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2025.11.17
What is the Hamra Method? ⸻ Dark Circle Treatment That Preserves Fat
As a board-certified plastic surgeon, I have handled numerous cases involving trauma, reconstruction, and congenital conditions, cultivating precise techniques and deep anatomical understanding. Driven by the desire to deliver the transformative power of beauty—where visible change uplifts the spirit—I pursued a career in cosmetic surgery. My areas of expertise include comprehensive eye treatments, injectable therapies, and anti-sagging procedures. Guided by a commitment to sincerely address each patient's aspirations, I provide meticulously crafted treatments focused on achieving beauty.
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Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
In the previous article, we discussed how dark circles under the eyes involve not only "puffiness" but also "hollows" occurring simultaneously,The true cause of shadows lies in the “indentation.”I have conveyed the matter.
Simply removing fat to reduce fullness can sometimes make you look older by emphasizing hollows instead.
In other wordsIn bear treatment,The essence lies not only in reducing fullness, but in addressing the hollows.、This becomes very important.
So, how can we simultaneously adjust both the bulges and the indentations?
The logical approach is the theme of this discussion.Hamra lawis.
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■ The only procedure that can correct bulges and hollows “at once”
The structure around the eyes is highly three-dimensional,"Protrusion of orbital fat (bulge)""tear trough (indentation)" mid-cheek groove (line extending downward)...form shadows together.
Single approaches like fat removal or fillers inevitably have limitations, leading to distortion in some areas or appearing unnatural over time.
Among these, the Hamra method is,“Both bulges and indentations can be addressed in a single procedure.”This is an extremely rational treatment method.
To organize the structure itself,Preventing future recurrence, unnatural indentations, and premature aging due to insufficient fatalso leads to.
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■ The Hamra Method: “Surgery That Preserves Fat”
In the Hamra method, rather than excising the protruding orbital fat,Move toward the indentation and repositionI will do so.
Specifically,Repositioning protruding orbital fat as volume to fill the tear trough to mid-cheek hollowsBy doing so, you can fundamentally improve the shadows.
The “plus alpha” I mentioned in my previous article as being necessary alongside degreasing is precisely this approach.
• Fat reduction: Reducing fat
• Hamura: "Utilize and redistribute" fat
Restoring volume to sunken areas naturally lightens shadows and reconstructs a youthful contour.
Even more crucial is “septum tightening,” which involves securing the orbital septum (septum) to the periosteum to tighten it. This prevents the forward protrusion of fat (fat herniation),Less likely to recurStructurecan be made.
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■ The Difference Between “Front Hamura” and “Back Hamura” in the Same Hamura Method
The procedure itself performed inside the Hamra method is fundamentally the same whether it's the front Hamra or the back Hamra.
The difference is,Whether to make an incision on the skin side。
Open Hamra (Incision Hamra)）
• Make an incision from the skin side
• In cases of skin laxityrequired
• In addition to fat transfer and diaphragm tightening, excess skin can also be excised.
Ura Hamura
• Approach from the inner side of the lower eyelid (conjunctival side)
• No skin incision
• When there is no sagging
• The wound is not visible on the surface.
In other words,Simply choose “front or back” based on the presence of skin laxity; the core Hamra procedure remains the same.That's the image.
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■ Summary: The Hamra method is a procedure that targets the “core” of dark circle treatment.
• Can treat both bulges and indentations simultaneously
• Can handle shadows that cannot be removed by degreasing alone
• The only difference between the front and back is the “direction of the incision.”
• If skin sagging is present, select the front; if not, select the back.
• To utilize fat effectively and avoid the risk of future sagging
The answer to the previous discussion about needing “fat removal plus something extra” is this Hamra method.
In the next article,A Detailed Explanation of the Pros and Cons of the Hamra Method, Including How to Address Its DrawbacksI will do so.
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【Profile】
Masataka Fujihashi, MD, Plastic Surgeon
Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.
We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.
Designing natural beauty with trust.
We cherish that sentiment and apply it to our daily practice.
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【Career】
March 2015: Graduated from the School of Medicine, Showa University
April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training
April 2017 Showa University Hospital Department of Plastic Surgery
October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery
April 2019 Nishio Municipal Hospital Plastic Surgery Department
April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department
November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery
July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery Department Head
July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)
April 2024 Deputy Director, Ginza TA Clinic
November 2025 BIANCA CLINIC
【Professional Affiliations and Qualifications】
Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon
Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)
Member of the Japanese Society of Aesthetic Surgery (JSAS)
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