column (e.g. in newspaper)
2025.10.01
Those bothersome white spots on your eyes? They can be removed with laser treatment.
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, I'm Ryutaro Natsume, an image designer and cosmetic surgeon.
We often receive inquiries about spots on the whites of the eyes.
In conclusion, while laser treatment can remove white spots on the sclera, it is only offered as a self-pay service at a very limited number of ophthalmology clinics.
Medically termed conjunctival melanosis, it commonly occurs in middle-aged to elderly individuals. It is a brownish-black conjunctival tumor resulting from the abnormal proliferation of melanocytes. Causes are believed to include ultraviolet radiation, genetics, and aging.
It is said to rarely become malignant. Malignancy is possible when the lesion is extensive, raised, expanding, invading the cornea, invading the peripheral conjunctiva or the inner surface of the eyelid, or when dilated feeding vessels extend into the melanosis.
Treatment options for conjunctival melanosis include surgical excision or laser therapy.
Both procedures involve persistent postoperative redness, lasting approximately 1 to 3 months for surgery and 1 to 2 weeks for laser treatment.
Similar to removing a mole from the skin, heat is applied to the surface using a laser, and the pigment is then scraped off with a cotton swab or similar tool.
We use an argon laser with coagulation properties. This safe laser is commonly used in insurance-covered treatments for diabetic retinopathy, retinal vein occlusion, retinal tears, and retinal detachment.
After surgery, we will use antibiotic eye drops to prevent infection and steroid eye drops to reduce swelling.
Differential diagnosis from conditions such as pinguecula and melanoma is crucial. If it is a pinguecula, it is caused by abnormal collagen proliferation and is treated with steroid eye drops or surgical excision.
Melanoma, also known as malignant melanoma, is a highly metastatic malignant tumor that requires early treatment.
When rapid growth, extensive spread, elevation, or enlargement is observed, we readily avoid laser treatment due to the possibility of melanoma and instead perform surgical excision plus pathological examination.
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Summary
This summer, we explained how to remove spots on the whites of the eyes.
Our clinic cannot perform treatment for white spots on the sclera because ophthalmic evaluation is difficult here, but treatment is available at some eye clinics.
There is a possibility of conditions such as pinguecula or melanoma, so please consult an ophthalmologist first.
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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
Full Member of the Japanese Society of Aesthetic Medicine
【SNS】
Instagram account
https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr
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