Front hamula procedure in Hiroshima! Features of the procedure, differences from the back hamula method, and downtime are also explained.

cosmetic surgery

2026.05.04

Many people who are considering the Table Hamula Method in Hiroshima are concerned about sagging under eyes and dark circles removal. What are the criteria for a good doctor? "Can I rely on word of mouth?" Some may wonder, "What are the criteria for a good doctor? In this issue, YAYOI CLINIC in Hiroshima, Japan, will explain about the front hamula method, including an overview of the procedure, the differences from the back hamula method, the procedure flow, and downtime. Please refer to this article if you are in Hiroshima and are not sure whether to have the front or back hamula surgery.

What is the Superficial Hamula Method in the first place? How does the procedure work to correct sagging under the eyes?

Front hamula procedure in Hiroshima! Features of the procedure, differences from the back hamula method, and downtime are also explained.

The Superficial Hamula procedure is being considered by those who are concerned about sagging and dark circles in the lower eyelids. First, let's take a look at the basics of how this procedure, which moves the puffiness under the eyes into the hollows and adjusts the unevenness, approaches sagging and hollows.

What is the ■ surface hamula method?

The table hamula method is,The incision is made at the eyelash line of the lower eyelid, and the puffiness (orbital fat), the main cause of sagging and dark circles under the eyes, is not simply removed,Cosmetic surgery to reposition and fix the dimpled areaIt is.
これは、脂肪を単に除去する「脱脂術」とは異なり、目の下のふくらみとくぼみの両方を整えられる点が特徴です。目元の凹凸をなめらかにし、黒クマを目立ちにくくすることが期待されます。

■Mechanism of sagging and dark circles under the eyes

目の下のたるみやクマは、さまざまな要因が複雑に絡み合い発生します。
目元の筋肉「眼輪筋」が衰え、Ligaments supporting the eyeball loosen, and the orbital fat pushed by the weight of the eyeball protrudes forward.。
こうして生まれた脂肪のふくらみと皮膚の下のくぼみとの段差が目の下の影を強調し、多くの方が悩む、いわゆる黒クマとして目立つようになるのです。また、加齢に伴うコラーゲンやエラスチン、ヒアルロン酸の減少は、肌のハリを失わせ、たるみを加速させる要因となります。

Expected effects of the ■ surface hamula method

The main effects expected from the table hamula method are as follows

Regulates puffiness and sagging under the eyes
Repositioning of orbital fat into the hollows under the eyes to smooth out the under-eye bumps and reduce the appearance of dark circles that appear as shadows.
Relieves the tired look caused by shadows around the eyes
By adjusting excess skin at the same time, the skin itself may be approached for loosening and fine lines and wrinkles
脂肪を適切な位置に固定することで、整った状態を長期間維持しやすい
一度の施術で、目元のふくらみから皮膚のゆるみまでアプローチできる点が大きな特徴です。

Hiroshima · Cosmetic Dermatology · Cosmetic Internal Medicine · Cosmetic Surgery · Permanent Makeup | Yayoi Clinic | 2-minute walk from Hatchobori Station

2024.08.22

Sagging & Dark Circles Under the Eyes

https://develop.yayoiclinic.jp/under-eyes

How is it different from the back hamula method? Check which is right for you

Next, we will explain the characteristics of the back hamula method. Please check whether the front or back hamula method is more suitable for you.

What is the ■ back hamula method?

The back hamula method (transconjunctival hamula method) is,An incision is made on the back of the lower eyelid, and the orbital fat that causes puffiness under the eyes is moved and relocated to the hollow area of the lower eyelid.です。ご自身の脂肪を用いて、目の下の凹凸をなめらかに整え、その状態を保ちやすいしくみは表ハムラ法と同様です。
表ハムラ法との大きな違いは、皮膚の切開位置にあります。裏ハムラ法は、まぶたの裏側からアプローチするため、顔の表面に傷痕が目立ちにくいです。周囲に気付かれにくく、涙袋の自然な形を残しやすい点も特徴です。

■Front hamula and back hamula methods compared by merit and demerit

The front hamula and back hamula methods have different approaches, and each has its own advantages and disadvantages. It is important to select the appropriate procedure after careful consultation with your doctor, taking into consideration the condition of your under-eye area, your desired result, and the length of downtime you can spend.

(data) item	Superficial hamula method	Back hamula method (transconjunctival hamula method)
incision location	Skin side (surface) of lower eyelid	Conjunctiva behind the lower eyelid
Advantages	Because excess skin can be adjusted, sagging, wrinkling, and hollows under the eyes may also be approached collectively.	Since no scar is created on the surface of the face, it is difficult to be noticed by others. It is easy to preserve the original tear troughs.
demerit	Stitches need to be removed. Temporary scarring along the lower eyelid line. Loss of tear troughs and ectropion (a state of blanching) due to paralysis and skin traction may occur.	Sagging skin itself cannot be removed. Because the surgery is performed from the back of the eyelid, delicate techniques are required.
down time	Swelling and internal bleeding will settle down in about 1-2 weeks, but it takes about 4 weeks for the redness and swelling of the wound to diminish. It generally takes 1-3 months before they are no longer noticeable.	Swelling and internal bleeding subside about two weeks after surgery, and swelling goes down in about one month.

