FACE CONTOUR
LATERAL (SIDE) VIEW
E Line (Esthetic Line)
Chin Enhancement
Silicone Implant
Hyaluronic Acid Filler
Juvederm Restylane
Fat Transfer
Botulinum Toxin Treatment
Botox Dysport
Nose Enhancement
Silicone Implant
Y-ko Thread Instant Noselift
Hyaluronic Acid Filler
Cartilage Transplant Nose Enhancement
Nose Tip Enhancement
Septum Elongation
Nose Tip Elevation
Lip Reduction
Protruding Forehead (Forehead Enhancement)
Fat Transfer
Hyaluronic Acid Filler
Juvederm Restylane
FRONTAL VIEW
Procedures for Equal 3 Vertical Division of Fronal Face
Forehead Enhancement
Fat Transfer/ Filler Injection
Forehead Permanent Laser Hair Removal
Forehead Reduction
Oral Treatment
Topical Treatment
Hair Regrowth Shampoo & Tonic
Double Eyelid Procedure
Suture Method Double Eyelid
Incision Method Double Eyelid
Slanted Eye Correction
Nose Enhancement
Nose Reduction
Nasal Tip Elevation
Nose Hump Reduction
Osteotomy
Lip Enhancement
Hyaluronic Acid Filler Injection
Juvederm Restylane
Fat Transfer
Philtrum Reduction (Lip Lift)
Commisure(Corner of Mouth) Lift
Chin Plasty (Mentoplasty)
Chin Enhancement
Chin Reduction
Procedures for Equal 5 Horizontal Division of Frontal Face
Nose Alar Reduction
Inner Canthoplasty
Lateral(Outer) Canthoplasty
Temple Enhancement
Fat Transfer/Filler Injection
Cheek/Cheekbone/Mandible(Jawline) Enhancement
Fat Transfer/Filler Injection
Cheek/Mandible(Jawline) Reduction
Cheek Mini Lipo
Jowls Mini MiniLipo
Buccal Fat Removal
Cheek Mesotherapy(Liposculpturing Injection)
Dexycholic Acid BNLS neo
Mandible(Jawline) Botulinum Injection
Botox Dysport
Otoplasty(Protruding Ear Correction)
LATERAL VIEW
Ideal lateral view of the face:
E Line (Esthetic Line)
E Line is a most-used criteria to evaluate side view of the face. When a straight
esthetic line connects nose tip and chin tip, lips should not go beyond
this line far from the face. This is what is assumed to be the ideal E
Line.If the E Line does not comply with the requirement, chin enhancement or nose enhancement are mostly the easiest ways to correct or to compensate for the missing projection.
If mouth is severely protruding, performing maxillary osteotomy or bone resection from the upper jaw might be the most effective procedure. It is literally moving of bone structure backwards by cutting bones of the upper jaw. Seems like a major procedure as it sounds, and actually it is. Occlusion or alignment of the teeth is involved in this method so mainly this is done in Dental & Oral Surgery department.
Not so popular lately but Lip Reduction is also an option. The reason why everyone is not into this care right now is that the demand of the opposite procedure, Lip Enhancement, is still on the rise. Adding more volume to the lips is certainly a trend against E Line, but this is just so hot right now that seems almost nobody cares about E Line anymore.
Chin Enhancement
Chin and nose tip enhancements are the main simple procedures to correct the E line, particularly chin augmentation effect can be observed mostly on the side view of the face.
Using silicone prosthesis(implant) is the common procedure. Lately, using long lasting injectable fillers is also the trend. Performing this procedure with nose enhancement is more effective in capturing the ideal E line.
Enhancement with Silicone Implants
The same material used in nose enhancement is also available for chin
plasty to enhance a less developed chin bone. The approach is made inside
the oral cavity so that a scar would not be noticeable.
chin silicone implant before/after
downtime: swelling lasts for 1 wk., if bruises observed, takes around 2 wks. to subside
Silicone implants for chin augmentation are shaped accordingly to the
chin anatomy.
A chin with masculine shape can be obtained by using larger, longer implants.
Feminine pointed chin shape can be done with a smaller size implant.
A ２to３cm approach wound is made at the lower oral vestibule. Through this the implant space is made. After inserting, wound is sutured with dissolvable stitches, then compressed with outer tape.
Since this method is performed mainly under local anesthesia, soon after inserting the silicone, it is possible to check the shape and volume directly and adjust them if needed. Of course, general anesthesia also is available.
2 to 3 days of tape compression required, no need of stitch removal. Swelling and bruises usually are not noticeable, but if it is, 1- 2 weeks might be necessary for recovery.
