Flora Clinic Ikebukuro’s Eye Area Sagging Improvement Treatment is a medical procedure that prioritizes achieving a “natural and elegant rejuvenation” in Japan.
Rather than simply removing sagging skin above or below the eyes, we comprehensively design treatments that harmonize with age-related changes, bone structure, and facial expressions. This approach aims for a refreshed, natural-looking eye area.
Our clinic focuses on upper eyelid lift (brow lift) and lower eyelid lift (blepharoplasty), providing appropriate treatments tailored to each individual’s degree of sagging and the condition of their skin and fat. We emphasize a design that avoids excessive removal, valuing the preservation of the patient’s natural appearance.
Beyond aesthetic rejuvenation, we also address functional concerns like heavy eyelids and discomfort, ensuring safe and reliable medical care. Our physicians oversee the entire process from consultation to procedure, creating customized treatment plans rather than offering one-size-fits-all solutions.
For those seeking treatment during a short stay or wishing to consult beforehand while in China, we offer online consultations via . This allows you to plan your treatment with confidence even before arriving in Japan.
1. Recommended Candidates for Eye Area Sagging Treatment
Sagging around the eyes is a gradual change that progresses with age. While it can be difficult to notice yourself, others often perceive it as making you look tired or older.
Flora Clinic Ikebukuro’s eye area sagging improvement treatments not only rejuvenate your appearance but also address functional concerns like heaviness or discomfort around the eyes.
It is suitable for individuals experiencing the following concerns:
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Those who feel heaviness in the upper eyelids or find it difficult to open their eyes
Many people experience difficulty opening their eyes or feel eye fatigue by evening due to sagging upper eyelid skin.
While these symptoms are often dismissed as simple signs of aging, but appropriate treatment can sometimes improve the lightness around the eyes and comfort of vision. -
Those who are told their eyes look small, sleepy, or tired
Sagging upper or lower eyelids can make the eye area appear smaller than it actually is, weakening the overall impression of the eyes.
If you feel like your eyes have become smaller than before or find yourself looking sleepy more often, sagging skin may be contributing to this. -
For those concerned about puffiness or sagging under the eyes making them look older
Under-eye sagging tends to emphasize dark circles and shadows, making you appear older than your actual age.
For those troubled by the inability to conceal it with makeup and the resulting tired appearance, under-eye sagging treatment is one option. -
For those seeking a natural improvement rather than just “rejuvenation”
Treatments for under-eye sagging are not about removing all sagging.
Removing too much can result in an unnatural appearance around the eyes or even change facial expressions.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we prioritize harmony with your bone structure and overall facial features, designing treatments suitable for those seeking “natural improvement without overdoing it.” -
For those seeking reliable eye area sagging treatment in Japan
It is also ideal for those who wish to receive consistent, thorough medical examinations and treatment from doctors under the Japanese medical system.
By scheduling an online consultation before your visit to Japan, allows you to discuss treatment details, downtime, and your stay schedule in advance. -
For those who have started noticing changes around their eyes but are unsure what to do
“Still hesitant about major surgery” or “Unsure if your sagging qualifies for treatment” Even if you are at this stage, it’s crucial to first accurately assess your condition.
For eye area sagging treatments, selecting the appropriate method based on the severity of symptoms and your preferences is crucial.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we explain everything through consultation, including whether treatment is truly necessary.
2. What is Eye Sagging Treatment?
Sagging above and below the eyes is a gradual change that occurs with aging, but it cannot be simply categorized as a “natural aging process.”
Flora Clinic Ikebukuro’s eye bag improvement treatment is a medical approach that considers not only improving visual appearance but also the eyelid’s inherent function and harmony with facial expressions.
1) Causes of Eyelid Sagging
Eyelid drooping occurs due to a combination of factors.
- Decreased skin elasticity (due to aging, UV exposure, etc.)
- Loosening of the orbicularis oculi muscle and supporting tissues
- Sagging or protrusion of subcutaneous fat
- Changes in the supporting structures of the eyelid
As these factors progress, excess skin can make the eyelids appear heavy or create shadows, significantly altering the overall impression of the eye area.
