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Hello! I'm Ayuri Yokoyama, a cosmetic surgeon and dermatologist.

 

 

Many people who have been told they "look tired" often have puffiness under their eyes as the cause.

This bulge creates shadows as the orbital fat protrudes forward, giving the appearance of dark circles and an aged look.

What's effective for such worries isBear Removal (Degreasing)This time, we'll explain the characteristics and applications of the degreasing method, along with its differences from the Hamra method, from a specialized perspective.

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What is bear removal (defatting)?

In aesthetic medicine, "fat removal" formally refers toTransconjunctival fat removalabout that.

This procedure involves making a small incision on the inner side of the lower eyelid (conjunctival side) to remove excess orbital fat that protrudes forward.

The most significant feature is,No scars remain on the skin surfacething.

Furthermore, since it fundamentally removes fat, long-term effects can be expected.

It is particularly suitable for "dark circles" and for those who are relatively young and have minimal skin laxity.

Differences Between Liposuction and the Hamra Method (Determining Appropriateness)

The surgical approaches for treating under-eye bags are broadly categorized into "transconjunctival fat removal" and "Hamra technique."
The Hamra method furtherFrontal Hamra MethodとPosterior Hamra Technique (Transconjunctival Hamra Technique)There are two types.

Item	Transconjunctival fat removal	Posterior Hamra Technique (Transconjunctival Hamra)	Frontal Hamra Method
Approach	From the underside of the lower eyelid	From the underside of the lower eyelid	from the skin side
Fat Removal	Remove excess fat	Transfer fat to fill in the hollows	Fat transfer + skin laxity treatment
Adaptation	Dark circles caused solely by fat protrusion, individuals with minimal skin laxity	Fat protrusion + indentation, mild skin laxity	Fat protrusion + indentation, moderate to severe skin laxity
Scar	not recorded on the surface	not recorded on the surface	Remains faintly along the lash line (hardly noticeable)
Recovery period	relatively short	Short to medium	Medium to long

Points

• Fat removal is most effective when "fat is the sole cause."

• The Ura Hamura method allows fat transfer without skin incisions, making it suitable for younger individuals or those seeking minimal downtime.

• The Hamra method can simultaneously improve skin laxity, making it suitable for middle-aged and older individuals or those with severe sagging.

Downtime and Progress

The downtime for transconjunctival fat removal is relatively short.

• Swelling and bruising1 to 2 weeks

• MakeupAvailable the next day to several days later (follow your doctor's instructions)

• Return to Daily LifeThe next day~

The Hamra method involves an incision from the skin side, so swelling and recovery time tend to be slightly longer.

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Benefits and Considerations

Benefits of Transconjunctival Fat Removal

• No scars appear on the surface

• Completed in a short time (30 to 60 minutes)

• Long-lasting effect

Important Notes

• In cases of severe skin sagging, it can conversely give an aged impression.

• Excessive fat removal carries the risk of sunken eye areas.

• Swelling and bruising may occur for a while after surgery.

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Postoperative care

• Do not rub your eyes on the day of the event.

• Sleeping with your head elevated helps prevent swelling.

• Refrain from strenuous exercise, alcohol consumption, and bathing for several days.

• Thoroughly implement UV protection measures

 

Summary

Under-eye fat removal (fat pad removal) is a procedure that can fundamentally improve puffy under-eye bags.

However, the Hamra method may be more suitable in cases where there is skin laxity or depressions.

To determine the appropriate treatment, a diagnosis by a physician with thorough knowledge of the eye area's structure is essential.

When tired-looking eyes feel refreshed, your expression and mood will brighten.

First, consult with a trusted clinic to find the method that's right for you.

 

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【Profile】

Plastic Surgeon/Cosmetic Dermatologist Dr. Ayuri Yokoyama

Japan's Leading Clinic for Beauty and Health Regenerative Medicine｜BIANCAGINZA

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　

https://www.instagram.com/dr.airi