If you have a bear or sagging under your eyes, it will appear older or tired than the actual age.
Self-care such as massage, warming the eyes, and getting enough sleep cannot eliminate the causes of bears and sagging. However, aesthetic medicine has a way to eliminate the cause and solve it fundamentally. One of the methods is the transconjunctival degreasing method, which is said to have less swelling and pain due to treatment.
In order not to fail with the transconjunctival defatting method, let's know what kind of operation the transconjunctival defatting method is suitable for, and what are the differences from other aesthetic medicine.
Table of contents
The transconjunctival degreasing method is a method of removing the orbital fat (cancer squeeze) that has come out before by turning the lower eyelid and making a small hole in the red mucosa. It is also called lower eyelid defatting, and lower eyelid transmucosal defatting.
When orbital fat comes out in front, bulges and sagging called eye bags occur. If you do so, the shadow will become a symptom of a bear, and the tear bag will be ambiguous.
The reason why orbital fat comes out and bears is because the muscles around the eyes weaken and the skin does not become firm, and symptoms are more likely to appear with aging. In addition, people who are born with high orbital fat are more likely to become black bears, so bears are more likely to age or inherit and are difficult to hide with makeup or massage.
Transconjunctival degreasing is a method of removing excess orbital fat, which is the cause of bear and sagging. Remove from the back of the lower eyelid, so do not cut the front skin. For this reason, it is sometimes referred to as “an incurable treatment”. Surgery, but there are no scars and mild downtime such as swelling and swelling.
Although there are individual differences, swelling and swelling can be made from the next day instead of 2-3 days.
The transconjunctival defatting method suppresses pain during surgery with eye drops type eye drop anesthesia and injection local anesthesia.
First, after an eye drop anesthesia, local anesthesia is performed on the back of the eyelid. Therefore, the pain of injecting a local anesthetic needle with eye drops anesthesia is suppressed. If anesthesia begins to work, there will be no pain during the operation. In addition, pain relief when anesthesia after surgery is cut can be suppressed with analgesics.
There are various types of bears, and can be divided into three categories: black bears (shadow bears), blue bears (purple bears), and brown bears.
Of these, bears caused by orbital fat are classified as black bears.
Black bears can be divided into those that are mild and those that are moderate or higher.
Mild black bears are caused by orbital fat. On the other hand, black bears of moderate or higher are also affected by the condition of mailer fat, fat on the cheeks, in addition to orbital fat. If the mailer fat becomes less or droops, the shadow becomes wider and the black bear symptoms become heavier.
It is a mild black bear that can be improved by the transconjunctival degreasing method.
In addition, in the case of a black bear of moderate or higher level, which is affected by low mailer fat and sagging, the following treatment to inject fat on the cheek is used together.
The latter method of injecting fat collected from one's abdomen and thigh is called a micro-condensation rich method, in which impurities are removed from the collected fat and then injected. The fee will be more positive than the former method, but the retention rate will increase. Therefore, there is no need to inject more fat than necessary, and the advantage is that there is less swelling after treatment.
|How to identify bear types||Characteristic|
|Thinning by facing the black bear or pulling the skin||Mild||Shadows caused by swelling or sagging under the eyes caused by orbital fat.|
|More than moderate||In addition to orbital fat, shadows caused by swelling or sagging under the eyes caused by a small amount of mailer fat or sagging.|
|Pull the blue bear to the side or down to make it thinner||Because of the thin skin, the capillaries and muscles under the skin can be seen through.|
|It doesn't become thin even if it faces or pulls on the brown bear||It looks dull brown due to pigmentation.|
There are cases where bears are mixed, such as “black bear and brown bear” and “black bear and blue bear”. If you take a bear, the symptoms will be reduced.
To eliminate blue bears that are transparent under the skin and brown bears caused by pigmentation, inject fat under the eyes to cover the thinness of the skin, or use laser therapy and a tretinoin ointment as a coating. We aim for improvement.
A tear bag that greatly affects the impression of the eyes. Many people inject hyaluronic acid or fat to form it, but if it does not do what you expect, tear bags may become noticeable if you remove excess orbital fat using the transconjunctival degreasing method.
In addition to transconjunctival defatting, bear and sagging treatment methods include hyaluronic acid and platelet-rich plasma (PRP) therapy, fibroblast growth factor (FGF) injection, and Lijuran i (salmon injection). In addition, there are irradiation treatments like Therma Cool Eye and Ultra Eye Lift.
However, the duration of these treatments is about one year, so it is often necessary to continue treatment. Also, instead of removing orbital fat, which is the cause of bears and sagging, we aim to reduce bears and sagging by filling the dents under the eyes and restoring the elasticity and elasticity of the skin.