The eye area, in particular, has thin skin where changes are easily noticeable, making it more prone than other areas to being perceived as “aged” or “tired.”
2) Characteristics of the Upper and Lower Eyelids
Upper Eyelid Sagging
As excess skin accumulates on the upper eyelid, making it difficult to open the eyes fully or causing the double eyelid line to disappear.
As it progresses, the upper field of vision may become obstructed, leading to functional discomfort such as “heavy eyes” or “feeling tired by evening.”
Lower Eyelid Sagging
On the lower eyelids, skin laxity and protruding fat can easily cause puffiness and shadows.
This can cause concerns such as prominent dark circles, a tired appearance, or an aged impression.
Since the causes and manifestations of sagging differ between the upper and lower eyelids, it is important to select the appropriate treatment method for each.
3) Not just cosmetic changes, but functional improvement effects
Treatments for eye sagging are not only about “cosmetic procedures to look younger,” but also serves as a treatment to restore the functionality of the eye area.
Properly adjusting upper eyelid sagging
- makes it easier to open the eyes
- widen your field of vision
- and reduce eye fatigue and heaviness/li>
Some individuals experience these changes.
Additionally, improving lower eyelid drooping can shadows and unevenness are smoothed out, and expressions appear bright leading to noticeable changes in daily life impressions.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we focus not just on “removing” sagging, but rather focus on what to preserve and what to refine, designing treatments that address both appearance and function.
3. Types of Eye Area Sagging Removal
Treatments for improving eye sagging are broadly divided into two types of surgery: and lower eyelid rejuvenation (lower blepharoplasty).
Each has different purposes, methods, and effects, so the choice depends on your condition and desired outcome.
1) Upper Eyelid Lift (Brow Lift)
Procedure and Role
Upper eyelid lift surgery is a surgical procedure that involves making an incision below the eyebrow and appropriately removing excess skin and fat.
When aging causes eyelid skin to droop, making the eye area appear heavy, this procedure adjusts the skin to eliminate excess sagging, creating a natural and light-looking eye area.
This surgery not only improves appearance but also but also helps improve vision when it is obstructed by sagging skin.
Who is a good candidate?
Upper eyelid lift surgery is suitable for individuals with the following conditions:
- Those with thick, drooping upper eyelid skin
- Those who feel their eyes are heavy or their field of vision is narrow
- Those concerned about eyelid wrinkles or excess skin
- Those whose double eyelid line tends to be hidden and wish for a more defined appearance
In cases where there is significant excess skin, adjusting the skin with a brow lift can lighten the impression around the eyes while also changing the appearance of the eyes themselves.
Expected Effects
Upper eyelid lift surgery can provide the following benefits:
- Eliminates eyelid sagging for a refreshed eye area
- Improved eye opening, potentially widening your field of vision
- Reduction in an aged appearance, resulting in a more youthful eye area
- Double eyelid lines become more clearly defined
The procedure is performed under local anesthesia to minimize discomfort, and post-operative redness and swelling subside naturally.
2) Lower Eyelid Sagging Removal (Lower Blepharoplasty)
Procedure Details and Purpose
Lower eyelid blepharoplasty is a surgical procedure that involves making an incision in the lower eyelid skin to remove excess skin and fat causing sagging.
It aims to improve changes around the eyes such as “under-eye puffiness,” “sagging,” and “dark circles,” restoring a youthful and soft impression.
This treatment allows for natural-looking results by carefully adjusting unnecessary areas while considering the balance of the orbicularis oculi muscle and overall skin.
allowing for a design that prioritizes a natural finish.
Who is a good candidate?
Lower eyelid rejuvenation is suitable for individuals with:
- Those with puffiness or “sagging” under the eyes
- Noticeable shadows or dark circles creating a tired appearance
- Excess skin on the lower eyelids causing wrinkles or sagging
- Those with eye area concerns that are difficult to improve with makeup
In cases where there is skin laxity and protruding fat, lower eyelid blepharoplasty can be expected to improve hollows and shadows.
