Many people experience "tears of blood" after undergoing a dark circles removal procedure. This phenomenon, in which bloody tears ooze from the eye area, appears temporarily as part of the downtime, but many people are concerned about the cause and recovery period. Proper understanding of the postoperative process and appropriate care can help smooth the recovery process.
This section details the causes of blood tears, the general recovery schedule, and the appropriate treatment. Also included are preventive measures to prevent blood tears and the different risks associated with different treatment methods. We also discuss the criteria for consulting a physician in case of prolonged downtime. Please refer to this information to ensure a comfortable downtime after the removal of dark circles.

Graduated from the Faculty of Medicine, National Kumamoto University. After serving as the director of major beauty clinics in Japan, etc., he opened Aladdin Aesthetic Clinic in 2023. He is a professional in aesthetic medicine with a doctorate in anti-aging research and many years of experience. With the motto of "Toward the realization of cosmetic medicine without lies," he aims to be the "Only One" together with his patients.
- Why do I get "tears of blood" after bear removal? Causes Explained
- How long do blood tears last after bear removal? Estimated recovery period
- What can be done to prevent tears of blood after bear removal?
- Explains the differences in risk of blood tears due to different methods of bear removal procedures!
- What is the procedure for removal of dark circles that is particularly prone to blood tears?
- Note if there are prolonged tears of blood after removal of the bear.
- summary
Why do I get "tears of blood" after bear removal? Causes Explained
Tears of blood" that may be experienced after a dark circles removal procedure. This phenomenon refers to the tear-like flow of blood and exudate from the eye area. This is a surprising and worrisome symptom for many, but what is the medical mechanism behind it?
What are "tears of blood" in the first place?
Tears of blood" refers to the tear-like flow of blood and exudate from the eye area after dark circles removal surgery. This is a temporary bleeding caused by damage to small blood vessels during the surgery, which flows out with the tears. This bleeding is temporary and there is no need to be concerned.
Causes of "tears of blood."
In a dark circles removal procedure, an incision may be made on the underside of the eyelid or skin to remove fat under the eye. During this process, the small blood vessels around the eyes may be damaged, which is the main cause of postoperative bleeding or "blood tears.
In particular, after removal of sagging under the eyes, tears of blood may occur in rare cases, but this is caused by temporary bleeding due to damage to fine blood vessels during surgery, which flows out with the tears.
The skin around the eyes is so thin that blood vessels can be seen through it. This makes postoperative bleeding and internal bleeding more noticeable. The thinness of the skin can also make internal bleeding more noticeable when it occurs over a large area. These anatomical features contribute to the prominence of "tears of blood.
The individual's constitution and the method of treatment affect the occurrence of postoperative bleeding or "tears of blood". For example, those who bleed easily or have difficulty stopping blood, such as those who have occasional nosebleeds or who bruise easily on their arms and legs, tend to bleed more easily internally. The risk of bleeding also depends on the procedure. For example, bleeding may occur after transconjunctival blepharoplasty. The combination of these factors can result in individual differences in the occurrence of "tears of blood".
How long do blood tears last after bear removal? Estimated recovery period
The "tears of blood" seen after a bear removal procedure is a symptom that causes surprise and anxiety for many people. In the previous chapter, we discussed its causes and mechanism of occurrence in detail.
So how long do these "tears of blood" last? This section details the general recovery schedule and the factors that delay recovery.
General Recovery Schedule
Tears of blood" typically occur within a few days immediately following a dark circles removal procedure. This is due to damage to the small blood vessels during the procedure, which causes the blood to mix with the tears. In most cases, this symptom resolves spontaneously within a week or so. Specifically, it often subsides within one to three days after the procedure, so there is no need to be overly concerned.
Symptoms such as postoperative swelling and internal bleeding generally subside completely within a month or so, although they vary from person to person. This is due to the body's natural healing ability to repair damaged blood vessels and tissues. However, when internal bleeding occurs, recovery may take several days to two weeks.
Can't seem to stop the tears of blood? Factors that slow recovery
An individual's physical constitution can greatly affect postoperative recovery time. For example, those who bleed easily or have difficulty stopping blood, those who have occasional nosebleeds, or those who bruise easily on their arms and legs tend to bleed internally. This may result in prolonged internal bleeding.
Of course, the duration of downtime varies depending on the method of the dark circles removal procedure. For example, the downtime for transconjunctival blepharoplasty is generally about one week. On the other hand, the downtime for the hamula procedure (orbital fat transfer) can be as long as two weeks. It is important to understand that recovery time varies depending on the nature and extent of the procedure.
