2026.09.01
[Exclusively by Dr. Fujihashi and Dr. Hatate] Treating Dark Circles Under the Eyes 👀 Hamra Method & Reverse Hamra Method ✨
Call for Case Study Participants (Exclusively for Dr. Fujihashi and Dr. Hatate)
＼For dark circles, puffiness, and hollows under the eyes 👀⚡️／
To reduce puffiness under the eyes,
Transfer it to the indentation and shape it.
Front Hamra and Back Hamra Procedures | Call for Clinical Trial Participants
This treatment for dark circles aims not only to remove fat from under the eyes but also to smooth out unevenness around the eyes by repositioning the fat into the sunken areas. ✨
Please make your reservation using the online booking button below.
Schedule an Appointment for a Medical Examination or Counseling Session
*Please note that we are currently only offering counseling sessions.
The Hamra Method・
Case Studies of the Ura-Hamura Method
The photos shown are examples of progress before and after treatment.
Ura-Hamra Method: 1 Month Post-Surgery
| Treatment Name | Ura-Hamra method |
|---|---|
| Treatment Details | Transposition and Fixation of Orbital Fat into the Hollow |
| Number of treatments | Usually once (may vary depending on the condition) |
| Duration of Treatment | One surgery (no sutures required). Comparison between pre-surgery and one month post-surgery |
| Cost | 602,580 yen (tax included) *Price at the time of treatment / Anesthesia and procedure supplies are billed separately |
| Downtime | Swelling usually subsides in about a week, and bruising in about 10 days (results may vary). |
| Risk | Numbness, swelling, swelling, internal bleeding, infection, left-right difference, etc. |
| Type of Medical Care | Private Medical Care (Not Covered by Public Health Insurance) |
Hamra Method × Tear Trough Augmentation: 3 Months Post-Op
| Treatment Name | ① Superficial Hamra Technique × ② Tear Trough Augmentation |
|---|---|
| Treatment Details | Transposition and Fixation of Orbital Fat into the Hollow |
| Number of treatments | Usually once (may vary depending on the condition) |
| Duration of Treatment | One surgery (follow-up visit one week after surgery to have the stitches removed). Comparison between pre-surgery and three months post-surgery |
| Cost | ① 602,580 yen (including tax) *Price at the time of the procedure; anesthesia and supplies are billed separately |
| Downtime | Swelling and bruising: About 1 to 2 weeks (varies by individual) |
| Risk | Asymmetry, contractures, hallux valgus, etc. |
| Type of Medical Care | Private Medical Care (Not Covered by Public Health Insurance) |
The case studies featured here are before-and-after photos of patients who actually received treatment at our clinic.
Results and progress may vary from person to person, and we do not guarantee that everyone will achieve the same results.
This procedure is a self-pay service not covered by public health insurance. In addition to the listed price, there will be separate charges for anesthesia and procedure supplies.
The publication fees are the amounts listed next to each case. These differ from the case study participant rates listed below.
If you have concerns like these under your eyes...
Please feel free to contact us.
- "Even though I'm getting plenty of sleep, people think I look tired."
- "The puffiness under my eyes has become more noticeable with each passing year."
- "It's not just the dark circles under my eyes—I'm also concerned about the hollows beneath them."
- "I'm wondering if degreasing alone is really enough."
Dark circles under the eyes aren't necessarily caused solely by excess fat. The contrast between bulges and hollows can cast shadows, making the area appear dark.
Recommended for people like this 👀✨
- ✔️Concerned about puffiness under the eyes
- ✔️Dark circles make your face look tired
- ✔️ I want natural firmness around my eyes
- ✔️I'm also concerned about sagging skin and wrinkles
- ✔️ I want to give my entire eye area a fresh, clean look
- ✔️Concerned about scarring and reluctant to undergo surgery
- ✔️ I want to choose a treatment with long-lasting effects.