■Which is more suitable, the front or the back hamula?

これまでの特徴を踏まえて、表ハムラ法と裏ハムラ法それぞれに適している方をまとめました。

＜表ハムラ法＞

Those who have severe sagging of the skin under the eyes and need to adjust excess skin as well.
For those who have both a bulge caused by fat (eye bags) and a dimple below the bulge that is noticeable.
For those who want to improve the appearance of the eye area as well as sagging, from fine wrinkles to deep wrinkles.
Those who wish to achieve long-term maintenance after a single treatment.

<Hamra method

Those with relatively little sagging skin under the eyes and fat protrusion as the main problem.
Those who wish to keep the original shape of their tear troughs.
Those who wish to avoid procedures that cause noticeable scarring on the surface of the face.
Those who want to minimize downtime as much as possible.

Flow on the day of treatment and downtime that you may be concerned about

Front hamula procedure in Hiroshima! Features of the procedure, differences from the back hamula method, and downtime are also explained.

From here, we will explain the process on the day of the procedure and downtime so that those who are considering the Table Hamula Method in Hiroshima can undergo the procedure with satisfaction.

■ Steps from counseling to treatment and aftercare

Let's take a look at the process of the Table Hamula Method from counseling to treatment and aftercare.

1. counseling

After a detailed examination of the condition under the eyes and confirmation of your concerns and wishes, the doctor will determine, with the help of simulations, whether the Superficial Hamula Method is suitable for you. The doctor will fully explain the details of the procedure, the expected results, risks, and costs.

2. day of surgery

After your visit, you will wash your face and confirm the final design with the doctor. Then, eye drop anesthesia and local or intravenous anesthesia will be administered before the surgery begins.Approximate surgery time is 60-90 minutes.It is.

3. return home and aftercare

Immediately after the procedure, the patient will rest in the recovery room and go home after confirming that his/her condition has stabilized. At that time, we will explain how to spend your time after returning home and the prescribed medication. Stitches are usually removed about one week later. We will inform you of the schedule for your follow-up visits.

■ Symptoms and duration of downtime and return to work

The main symptoms that may occur during the downtime of the Table Hamula procedure are,Swelling, internal bleeding, pain, tightness, etc.The following is a list of the most common reasons for this. The duration of downtime varies from person to person, but there is no significant swelling or internal bleeding that appears immediately after the procedure,Peaks 2-3 days after surgery and gradually settles down after 1-2 weeksです。抜糸後、傷口の赤みやむくみが取れるまでには約4週間かかり、目立ちにくくなるまでには1〜3ヶ月ほどかかります。
また、職種別の仕事の復帰の目安として、在宅勤務であれば比較的早く復帰しやすいですが、デスクワーク中心の方でもApprox. 3-4 days after surgeryIt is safe to do so. If you are in the hospitality industry or have many opportunities to meet with people, it is recommended to allow about one week for swelling and internal bleeding to occur. If you are considering the Table Hamula Method in Hiroshima, we recommend that you schedule your surgery well in advance.

■How to spend your downtime

There are a few things to keep in mind to make your downtime as comfortable as possible.

Sleeping with the head elevated for a few days after surgery will help reduce swelling.
Frequent and gentle cooling of the affected area for about two days after surgery will help reduce swelling.
Avoid activities that promote blood circulation, such as strenuous exercise, alcohol consumption, and long baths, as these may aggravate swelling and internal bleeding.
Try not to touch the eye area, as prolonged swelling and severe internal bleeding may occur.

■ Conclusion.

表ハムラ法を広島で検討される方に向け、ヤヨイクリニックが施術の概要から裏ハムラ法との違い、施術の流れとダウンタイムについて解説しました。表ハムラ法は、目の下のたるみやクマが気になる方にとって、選択肢の1つとなる施術です。表ハムラ法を広島で検討される方は、ヤヨイクリニックもクリニック選びの候補の1つとしてご検討ください。ビアンカクリニック（BIANCA CLINIC）と提携し、お客様の目の状態に適した治療法をご案内いたします。

広島の美容皮膚科・美容内科・美容外科・アートメイクヤヨイクリニック（YAYOI CLINIC）では、お肌、お身体、お顔のお悩み別に治療法をご紹介しています。
皆さまにより良い選択肢をご提案できますよう一人ひとりのお肌の状態を見極め、治療期間やご予算、ダウンタイムの許容範囲などご希望に合わせた治療方針を立案していく考えです。
お悩みのある方は、まずはカウンセリングにお越しください。