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Senhime Akashi

2024.07.17

Which treatment is best for dark circles? A doctor explains the differences between fat removal, fat grafting, and the Hamra method.

明石 仙姫
Supervising Physician
Senhime Akashi

With deep medical insight cultivated as an internal medicine specialist, I bridge aesthetic surgery, dermatology, and internal medicine. Having spent my childhood in China, I communicate fluently in Japanese, Chinese, English, and Korean. Possessing an international perspective—evidenced by invitations to present at overseas conferences—I actively promote techniques as a Key Opinion Leader (KOL) for GOURI and REJURAN®. My specialty procedures include double eyelid surgery, skin-nurturing boosters, and body hyaluronic acid treatments. My approach leverages the holistic understanding of the body cultivated through internal medicine to guide patients toward natural, healthy beauty.

目の下クマたるみ取りでクマ改善した症例写真

Top: Preoperative Bottom: 3 months postoperative
Treatment: Under-Eye Dark Circles & Sagging Removal Condense Rich Face Under-Eye Area 💴 ¥598,000 😷 Swelling & Bruising: Approximately 10 days ⚠️ Risks: Lumps, asymmetry, hematoma, unevenness, infection, etc.

Dark Circle ImprovementThat said, did you know that the final results and suitability vary significantly depending on the treatment method you choose?

Even when you hear treatment names like "fat removal," "fat grafting," or "Hamra method," it's hard to tell if they're right for you...

 

This time, Dr. Senki Akashi of Bianca Clinic explains the characteristics, mechanisms, and suitable types for each dark circle treatment.

I hope this serves as a helpful reference for those unsure which treatment is best.

 

Explaining Bear Types! Which Type Is Yours?

The bearFour types based on causeIt is divided into.

Accurately identifying the cause of dark circles significantly changes the treatment approach.

First, let's determine which type your dark circles fall under.

 

Dark circles under the eyes: Caused by poor blood circulation, this type tends to worsen with late nights.

Dark circles under the eyes are caused by the thin skin beneath the eyes.The color of the blood vessels is visible through the skin.This is caused by...

Poor blood circulation due to lack of sleep, cold exposure, or stress can cause the skin to appear bluish-black.

If you find that staying up late makes your dark circles more pronounced, you're likely experiencing this type of blue-toned dark circles.

Care that warms the body to improve blood flow and intake of vitamins C and E can be helpful.

 

Dark circles: The type where the muscle (orbicularis oculi) shows through

Dark circles under the eyesThe orbicularis oculi muscle becomes visible through the skin.This is the reason.

This is observed in individuals with thinning skin or those experiencing tension or inflammation in the orbicularis oculi muscle.

While they resemble dark circles, they are characterized by a reddish tint upon closer inspection. In some cases, injectable treatments that enhance skin firmness or skin boosters can be effective.

 

Dark circles: The type caused by shadows

Dark circles are not caused by skin color.Shadows caused by uneven surfacesis the cause.

The fat beneath the eyes protrudes, creating a "bulge," or the area below it becomes sunken, causing shadows to form.

If it appears temporarily lighter when exposed to light, this is the dark circle type.

In treatment,Fat removal (such as the Hamra method) and hyaluronic acid injectionsThe options are as follows. In many cases, sagging due to aging is involved, and a structural approach is effective.

 

Dark circles: Pigmentation type

Dark circles under the eyes are caused by the skin itself.colored by melanin pigmentType.

It may be caused by irritants such as friction, ultraviolet rays, or atopic dermatitis.

Unlike other bears, their skin itself is colored rather than just casting a shadow, so the color doesn't fade even when makeup is removed.

The primary treatments will be topical whitening agents (such as hydroquinone) and peeling procedures.

 

Now let's explore what approaches are possible for each bear.

 

 

Fat Removal|For dark circles caused by fatty bulges

脱脂・二重全切開の症例写真

Top: Preoperative Bottom: One month postoperatively
💴Double Eyelid Surgery (Full Incision) ¥327,800 💴Inner Corner Surgery ¥272,800 💴Fat Removal ¥327,800 😷Recovery Time: Swelling/Bruising approx. 2 weeks ⚠️Risks: Scarring, asymmetry, contracture, etc.

For those with puffy under-eye fat, the most suitable option isTransconjunctival fat removal(Keiketsu Makudashi) therapy.

This method removes fat from behind the eyelid, leaving no scars on the skin's surface.

 

【Who is suitable for fat removal?】

・Concerned about puffiness under the eyes

・There is almost no sagging of the skin.

・Less indentation beneath the bulge (shallow tear trough)

 

In cases where the "bulge" creates shadows, simply removing the fat may result in a natural appearance.

 

 

Fat Transfer|Targeting Dark Circles and Redness!

目の下クマ・たるみ取り+CRF(目の下・ゴルゴ)セットの症例写真

Top: Before treatment Bottom: 3 months later
Under-Eye Dark Circles & Sagging Removal + CRF (Under-Eye/Gorgo) Set: ¥602,580 (tax included) DT: Swelling & Bruising: Approximately 10 days Risks: Lumps, Asymmetry, Hematoma, Protrusion, Infection, etc.

 

Dark circles under the eyes caused by hollows beneath the eyes or thin skin that allows blood vessels and muscles to show through.For this, fat grafting is effective.

In particular, “nano-fat” (fat cells further refined into microscopic particles) acts as a barrier to conceal blood vessels and muscle definition, naturally restoring skin thickness.

 

【Cases Suitable for Fat Transfer】

・Tear Trough ~ Prominent hollows along the Golgoline

・Concerned about dark circles (blue/red) and translucency

・Want to restore volume after degreasing

 

Along with improving the appearance of indentations, it is also expected to enhance skin texture.

 

 

Hamra Method|Simultaneously Eliminates Bulges and Hollows Through “Relocation”

Top: Preoperative Bottom: 3 months postoperative
💴Hamura Method: ¥602,580 (tax included) 💴Brow Lift (Brow Incision): ¥421,080 (tax included) 😷Recovery Time: Swelling/Bruising: Approximately 2 weeks ⚠️Risks: Asymmetry, Contracture, Varus Deformity, etc.

For those with noticeable under-eye fat and hollows,Hamra lawwill be included as an option.

The key feature of the Hamra method is not simply removing fat, but “relocating” it to smooth out unevenness between bulges and hollows.

In addition to flattening the under-eye area, it also helps reduce the appearance of visible blood vessels and the orbicularis oculi muscle.

 

The Hamra method has two sides.

To briefly summarize each feature...

 

・Superficial Hamra: A method involving incisions on the skin surface. Suitable for those with significant sagging.

・Transconjunctival approach: A method that accesses the area from the inside of the eyelid. It leaves no scar on the skin surface.

 

For those who want to cover dark circles, blue circles, and red circles simultaneously, this is a highly effective treatment.

 

HerePlease also see ▼

https://biancaclinic.jp/blog/43209/

 

 

Summary|The Key to Improving Dark Circles Lies in a “Type-Specific Approach”

When you decide you want to improve your dark circles, it's only natural to wonder, "What kind of treatment should I get?"

The key is to correctly identify the type and cause of dark circles before choosing the treatment that's right for you.

Fat removal, fat grafting, and the Hamra method each offer distinct approaches to treating dark circles.

 

At Bianca Clinic, we provide optimal solutions to guide you toward your ideal eye area while addressing your concerns and anxieties.

Please feel free to contact us for a consultation.

 

HerePlease also see ▼

 

 

 

※This article is intended for general informational purposes only and is not intended to diagnose, treat, or prevent any specific disease. If you have health concerns, please consult your physician.

 

 

 

 

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