Other lifestyle factors also affect postoperative recovery. In particular, alcohol consumption and smoking can affect circulation and delay recovery. Alcohol and tobacco can worsen circulation and delay postoperative recovery. Cigarette smoke constricts blood vessels, making it difficult for oxygen and nutrients to be delivered, thus delaying wound healing. Therefore, it is recommended that patients refrain from drinking and smoking after surgery.
What are the characteristics of people who bleed easily?
An individual's physical constitution and medication status also affect the risk of bleeding. In general, those who bleed easily or have difficulty stopping blood, such as those who have occasional nosebleeds or bruises on their arms and legs, may be more prone to internal bleeding.
Those taking blood thinning medications may also be at increased risk of bleeding. If you fall into any of these categories, it is important to consult your physician and receive appropriate guidance before the procedure.
What can be done to prevent tears of blood after bear removal?
In the previous chapter, the causes and recovery period were discussed in detail. So what measures can be taken to prevent these "blood tears" from occurring? Here we will explain in detail the preventive measures that can be taken before and after the procedure, as well as the characteristics of those who are prone to bleeding.
Preventive measures that can be taken before treatment
As mentioned above, lifestyle habits prior to the procedure have a significant impact on postoperative recovery. In particular, alcohol and tobacco consumption are factors that stimulate circulation and increase the risk of bleeding. Therefore, it is recommended to refrain from these intakes before the procedure.
The use of blood circulation supplements or drugs may also increase the risk of bleeding, so it is important to consult with a physician before taking appropriate action.
Of course, daily dietary management is also key. Proper nutrition can promote postoperative recovery and reduce the risk of internal bleeding.
In particular, vitamin K and vitamin C are involved in maintaining healthy blood vessels and blood clotting, and their active intake helps prevent internal bleeding. Vitamin K is abundant in green and yellow vegetables (spinach, broccoli, etc.), and vitamin C is abundant in fruits such as citrus fruits and strawberries. A well-balanced intake of these nutrients helps to maintain good physical condition and supports postoperative recovery.
Preventive measures after treatment
Appropriate cooling after the procedure can reduce swelling and internal bleeding. However, too much cooling may conversely increase blood flow, which may cause bleeding and internal bleeding later. It is important that cooling be brief and moderate.
Sleep posture also affects postoperative recovery. By elevating the head above the heart, the swelling can be easily reduced. Specifically, it is recommended to stack two pillows higher than usual or raise the head of the bed.
However, if you sleep with your head elevated, adjust the height to a reasonable level, as this can put strain on your neck and back and cause problems such as sleeping on the wrong side of the bed or neck pain.
Explains the differences in risk of blood tears due to different methods of bear removal procedures!
In the previous chapter, we discussed preventative measures in detail. There are many different methods of dark circles removal procedures, and the beauty of the result, length of downtime, and risk of developing "tears of blood" vary depending on the procedure you choose.
Since dark circles can be caused by a wide variety of factors, including fat protrusion, sagging skin, poor circulation, and pigmentation, it is important to choose the appropriate procedure for your own type of dark circles. In this issue, we will discuss in detail the different risks of "blood tear" depending on the type of dark circles removal procedure.
transconjunctival depigmentation
Transconjunctival blepharoplasty is one of the most popular methods for removing dark circles, with short downtime and no scarring on the surface. In this procedure, an incision is made a few millimeters behind the eyelid (conjunctiva) and excess fat is removed. It is suitable for "dark circles," which are shadows caused by protruding fat, and for dark circles that make the area under the eyes look puffy and full.
The greatest advantage of this method is that no scar is left on the surface of the skin because no incision is made. Therefore, the downtime is relatively short, and the major swelling goes down in about one week after the surgery. However, since many small blood vessels pass through the back of the eyelid, "tears of blood," oozing bleeding after surgery, may occur. Nevertheless, this phenomenon is temporary and often subsides within a week.
On the other hand, it has the disadvantage that it is not suitable for cases of severe skin laxity. If sagging is a concern, combining the procedure with another procedure should be considered, since fat removal alone may result in excess skin, making wrinkles and hollows more noticeable.
Skin incision (lower eyelid debridement)
While transconjunctival blepharoplasty removes fat from the back of the eyelid, dermal incision is performed through an incision just below the eyelash line. This method is suitable for those who have noticeable sagging skin due to aging and for those who wish to have a radical treatment for dark circles, since it can improve sagging skin and wrinkles as well as fat at the same time.
Because the procedure involves incision of the skin, postoperative swelling and internal bleeding tend to be relatively strong. In particular, surgery around the eyes, which are rich in blood vessels, is prone to "tears of blood" as blood oozes out after surgery. Bleeding usually settles down after a few days, but in some cases it may last up to a week.
