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Puffiness under the eyes

Fat protrusion type

This is the type where orbital fat supporting the eyeball protrudes forward, appearing as puffiness under the eyes. It occurs when the orbicularis oculi muscle weakens and can no longer support the fat.

Skin sagging type

This type occurs when collagen and elastin decrease due to aging and UV exposure, leading to a loss of skin elasticity. This causes the skin of the lower eyelids to loosen, appearing as sagging or puffiness.

Compound type

This type is characterized by a combination of protruding fat and sagging skin. Weakening of the orbicularis oculi muscle causes fat to be pushed forward, and as the skin also loosens, this creates bulges and hollows, making shadows more prominent.

Puffiness under the eyes is caused by multiple factors such as aging and lifestyle habits, each occurring through different mechanisms.

As you age, orbital fat protrudes.

One cause of under-eye puffiness is the orbital fat, which acts as a cushion to protect the eyeball, being pushed forward.
Normally, orbital fat is held in its proper position by a thin membrane called the orbital septum and surrounding muscles. However, as we age, muscles weaken and the membrane loosens, reducing the strength that supports the fat. This causes the fat to gradually protrude forward, appearing as puffiness under the eyes.
Furthermore, changes such as the loosening of the orbital retaining ligaments and alterations in bone volume occur, disrupting the structural balance around the eyes and making the puffiness more prominent.

The shadows under the eyes can also make puffiness more noticeable.

Under-eye puffiness can appear more pronounced not only due to its size but also because of the effect of shadows. Specifically, if there is a hollow beneath the puffiness, the difference in height between the puffiness and the hollow creates a shadow, making the puffiness stand out more.
As skin sags and orbital fat protrudes with age, these shadows become even darker, leading to an overall impression of dark, tired eyes. Thus, the appearance of under-eye bags is significantly influenced not only by fat but also by how shadows form and the overall facial balance.

Smartphones, lack of sleep... everyday habits can also be a cause.

Under-eye puffiness is caused not only by aging but also by daily life factors. Prolonged use of smartphones and computers, lack of sleep, chronic swelling, and poor circulation can lead to congestion of blood and lymph flow in the eye area. As a result, excess moisture and waste products accumulate, making puffiness more likely to appear.
Furthermore, cumulative external damage such as UV rays and dryness reduces skin elasticity and firmness, which can further accentuate puffiness under the eyes.

Treatment for under-eye puffiness that induces natural changes without surgery

At Bibi Clinic, we carefully assess the condition of the eye area before performing injection treatments with collagen or hyaluronic acid preparations.
For example, collagen preparations use collagen as their main ingredient and target the skin's regenerative power and elasticity. A key feature is that changes can be easily felt immediately after injection. Although there are individual differences, the fact that a single treatment can be expected to last approximately 12 to 24 months is also an advantage.
Hyaluronic acid formulations also contribute to volume adjustment and improved firmness, leading to a natural and youthful impression for the eye area.
Vivi Clinic's under-eye puffiness treatment does not use a scalpel, resulting in relatively short downtime. It is chosen by those who are hesitant about surgery or who want to subtly enhance their appearance.

It is possible to comprehensively address areas of concern regarding signs of aging.

At Vivi Clinic, we can comprehensively address your concerns about aging signs, not just under-eye puffiness, but also fine lines around the eyes, wrinkles on the forehead and between the eyebrows, nasolabial folds, and marionette lines.
Formulations that target collagen and aim to improve skin firmness and texture naturally enhance the overall facial impression by approaching multiple areas. Additionally, some formulations can adjust volume and contour the face, with treatments being performed while considering the balance of individual features.
Under the guidance of doctors at Tokyo's BIANCA CLINIC, we incorporate Japanese aesthetic preferences and delicate injection techniques to achieve a natural, youthful appearance without being excessive.

Providing pain-conscious treatment through the use of anesthesia

We also carry formulations that come pre-mixed with anesthetic ingredients (lidocaine) to help with injection pain. Additionally, Vivi Clinic administers local anesthesia before the procedure. We strive to create an environment where you can receive treatment more comfortably, with consideration for any concerns about pain. Furthermore, anesthetic cream can be used depending on your preferences and the doctor's judgment. Please feel free to consult with us if you are sensitive to pain or new to cosmetic procedures.

What causes puffiness under the eyes?

In addition to fat being pushed forward, causes include swelling, skeletal structure, and the weakening of skin and orbicularis oculi muscles.

What causes puffiness under only one eye?

The puffiness under one eye may be more noticeable due to differences in the amount of orbital fat, bone structure, or uneven swelling caused by lifestyle habits.

Can under-eye puffiness be fixed with massage?

If the temporary swelling is the cause, it may be reduced through self-care massage. However, because chronic swelling caused by things like fat protrusion is difficult to improve with self-care, you may want to consider consulting a clinic.

How to fix puffy eyes?

There are methods such as filling in under-eye hollows and shadows with hyaluronic acid or collagen injections to adjust the difference between puffiness and hollows, making them less noticeable.

What is the name for puffiness under the eyes?

The puffiness under the eyes is generally called "eye bags." It is different from the "tear trough" which is a bulge near the lash line.

Can bags under the eyes appear in young people too?

Under-eye puffiness can be seen even in younger generations, from their teens to their thirties. It can be caused not only by aging but also by poor posture and eye strain from overuse of the eyes.

What happens if you leave under-eye puffiness untreated?

If left untreated, under-eye puffiness can become more noticeable with age. Changes in the eye area can affect your youthful appearance, so we recommend consulting a doctor when you start to notice them.

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