Expected Effects
Undergoing lower eyelid rejuvenation can yield the following benefits:
- Improved under-eye puffiness and sagging
- Reduced shadows and wrinkles for a more youthful appearance
- Brightening of the entire eye area
- Long-term, stable improvement is expected
After the procedure, redness and swelling gradually subside, with results approaching a natural finish in about one month.
4. Features of Eye Area Sagging Improvement Treatment
Treatments for upper and lower eyelid sagging are not simply surgeries to remove skin or fat.
The naturalness and satisfaction of the final result are greatly influenced by where, how much, and in which direction the adjustments are made.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we view the eye area as part of the entire face and prioritize naturalness and safety in treatment planning.
1) Consultation and Design Considering Overall Eye Area Balance
The causes of eye sagging differ between the upper and lower eyelids, and is also closely related to bone structure, eyebrow position, and how the eyes open.
At our clinic, we consider not only the amount of sagging,
- balance with bone structure
- the relationship with the eyebrow and double eyelid line
- and changes when facial expressions are made
before determining the treatment plan.
Our approach is characterized by designing treatments based not on “how much to remove,” but on “what looks natural for the individual” and “what their ideal outcome is.”
2) Prioritizing a natural finish without overdoing it
In eye bag reduction treatments, removing too much skin or fat can
- can make the eye area look unnatural
- or cause facial expressions to appear stiff
- and may cause discomfort in the future
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we prioritize “natural refinement” over “dramatic change,” aiming for natural, age-appropriate improvements that suit your facial features.
3) Selecting the appropriate treatment for the upper and lower eyelids
The appropriate treatment methods differ for upper eyelid sagging and lower eyelid sagging.
- For upper eyelid sagging, we perform skin adjustment via a brow lift.
- For lower eyelid sagging, we adjust the balance of skin and fat through lower blepharoplasty.
By selecting the appropriate method for each area, improving the overall harmony of the eye area.
4) A reassuring treatment system where the same doctor consistently oversees your care
Every step of eye rejuvenation treatment—consultation, planning, and procedure—directly impacts the final result.
At our clinic, the same physician handles everything from consultation to procedure, ensuring personalized treatment tailored to each individual’s condition rather than a one-size-fits-all approach.
Before treatment, we thoroughly explain the procedure details, downtime, and precautions, ensuring you proceed with full understanding and confidence.
5) Support System for Patients Visiting from China
Many patients from China feel apprehensive about receiving treatment in Japan.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic,
- we offer online consultations before your arrival in Japan
- advance explanation of treatment details and progress
- proposal of treatment plans tailored for short-term stays
to provide thoughtful support for those receiving aesthetic medical care in Japan for the first time.
5. Case Study: Improvement of Eye Area Sagging
1) Case 1: Lower Eyelid Sagging Removal
2) Lower Eyelid Sagging Removal Case 2
*Results and recovery vary by individual.
6. Treatment Process
IImproving eye bag treatment requires considering not only the procedure itself but also the pre-operative consultation and planning, as well as post-operative care.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we prioritize safety and natural-looking results in our treatment process.
1) Consultation and Examination
First, a consultation and examination by a physician will be conducted.
At this stage,
- the degree of upper and lower eyelid sagging
- the condition of the skin and fat
- skeletal structure, eyebrow position, and eye opening
- concerns and desired outcomes
will be carefully assessed.
Our diagnosis focuses not only on “which treatment is necessary,” but also whether treatment is truly necessary in the first place.
For patients visiting from China, we also offer online consultations prior to your arrival in Japan.
2) Determining Treatment Plan & Design
Based on the examination results, we propose the most suitable treatment method, such as lower eyelid rejuvenation (blepharoplasty).
At this stage,
- we will discuss where and to what extent adjustments can be made
- expected changes
- estimated downtime
- risks and precautions
will be explained in detail by the doctor.
We will not proceed with treatment while you still have concerns or questions.
3) Preparations and Anesthesia on the Day of Treatment
On the day of treatment, we will confirm your physical condition and finalize the treatment area.
The procedure is primarily performed under local anesthesia to minimize pain and tension as much as possible.
Surface anesthesia may also be used as needed.
