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2025.07.14

What is the Hamra Method? An explanation by a cosmetic surgeon

夏目 隆太郎
Supervising Physician
Ryutaro Natsume

A dual-specialty doctor with a background in plastic surgery, bridging cosmetic surgery and ophthalmology. At the university hospital, he performed numerous high-difficulty cases, primarily focusing on eye and facial bone surgeries, cultivating precise techniques grounded in anatomy. He prioritizes achieving both aesthetic beauty and functional safety, offering customized treatments around the eyes that incorporate ophthalmological expertise. He actively utilizes not only incisional surgery but also non-invasive procedures like hyaluronic acid injections. By carefully assessing each individual's condition and unique appeal, he provides bespoke treatments that guide patients toward naturally harmonious, well-defined eyes.

Hello,Plastic Surgeon for Refined Appearance: Ryutaro NatsumeThat's it!

 

Dark circles—a concern that troubles people of all ages, regardless of gender, from as young as around 20 to those in their late 80s. They make you look older and tired...

As one grows older, it becomes increasingly detestable.I will do so.

Treat the bearPopularbecame,look youngNot only did it improve visual satisfaction, such as how it looked, but it also led to successful fundraising and improved sales performance.

Work performance improvementWe are delighted to hear that you were able to do so.

 

”Fat Removal Starting at ¥◯◯,” thanks to advertising, it has become the most well-known treatment for dark circles.

However, in realityOnly a few people are suitable for fat removal alone.That's why.

①: Orbital fat bulge ②: Tear trough (groove) ③: Nasolabial fold (groove)

 

Here's an explanation of dark under-eye circles, the most common concern where improvement can be expected through surgery.

・The Mechanism and Treatment of Dark Circles

① acknowledges that even individuals in their teens can have high body fat levels,

The ligaments beneath ② and ③ connect the skin to the bone. When age-related changes cause bone atrophy, the skin is pulled inward, creating a groove.

② typically begins to deepen gradually from around the age of 20, while ③ starts to appear around the age of 40.

The fat in ① is held in place by a membrane called the orbital septum to prevent it from bulging out, but over time, this restraining force weakens and the fat begins to protrude.

As a result ① bulge + ②③ indentation This creates unevenness.

 

If only the swelling in ① is present, it can be improved with ”degreasing.”

However, if degreasing is performed while indentations ② and ③ are pronounced, the swollen area ① must be forced to match the height of the indented areas ② and ③, which is extremelySunken-looking eyeswill become.

Depressed areas cast shadows, so ultimatelyThe tired look doesn't improve.

 

Therefore, the swollen ①A method for shifting fat into the ②/③ indentations to level and even out the heightwill take effect.

ThisHamra lawthey say.

The method of cutting the skin and shifting the fat is called the Hamra technique.The Hamra technique, which involves making an incision in the conjunctiva that is not visible from the surface to reposition the fat.they say.

As a guideline, for those in their 50s and older with skin laxity, the upper hamstring...For those in their 20s to 40s, we recommend Ura Hamura.I often have a lot to do.

Incidentally, while fat removal surgery is advertised as ”non-invasive,” it only means the skin is not cut; the fat is actually extracted by making an incision in the conjunctiva.

The surgical approach for the hamstring tendon transfer is similar to liposuction.

The reverse Hamra procedure requires slightly more time than the fat removal procedure because it involves more steps to relocate fat.

 

(Right: Pre-op, Left: Post-op, Procedure: Buried suture, epicanthoplasty, combined with reverse Hamra technique)

Estimated surgery time:Fat removal: 30 minutes Hamra procedure: 90-120 minutes

 

Pain:When the inside of the eyelid is anesthetized, there is a slight stinging sensation. During the procedure, if the anesthesia is effective, you will feel almost no pain.

If you are concerned about pain, nitrous oxide anesthesia can be used. If you have significant anxiety, the procedure can also be performed under intravenous anesthesia while you are asleep.

Downtime:

Post-operative days 2-3: Swelling is at its peak. Bruising may also be present.

One week post-surgery: Continue wearing the anti-swelling tape on your lower eyelids until then. Swelling and bruising will improve. You'll notice the dark circles have disappeared.

Please refrain from applying makeup around the eyes and wearing contact lenses for one week after surgery.

Two weeks post-surgery: Swelling has subsided, and you can attend important events.

There is no significant difference in downtime compared to fat removal.Choose the one that suits you best!

 

【Summary】

Ura Hamura offers a versatile solution that addresses the root cause of dark circles.

No risk of post-operative depression

Downtime isn't that much different compared to liposuction.

 

Reservations can be made here.

Complete your reservation in 60 seconds ▶︎

👉 https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15

※There are various approaches to aesthetic medicine, and opinions and practices may differ among physicians. Please consider the information provided here as one reference only, and we hope you will choose medical care that suits you and meets your expectations.

We apologize if any unintended inaccuracies or misleading expressions were included. In such cases, we will make appropriate corrections or additions.

 

【Profile】

Plastic Surgeon Dr. Ryutaro Natsume

https://biancaclinic.jp/doctor/natsume/

Performed numerous facial surgeries, particularly focusing on the eye area and facial bones, in the field of plastic surgery.

Regarding treatments for the eye area, I believe that not only aesthetic appearance but also ophthalmic functionality is extremely important. To provide safer and more reliable treatments, I am currently deepening my expertise as an ophthalmologist.

We actively incorporate non-surgical procedures such as hyaluronic acid injections, in addition to treatments requiring surgical instruments.

From a multifaceted professional perspective encompassing cosmetic surgery, cosmetic dermatology, reconstructive surgery, and ophthalmology

BIANCA CLINIC, a leading Japanese clinic specializing in beauty and regenerative medicine, provides the latest aesthetic treatments.

【Career】

2020: Graduated from Tokyo Medical University Tokyo Metropolitan Saiseikai Central Hospital

2022 Jikei University Hospital Department of Plastic Surgery

2023 Department of Plastic Surgery Jikei University School of Medicine Kashiwa Hospital

2024 BIANCA CLINIC

【Professional Affiliations/Qualifications】

Japanese Society of Aesthetic Surgery (JSAS)

Full Member of the Japan Society of Plastic and Reconstructive Surgery

Full Member of the Japanese Society of Craniofacial Surgery

Full Member of the Japanese Ophthalmological Society

【SNS】

Instagram account 

 https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr

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