with an absorbent thread |
| Price quote |
| Approximately 350,000 to 550,000 yen per eye |
Golgoline can be expected to improve with injections that do not require an incision
Wrinkled Golgo lines that enter diagonally from near the inner corner of the eye to the cheeks may occur at any age depending on the natural skeleton, but improvement is improved by injection (injection) without skin incision. You can expect it .
Injection procedures tend to be less burdensome and have less downtime than surgical procedures, but most have a limited duration of effect . There are mainly the following types of infusion procedures that can improve Golgoline, and each drug has different characteristics and duration.
| Treatment | Feature | Duration of effect |
|---|---|---|
| Hyaluronic acid injection | Inject elastic hyaluronic acid containing a cross-linking agent to supplement the volume of the skin | 6 to 24 months |
| Lady Esse injection | Particulate solids, which are the main components of bones and teeth, are injected into a gel-wrapped preparation to supplement the volume of the skin. | 10-18 months |
| Elance | A formulation that promotes collagen growth and improves skin quality from the inside. | 12 to 36 months |
| PRP (Platelet Rich Plasma) | Injects a component that acts as a growth factor extracted from your own blood to promote the regeneration of skin tissue | 6-12 months |
Hyaluronic acid injection
Hyaluronic acid is a substance that originally exists in the human body, so when it is taken into the body from the outside, it is judged to be a foreign substance and the risk of causing an allergic reaction is low, and in cosmetic medicine it mainly occurred on the skin such as wrinkles. It is used in treatments aimed at filling the groove to make it less noticeable or supplementing the volume of the injected site.
Various types of hyaluronic acid injections are manufactured by various manufacturers, but they can be roughly divided into two types according to the hardness of hyaluronic acid. The treatment tends to use soft hyaluronic acid to fill the grooves such as wrinkles and nasolabial folds to make them inconspicuous, and hard hyaluronic acid to adjust the contours of the nose and chin and to create volume .
By injecting hyaluronic acid into the area where Golgoline is a concern, you can expect the effect of filling the grooves on the skin with the injection agent and making wrinkles less noticeable . There is almost no downtime after the procedure, and there is a rare risk of swelling and internal bleeding, but even if it does occur, it tends to settle in about a week .
Hyaluronic acid has the property of being gradually absorbed into the body, and the duration varies depending on the injection agent, but it takes about 6 to 24 months , and by injecting a degrading enzyme preparation called hyaluronidase, which has the effect of decomposing hyaluronic acid. It is also possible to return to the original state. The treatment fee for hyaluronic acid injection is about 50,000 to 120,000 yen per cc, and if you aim to improve the Golgo line, the injection amount is about 0.3 cc to 1 cc per side.
Lady Esse injection
Lady Esse injection is a procedure in which a component called calcium hydroxyapatite, which is originally present in the body and consists of calcium and phosphate ions, is atomized and wrapped in a sticky gel . Calcium hydroxyapatite is used in a wide range of fields such as plastic surgery and dentistry as well as cosmetic medicine such as artificial bone formation and dental treatment.
Lady Esse is an injection that is injected subcutaneously using a needle, and has the effect of lifting the wrinkle groove to create volume, and can be expected to improve deep wrinkles like Golgoline.
However, since it is an injectable agent that is harder than hyaluronic acid, there is a risk of lumps and irregularities if it is injected shallowly into the skin, so the injection must be done deep in the skin. Therefore, it is not suitable for improving shallow wrinkles that need to be injected shallowly on the skin or for injection into soft areas such as tear pouches under the eyes.
After the procedure, swelling and internal bleeding may occur at the injection site, but in most cases it will subside within 2 to 3 days . The duration of the effect is about 10 to 18 months, but since there is no decomposing agent, even if you are not satisfied with the finish, you cannot immediately correct it. The market price of the treatment fee is about 100,000 to 200,000 yen per 1.5cc, and the injection amount used for the treatment of Golgoline is about 0.5 to 1.0cc per side as a guide.
Elance
Polycaprolactone (PCL), which is also a component of sutures used in surgery, is 70%, and carboxymethyl cellulose (CMC), which is a kind of thickener consisting of cellulose and water, is 30%. The injection is Elance .
It has obtained the CE mark that proves that it meets the European safety standard conditions, has the effect of promoting collagen production at the injected site, and pinpoint injection into areas where skin grooves such as wrinkles and dents are worrisome. By doing so, you can expect the effect of supplementing the volume of the skin and leading to improvement .