On the other hand, the transconjunctival defatting method removes orbital fat in a single operation, so there is no need to continue treatment.
|Hyaluronic acid injection||Persistence that can be seen immediately after injection is approximately half a year to one year||Injection into dents and sagging parts|
|Platelet rich plasma (PRP) therapy|| After about a month, the skin will feel firmer |
Duration is approximately one year
|PRP containing platelets that repair cells is collected from its own blood and injected into dents and sagging areas|
|Fibroblast growth factor (FGF) injection|| After about a month, the skin will feel firmer |
Lasting approximately 3 years
|FGF that increases fibroblasts, the source of elasticity and elasticity, is injected into the dent and sagging areas|
|Lijuran i (salmon injection)||It is hard to return to the original form where you can feel the firmness of the skin by repeating||Aiming at rejuvenation of the skin itself by injecting polynucleotide (PN) extracted from salmon|
|Therma Cool Eye||Duration of skin firmness after irradiation is approximately half a year to one year||Aiming to increase the growth of its own collagen by applying high-frequency energy to dents and sagging parts|
|Ultra eye lift||Persistence of skin firmness after irradiation is about 1 year||Aiming to increase the growth of own collagen by applying hyphen energy to dents and sagging parts|
(1) Finished design decision
Mark the position of the orbital fat to be removed and perform image alignment.
Use both eye and local anesthesia. Eye anesthesia is performed to reduce the pain of the local anesthetic needle on the back of the lower eyelid.
There are also medical institutions that perform venous anesthesia and finish the operation while sleeping.
(3) Fat removal
A slight incision is made on the back of the lower eyelid with an electric scalpel or laser to separate the orbital diaphragm that encloses the orbital fat from the skin.
Next, an orbital diaphragm is opened to remove the orbital fat.
There is almost no bleeding by using an electric scalpel or carbon dioxide laser that has a coagulation effect due to thermal energy. Therefore, the operation time is about 30 minutes on the left and right.
Swelling due to internal bleeding or anesthesia may occur immediately after.
If you are worried about the condition of your eyes when you come home, you may want to bring sunglasses or a hat to hide your eyes.
If you are using contacts, remove them before surgery, so be sure to bring a contact case.
Contact will be available after about one week. For this reason, you will need glasses when you go home with the naked eye after surgery.
Pain may appear after surgery, but it can be suppressed with an analgesic and can be washed from the day.
Makeup including eye makeup is possible from the next day.
The incision on the back of the lower eyelid does not require suturing. Therefore, there is no need to remove the thread, and it will heal naturally in about a week. During natural healing, you may experience eye strain and redness, but it will subside in about two weeks.
Bear treatment is not covered by insurance and is referred to as free medical treatment. Fees can be set freely for each medical institution. Therefore, the rate for transconjunctival degreasing is approximately 200,000 to 400,000 yen, depending on the medical institution.
Since the orbital fat is removed, the area around the eyes is refreshed, but the skin itself cannot be sagged by the transconjunctival degreasing method.
As a treatment method when skin sag is strong, there is a percutaneous defatting method (lower eyelid percutaneous defatting, lower eyelid incision) that removes fat and removes excess skin.
Surgery causes swelling, redness, and swelling for 2-3 days. If internal bleeding occurs, it may turn purple to yellowish, but it will subside in about a week.
Due to swelling and internal bleeding due to surgery, it may appear that there is no change in the symptoms of bears and sagging immediately after surgery. If the symptoms do not change over time, consult your doctor.
In addition, there is a risk of infection, so keep your eyes clean and follow the prescribed antibiotics after treatment.
Transconjunctival degreasing is a surgical method that requires surgical techniques.
If the amount of orbital fat removed is small, the symptoms may not change. Also, the more you take orbital fat, the less severe the symptoms of bears and sagging. If too much is taken and a dent or left-right difference occurs, or if the amount of orbital fat divided into three blocks is unbalanced, unevenness may occur.
However, if you are an experienced doctor, you will be able to accurately determine whether the fat volume is high or low, where the fat should be adjusted, and whether fat injection is necessary as well as transconjunctival defatting.
In addition, if the medical institution has multiple treatment menus to improve bear and sagging, orbital fat transfer surgery that moves the orbital fat instead of removing the orbital fat by transconjunctival defatting (incision on the front side of the lower eyelid) And transconjunctival orbital fat transfer (a method of incising the back side of the lower eyelid like the transconjunctival defatting method), or percutaneous defatting to remove skin slack, etc. It will suggest ways to improve according to the symptoms.