The Hamra Method
This is a surgical procedure to reposition and secure the fat under the eyes (orbital fat) into the hollows.
There are different types of bears.
- Black Bear
- It is caused by the shadow cast by the bulge of orbital fat.
- Purple Bear
- This occurs because the skin is thin, allowing the orbicularis oculi muscle and blood vessels to show through.
- Dark Circles Under the Eyes
- It is caused by pigmentation.
Sometimes, more than one type of bruise may overlap. The condition will be determined during the examination.
How to Deal with Fat
We remove excess fat while repositioning fat to fill in depressions.
This is a schematic diagram showing a cross-section under the eye. It does not represent the actual results or final appearance of the surgery.
Related Links
The Hamra Method and
Differences in the "Ura-Hamura" Method
The difference lies in where the incision is made.
Neither option is universally superior. Since they each have different purposes and indications, the doctor will make the determination during the examination.
Frontal Hamra Method
- Where to Make the Incision
- The skin side under the eyes
- Skin Excision
- We will do so as needed.
- Surface Scars
- It occurs at the incision site. It is said to become less noticeable over time.
- Suture removal
- This is required one week after surgery.
- The direction you're facing
- For those concerned not only about bulges and dimples caused by fat but also about sagging skin
- Guidelines for Swelling
- 1 to 2 weeks (results may vary)
- Tear trough
- In some cases, the tooth can be preserved and reshaped by adjusting the way the sutures are placed.
- Treatment area
- under the eyes
- Anesthesia
- Topical eye anesthesia and local anesthesia. Upon request, we can combine these with sedation or intravenous anesthesia.
- Recommended Frequency
- Usually once (may vary depending on the condition)
Ura-Hamra method
- Where to Make the Incision
- The inside of the eyelid
- Skin Excision
- We will not do that.
- Surface Scars
- Since there is no incision in the skin, it leaves no marks on the surface of the face.
- Suture removal
- This is not necessary because we use dissolvable thread.
- The direction you're facing
- People who don't have significant skin sagging
- Guidelines for Swelling
- 1 week (may vary by individual)
- Tear trough
- It is generally considered to have little effect on the tear troughs.
- Treatment area
- under the eyes
- Anesthesia
- Topical eye anesthesia and local anesthesia. Upon request, we can combine these with sedation or intravenous anesthesia.
- Recommended Frequency
- Usually once (may vary depending on the condition)
Physicians Eligible to Participate in the Case Study
Board Certified Plastic Surgeon, Japanese Society of Plastic Surgery
Masataka Fujihashi
MASATAKA FUJIHASHI, M.D.
CertificationsBoard Certified Plastic Surgeon, Japanese Society of Plastic Surgery
Affiliated Academic Societies, etc.Japanese Society of Plastic and Reconstructive Surgery / Japanese Society of Aesthetic Plastic Surgery (JSAPS) / Japanese Society of Aesthetic Surgery (JSAS) / Japanese Society of Aesthetic Medicine
Board Certified Plastic Surgeon, Japanese Society of Plastic Surgery
Hatate, Ariko
Alice Hatade, M.D.
CertificationsBoard Certified Plastic Surgeon, Japanese Society of Plastic Surgery
Affiliated Academic Societies, etc.Japanese Society of Plastic and Reconstructive Surgery
From the time of your reservation
What to Expect Before and After Your Treatment
Steps for Online Reservations
- 01Choosing a Graduate SchoolBIANCA GINZA or OMOTESANDO
- 02Select "First Visit" or "Follow-up Visit"
- 03Select a Consultation TopicSelect “Consultation on Promotions/Testimonials” from the reservation menu
- 04Select a menu itemSelect “Call for Case Study Participants: Hamra Method and Alternative Hamra Method”
- 05Choosing a DoctorDr. Fujihashi or Dr. Hatate
- 06Select a Date and Time
- 07Enter Customer InformationIf you have not yet registered, you will need to sign up as a new member.