Elance is characterized by the fact that the speed at which the injectable is absorbed into the body can be adjusted by changing the length of the molecules that make up the main component polycaprolactone, and there are three types (about 1 year and about 2 years) for each duration.・ There is an injectable for about 3 years) . Each of the three injections has the same composition and action, only the duration is different, but since Elance does not have a decomposition agent, it is necessary to wait until it is naturally decomposed in the body after injection.
After the treatment, slight swelling and redness may occur, but it tends to settle down within a few days to a week , and the main risks and side effects are unevenness and lumps on the skin due to the fact that the erance does not spread on the surface. , If the capillaries are damaged, it may cause internal bleeding . In addition, the market price is about 80,000 yen to 180,000 yen per cc, and the treatment for Golgo line is about 0.3 cc to 1 cc as a guide.
PRP (Platelet Rich Plasma)
PRP is made by centrifuging the blood collected from itself and extracting plasma containing a large amount of platelets. In Japanese, it is also called platelet-rich plasma (platelet-rich plasma). Platelets contained in PRP are rich in growth factors that activate cell activity, and work to proliferate cells, repair damaged tissues, and produce collagen, hyaluronic acid, and elastin that maintain skin firmness and elasticity. There is.
By injecting PRP into the area where mild Golgoline is a concern, growth factors are released and growth of collagen, elastin, etc. is promoted, and wrinkles can be expected to be less noticeable . However, unlike hyaluronic acid injection, the injection agent itself does not directly supplement the volume of the skin, so the expected effect is milder than other injection agents .
The effect of PRP treatment tends to appear gradually from about 2 to 4 weeks later, and the general effect lasts about 6 to 12 months , and there is no degrading agent. In addition, since PRP treatment uses its own blood, there are usually few serious side effects or risks, and after the treatment , symptoms such as internal bleeding, redness, and swelling may rarely appear, but it is said that it will subside in about 2 weeks. I will.
The standard treatment fee for injection is about 80,000 to 200,000 yen. In addition to injection treatment, PRP forms a number of fine needle holes in the skin with ultra-fine needles, causing the skin's natural healing power and causing skin cells. It is also possible to perform the treatment in combination with "Dermapen 4" which measures the regeneration of.
Treatment that can be expected to improve the upside-down eyelid (lower entropion) of the lower eyelid
Upside down eyelashes on the lower eyelid (lower entropion) can be broadly divided into two types: surgery that involves an incision in the skin and treatment that does not require an incision with a machine or needle. The former tends to improve symptoms with one operation while the downtime is long, and the latter may require multiple operations although the downtime is short.
However, the upside-down eyelashes of the lower eyelid due to a congenital cause may disappear as the eyelashes grow, so if it is not severe, it is common to use eye drops or antibiotics that protect the cornea to monitor the progress. It has been with. In addition, some medical institutions may be covered by insurance for the treatment of varus, so if you are concerned about whether or not you have insurance, please check the contact information or website of each medical institution.
The main treatment methods that can be expected to improve the upside down eyelashes of the lower eyelids are as follows.
| Method of treatment | With or without incision | Overview |
|---|---|---|
| Incision method | Yes | Make an incision in the hairline of the lower lashes, cut off some of the muscle fibers that support the lower eyelids, and sew the stumps together to shrink them. |
| Eyelash electrolysis (Shomodenkibunkai) | Nothing | A thin needle is pierced into the root of the eyelashes (lower eyelashes) and electricity is applied to destroy them, causing the eyelashes to lose their hair. |
Treatment of lower eyelid varus (upside down eyelashes of lower eyelid) by incision
Most of the hairline of the lower eyelid is warped inward (on the eyeball side), and most of the eyelashes are in contact with the cornea . The degree of entropion of the lower eyelid is severe, mainly due to aging. Incisional treatment of lower eyelid entropion tends to be the choice when muscle fiber loosening is the cause .
In the treatment of lower eyelid entropion by incision, after using anesthesia, the skin at the hairline of the lower lashes is incised, and if there is excess skin or fat on the lower eyelid , these are removed to support the lower eyelid. It is said that the eyelids are encouraged to face outward by partially cutting off the muscle fibers and sewing the stumps together to shrink them. The incision site created at the hairline of the lower lashes is sutured, but if a non-absorbent thread is used, the thread will be removed 5 to 7 days after surgery.
