裏ハムラ法

Ura-Hamra method

REVERSE HAMRA METHOD

Tackle signs of aging with the Hamra Method!
Achieve a flat eye area

  • Simultaneously improves age-related bulges and hollows,
    For a smooth, youthful impression
  • No surface scars with an approach from behind the eyelid!
    Minimize downtime
  • Make the most of fat,
    Achieving both a beautiful finish and the preservation of natural tear troughs
堀田 和亮
Supervising Physician
board chairman Kazuaki Hotta

Guided by the philosophy of "Japanese-quality aesthetic medicine recognized worldwide," we oversee specialized doctor teams across plastic surgery, aesthetic dermatology, aesthetic internal medicine, aesthetic gynecology, regenerative medicine, and permanent makeup. Beyond the clinic, we serve as leaders in roles such as Representative Director of Creation Labo, Producer of Cutting Edge, and Director of the Japan Society of Aesthetic Internal Medicine. Our goal is to deliver not just satisfaction, but profound delight. A game changer in the aesthetic medicine field, proposing Lifestyle Beauty that transcends the boundaries of traditional cosmetic treatments.

Unique Initiatives at BIANCA CLINIC

Under-eye puffiness and hollows,
Under-Eye Treatment Specialists: The Hamra Method for a Fundamental Approach

By their 40s, many people become troubled by puffiness under the eyes and the hollows beneath them (dark circles). This is caused by fat displacement and ligament laxity. Simply removing fat through "transconjunctival fat removal" can sometimes accentuate the hollows instead.

The Bianka Clinic's Urahamura Method is performed by ophthalmic plastic surgeons and board-certified plastic surgeons who are experts in the structure and function of the eye area. By appropriately treating the ligaments causing the hollows and filling the hollows with excess fat, it creates a smooth, even eye contour.

At Bianca Clinic, we pursue both aesthetics and functionality while prioritizing the prevention of post-operative complications. From initial consultation to downtime care, we strive to provide high-quality, sincere medical services tailored to each individual. Why not free yourself from the dark circles and sagging skin that have troubled you for so long and start living each day with renewed confidence?

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Downtime

DOWNTIME
Surgery time
Approximately 90 minutes
Tooth extraction
None
Anesthesia
Topical anesthesia + local anesthesia/relaxation anesthesia/intravenous anesthesia
Shower
Available from the day of
bruising
Disappears in about 10 days (individual results may vary)
Swelling
Swelling lasts about one week (individual results may vary).
Makeup
Available starting the next day

Recommended for people like this

RECOMMENDED FOR:
The skin under my eyes is sagging, making me look older.
I'm concerned about the wrinkles and dark circles under my eyes.
I want to improve the impression that I look tired.
I want to restore firmness and youthfulness to my eye area.
Seeking a natural finish
Conventional degreasing methods were unsatisfactory.
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RESERVATION
24-hour reception
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Features

CHARACTERISTICS

The Urahamura Method

The Hamra technique is a treatment method that addresses under-eye sagging and dark circles, particularly "dark circles with unevenness (dark circles with hollows)." By approaching from the inner side of the eyelid and relocating and securing excess orbital fat, it simultaneously corrects both bulges and hollows. While traditional fat removal methods carried the risk of over-removal leading to worsened hollows, the Hamra Method allows filling these hollows with fat. Since it avoids incisions on the skin surface, scarring is minimal and downtime is relatively short. The risk of complications is also considered low. It preserves the tear trough while achieving a flat, smooth eye area, with effects expected to last long-term.

裏ハムラ法とは

The speed of recovery and the beauty of the results made possible by the Hamra method

The Hamra technique involves accessing the eyelid from the inner side (conjunctival side) without making an incision on the skin surface, eliminating concerns about visible scars on the face. Absorbable sutures are used, so suture removal is unnecessary. At Bianca Clinic, procedures are performed by experienced doctors well-versed in the structure and function of the eye area, utilizing minimally invasive and precise techniques. Careful hemostasis and suturing are performed to minimize the risk of swelling and bruising as much as possible. To alleviate concerns about downtime, we provide detailed guidance on the recovery process and important precautions. We also offer additional treatments aimed at reducing downtime, such as Chinese herbal medicine and our original "Post-operative IV Set" for managing pain and swelling.

