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2026.02.27
For those who are concerned about the disadvantages of the Hamra Method｜A cosmetic surgeon, Dr. Yumi Hattori, explains concerns about recurrence and aftereffects.
As a board-certified plastic surgeon by the Japanese Society of Plastic and Reconstructive Surgery, he has been engaged in a wide variety of periocular surgeries at university hospitals. Based on his solid anatomical knowledge and suturing skills, he is in charge of a wide range of surgeries around the eyes including sub-brow incisions and blepharoplasty incisions, as well as hyaluronic acid injections, Botox injections, and thread lifts. We also accept insurance coverage for droopy eyelids and inner eyelashes. We value natural and elegant results, and are known for our attentive counseling that attends to the patient's feelings.
Hello, my name is Yumi Hattori from BIANCA CLINIC.
The hamula method sounds great, but are there any downsides to it?" and while doing research out of curiosity, some of you may have seen worrisome words on the Internet or social networking sites. Because the area around the eyes greatly affects the impression of the face, we are very careful when choosing a treatment method. The Hamra technique approaches dark circles and puffiness under the eyes, but there are many people who ask, "What are the disadvantages of the Hamra and back Hamra techniques?" Can they recur?" There must be many people who have questions such as "What are the disadvantages of the hamula and back hamula methods? In this issue, a plastic surgeon explains the points that are often cited as disadvantages of the Hamula Method, as well as points that are easily misunderstood and ideas that are less likely to cause regret, from the standpoint of a plastic surgeon. If you are considering the Hamra Method, please refer to this article.
What is the Hamra Method in the first place? Basic Concepts You Need to Know First
Many people have heard of the Hamra method, but are not familiar with how it works. In order to properly understand the disadvantages of the Hamra method, it is important to first know what kind of procedure it is.
What kind of treatment is the Hamra method?
The Hamra technique is a procedure to smooth the eye area by moving and relocating the orbital fat that causes puffiness and dark circles under the eyes to the depressed areas, rather than simply removing it. Dark circles under the eyes are not simply a matter of having too much fat or too thin skin, but in many cases, they stand out as shadows due to the difference between the bulge and the concavity. The Hamra method aims to correct these bumps from the root.
Difference between the hamra and back hamra methods
Bianca Clinic offers the hamula and back hamula methods. The hamula method is sometimes referred to as the front hamula method.
The Hamra method approaches from the skin side of the lower eyelid and simultaneously adjusts the skin and muscles in addition to fat transfer.
On the other hand, the back hamula method is performed from the conjunctival side (behind the eyelid) and is characterized by its ability to adjust the position of fat without scarring the skin surface. Therefore, in general, the hamula method is often considered when sagging skin is noticeable, and the back hamula method when there is little sagging, so there is no simple comparison as to which is better or worse. In terms of downtime, the Hamula method is more adjustable and may cause swelling and internal bleeding for a slightly longer period of time. On the other hand, the back hamula method does not cut the skin surface, so in some cases the downtime is relatively light. The important thing is to determine the method that best suits the condition of the eye area and your wishes after the consultation.
▶For more information about the Bianca Clinic's hamula procedure, please visitHere
▶For more information about the Bianca Clinic's back hamula procedure, seeHere
Common questions as disadvantages of the Hamra method
Every procedure has both advantages and cautions. Some people may feel uneasy about the Hamra method, too, when they see information about its disadvantages through Internet searches and other means. However, many of them can be viewed calmly by knowing "why they say so".
How long is the downtime?
One of the most frequently cited disadvantages of the Hamra Method is that the downtime can feel relatively long. The amount of swelling and internal bleeding varies from person to person, but generally peaks a few days to a week after surgery and gradually settles down from there in many cases. It may take a little longer for the appearance of discomfort to abate.
Some people become anxious after reading blogs and other information about the downtime of the hamula procedure, but judging only a portion of the process may cause them to worry more than necessary. What is important is to understand the premise that the procedure takes a certain amount of time to complete, and to watch the progress without being hasty.
Why is there concern about risks such as ectropion?
Do hamula procedures cause ectropion?" Some of you may be wondering, "Does the hamula method cause ectropion? The term "ectropion" here refers to a condition in which the lower eyelid appears to roll outward. Because the Hamra Method is a procedure that involves the structure of the lower eyelid, postoperative swelling and temporary puffiness may cause discomfort. Therefore, risks such as ectropion are often explained. However, this does not happen to everyone, and preoperative diagnosis and the selection and carefulness of the procedure according to the condition of the eyelid are extremely important.
Do dark circles ever recur after the Hamra Method procedure?
You may be asking yourself about the Hamra method, "Will my dark circles come back?" Some people may be concerned about this. One of the reasons for this concern is age-related changes. The Hamra Method is a procedure that adjusts the structure of the eye area at this time, and does not guarantee that any changes will not occur in the future. As we age, changes in the condition of the skin and fat can alter the way we see. Therefore, it is important to take a long-term perspective and not to think of recurrence as "failure.
Points to consider when comparing with other treatments
Some of you who are considering the Hamra method may be wondering how it compares to other procedures. It is important to know the characteristics of each as well, as the appropriate procedure depends on the cause of the dark circles and the condition of the eye area.
Differences from Other Blemish Treatments
There are several other options for approaching dark circles besides the hamula procedure. For example, if the bulging of fat under the eyes is the main cause of the dark circles, degreasing may be considered, while fat injections may be an option for those with prominent depressions. Each has different points of approach, suitable conditions, and advantages and disadvantages, so rather than comparing them based on "which procedure is better," it is more important to determine whether they are appropriate for the current condition of the eye area. The Hamra method is a procedure to smooth out the bumps by adjusting the position of the fat, and its purpose and approach are different from those of other procedures.
▶For more information about the Bianca Clinic's procedures for dark circles, sagging, and puffiness under the eyes, seeHere
What to look for when doing research online
As many people search for keywords such as "hamuloplasty Korea" or "hamuloplasty celebrities," many people put a lot of effort into gathering information. However, judging solely by case photos and word of mouth may cause discrepancies with your condition. Since the treatment is a medical procedure, it is important to receive a proper medical examination and choose a method that suits you best.
Knowing the disadvantages of the Hamra method, make a choice you won't regret.
The disadvantages of the Hamra method are not something to be avoided because they are scary, but rather information that you should know in order to make a satisfactory choice. At Bianca Clinic, we will discuss with you in detail during the consultation, including whether the Hamula Method is really suitable for you. We will not force you to undergo the procedure, so if you have any concerns, please consult us first.
▶To make an appointment for a consultation at Bianca Clinic, please contactHere