The downtime after surgery is mainly swelling and redness, which may last for 2 to 4 weeks and redness for 1 to 3 months, but one operation may cause entropion of the lower eyelid. Can be expected to improve . In addition, since the surgery involves incision of the skin and subcutaneous tissue, the main risk is that internal bleeding may occur if small blood vessels are damaged during the surgery, but internal bleeding causes blood clots to block the bleeding. Basically, it is said that it will subside in proportion to the passage of days.
In addition, instead of making an incision with a scalpel, an incision with a scalpel is performed by performing an operation with a "carbon dioxide laser" that reacts with the water existing under the skin to generate heat energy and evaporates (vaporizes) the skin tissue. Compared to this, bleeding is suppressed and it is possible to reduce swelling after surgery . Carbon dioxide laser is one of the laser treatments performed by a dedicated machine, and some medical institutions do not handle the machine, so it is necessary to check in advance from the homepage of each medical institution or contact information before considering. There is.
| Surgical flow |
|---|
| (1) Doctor counseling and medical examination (2) Use of local anesthesia and intravenous anesthesia (3) Incision of the skin at the hairline of the lower eyelid (4) Excision if there is excess skin or fat (5) After partially excising the muscle fibers under the skin, sew the stump to eliminate the looseness. (6) Suture of the incision site (7) If suture is performed with non-absorbable thread, the thread is removed after 5 to 7 days. |
| Price quote |
| Approximately 200,000 to 450,000 yen per eye (10% to 30% burden when insurance is applied) |
Treatment of lower eyelid entropion by electrolysis of eyelashes
Eyelash electrolysis is a procedure that uses electricity to destroy the roots of the lower eyelashes that cause varus and prevent the cornea from being damaged by causing hair loss . The general procedure is to use anesthesia and then pierce the roots of the eyelashes, which means the lower eyelashes, with a thin needle to pass electricity to destroy the roots, and do not make an incision in the skin. It is a treatment.
While there is no loosening of the muscle fibers that support the lower eyelids, it may also be selected for trichiasis, which has an abnormality in the direction in which the eyelashes grow and faces inward. It is said to be a certain treatment. Since it does not involve an incision in the skin, it tends to be less burdensome to the body and has a shorter downtime than the treatment of lower eyelid varus by the incision method , and a slight burn-like tingling sensation is felt for several days after the treatment. There is .
However, the symptoms are rarely improved by one treatment, and although there are individual differences, it is usually said that it is necessary to undergo two to three treatments in order to obtain a sufficient effect , and recurrence rarely occurs . There is also a risk, and if the degree of entropion of the lower eyelid is severe, the incision method may be diagnosed as suitable. In addition, since the treatment is basically performed using local anesthesia, it is said that there is almost no pain during the treatment, but it is painful when injecting local anesthesia.
| Surgical flow |
|---|
| (1) Doctor counseling and medical examination (2) Use of local anesthesia (3) Stick a needle into the root of the lower lashes facing inward. (4) Apply electricity to the pierced needle to damage the hair root (5) Usually, the treatment is performed 2-3 times a day. |
| Price quote |
| Approximately 20,000 yen per eye (10% to 30% burden when insurance is applied) |
Main lower eyelid formation Each orientation and unsuitability
Since some lower eyelid formations have different treatments such as excision, removal, suturing, and drug injection, and the subjects to be modified, they are treated with the appropriate treatment for each lower eyelid problem that they want to improve under the diagnosis of a doctor. is needed. Also, if you have multiple problems that you want to improve , such as eyelids and shadow bears that are noticeable in addition to sagging lower eyelids, it is important to select lower eyelid formation that can improve these multiple symptoms .
Depending on the treatment, there are lower eyelid formations that can be expected to have the same effect, but since there are differences such as the part where the scar of the incision remains and whether a permanent effect can be expected, the orientation and unsuitability of each treatment depends on your own wishes. Varies.