4) Procedure Implementation
The doctor will carefully perform the procedure according to the treatment plan.
Since the eye area is extremely delicate, we carefully adjust the procedure while monitoring the balance to avoid removing too much skin or fat.
carefully adjusting while checking the balance.
The procedure time varies depending on the treatment, but generally takes about 30 to 45 minutes.
5) Post-Procedure Check and Aftercare Instructions
After the procedure, we will confirm the results and explain post-operative care instructions and precautions.
- Progression of swelling and bruising
- Timing for washing your face, applying makeup, and bathing
- Precautions for daily life
- What to do if you experience concerning symptoms
We will provide specific details on these points.
6) Postoperative Follow-up
We will conduct examinations and follow-up care according to your progress even after the procedure.
We have a system in place for you to consult us promptly if you have any concerns or notice any changes.
7. Downtime, Precautions, and Individuals Ineligible for Treatment
Since treatments for upper and lower eyelid sagging involve surgical procedures, a certain period of downtime is required.
Here, we explain the typical post-treatment course, precautions, and cases where treatment is not suitable.
1) About Downtime (by Procedure Type)
Upper Eyelid Sagging Removal (Brow Lift)
Main Symptoms
- Swelling
- Bruising
- Redness/Discomfort at incision site
Estimated Recovery Timeline
- Severe swelling: Approximately 1 to 2 weeks
- Suture removal: 5 to 7 days later
- Redness and firmness: Gradually improves over several weeks to months
The brow lift procedure does not involve incisions on the upper eyelid itself, allows improvement of sagging without significantly altering the shape of the double eyelid.
Lower Eyelid Lift (Lower Blepharoplasty)
Main Symptoms
- Swelling
- Bruising
- Tightness or discomfort in the lower eyelid
Estimated Recovery Timeline
- Severe swelling: Approximately 1 to 2 weeks
- Suture removal: 5 to 7 days
- Settling in: 1 to 3 months
The lower eyelid skin is thin, so it may take a bit longer to fully settle, but it will settle into a natural appearance over time.
2) Post-Procedure Precautions
To prevent post-procedure issues and ensure stable results, please note the following:
- On the day of treatment, avoid rubbing the eye area vigorously.
- Avoid long baths, saunas, and strenuous exercise for several days
- Follow your doctor’s instructions for cleansing and makeup application
- Practice sun protection
- Consult promptly if you experience severe pain or abnormal swelling
It is especially important to avoid overexertion and prioritize rest during the early post-operative period.
3) Individuals Ineligible for Treatment or Requiring Caution
Individuals falling under the following categories may not be eligible for treatment or may require careful consideration.
- Pregnant or breastfeeding individuals
- Individuals with infection, inflammation, or skin conditions at the treatment site
- Individuals with severe bleeding tendencies
- Individuals taking anticoagulants or antiplatelet medications
- Individuals with severe allergies
- If the physician determines the treatment cannot be performed safely based on your overall health condition or medical history
If you have any pre-existing conditions or are taking medication, please be sure to inform the physician during your consultation.
Our Approach to Downtime
For eye bag reduction treatments, achieving a safe and natural result is more important than minimizing downtime.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we propose treatment plans that are manageable for you, taking into account your length of stay and lifestyle.
8. Eye Sagging Treatment Fees
Since the necessary procedures for eye bag reduction treatment vary depending on the severity of symptoms and the treatment area,The optimal treatment plan and associated costs are determined after your consultation.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we clearly explain the cost breakdown beforehand and proceed with treatment only after you are fully satisfied.
1) Upper Eyelid Sagging Removal (Brow Lift)
| Upper Eyelid Lift (Brow Lift) | ¥330,000 |
|---|---|
| ROOF Removal Combined | + ¥132,000 |
| Combined with Fat Removal | + ¥132,000 |
| Surface Anesthesia | ¥3,300 |
| Nitrous Oxide Anesthesia | ¥8,800 |
*Initial and follow-up consultation fees are waived. All prices are listed in Japanese yen and include tax.