In addition, because an incision is made in the skin, downtime is longer than with transconjunctival debridement. Since the wound is made along the bottom of the eyelashes, it will become less noticeable over time, but redness may remain for about a month after surgery. This method is suitable for those who want to achieve a firm effect but can afford the recovery period.
Hamra method (back hamra method and front hamra method)
Unlike traditional fat removal techniques, the Hamra Method improves dark circles by moving orbital fat (fat under the eyes) to the proper location. The fat is not simply removed, but is repositioned in the hollow areas under the eyes, thus preventing the appearance of aging due to volume loss.
Ura Hamula Method (裏ハムラ法) The Ura Hamula Method approaches from the back of the eyelid, similar to the Transconjunctival Deglycation Method. However, instead of removing fat, it moves it to the hollow area under the eye. This method is effective for "dark circles," which are shadows caused by a lack of volume under the eyes, as well as for "hollow dark circles under the eyes. Since no incision is made in the skin, there is no scarring on the surface, and the advantage is that downtime is relatively short.
Omote Hamula Method (Omote Hamula Hou) On the other hand, Omote Hamula Method involves making an incision under the eyelashes and moving the fat. If sagging skin and wrinkles are noticeable, the skin can be lifted at the same time, making it suitable for people who are concerned about dark circles and sagging skin due to aging. Because an incision is made in the skin, the downtime is longer than with the back hamula method, but the results are more robust.
Although "tears of blood" may still occur after the Hamra procedure, the risk of bleeding is relatively low because there is less damage to the blood vessels than with procedures that remove fat. However, immediately after the procedure, swelling and internal bleeding may occur due to fat migration, which may cause redness and exudation around the eyes. These will gradually settle down in about one to two weeks.
Fat injections (condensed rich fat, micro CRF, etc.)
Fat injections are one of the most common methods of dark circles removal to improve the hollows and lack of volume under the eyes. This procedure aims to make the shadow of dark circles less noticeable by replacing the missing fat with one's own fat, rather than removing the fat under the eyes.
In the procedure, a small amount of fat is first extracted from fat-rich areas such as the abdomen and thighs using an ultrafine cannula, followed by a special purification process to remove impurities such as blood and waste from the extracted fat, and only highly pure fat cells are extracted.
In particular, advanced techniques such as condensed rich fat (CRF) and micro-CRF can be used to secure fat that is easily fixed. The purified fat is then carefully injected into the hollow areas under the eyes using an ultra-fine needle to achieve a smooth, natural-looking result.
The advantages of this procedure are that there is no risk of allergic reactions because it uses one's own fat, and the established fat lasts for a long period of time.
The risk of "tears of blood" is considered relatively low because the procedure does not involve incision of the skin, but internal bleeding and redness may occur due to damage to small blood vessels during fat injection. In particular, because the skin under the eyes is thin and delicate, excessive postoperative massage or pressure can cause unevenness and unevenness of the fat, so careful care is required.
What is the procedure for removal of dark circles that is particularly prone to blood tears?
As mentioned briefly above, there are many different methods of dark circles removal treatment, and the risk of developing "blood tears" varies greatly depending on the approach to the procedure.
Of all the dark circles removal procedures, those involving skin incisions are considered to have the highest risk of bleeding. In particular, procedures that incise the skin under the eyelashes, such as dermal incisions (lower eyelid debridement) and the superficial hamula procedure, directly approach the area where many capillaries are located, making postoperative internal bleeding and hematomas more likely to occur.
With these procedures, it is common to have "tears of blood" for a few days after surgery, and it may take 1-2 weeks for the swelling to subside. However, if bleeding continues profusely or if the blood tear is prolonged, it is recommended that you consult your surgeon as soon as possible, as a hematoma may have formed.
Procedures that do not involve incisions are less risky, but there is another concern.
On the other hand, methods that do not involve incisions in the skin, such as transconjunctival depigmentation, the back hamula method, and fat injection methods, have a relatively low risk of postoperative bleeding. In particular, the transconjunctival depilatory method removes fat through a small incision on the back of the eyelid (conjunctiva), leaving no scar on the epidermis and a relatively low risk of "tears of blood". However, since there are numerous fine blood vessels on the conjunctival side, blood may bleed for several days after the surgery.
In the fat injection method, "blood tears" almost never occur, but if capillaries are injured during injection, internal bleeding and redness may occur. In particular, if the fat does not settle evenly, there is a risk of unevenness around the eyes, so proper care is required after the procedure.
In some cases, the postoperative course varies depending on the body type.