| Treatment (surgery) | Those who are facing | Those who are not suitable |
|---|---|---|
| Transconjunctival defatting | ・ Those who want to improve eye bags and dark circles due to protrusion of orbital fat ・ Those who do not want to leave scars of incisions on the skin surface of the lower eyelid ・ Those who do not have severe sagging of the lower eyelid | ・ Those who are resistant to surgery involving incision |
| Lower eyelid incision | ・ Those who want to improve the fine wrinkles caused by the lower eyelids Those who have begun to worry about the sagging of the lower eyelids Those who have weakened orbicularis oculi muscles mainly due to aging | ・ Those who are resistant to surgery involving incision ・ Those who are resistant to scarring on the skin surface of the lower eyelid |
| Lower eyelid wrinkle removal | ・ Those who want to improve the sagging of the lower eyelids ・ Those who want to improve the eye bags due to the protrusion of orbital fat ・ Those who want to improve deep wrinkles such as Golgo line | ・ Those who are resistant to surgery involving incision ・ Those who are resistant to scarring on the skin surface of the lower eyelid |
| Hamra method | ・ Those who want to improve the sagging of the lower eyelids Those who want to improve the eyelids and shadow bears due to the protrusion of orbital fat Those who want to improve deep wrinkles such as Golgo line | ・ Those who are resistant to surgery involving incision ・ Those who are resistant to scarring on the skin surface of the lower eyelid |
| Back Hamra method | ・ Those who want to improve the sagging of the lower eyelid ・ Those who want to improve the eye bag due to the protrusion of orbital fat Those who want to improve deep wrinkles such as Golgoline Those who do not have extra skin enough to cut into the lower eyelid | ・ Those who are resistant to surgery involving incision |
| Hyaluronic acid injection | ・ Those who want to improve Golgoline ・ Those who are resistant to surgery involving incision ・ Those who wish to have an injection with a decomposing agent ・ Those who wish to have a short downtime | ・ Those who want to receive treatment that can be expected to have a lasting effect |
| Lady Esse injection | ・ Those who want to improve the Golgo line ・ Those who are resistant to surgery involving incision ・ Those who wish to have surgery with short downtime | ・ Those who want to receive treatment that can be expected to have a lasting effect ・ Those who want to receive injection with a decomposing agent |
| Elance | ・ Those who are beginning to worry about Golgo line ・ Those who want to regain the firmness and elasticity of the skin ・ Those who want a treatment with short downtime | ・ Those who want to receive treatment that can be expected to have a lasting effect ・ Those who want to receive injection with a decomposing agent |
| PRP | ・ Those who are beginning to worry about Golgo line ・ Those who wish to have a treatment with short downtime ・ Those who are reluctant to inject foreign substances into the body | ・ Those who want to receive treatment that can be expected to have a lasting effect ・ Those who want to receive injection with a decomposing agent |
| Incision method (treatment of lower eyelid entropion) | ・ Those who want to improve the upside down eyelashes of the lower eyelids ・ Those who have severe symptoms of upside down eyelashes | ・ Those who are resistant to surgery involving incision |
| Eyelash electrolysis | ・ Those who want to improve the upside-down eyelashes of the lower eyelids ・ Those who tend to have trichiasis ・ Those who are resistant to surgery involving incision | ・ Those who have severe upside down eyelash symptoms |
What you need to know before undergoing lower eyelid formation
Excessive removal of fat from the lower eyelids can cause sagging
If you want to improve the dark circles and dark circles caused by the protrusion of orbital fat, lower eyelid formation that removes the orbital fat under the skin of the lower eyelid is an option, but if excessive removal is performed, it causes sagging of the lower eyelid. It is said that there is . Also, in cases where the lower eyelid originally has sagging, removing the orbital fat may make the sagging more noticeable.
It is said that the cause is that the skin in the area that was stretched by the protruding orbital fat loses tension (tension) when the orbital fat is removed, causing loosening and sagging . Excessive removal of orbital fat can also cause dents in the area removed after surgery.
Of the major lower eyelid formations, transconjunctival defatting is an operation that removes only orbital fat without removing excess skin. Therefore, when considering transconjunctival defatting for the treatment of eyelids and shadow bears, check with your doctor to see if there is a risk of sagging or denting due to removal of orbital fat in your case. Is important.
When the removal of orbital fat may cause sagging of the lower eyelid, surgery to remove or move the orbital fat in addition to removing excess skin, lower eyelid wrinkle removal, hamra method, back hamra Lower eyelid formation, such as law, may be diagnosed as indicated.
Risk of excessive excision of the skin of the lower eyelid
When excising the skin by forming the lower eyelid for the purpose of treating sagging of the lower eyelid, if the skin is excised excessively, it may be difficult to close the eyelid after surgery, or the lower eyelid may be pulled outward and inverted. It can cause complications that interfere with daily life , such as valgus .
