BLOG

Hello!

Designing natural beauty with trust.

I am Masataka Fujihashi, a board-certified plastic surgeon.

 

 

Over the past eight installments, we have explained the causes of dark circles and various treatment methods, including their structure, skin laxity, the Hamra procedure, and fat grafting.

This time's theme is what patients are particularly concerned about. 「Differences in Treatment Based on Age」 is.

Of course, the optimal solution varies depending on the individual's lower eyelid condition, butBased on actual clinical experience, ageEach shows a distinct tendencyThat is a fact.

So this time, we'll look at what treatments people tend to choose by age group.We will explain the reasons and organize them clearly.

 

⸻

 

■ Key Changes with Age: Skin Sagging

The first thing to determine is,Whether or not there is skin sagging。

This is an element that inevitably progresses with age,This significantly influences treatment decisions.

 

● Up to your 30s

For most people, skin sagging is mild.

Therefore Cases requiring lower eyelid wrinkle removal surgery (skin excision) are extremely rare. is.

Rather, from this age onwardPreventing loss of skin firmness with treatments like Snekos injectionsIt's important to keep it up.

 

● After turning 40

Skin sagging will inevitably start to become noticeable.

This is a natural change that no one can avoid.

When the skin is stretched and sagging,Even if you adjust the internal structure, the surface sagging remains unchanged.

 

● For those in their 50s and older

Almost certainly involving skin excisionLower eyelid wrinkle removal surgery is essential.須。

Due to significant sagging, it is not realistic to treat the area without removing skin.

 

⸻

 

■ Changes in Internal Structure: Fat Protrusion, Loosening of the Orbicularis Oculi Muscle and Orbital Cornea

With age, "fat herniation" progresses, causing orbital fat to protrude forward,furthermore, on its surfaceThe orbicularis oculi muscle and the orbital septum also become stretched and lax.Therefore,In terms of preventing recurrenceThe age range for which the Hamra method is desirable is increasing.

 

● Teens to early twenties

The fat hernia is still mild,The orbicularis oculi muscle and septum are firm with minimal laxity.

→ Degreasing onlyIn many cases, it can be sufficiently improved.

The tear trough (hollow) is also usually shallow,An age that doesn't require a major reset of internal structures.

 

● Late 20s to early 30s

More people are noticing the prominence of their tear troughs,The age when fat protrusion becomes somewhat more pronounced.

→ Fat removal + fat transfer or Ura-Hamra method The number of applications will increase.

The laxity of the septum is still mild, so the Hamra procedure may not be necessary, but an approach to the tear trough depression will be required.

 

● Late 30s to early 40s

The tear trough hollow often becomes more pronounced, and the protrusion of fat also increases,Cases requiring treatment of internal structures are rapidly increasing.

→ Ura-Hamra methodthe age group most adaptable

 

● Late 40s and older

Skin sagging also contributesTherefore,Treats both internal structures and skin simultaneously Frontal Hamra MethodCases where it becomes applicable will increase.

 

⸻

 

■ General Treatment Indications by Age Group (Trends Based on Experience)

The following is merely a tendency based on clinical experience to frequently propose.

Of course, individual differences exist, so this does not necessarily apply to all cases.

 

●Teenagers

• Many cases can be improved through degreasing alone

 

●〜mid-20s

• Degreasing or Fat removal + fat transfer

• Reverse Hamra Method

Even in younger individuals, deep tear troughs may require fat grafting or reverse Hamra procedure.

 

●Late 20s to late 30s

• Reverse Hamra Method

• Liposuction + Fat Transfer

Since fat protrusions and depressions increase, "fat removal alone" is generally not an appropriate treatment option.

 

●Late 30s to early 40s

• The Hamra method is the most common

The age when indentations, bulges, and skin texture all begin to change.

 

●Late 40s

• Hamra method (back) or Hamra method (front)

Classified by degree of skin laxity.For significant sagging, the superficial Hamra technique is preferable.

 

●50s and older

• The Hamra method is the standard approach

• Skin excision is essential

Fat grafting requires multiple sessions because the survival rate is significantly lower.。

 

⸻

 

■ For degreasing only: "Caution advised for all but the youngest age groups"

For teens to early twenties, oil-free products alone are often sufficient, butAfter your late twentiesCases where defatting alone is sufficient are almost nonexistent.That's honestly how I feel.

Simply removing fat is not enough.The dent remains.can make you look older,Risk of future recurrenceAs the risk increases, caution is required for adaptation.

 

⸻

 

■ Summary

This content is based on my clinical experience to date, covering age-specific..."A tendency to frequently recommend"This is a compilation of...

Of course, individual differences exist, so this procedure is not necessarily the correct one.

We hope this will serve as a reference when considering treatment options.

Age is merely one guideline, and the final treatment choice depends on Skin laxity / Fat bulging / Depth of depressions / Diaphragm laxity We make a decision based on a comprehensive assessment of these factors.

Bear treatment is not just about “reducing puffiness”; it's crucial to combine the optimal treatments according to age-related structural changes.

 

⸻

 

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)