- 08Reservation Complete
Please make your reservation using the online booking button below.
Schedule an Appointment for a Medical Examination or Counseling Session
Downtime・
Risks and Side Effects
After surgery, you may experience swelling, bruising, or puffiness. The severity and duration of these symptoms vary from person to person.
Frontal Hamra Method
- Swelling
- Severe swelling lasts 1 to 2 weeks. In some cases, it may take several months to subside completely.
- bruising
- It will fade in about 10 days. It will settle down in about two weeks.
- Shower
- Available starting that day
- Makeup
- You can start the day after your stitches are removed.
- Suture removal
- This is required one week after surgery.
- Contact
- Resume once the stitches have been removed and the wound has healed.
- Scar
- It occurs at the incision site. It is said to become less noticeable over time.
Major Risks and Side Effects
- Numbness
- Swelling, puffiness
- bruising
- Infection
- Hematoma (a collection of blood inside a tissue)
- Contracture (a condition in which a scar becomes hard and tight)
- Left-right difference
- Ectropion (a condition in which the lower eyelid turns outward)
- Recurrence
Symptoms other than those listed above may occur. The course of the condition varies from person to person.
Ura-Hamra method
- Swelling
- The symptoms peak 2 to 3 days after surgery. They gradually subside over the course of about a week.
- bruising
- It will go away in about 10 days.
- Shower
- Available starting that day
- Makeup
- It's available starting tomorrow.
- Suture removal
- This is not necessary because we use dissolvable thread.
- Contact
- Resume activities about one week after surgery. If you experience any discomfort or redness, please consult your doctor.
- Scar
- Since there is no incision in the skin, it leaves no marks on the surface of the face.
Major Risks and Side Effects
- Numbness
- Swelling, puffiness
- bruising
- Infection
- hyperpigmentation
- Left-right difference
- Lump (you may feel it when you touch the area where the fat has become fixed)
Symptoms other than those listed above may occur. The course of the condition varies from person to person.
Treatment Fees and
Case Study Special Price
💰 Omote-Hamura Method: Standard Rates
632,800Yen (tax included)
💰Secret Hamura Method: Regular Price
632,800Yen (tax included)
Case Study Special Price
People willing to let us take photos documenting their treatment progress 📸
316,400Yen (tax included)
- Available only from Dr. Fujihashi and Dr. Hatate
- Limited to one per person.
- Please note that this service may be discontinued without prior notice.
- This program is open to individuals who are willing to participate in photographing their treatment progress. A screening will be conducted during the consultation (applicants must be willing to have photos taken before treatment, immediately after treatment, one month after treatment, and three months after treatment).
- Anesthesia and procedure supplies are billed separately.
- If you have undergone cosmetic dermatology treatments, injectable treatments, or surgical procedures at another clinic within the past month, please contact us.
Additional Costs Beyond the Treatment Fee
In addition to the listed rates, the following charges apply.
- Anesthesia fee
- There is an additional charge.
The cost varies depending on the type of anesthesia used. - Cost of medical supplies
- There is an additional charge.
- Inspection fee
- Additional charges may apply depending on the treatment.
- Consultation fee
- Both initial and follow-up visits are free.
Depending on the nature of the service—such as requesting a specific doctor or a consultation that includes the use of a skin analysis device—additional fees may apply.
We will provide you with a total estimate during your counseling session.
This treatment is a private service not covered by public health insurance.
Please make your reservation using the online booking button below.
