Lower eyelid sagging excision (hamula method)

Lower eyelid tarsorrhexis is a surgical procedure in which an incision is made in the lower eyelid to simultaneously improve wrinkles, tarsorrhea, and dark circles in the lower eyelid.

Recommended for this type of person

Those who are concerned about dark circles under the eyes.
・Puffiness under the eyes
For those who want to have younger looking eyes
. Those who are concerned about a tired impression.

Features of this hospital

An incision is made in the skin along the lower eyelid margin at the eyelash line.
First, the epidermis is peeled off over the orbicularis oculi muscle to form a skin valve.
The orbicularis oculus is then detached and separated into three pieces.
An appropriate amount of intraorbital fat present under the orbicularis oculus is excised, or the intraorbital fat is moved downward in line with the concavity to make the dark circles shallower (hamula technique).
The orbicularis oculi muscle is pinned to the outer periosteum of the orbital bone while being stretched in an upward outward direction. The lower eyelid skin is then stretched superiorly and laterally in the same manner, and the excess is excised and sutured to the lower eyelid.

Cross-sectional view of the anatomy of the eyelid and eyeball

-surgery art of war

I. Local Anesthetic Injection
II. Skin incision
III. Removal or transfer of intraorbital fat (hamula method)
IV. Dermabrasion
V. Suspension and fixation of the orbicularis oculus valve
VI. Skin suture

-Image of completion Completion image

Before
After

(medical) case

Upper: before surgery Lower: 3 months
very day
1 week later
After 1 month
After 3 months
After 3 months (right)
After 3 months (left)

Postoperative course and follow-up

Treatment Time: 40-60 minutes

Postoperative hospital visit: Required 1 week after surgery Suture removal 1 week after surgery

Postoperative swelling: Noticeable swelling for 1-2 weeks
Approximately 3 months to settle down (individual differences)

Treatment on the day of counseling: possible

Necessity of hospitalization: nashi (Pyrus pyrifolia, esp. var. culta)

anesthesia: Cream anesthesia, combined with local anesthesia
Laughing anesthesia is available upon request.

shower: Possible from the same day, and the wound can be wet from the next day.

make: Eye makeup 1 week after surgery

face-washing: Available from the next day

Charge

Lower Eyelid Tallus Excision: 440,000 yen

Lower Eyelid Tallus Excision (Hamula Method): 495,000 yen

Back Hamula Method (Conjunctival side): 550,000 yen

fat injections: +330,000 yen

: All prices include tax.

Postoperative risks and side effects

-Philadelphia swelling: The swelling will be significant for about a week, and after about a month, the swelling will be considerably reduced. However, it will take about three months for the swelling to completely subside.

-Postoperative Postoperative retroversion, bulging remains: Postoperative retroversion may occur due to muscle and skin laxity. If you are concerned about retroversion, we will consult with you to correct the problem.

-Postoperative Postoperative left-right difference: Postoperatively, there is a possibility of a left-right difference.
Perfect symmetry can be very difficult to achieve depending on the preoperative facial condition.
If this is a concern, we will correct it after 3 months postoperatively.

-Redness of scars Scar redness: Scars will be slightly red for approximately 3 to 6 months. There may be prolonged redness of the scar, especially on the outer corner of the eye. Thereafter, it will gradually settle to the color of the skin over time. Depending on the skin type, there is a slight possibility of scarring. If it is too bothersome, we may inject steroids or perform a revision surgery.

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