Pricing
chin silicone implant before/after
downtime: swelling lasts for 1 wk., if bruises observed, takes around 2 wks. to subside
Silicone implants for chin augmentation are shaped accordingly to the
chin anatomy.A chin with masculine shape can be obtained by using larger, longer implants.
Feminine pointed chin shape can be done with a smaller size implant.
A ２to３cm approach wound is made at the lower oral vestibule. Through this the implant space is made. After inserting, wound is sutured with dissolvable stitches, then compressed with outer tape.
Since this method is performed mainly under local anesthesia, soon after inserting the silicone, it is possible to check the shape and volume directly and adjust them if needed. Of course, general anesthesia also is available.
2 to 3 days of tape compression required, no need of stitch removal. Swelling and bruises usually are not noticeable, but if it is, 1- 2 weeks might be necessary for recovery.
Pricing
| without tax | with tax | ||
| Chin Augmentation | silicone implant procedure | \240000 | \264000 |
It might not be as long-lasting as silicone implant, but the instantness
of HA filler is as satisfactory as its outcome. Within minutes, you can
see the effect of the procedure. Maybe its around-a-year effect might sometimes
inconvenient, but its overall performance is quite popular particularly
among younger generation.
chin HA injection before/after
downtime: puffy for few days, if bruising observed, takes around a week to subside
HA has been around for over 25 years, but still is a popular item among clients and doctors because of its convenience. In this long history of this filler,some alternatives sprang up, but did not succeed due to their unwanted effects. So that is why HA is still the main substance in use for these concerns.
Fat Transfer
Chin part is where HA filler play a better role than fat grafting, because chin skin is not that loose enough to provide satisfactory environment for fat graft to survive. Another reason is that the area is not that large enough to be treated with larger particles of fats. Injected substance must stay in the tip tissue to enhance it slimly pointing which finer fillers can achieve if injected shallowly near or in deeper skin tissue.
If masculine type of chin enhancement is desired, meaning not so pointy but enlarged, fat grafting might be a good choice, around 4㏄ is the best shot.
Pricing
Pricing is only for 1 treatment session.
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
Botulinum Toxin Treatment
Even if the bone frame and tissue volume are full enough to shape an ideal protruding chin, sometimes active mentalis muscle might cause dimpling on chin. These dimplings usually hinder the chin to create pointy appearance. Since muscle is the issue, then enters botulinum treatment. This method might give the chin its ideal appearance without any fillers involved.
botulinum toxin injection before/after
downtime: injection redness for few hrs., sometimes bruise might appear that takes 1wk. to fade away
Botulinum toxin has plenty of brands worldwide, and the most famous one is the originalBotox brand from Allergan company.
Other ４brands are approved by the FDA and one of them called Dysport is available in our clinic. It is more like a generic drug of Botox from Ipsen, a British company. While Botox own 50％of the share in the US, Dysport comes nearly 50％, according to recent statistics.
Botulinum treatment shows its effect at the earliest on the 2-3rd day, sometimes may take a week, and completes around a 2-week period. 3－4 months later effect may start fading and might completely go away around 6- 8th month.
Allergic reaction rarely seen might be observed partly on the area injected. Pregnant or expecting to be pregnant individuals are not good candidates for this treatment.
If chin tissue volume is not enough to create a protruding chin tip, combination of filler injection mentioned above is recommended.
Pricing
Pricing
Y-KO Thread Spiral Nose Lift
If artificial implant is not the choice, using autologous(self) cartilage is the technique to be done. Cartilage graft is harvested from ear auricle.
approach wound from back of the ear where cartilage is harvested
downtime: swelling&bruises need around 1 wk. to subside, when gauze&tape are used for compression
In this procedure, I type graft for the ridge, and tip graft for the nose tip are the 2 types to be used, performed solely or simultaneously.
nose ridge&tip graft transplant before/after
downtime: swelling&bruises need 1to2 wks. to subside
Cartilage graft enhancement has its advantages and, on the other hand, disadvantages. Its advantages include:
・autologous cartilage cannot cause rejection or severe infection
・even inserted tightly inside nose tissue, graft tends to blend and adjust
Disadvatages goes as follows:
・not enough amount to meet necessary graft volume
・particularly ridge part tends to get crooked and correction is not as easy as silicone method
Since ear auricular cartilage has limited amount, achieving a satisfactory enhancement is hard. And even if you have enough to create the desired contour, shape of the nose ridge part is not as smooth as silicone method, since cartilage graft surface is kind of rough and bumpy in its nature. So in this procedure, moderation in graft quantity is the key to a successful outcome.