Schedule an Appointment for a Medical Examination or Counseling Session
Postoperative Care and
precautions
Postoperative Course
| On the day | You can take a shower on the same day (both front and back) |
|---|---|
| The next day | The "Ura Hamura" method makes it possible to apply makeup. |
| About one week after surgery | The Ura-Hamura Method Allows You to Resume Wearing Contact Lenses |
| One week after surgery | Please visit our clinic for suture removal following the Hamra procedure. If there are no issues with the incision site, you may resume wearing contact lenses. |
| The Day After the Stitches Were Removed | The Hamra method allows for makeup application |
| A few months to half a year | It is said that the lump-like sensation caused by the Ura-Hamura method disappears naturally within a few months to half a year. |
| Follow-up Visit | We ask that you visit our clinic one month and three months after surgery. |
Minimizing Downtime
Target Menu
| Treatment for Bruises and Contusions | It is a traditional Japanese herbal medicine. It is said to be effective in relieving swelling and pain. |
|---|---|
| Heparin-like substances | It helps prevent blood stagnation and supports recovery from internal bleeding. |
| Postoperative IV Set | This treatment plan combines high-concentration vitamin C, exosomes, and hydrogen therapy to support post-operative recovery. |
Precautions to Take Beforehand
- If you have undergone cosmetic dermatology treatments, injectable treatments, or surgical procedures at another clinic within the past month, please contact us.
- Depending on your medical history, current medications, allergies, and other factors, you may not be eligible for treatment.
- Please follow your doctor's instructions regarding post-operative care.
Concerns After Surgery
When You Have Symptoms
| Contact Lenses | If you experience any discomfort or pain while using this product, please stop using it and contact our clinic. |
|---|---|
| lump | Please contact us if the discoloration persists for a long time. |
Frequently Asked Questions
[Hamra Method]
How long is the downtime?
Visible swelling typically lasts one to two weeks, and bruising usually lasts about two weeks. In some cases, it may take several months for the swelling and bruising to completely subside.
Results may vary from person to person.
【Hamra Method】
How long is the downtime?
Swelling is said to peak 2 to 3 days after surgery and gradually subsides over the course of about a week. It takes about 10 days for the bruising to fade.
Results may vary from person to person.
How long do the effects last?
Our clinic'sHamra Method Treatment PageWhile results may vary from person to person, it is generally believed to last for more than 10 years.
However, there is still a possibility that sagging may reappear due to aging or lifestyle factors.
What kinds of risks or
Is it possible that there will be lasting effects?
It depends on the procedure. Please refer to the “Downtime and Risks” section. We will also explain this during your consultation.
For case studies,
Can anyone become one?
This program is open to individuals who are willing to participate in photo sessions before the procedure, after the procedure, one month later, and three months later.
Since this is determined by a doctor's examination, we may not be able to accommodate your request.
On the day of your counseling session
Can I have the surgery?
For surgical procedures, whether it is your first visit or a follow-up, we will only conduct a consultation on the day of your appointment; surgery will be scheduled for a separate day.
Medical examinations and counseling are
Is it free?
Basic counseling and medical examinations are free of charge for both new and returning patients.
Additional fees may apply in certain cases, such as when you request a specific doctor.
Is there a warranty on the surgery?
The warranty period for surgical procedures is one year from the date of the procedure (applies to all procedures).
If a doctor determines that a repeat surgery is necessary, the surgery will be covered at no cost as long as it is within the warranty period.
Additional fees apply for anesthesia, optional services, and support braces.
If you have any concerns, please bring them up during your appointment.
Please let us know your preferences and any concerns you may have.
Your doctor will determine which surgical procedure is appropriate for you during your consultation.
Please make your reservation using the online booking button below.
Schedule an Appointment for a Medical Examination or Counseling Session
BIANCA CLINIC Ginza Branch
12F ONE GINZA, 1-8-19 Ginza, Chuo-ku, Tokyo
1 minute walk from Tokyo Metro Ginza 1-chome Station
Clinic Hours: 10:00 AM to 7:00 PM
BIANCA CLINIC Omotesando Clinic
2nd Floor, 5-11 Building, Minami-Aoyama, Minato Ward, Tokyo
5 minute walk from Omotesando Station (Ginza Line) Exit B1
Clinic Hours: 10:00 AM to 7:00 PM