Since the site where the skin has been resected cannot be restored to its original state, when considering lower eyelid formation accompanied by skin resection such as lower eyelid incision or lower eyelid wrinkle removal, doctor about the amount of excision. You need to decide carefully in consultation with. When complications such as difficulty in closing the eyelids due to excessive skin removal occur, it is said that improvement can be expected by repair surgery to replace the skin lacking in the lower eyelid by skin grafting.
Lower eyelid formation cannot improve ptosis
It has the role of lifting the upper eyelid and opening the eyes. Due to abnormal muscles or weak force, the upper eyelid cannot be lifted sufficiently even if you try to open the eyes firmly, and it feels heavy when lowered or the field of vision. The symptom of narrowing of the eyelids is called ptosis. Since lower eyelid formation is mainly aimed at improving lower eyelid sagging and bears, it is not possible to improve eyelid ptosis, which is a problem with the upper eyelid .
Ptosis is a surgical incision on the surface of the skin of the upper eyelid, and the levator muscle or aponeurosis, which is the muscle that lifts the upper eyelid, is sewn together with the tarsal plate of the upper eyelid to secure the upper eyelid. Improvement can be expected by treatment that encourages the eyelids to be lifted. In addition, the treatment of ptosis may be covered by insurance depending on the medical institution undergoing surgery.
Other lower eyelid cosmetological treatments
In addition to improving sagging and wrinkles, lower eyelid treatments include cosmetological treatments that change the impression of the eyes. The type of treatment selected depends on the purpose, such as lowering the outer corner of the eye or widening the width of the eye, and varies from injection methods that are relatively light on the body to surgical operations.
Tear bag hyaluronic acid injection
By injecting hyaluronic acid into the lower eyelid, it is a treatment to make a plump tear bag, and by giving an appropriate volume to the tear bag, it is possible to lead to the eyes with a gentle and youthful impression. There is almost no downtime, and it can be said that the treatment is effective immediately after injection.
Sauce eye botulinum injection
By injecting a botulinum toxin drug, which is a type of protein, into the orbicularis oculi muscle that exists around the eyeball, the tension of the muscles that support the lower eyelid is suppressed, and the angle of the outer corner of the eye is lowered to lead to sagging eyes .
Botulinum toxin has the effect of temporarily paralyzing muscle function by suppressing the action of neurotransmitters that are active when the brain issues commands to muscle. It is said that there is almost no downtime, but the effect of botulinum injection is about 3 to 4 months, so repeated injections are necessary if you want to maintain the shape of the eyes.
Incision at the corner of the eye
Surgery to extend the width of the eye outward by making an incision in the skin on the outer corner of the eye and removing excess skin to increase the exposure of the white eye on the outer corner of the eye is an incision in the outer corner of the eye . The area that can be incised by surgery is limited to the white of the eye that is hidden in the skin.
The downtime for swelling and redness after surgery is about 1 to 2 weeks, and it generally takes about 2 to 3 months to finish. In addition, there are various surgical methods, and the shape and suturing method for removing the skin at the corners of the eyes differ depending on the medical institution.
Sauce eye formation (glamorous line)
Sagging eye formation (glamorous line) is an operation that lowers the line of the lower eyelid from the center of the lower eyelid to the outer corner of the eye, leading to a gentle impression that tends to cause sagging eyes . It is said that the eyes look bigger because the white eyes are more exposed.
There are two types of surgery: an incision in the skin of the lower eyelid and an incision in the conjunctiva on the back of the lower eyelid. In both cases, the downtime with swelling and redness is about 2 weeks, and the finish is about 3 months. It is an operation that requires 4 months.
How to choose a medical institution to undergo lower eyelid formation
Since the skin around the eyes is the thinnest in the body, it is said to be a part that is easily affected by aging and external stimuli, mainly from the 30s onwards due to fine wrinkles, sagging and fat in the lower eyelids. Many people start to worry about eyelids and shadow bears . In addition, since the lower eyelid has many important muscles and nerves related to the movement of the eyeball, when undergoing lower eyelid formation treatment, in addition to surgical treatment methods, treatments such as injection treatment that are less burdensome to the body are included. It needs to be considered carefully.
Depending on the symptoms, surgery may be indicated instead of injection for sagging of the lower eyelid. Therefore, first of all, at a medical institution where a doctor who has a lot of experience in lower eyelid formation and a doctor who is familiar with the anatomy of the eye is enrolled, it is best to consult with your own worries and symptoms you want to improve. It is important for you to propose a good treatment method .