2) Under-Eye Sagging Removal (Lower Blepharoplasty)
| Lower Eyelid Blepharoplasty (Lower Eyelid Wrinkle Removal) | ¥385,000 |
|---|
This treatment adjusts the skin and fat of the lower eyelid, improving puffiness, shadows, and sagging.
It is chosen by those who wish to fundamentally improve the appearance under their eyes.
3) Anesthesia & Optional Fees
| Topical Anesthetic | ¥3,300 |
|---|---|
| Nitrous Oxide Anesthesia | ¥8,800 |
To reduce pain and anxiety, anesthesia can be used as needed.
4) Additional Information Regarding Fees
- Initial consultation and counseling fees are free.
- The displayed fees include the treatment cost.
- Additional procedures may be required depending on the postoperative progress and condition.
- For procedures not listed or combination treatments, we will provide individual guidance during your consultation.
If you have any questions about fees, you can also consult us during an online consultation before your visit to Japan.
9. Frequently Asked Questions About Eye Sagging Improvement Treatments
Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, receives many inquiries from individuals in China considering upper and lower eyelid sagging treatments.
We receive many inquiries from individuals in China considering upper and lower eyelid sagging improvement treatments. Here, we address the most frequently asked questions.
Q1. Is it okay if I don’t speak Japanese? Can I have a consultation in advance from China?
Yes, that’s perfectly fine.
We can conduct online consultations via the metaverse before your visit to Japan, to confirm treatment details, downtime, and your stay schedule in advance.
Even if it’s your first time receiving cosmetic medical treatment in Japan, you can consult with us with peace of mind.
Q2. Can I have upper and lower eyelid procedures done at the same time?
Depending on your condition, simultaneous procedures may be possible.
However, considering downtime and physical strain, it may be more appropriate to perform them separately. The doctor will determine the safest approach after examination.
Q3. Can the entire process, from consultation to treatment, be completed in one visit?
In most cases, consultation and treatment can be completed on the same day.
However, depending on the treatment content or your physical condition, we may schedule the procedure for a different day.
If you are planning a short stay, please discuss your schedule during your initial consultation.
Q4. Can I go out or sightsee during the downtime?
This depends on the treatment. During periods of swelling or bruising, many patients go out wearing sunglasses and hats.
However, we recommend prioritizing rest and avoiding overexertion for the first few days after surgery.
Q5. Will the scars be noticeable?
For upper eyelid lift (brow lift), incisions are made along the brow line, so the scar tends to blend well with the eyebrow line.
For lower eyelid lift surgery, the incision is made along the natural line of the lower eyelid, and the scar becomes less noticeable over time.
Q6. How long does it take to achieve a natural result?
Swelling and bruising typically subside within about 1 to 2 weeks.
After that, redness and firmness gradually improve, and a natural result is typically achieved within 1 to 3 months.
Q7. Is there an age restriction?
There are no specific age restrictions.
Treatment is performed when the physician determines it is safe,treatment will be performed if the physician determines it can be done safely.
Q8. Could sagging reappear in the future?
With aging, there is a possibility that new sagging may occur in the future.
However, with appropriate treatment, significant improvement in your current condition can be achieved, with stable, long-term results expected.
Q9. What is the difference between sagging treatments performed in China and those performed in Japan?
Japanese aesthetic medicine prioritizes treatments prioritize safety, natural results, and long-term stability
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we prioritize treatment designs that harmonize with your bone structure and facial expressions,we prioritize treatment designs that harmonize with your bone structure and facial expressions.
Q10. I’m anxious about receiving aesthetic medical treatment in Japan for the first time.
It’s natural to feel anxious.
At our clinic, our doctors provide attentive care from pre-visit consultations to post-procedure explanations.
Our doctors provide attentive care throughout the entire process.
We prioritize treatments that are “not overdone” and “not unnatural,” creating an environment where even first-time patients can feel at ease.
