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For Those Interested in Bear Treatment

Hello, everyone!

Dr. Alice, a board-certified plastic surgeon.

"Lately, people keep asking me, 'Are you tired?' even when I'm not."

When I went to buy cosmetics, the beauty advisor pointed out my dark circles.

"I've been hiding it with concealer all this time, but can it really be removed?"

Oh? If you thought, "That's me!" then please read on.

These are phrases we often hear from patients who come in for consultations.

As we age, dark circles and sagging skin become more noticeable, but many people have resigned themselves to accepting them as inevitable after living with them for so long.

Even if you feel that way... don't give up! The moment you feel that spark is your chance for change.

Even if you are reluctant to undergo surgery, we can offer alternative treatments such as injections tailored to your needs.

This article provides a clear explanation of dark circle types, treatment methods, and important considerations for those considering dark circle removal for the first time.

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What exactly are the types of bears?

There are primarily three types of bears.

1. Dark (Shadow) BearSkin laxity and protruding fat causing unevenness
2. dark circles under the eyesRepeated skin irritation leading to hyperpigmentation
3. Dark circles under the eyesThe bluish-black discoloration caused by the periorbital muscles and blood vessels showing through

 

Injections and surgery primarily improve "dark circles" and "purple circles." Laser treatments and skincare are more suitable for brown circles. Furthermore, it's not uncommon for dark circles to be a combination of these types.

If you're unsure about anything, feel free to come in for a consultation.

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Now that we know the type of bear, let's take a look at the treatment methods!

【① Injection System: The Method of "Erasing Shadows" by Inflating】

▶ Baby Collagen Injection

• MethodHuman-derived collagen preparation (baby collagen) is injected under the eyes.
• PurposeRestores skin firmness and gently improves hollows and fine lines.
• Benefits：
  • Convenient with just an injection
  • The finish looks natural and blends easily.
  • Short downtime (settles within 2 to 3 days)
• Disadvantages：
  • The effect is temporary (approximately six months to one year).
  • Deep indentations may sometimes feel unsatisfying.

👉 Recommended TypeLight dark circles, first-time dark circle treatment users, those seeking natural rejuvenation.

▶ Fat Injection

• MethodA small amount of fat is harvested from areas such as the thighs or abdomen and injected into the under-eye area.
• PurposeFill in the indentations to eliminate the “shadows.”
• Benefits：
  • Since it's my own organization, there's little concern about allergies.
  • Once established, the effect lasts semi-permanently.
• Disadvantages：
  • The injection volume and placement are difficult, and asymmetry may occur.
  • Individual results may vary, and re-injection may be necessary.
  • Downtime (swelling and bruising) lasts approximately 2 weeks to 1 month.

👉 Recommended TypeFor those with pronounced hollows or mild sagging. Suitable for individuals seeking relatively significant rejuvenation.

② Surgical Methods: Removing or Relocating the "Fat" Cause

▶ Transconjunctival fat removal）

• MethodSurgery to remove excess orbital fat from the inner side of the eyelid (conjunctiva). Commonly known as dark circle removal.
• PurposeEliminate under-eye puffiness (sagging) at its root for a smooth, flat appearance.
• Benefits：
  • Bear's “bag-like bulge” is gone
  • No visible scars (performed from the inside)
  • Long-lasting effects (generally less likely to recur)
• Disadvantages：
  • People with deep indentations may actually have their shadows stand out more if they only remove fat.
  • Downtime is approximately 2 weeks to 1 month

👉 Recommended TypeThose with pronounced puffiness under their eyes. Those more concerned about the “bags” than the shadows.

▶ Fat Redistribution Surgery (Liposuction + Fat Transfer)

• MethodA procedure that does not “remove” the fat causing the bulge, but rather “relocates it to fill the hollow area below.” This is known as the Hamra method.
• PurposeSimultaneously reduces bulges and hollows.
• Benefits：
  • The entire eye area becomes smooth and naturally rejuvenated.
  • Low recurrence rate and long-term stability
• Disadvantages：
  • Technical expertise is required (Choosing the right clinic is crucial)
  • Slightly longer downtime

👉 Recommended TypePeople with “mixed-type” dark circles that feature both puffiness and hollows.

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Bear removal surgery is suitable for individuals who meet the following criteria.

• The puffiness under my eyes has become more noticeable with age.
• Dark circles won't disappear even if you cover them with makeup.
• I want to improve my tired-looking eyes.
• I want a natural finish that gives a youthful impression.

This patient achieved such a refreshing transformation solely through minor conjunctival fat removal. Of course, in some cases, sufficient improvement may be difficult to achieve with surgery alone due to other factors. It is crucial to consult thoroughly with your doctor to ensure the final result aligns with your expectations.

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Your first bear treatment might take a little courage.

However, by choosing a method that suits you, you can transform the appearance of your eyes to look youthful, vibrant, and natural.

• Accurately identify your own dark circle type
• Consult with your doctor to determine the best approach through counseling.
• Understand the downtime and care required before undergoing treatment.

With these points in mind, why not take the first step?

Feel free to contact us anytime!

Author: Arisu Hatade

Board-Certified Plastic Surgeon / Cosmetic Surgeon

After graduating from Kyushu University School of Medicine, he worked in plastic and reconstructive surgery and cosmetic surgery at university hospitals and affiliated facilities, obtaining board certification in plastic surgery.

With extensive experience in a wide range of cases, from facial and trunk reconstructive surgery to cosmetic surgery, I prioritize achieving natural and beautiful results based on anatomical knowledge.

Having worked as an idol during my student days, I possess a unique perspective that understands both “beauty for being seen” and “beauty as medicine.” This allows me to offer customized aesthetic medical treatments tailored to each individual patient.

In my personal life, I enjoy traveling and gourmet food, and I share information about beauty and lifestyle on Instagram.

career

• Graduated from the School of Medicine, Kyushu University
• New Tokyo Hospital Initial Training
• Jichi Medical University Hospital Department of Plastic Surgery Employee
• Luce Clinic Employee
• Shin-Koyama Municipal Hospital Plastic Surgery Department Employee
• Teikyo University Hospital Department of Plastic Surgery
• JR Tokyo General Hospital Plastic Surgery and Reconstructive Surgery Department Employee
• Ariake Hifuka Clinic Employee

Professional Affiliations and Qualifications

• Board-Certified Specialist, Japanese Society of Plastic and Reconstructive Surgery

Field of expertise

• Cosmetic surgery (eyes, jawline, gynecological procedures, etc.)
• Injection Therapy (Hyaluronic Acid, Botox, Fat Grafting)
• Laser Skin Treatment
• Regenerative Medicine and Anti-Aging Care