 

For details on downtime for the reverse Hamra method and case studies from our clinic, please see our doctor's blog. Bianca Clinic's reverse Hamra method is an eyelid surgery that achieves both beautiful results and careful management of downtime.

裏ハムラ法だから叶う回復の速さと仕上がりの美しさ

Experienced and knowledgeable physicians specializing in the Hamra technique perform the procedure.

Many people likely think, "If I'm going to undergo the Hamra method, I want to entrust it to a renowned expert in the field." The Hamra technique is not merely about fat transfer; it requires delicate balance adjustments and highly skilled techniques. Therefore, the surgeon's anatomical knowledge, technical skill, and aesthetic sense significantly impact the final result. At Bianca Clinic, our doctors possess advanced techniques and extensive knowledge in eye treatments, including oculoplastic and reconstructive surgery. They provide comprehensive care, handling everything from consultation and surgery to post-operative follow-up.

 

We carefully listen to each patient's eye area structure, skin texture, and daily life preferences to propose the optimal treatment plan. Pursuing both functionality and aesthetics, we guide you toward natural, refined beauty.

裏ハムラ法の経験・知識豊富な医師が施術を担当

Benefits

MERIT

Directly addresses under-eye bags and dark circles with the Hamra Method

By relocating and securing orbital fat into the hollows, we minimize the risk of indentations or shadows caused by fat removal, achieving a smooth eye area.

Preserve the tear trough for a natural, youthful eye area

The reverse Hamra method preserves skin and muscle tissue, preventing the loss of tear troughs and maintaining a youthful, natural-looking eye area.

Minimal downtime and risk of complications

By approaching from the inner side of the eyelid, no scars remain on the skin surface, and postoperative swelling and the risk of complications are also reduced.

Recommended Features

RECOMMENDED POINTS

The Urahamura method requires careful assessment of suitability!

The Hamra method for under-eye bags is a two-for-one procedure that simultaneously addresses both puffiness and hollows. The key to its success lies in accurately determining suitability.

 

The reverse Hamra method is not the optimal choice for everyone concerned about dark circles. Depending on the degree of skin laxity, amount of fat, and type of under-eye dark circles, other procedures may yield better results. For instance, if skin laxity is significant, we may recommend the "surface Hamra method," which allows for the removal of excess skin. If you wish to restore cheek height and fullness, a "midface lift" may be suggested instead.

 

At Bianca Clinic, our experienced physicians carefully examine each patient's under-eye condition to determine whether the reverse Hamra method can achieve maximum results. Through proper diagnosis and thorough consultation, we propose options tailored to each individual patient.

If you're unsure which treatment is right for your dark circles or sagging skin, please feel free to come in for a consultation.

To Prevent Regrets and Mistakes

When considering the Ura Hamura procedure, it's only natural to feel that you "don't want to regret it" and "want to avoid failure."
To prevent regret or failure after the Hamra procedure, there are several key points to consider.

 

First and foremost, it is crucial to select a physician who possesses a thorough understanding of anatomy and has extensive experience treating numerous cases.
The lower eyelid is an extremely delicate area where blood vessels and nerves converge in a complex network. At Bianca Clinic, procedures are performed by oculoplastic surgeons and board-certified plastic surgeons with comprehensive expertise in the structure and function of the eye area. We strive to deliver effective treatments while minimizing the risk of damage to blood vessels and nerves, as well as the risk of complications.

 

Proper post-operative aftercare is also essential. To prevent worsening of swelling or bruising, follow your doctor's instructions, rest as much as possible, and avoid activities that increase blood flow (such as long baths, strenuous exercise, or alcohol consumption) for about one week after surgery.

How can I reduce downtime with the Hamra method?

Bianca Clinic offers treatments designed to help minimize downtime.

 

Various options are available, including the Kampo formula "Chidaboku Ippō" for reducing swelling and pain, heparin-like substances to suppress blood stasis and support recovery from internal bleeding, and the "Postoperative IV Set" which promotes recovery through anti-inflammatory and antioxidant effects from high-concentration vitamin C, exosomes, and hydrogen therapy.

 

We also offer menus available only upon request, so if you're interested, please feel free to ask during your consultation.