Detailed Information on Upper Eyelid Lift
| Anesthesia | Local anesthesia |
| Procedure Time | Approximately 30 to 45 minutes |
| Face Washing / Makeup | Possible one week after (following suture removal) |
| Shower | Avoid getting the wound wet; possible from the day of treatment |
| Bath | Shampooing and bathing are possible 2 days later (possible the day after suture removal) |
| Number of follow-up visits | Visit after one week for suture removal |
| Side Effects / Downtime |
The incision site will appear noticeably red for about 2 weeks post-surgery, but this can be covered with makeup and is not noticeable when your eyes are open. The redness subsides in about one month, resulting in a natural appearance. The procedure is pain-free due to local anesthesia. Pain and warmth may be felt 2–3 hours after surgery. These gradually subside within one week, though the area may remain tender to the touch for about two weeks. Bruising may occur rarely. In most cases, it can be concealed with makeup and will disappear within about 2 weeks, so please rest assured. |
| Important Notes |
If you wear contact lenses, please remove them before the procedure and bring glasses. If you experience discomfort after the procedure, please refrain from wearing them. You can undergo the procedure even with eyelash extensions, but please be aware that they may come off. Until sutures are removed, please refrain from activities that increase blood flow, such as saunas, hot stone baths, strenuous exercise, and alcohol consumption, as these may cause swelling. Massage around the eyes can be resumed after one month. After suture removal, focus on moisturizing the scar and protecting it from UV rays. This will help minimize scar visibility and reduce the risk of pigmentation. |
Detailed Information on Under-Eye Bag Removal
| Anesthesia | Local anesthesia |
| Procedure Time | Approximately 30 to 45 minutes |
| Face Washing / Makeup | Avoid getting the wound wet; possible from the day of treatment |
| Shower | Avoid getting the wound wet; possible from the day of surgery |
| Bath | Shampooing and bathing are possible starting 2 days later (possible starting the day after suture removal) |
| Number of follow-up visits | Visit after one week for suture removal |
| Side Effects / Downtime |
The incision site will appear noticeably red for about 2 weeks post-surgery. This can be covered with makeup and is not noticeable when your eyes are open. The redness subsides in about one month, resulting in a natural appearance. The procedure is pain-free due to local anesthesia. Pain and warmth may be felt 2–3 hours after surgery. These gradually subside within one week, though the area may remain tender to the touch for about two weeks. Bruising may occur rarely. In most cases, it can be concealed with makeup and will disappear within about 2 weeks. |
| Important Notes |
If you wear contact lenses, please remove them before the procedure and bring glasses. If you experience discomfort after the procedure, please refrain from wearing them. You can undergo the procedure even with eyelash extensions, but please be aware that they may come off. Until sutures are removed, please refrain from activities that increase blood flow, such as saunas, hot stone baths, strenuous exercise, and alcohol consumption, as these may cause swelling. Massage around the eyes is possible after one month. After suture removal, focus on moisturizing the scar and protecting it from UV rays. This will help minimize scar visibility and reduce the risk of hyperpigmentation. |
10. Finally｜For Those Seeking Eye Sagging Treatment in Japan with Peace of Mind
Sagging above and below the eyes is a natural change many people begin to notice as they age.
However, these changes often lead not only to a different appearance but also to daily discomforts such as “heavy eyes,” “easily feeling tired,” or “looking stern .”
On the other hand, the eye area is one of the most delicate parts of the face, and treatments to improve sagging require accurate diagnosis and careful planning.
Simply removing skin or fat can potentially lead to an unnatural appearance or future discomfort.
At Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic, we perform upper eyelid lift (brow lift) and lower eyelid lift (blepharoplasty) procedures, We prioritize natural, subtle improvements.
We don’t just focus on the eye area in isolation. We consider harmony with the bone structure and the entire face, as well as age-appropriate changes, to propose treatment methods that are appropriate for each individual.
Additionally, for patients visiting from China, we offer online consultations prior to their trip to Japan. We carefully share details about the treatment, downtime, and stay schedule, ensuring a supportive system for those experiencing aesthetic medicine in Japan for the first time.
If you’re seeking not a drastic change, but rather a natural-looking eye area that suits your current self, If this resonates with you, we invite you to consult with Flora Clinic Ikebukuro, a cosmetic surgery and dermatology clinic.
To ensure you can receive treatment with peace of mind, our doctors will carefully assess each individual’s condition and provide thorough guidance.