column (e.g. in newspaper)
2025.11.20
What is Fat Transfer? Part 2 ⸻ Indications and Differentiation from the Hamra Method
As a plastic surgeon certified by the Japanese Society of Plastic and Reconstructive Surgery, I have been involved in many cases of trauma, reconstruction, and congenital diseases, and have cultivated precise techniques and a deep understanding of anatomy. He entered the field of cosmetic surgery out of a desire to bring the power of cosmetics to his patients, as a change in one's appearance can also make one's mind more positive. Her specialties include general treatment of the eye area, injections, and sagging skin. I provide treatments that focus on beauty with the medical stance of "sincerely addressing the ideals of the patient.
Hello!
Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
In the previous article, "What is fat grafting? What is the difference between Condensed Rich Fat and Nano Fat?I explained the fundamental aspects.
In Part 2, "Cases requiring fat grafting, areas that cannot be improved with the Hamra method, and the difference in their respective roles—these pointsI'll organize it in detail.
⸻
■ What is fat transfer?
Fat grafting is a treatment that involves processing harvested fat and transplanting it to sunken areas.
Fat that has only been harvested contains many impurities,Processed into high-quality Condensed Rich Fat (CRF)by doing soThe engraftment rate increases.。
The reduction in fibrous tissue lowers the risk of lumps, resulting in higher purity fat that transforms into an optimal “foundation” for filling in depressions.
Furthermore,For finer surface adjustments, use nanofat.It can also improve skin tone caused by thin skin.
⸻
■ Fat removal alone cannot improve depressions → “Candidate for fat grafting”
A common misconception about dark circle treatment is the idea that "removing fat will cure dark circles."
In reality, many people have both "bulging (orbital fat)" and "hollows (tear trough to mid-cheek groove)" as contributing factors. If only fat removal is performed, leaving only these hollows behind,Far from eliminating shadows, it actually accentuates the hollows, risking an aged appearance. There is.
Therefore, as an approach to the depression,
• Fat removal + fat transfer
• Hamra Method (Fat Transfer)
• Hamra Method + Fat Injection (as needed)
This combination is frequently used for surgery.
⸻
■ Cases Where Fat Transfer Is Particularly Suitable
① When the indentation extends down to the lower part of the mid-cheek
As I mentioned in my previous blog post,The amount of fat that can be transferred using the Hamra technique is approximately 8 to 10 mm from the tear trough.is.
Therefore, for those with a hollow extending down to the mid-cheek area,Fat grafting is indicatedwill become.
② When the skin is thin, resulting in a strong coloration
Thin skin allows the color of the orbital fat to show through, making dark circles appear more pronounced.
In this case,The Hamra method alone is unlikely to improve color tone.Therefore,
By supplementing the surface layer with nano-fat, it builds skin thickness and softens the color tone.
③ When you also want to adjust the overall volume of your face
When performing fat grafting, not only dark circles but also
Sunken cheeks The curve of the forehead / temple nasolabial folds
Since it can be injected into multiple areas simultaneously, it is possible to achieve overall facial balance.
⸻
■ Use the Hamra method and fat grafting appropriately
Advantages of the Hamra Method:
• Can address both "bulges" and "indentations" simultaneously
• After surgery, facial expressions remain natural
• Recurrence Prevention (Diaphragm Tightening)
Advantages of fat grafting:
• A deep hollow extending down to the lower mid-cheek area
• Skin tone due to thinness
• Full-face volume adjustment
Thus, since the two have different strengths,“Not ”which is superior,"Use appropriately depending on the purposeWhat matters is...
⸻
■ Summary: Fat grafting is a treatment that supplements “areas inaccessible to the Hamra method.”
• Deep indentations that cannot be improved with Hamura → Fat grafting
• Skin tone due to thin skin → Nanofat
• Liposuction alone will not improve indentations → If liposuction is performed, it must be combined with fat grafting.
• Full-face volume enhancement is also possible
⸻
Reservations can be made here.
Complete your reservation in 60 seconds ▼
https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
⸻
【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/
【SNS】
Instagram ▶︎ https://www.instagram.com/dr_fujihashi?igsh=MTEzOW1sc3p3bGFibA%3D%3D&utm_source=qr
X ▶︎ https://x.com/dr_fujihashi?s=21
【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)
