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2025.11.18
Advantages and Disadvantages of the Hamra Method
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.
Hello!
Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
In the previous article, we explained that the Hamra method is the most rational treatment for addressing the fundamental nature of dark circles, which involve both puffiness and hollows.
(Read the previous article ▶︎)https://biancaclinic.jp/blog/46430/）
This time, the Hamra methodAdvantages, Disadvantages, and SolutionsWe will organize and convey the information clearly.
Every treatment has its advantages and disadvantages, and the Hamra method is no exception.
However, the weaknesses are clear, and if properly explained and understood, they are all fully controllable.
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■ Benefit ①: Can be modified to a structure less prone to recurrence
The key difference between the Hamra method and simple fat removal is that it introduces a structural change: tightening the orbital septum by fixing it to the periosteum.
As a result,Fat is less likely to protrude forward, preventing future recurrenceThis enables long-term stability of the postoperative condition.
While liposuction is said to be prone to recurrence because it "only reduces fat," the Hamra method is characterized by its fundamental treatment approach, as it makes structural changes to the underlying cause.
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■ Benefit 2: Very natural facial expressions
In fat grafting, if fat is placed within or above the orbicularis oculi muscle, it can cause a phenomenon where the area bulges out when smiling.
The Hamra method involves relocating fat to a relatively deep position directly over the bone,No unnatural bulges appear even when changing facial expressions, resulting in an extremely natural finish.will be.
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■ Disadvantage ①: Does not reach deep mid-cheek hollows
There is a limit to how far orbital fat can be moved using the Hamra technique.
The scope of redeployment is,Approximately 8 to 10 mm from the tear trough grooveis.
Therefore, The lower part of the Gorgolinedistal end of the mid-cheek grooveFat cannot reach the hollows.Therefore,There are cases where the Hamra method alone cannot improve the situation.
This is not so much a matter of “not being able to,” but rather an inherent limitation due to the anatomical position of the orbital fat.
However, if the indentation within this range becomes problematic,Additional fat grafting in a second stage can sufficiently compensate for this.。
The idea is to first reshape the upper structure using the Hamra method, then add material only where necessary.
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■ Disadvantage ②: There are limits to the “color tone” achievable due to the thinness of the skin.
The Hamra method is an effective treatment for shadows caused by unevenness,The type with thin skin where the color of the orbital fat shows throughIn some cases, the color may not be completely removed.
This is not a structural issue but rather a matter of skin thickness,This is an area where the Hamra method alone has its limitations.
What is effective in this case is Nanofat InjectionAnd the purpose is just one thing.
By supplementing skin thickness, it reduces the visible coloration that appears translucent.This is a thickness correction.
Smooth out unevenness (shadows) using the Hamra method,By supplementing the color tone caused by thin skin with nano-fat,Achieve a more natural and brighter eye area.
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■ Summary
While the Hamra method has limitations in terms of what can be improved and color variations,They are all controllable weaknesses with clear solutions.
• Lower mid-cheek area → Augmented with fat grafting
• Skin tone due to thin skin → Correct thickness with nano-fat
On the other hand,
• Can create a structure less prone to recurrence
• Extremely natural facial expressions
• Achieves fundamental shadow improvement that cannot be realized through degreasing alone
The significant benefits of this treatment are rarely achieved with other therapies.
The balance of structure, persistence, and naturalness is exceptionally good,One of the most highly refined procedures in bear treatmentIt can be said.
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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.
Read other blog posts ▼
https://biancaclinic.jp/author_cat/fujihashi/
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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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