column (e.g. in newspaper)
2025.08.07
Characteristics of People Who Fail at Non-Invasive Bear Removal (Liposuction)
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.
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Hello,Plastic Surgeon Shaping Impressions: Ryutaro Natsumeis
Dark circles under the eyes can make you look tired and older.
A smooth, even contour is the secret to youthfulness, and filling in depressions is the key to anti-aging treatments.


When bear treatment is performed appropriately in this manner, it creates the appearance of lifted cheekbones, resulting in a more youthful impression.
You often see ads for liposuction starting at ◯◯ yen~
I think it's a great way to help patients understand that dark circles can be treated!
Liposuction is a good treatment option with minimal invasiveness when appropriate, but in reality...Only a few people are suitable candidates for liposuction alone.is.
I thought bear treatment meant fat removal,If you choose the wrong shade, you'll regret it when your under-eyes look sunken.will be done.
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Characteristics of People Who Fail at Liposuction
①Beware of negative vectors!

The relative position between the anterior surface of the eyeball and the orbital rim (the bone felt when touching the lower eyelid)
Anterior orbital margin = positive vector
Posterior orbital margin = negative vector
they say.


Anterior orbital rim = positive vector → originally flat lower eyelid bone structure; even after removing the bulge, it remains flat.
Posterior orbital rim = negative vector → In skeletons where the lower eyelid is naturally recessed, removing bulge tends to cause hollowing.
In other words, for positive vectors, liposuction alone can sometimes yield good results.
Negative vector techniques alone tend to result in a sunken appearance, so we recommend the Hamra method described later or a combination of fat removal and fat grafting.
②Beware of Tear Troughs

If there is a red dotted line indentation beneath the puffiness of the eye bags, liposuction alone may result in a sunken appearance.
The area marked in red is indented due to the retraction of the ligament connecting the skin to the bone. This is called the tear trough.
The bulge of the eye bag plus the tear trough creates an uneven contour.
Removing the fat causing the under-eye bags down to the level of the tear trough will cause overall hollowing.
The Hamra procedure, which transfers fat from bulging areas to hollowed-out areas, is a better option.
There's no significant difference in downtime compared to liposuction!
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Presentation of cases where liposuction alone is dangerous
Case 1: Hamra
If you remove fat from sagging skin, it will become wrinkled like a deflated balloon.
While excising the sagging skin near the eyelashes, fat is being shifted into the hollows.
The scars are barely noticeable!

Case 2: Urahamura
Like fat removal, it approaches from behind the eyelid, so it leaves no scars on the skin.
This individual also has a negative vector, so removing fat causes the under-eye area to hollow. We shifted the fat into the hollowed area.

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What if your under-eye area becomes sunken after fat removal?
Fat grafting is used to correct sunken areas.
Some of you may have heard of the term "fat removal plus fat grafting." In fact, some doctors even consider performing it in two separate sessions.
Even if it's already dented, it can still be repaired.
We also handle revisions from other clinics, so please feel free to consult with us.
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Summary
Liposuction is well-known as a non-surgical method for reducing under-eye bags, but if the procedure is misapplied—including factors like bone structure—it can cause hollows or lead to failure.
First, have a family member or friend take a photo of your profile to check your bone structure.
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Reservations can be made here.
Complete your reservation in 60 seconds ▶︎
https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
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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