In addition to the procedure, the risk of postoperative bleeding is variable depending on the patient's constitution and lifestyle. In particular, patients with the following constitutions may be prone to "tears of blood" or delayed recovery
- People whose blood tends to be thinner (taking anti-thrombotic medications, high intake of vitamin E, omega-3, etc.)
- People who are prone to internal bleeding (fragile blood vessels, prone to bruising from even the slightest contusion)
- People with smoking and drinking habits (vascular recovery is easily delayed and internal bleeding is prolonged)
It is recommended that such individuals consult with a physician before surgery and take measures to minimize the risk of bleeding (e.g., taking vitamin K, limiting smoking and alcohol consumption, etc.).
How to choose the right treatment method for you.
When choosing a dark circles removal procedure, it is important to choose a procedure that is appropriate for the type of dark circles and your lifestyle. In particular, you need to choose the best procedure for you, taking into consideration how much downtime you are willing to tolerate and the risk of "blood tears".
For those who do not want work or daily life to be interrupted and want to recover in the shortest possible time, a procedure that does not involve an incision is suitable. The following procedures are candidates
- Transconjunctival blepharoplasty: No scarring and short downtime. Relatively low risk of swelling and "tears of blood.
- Fat injection method: Does not involve incisions, and recovery is relatively short. However, the rate of fat retention varies from person to person.
- Back hamula method: A method of repositioning fat without incising the skin, resulting in a natural-looking result.
These methods are suitable for those who want to minimize downtime, as there is little postoperative swelling and internal bleeding, and the patient can return to daily activities relatively quickly.
On the other hand, for those who wish to "ensure fundamental improvement of dark circles" and "remove sagging and wrinkles at the same time," a more serious treatment is suitable.
- Dermal incision: Suitable for age-related dark circles as it eliminates sagging skin as well as fat removal.
- Superficial hamula method: Moves fat to achieve natural-looking results without sagging or unevenness. Long-term results can be expected.
- Combined treatment (fat removal + fat injection): Smoother, more natural-looking results by removing excess fat while replacing it where needed.
Although these procedures require more downtime, they are characterized by their long-lasting effects and ability to fundamentally eliminate dark circles. They are particularly suitable for those who are concerned about sagging due to aging.
Note if there are prolonged tears of blood after removal of the bear.
The "tears of blood" usually settle down about one to three days after surgery and usually subside completely within a week or so. However, the following cases should be noted
If postoperative bleeding persists for more than a week, the vascular damage may be more severe than expected. If bleeding persists for a prolonged period of time, if it continues to be profuse, or if the amount of bleeding does not change over time, it is safer to consult a physician.
Risk of worsening redness, swelling, and pain
The normal course of recovery is for the swelling and pain to subside over time, but conversely, if the redness increases or the swelling becomes severe, there is a possibility of infection or hematoma (blood pooling in the body). Particular attention should be paid to the following symptoms
- Swelling worsens after the third or fourth postoperative day.
- Widespread redness under the eyes.
- Strong, painful, throbbing sensation when pressed.
- Heat around the eyes.
In such cases, if left untreated, the infection may progress and cause further inflammation, so consult the clinic where the procedure was performed as soon as possible.
Points to consider when seeing a doctor for bear removal
When consulting with a physician, accurately describing your symptoms will help ensure a proper diagnosis. In order for the doctor to make an accurate judgment during the consultation, it is helpful to note the following points in advance.
- Date bleeding began and its progress
- Amount of bleeding (e.g., frequency of gauze and tissue changes)
- Pain intensity (easy to understand when expressed on a 10-point scale)
- Changes in eye swelling and redness
- Abnormal vision (blurred vision, glare from light, etc.)
By recording this information, it is easier to give accurate information during medical examinations, leading to more appropriate treatment.
summary
The "tears of blood" seen after a dark circles removal procedure are a temporary symptom of the postoperative period and usually settle down within a week. With proper care, recovery can be accelerated and downtime minimized. Cooling care, lifestyle modifications, and the intake of nutrients that reduce internal bleeding are especially important.
However, if bleeding persists for more than a week or if the swelling or pain worsens, caution should be exercised. If any unusual symptoms are observed, consult the clinic where the procedure was performed as soon as possible. To maximize the effects of the dark circles removal procedure, please practice proper knowledge and care, and spend the recovery period with peace of mind.
At Aladdin Aesthetic Clinic, based on our many years of experience in cosmetic medicine and cosmetic dermatology and the knowledge of our doctoral degree, we provide counseling that aims to be "only one", offering the best treatment for each person we meet. We offer only the necessary treatments without any unnecessary information or suggestions.
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