Video

MOVIE
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24-hour reception
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Treatment area

TREATMENT AREA

Dark circles, sagging, puffiness under the eyes

Treatment Process

CONTENT OF TREATMENT

Doctor-led counseling

Our doctors will assess the condition of your under-eye area (such as puffiness, hollows, or sagging) and discuss your current concerns to determine if the Hamra method is suitable for you. Please feel free to ask any questions you may have about the procedure, risks, downtime, potential side effects, pricing, or other details.

医師によるカウンセリング

Design Marking

The doctor will mark the areas of concern, such as under-eye puffiness, and the locations where fat will be transferred.
The amount and position of orbital fat vary from person to person, so we determine which areas to remove fat from and how much to remove for each individual patient.

surgery

We use topical anesthesia and local anesthesia. If you are concerned about pain, please rest assured that we can also combine relaxation anesthesia or intravenous anesthesia. The procedure time for the Bianca Clinic's reverse Hamra method is approximately 90 minutes, though this varies by individual. You may shower on the day of surgery and apply makeup starting the day after surgery.

手術

Schedule of Charges

PRICE LIST
Price List for the Urahamura Method
Treatment Details Standard rate
Ura-Hamra method ¥602,580

Dr. Yagasugi, the supervising surgeon, has different surgical fees than those listed above.
Appointments specifically requesting Dr. Yagasugi incur an initial consultation fee of ¥5,500. For details, please contact the clinic.

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24-hour reception
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CONCEPT
CONCEPT
Beyond the boundaries of aesthetic medicine,
Lifestyle Beautyis
proposed.

Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.

Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.

Frequently Asked Questions About the Ura Hamura Method

Q&A

What is the downtime for the Hamra method?

The peak of swelling after undergoing the Hamra procedure is said to occur 2 to 3 days post-surgery. The swelling gradually subsides over about a week. While it takes about 10 days for bruising to become less noticeable, you can gradually return to daily life while covering it with makeup.
※Downtime varies from person to person.

Does the Hamra method require suture removal after surgery?

The Hamra technique involves an approach from the inner surface of the lower eyelid (conjunctival side), so no sutures are used on the surface and removal is generally unnecessary. This also reduces postoperative burden.

When can I start wearing contact lenses after undergoing the Hamra procedure?

Contact lens wear can be resumed approximately one week after surgery. However, if you experience discomfort or redness, do not force it and consult your doctor.

What's the difference between back ham and defatting?

We often get questions like, "Which is better—the reverse Hamra method or fat removal?" While fat removal only takes out orbital fat, the reverse Hamra method relocates fat to hollow areas. A key feature of the reverse Hamra method is its lower risk of creating hollows compared to fat removal.

What's the difference between the reverse Hamra and the front Hamra?

The reverse Hamra technique involves moving fat from the inner side of the lower eyelid, so scars are not visible from the outside. The conventional Hamra technique involves making an incision in the skin, allowing for a wider range of adjustments and making it suitable for individuals with significant skin laxity or wrinkles.

Is it possible for the tear trough to disappear after the Hamra procedure?

The Ura-Hamura method allows for the preservation of skin and muscle around the eyes, making it highly unlikely to flatten the tear trough.

I'm worried about potential complications after the Hamura procedure. Could it result in a permanent tongue protrusion?

The retroperitoneal Hamra technique is considered to have a lower incidence of lower eyelid ectropion (the so-called "pouting" appearance) compared to the anterior Hamra technique. At Bianca Clinic, procedures are performed by physicians who possess a deep understanding of anatomical structures and have mastered delicate surgical techniques to prevent lower eyelid ectropion. Should any concerning symptoms arise, our physicians will take full responsibility for addressing them. Please feel free to consult with us with complete peace of mind.

After undergoing the Hamra procedure, is it possible for dark circles or sagging to reappear?

The Hamra method is characterized by its ability to reposition and secure fat, resulting in a low risk of sagging or dark circles reappearing and providing long-lasting effects. It can be considered a procedure with relatively little concern for the need for revision surgery.

I'm worried about the lump on the back of my hamstring.

After the Hamra procedure, you may feel a lump-like sensation when touching the area where fat was fixed. This should naturally disappear within a few months to half a year. However, please consult us if the appearance remains uneven or if the lump persists for an extended period.

Treatment Details: Reverse Hamra Method
Estimated treatment period and number of sessions: Typically 1 session ※May vary depending on the condition.
Risks and Side Effects: Numbness, swelling, edema, bruising, infection, asymmetry, etc.

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