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2025.08.09
Change Your Eye Area Impression with Dark Circle Removal! A Real-Life Guide from Causes to Treatment Methods
My journey into aesthetic medicine stems from a desire to help enrich and beautify lives beyond simply treating illness. My specialties include hyaluronic acid, Botox, and thread lifts. I provide treatments that enhance each individual's unique qualities and bring out an elegant, natural beauty. For concerns around the eyes that are difficult to improve with dermatology alone, I also perform surgical procedures. By integrating dermatology and surgery, I holistically balance the entire face. With three periods of overseas study, I am also able to provide consultations in English.
Hello!
I am Ayuri Yokoyama, a plastic surgeon and cosmetic dermatologist.

When I looked in the mirror this morning, I thought, "Huh... I definitely got enough sleep last night, but I look kind of tired..."
Have you ever had that kind of experience?
The true cause of that “tired look” might just be...dark circles under the eyesIt might be.
The more you try to hide it with makeup, the thicker it gets, and it can actually make you look older.
Recently, the focus has been onBear-catching。
This time, we'll cover everything from the causes of dark circles to improvement methods in aesthetic medicine, including downtime and how long the effects last—all as realistically as possible.
1. What exactly is "bear hunting"?
Dark circle removal is a cosmetic procedure that improves shadows and discoloration under the eyes.
Even though we simply call it “dark circles,” the actual causes can be completely different.
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dark circles…the type that appears bluish due to poor blood circulation or thin skin
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dark circles under the eyes…brownish type due to pigmentation
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Black Bear…the type where sagging and hollows create shadows
The treatment varies completely depending on the cause, so the first step is to determine exactly what kind of problem it is.
2. Digging a Little Deeper into the Causes of Dark Circles

dark circles
This condition occurs when blood flow becomes sluggish due to factors like lack of sleep, eye strain, or coldness, causing the blood vessels beneath the skin to become visible.
The type that tends to lift up over time, even when concealed with concealer.
dark circles under the eyes
A condition where melanin pigment deposits due to ultraviolet rays or friction.
Habits like vigorously rubbing off eye makeup or the tendency to rub your eyes also have an impact.
Black Bear
A type where skin and fat sag due to aging or muscle weakness, creating shadows that appear dark.
If shadows are noticeable when you smile, this type is highly likely.
3. Methods for Removing Dark Circles in Aesthetic Medicine
Hyaluronic Acid/Baby Collagen Injection
How to eliminate shadows by plumping up indentations.
The procedure takes about 10 to 20 minutes, and swelling and redness typically subside within a few days.
Fat injection
A method of harvesting one's own fat and injecting it under the eyes.
The appeal lies in its durability once it sets.
Surgical Treatment (Transconjunctival Fat Removal/Superior and Inferior Hamra Procedure)
Effective for the type where the fat under the eyes protrudes forward.
Since both the superficial conjunctival fat removal and the reverse Hamra approach are performed from the inner side of the eyelid, no external scars are visible.
Laser therapy
Methods performed to improve blood flow and remove melanin.
Suitable for dark circles under the eyes.
4. How long is the downtime?
It varies depending on the treatment, but here's a rough guide.
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Injection: Several days to one week
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Surgery: Swelling and bruising for 1 to 2 weeks
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Laser: Redness for several days
It's best not to overbook your schedule until the swelling goes down.
5. How long does the effect last?
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Hyaluronic acid: Approximately 6 months to 1 year
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Fat transfer: Long-term if it takes hold
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Laser: Several months to years (regular maintenance is ideal)
Your results depend on your lifestyle habits, so proper care after treatment is essential.
6. Bear Care You Can Do at Home
Even those who don't get treatments can change the impression of their eye area through daily habits.
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Ensuring adequate sleep time (around 7 hours is ideal)
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Warm towel to promote blood flow
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UV protection (sunglasses and sunscreen)
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Moisturizing care with eye cream
Summary
Bear-taking is a treatment that not only makes you look younger but also brightens your mood.
When you look in the mirror and think, "I look kind of tired," start by figuring out your dark circle type.
And consulting with a trustworthy clinic is the first step to avoiding failure.
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Reservations can be made here.
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https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
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【Profile】
Plastic Surgeon/Cosmetic Dermatologist Dr. Ayuri Yokoyama
https://biancaclinic.jp/doctor/yokoyama/
In my previous role, I was involved in establishing a clinic as a cosmetic dermatologist, from its inception to opening, and served as its director for three years.
Having worked with approximately 20,000 patients' skin and faces, contributing to the clinic's development.
To further expand the scope of treatment, I have now transitioned to BIANCA CLINIC, a leading aesthetic and regenerative medicine clinic in Japan.
We provide the latest aesthetic medical treatments for well-aging, encompassing not only cosmetic dermatology but also cosmetic surgery and internal medicine.
【Career】
2020 Graduate of the School of Medicine, Hiroshima University
2020: Worked at JCHO Tokyo Shinjuku Medical Center and affiliated hospitals (National Center for Global Health and Medicine Hospital, Tokyo Yamate Medical Center)
2022: Joined ELM Medical Corporation Served as Director of Azabu Clinic
2025: BIANCA joins the company
【Professional Affiliations/Qualifications】
The Japanese Society of Aesthetic Dermatology
Japanese Society of Anti-Aging Medicine
Occupational Physician Certification
【SNS】
Instagram account