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2025.08.04

Get a fresh new look with tear trough hyaluronic acid!

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,Image Designer/Plastic Surgeon Ryutaro Natsumeis

 

Somehow, the impression of a dowdy, elongated face stems from the excessive empty space around it.It might be.

 

While it's sometimes referred to as "white space around the face," having too much white space tends to make things look a bit clumsy.

Define the tear troughs and upper lip contourand a three-dimensional facial appearance,Reduced facial margins create a visual midface shortening effectcan be obtained.

 

However,I don't have time for makeup every timeI want to look cute even without makeupFor those who feel that way, we recommend tear trough hyaluronic acid.

You'll instantly look more sophisticated.

The shape of the tear trough can change your impression as follows:

Natural look (pretty look)The tear troughs that appear across the entire width of the eyes when smiling,The impression of a natural beauty

Droopy eyestear troughs extending toward the outer corners of the eyes,A gentle impression

round eyes: Prominent tear troughs in the center,A cute impression

 

Important Precautions Before Tear Trough Hyaluronic Acid Injections⚠️

If you already have dark circlesWhen the tear troughs become puffy, they can blend with dark circles, creating a lumpy appearance. In such cases, we recommend first undergoing dark circle treatment (such as fat removal or the reverse Hamra technique). Once the puffiness of the dark circles subsides, the naturally hidden tear troughs may become visible.

Top: Before treatment, Bottom: After treatment (Hamra method, double eyelid suture, epicanthoplasty)

I didn't inject hyaluronic acid, but I think the tear troughs became more defined after the procedure. At this point, if desired, we can finally inject hyaluronic acid into the tear troughs.

If you originally have almost no tear troughsBeneath the tear trough lies a ridge-like structure. If this structure is not well-defined, hyaluronic acid cannot accumulate properly and will flow away, resulting in a tear trough that lacks fullness. For those with minimal tear trough volume, a more natural look is achieved by conserving the injection volume. By creating this ridge structure beneath the tear trough using techniques similar to double eyelid suture methods before injecting hyaluronic acid, it is sometimes possible to achieve a plump, well-defined tear trough.

In the case of ingrown eyelashes:The volume may increase and worsen.

If you have a history of surgery under the eyesEspecially after inverted eyelash surgery, scar tissue may prevent the tear trough from swelling up smoothly and evenly.

40s and olderCompared to your teens, the volume of tear troughs naturally decreases. Overfilling them can create an unnatural appearance.

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Summary

Tear trough hyaluronic acid injections shorten the midface, instantly making you look more refined. 

With a face that has a three-dimensional lookI want to look cute even without makeupI don't have time for makeup every timeRecommended for those who...

We shape the tear troughs to complement the overall impression of your face.

Undergoing dark circle treatment can sometimes enhance the appearance of tear troughs. Please feel free to consult with us anytime.

 

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※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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