Tip graft, in contrast, is more reliable than silicone implant. Silicone is not gentle to nose tip skin tissue, the reason why excessive insertion of it is not advisable. But using a little more of cartilage graft does not do any harm, since it naturally blends and adjust itself to its surrounding tissue.
Nose tip graft is usually done together with Nose Tip Surgery(refer to statement below). This surgery is to slim down bulbous nose tip, and adding cartilage graft to this can show more remarkable effect on tip enhancement.
Cartilage graft transpalnt goes as follows:
Nose ridge I-shaped graft is made from 2－3 cartilage pile
Rectangular or diamond-shaped tip graft is a 3－4 cartilage pile inserted over alar cartilages
Surgical approach wounds are done inside the nose, so no worries for noticeable outer scars. Stitches are dissolvable that require no removal. Plaster tape compression is needed for 4－5 days, so washing and make-uping can be resumed after this.
Pricing
Pricing
Lip Reduction
Reducing lips sizes reduces not only lip appearance but also the protruding mouth going beyond the E line.
lips reduction before/after
downtime: lips swell and bruise easily, takes around 1 wk. to fade
Since bigger lips are the trend, Lip Reduction is not that popular nowadays.
But still there are some that think bigger is not always better. Everyone has one's own opinion. But from a cosmetic practicioner's view, in a long run, bigger might give you less noticeable vertical lines on lips in older ages, might mean that you look younger with bigger lips.
This procedure is done with incision, along the boundary of lip's wet and dry area, making the scar not noticeable, aiming to remove about 1/3 of the visible dry lip part.
A week later is stitch removal. Swelling and bruises are also about a week. Wound can soon be covered with make-up after stitch removal and recovery is fast.
Pricing
Lots of methods are available to meet this need, but fat transfer and filler injection are the most popular.
forehead fat transfer before/after
downtime: puffy for few days to 1wk., if bruises occur, it takes about 1 to 2 weeks to subside
Forehead is a part that has to be bulgy to look adorable. Especially with the new generation who are only aware about the digital era, seeing ownselves through instagram or other video shots makes everyone more conscious how face contour should be, and forehead is not an exemption.
Protruding forehead is adorable because it makes lower face part look smaller or shorter, which is a trend in the Orient. And also it gives you thighter texture that is good for wrinkle lines without doing any brow lift.
Forehead fat injection requires same amount as cheek injection, around 20 cc. If a right size just after injection is the desire, around 6cc is the adequate amount. Unnoticeable cannula point is at the hairline. The procedure takes about an hour.
Recovery is similar to cheek fat graft, usually no noticeable swelling or bruises. But if swelling is observed, which is rare, eye surrounding might be affected.
Fat transfer details can be found here.
Pricing
Pricing is only for 1 treatment session.
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
Equally Divided 3 Parts of Vertical Length
Equally Divided 5 Parts of Horizontal Length
Procedures for Equal Vertical 3 Division of Frontal Face
From front view of the face, its vertical length can be divided into
3 sections: from forehead hairlines to the brows, from the brows to lowest edge of
the nose(midface), and from the nose edge to the chin tip. These 3 sections are thought to be cosmetically ideal if they are all in equal lengths.
To correct unequal sections, the following procedures might be good options: forehead enhancement or reduction, double eyelid procedures or slant eye correction, maxillary or mandibular osteotomy, nose enhancement or reduction, chin plasty, etc.
Forehead Enhancement
Fat Transfer/Filler Treatment
Forehead is suitable for doing simple instant enhancement with fat transfer or filler injection. Details are mentioned above at 'Lateral View' 's Forehead Enhancement section.
forehead fat transfer before/after
downtime: puffy for few days to 1wk., if bruises occur, it takes about 1 to 2 weeks to subside
Forehead Permanent Laser Hair Removal
If forehead hairline is lower than the desired level, which sometimes hinder forehead skin, permanent laser hair removal might be a good procedure to correct this.
forehead laser hair removal before/after
downtime: puffy&red for few days to 1 wk., needs treatment every 1to2 m. at least 6x
Elite Plus epilation laser is a dual wavelength
device that adopts alexandrite and YAG ,
the pair which complement each other's
insufficiency inorder to achieve the best
hair removal outcome.
Alexandrite laser has a good melanin absortion
that enables it to perform the best epilation among all lasers
and it is the most used type in the field of
cosmetic devices.
However, its penetration through the skin layer
is not satisfactorily deep that makes it not reliable enough
to conquer thicker and deeper hair follicles such as
men's facial hair and bikini line hairs.
This wavelength is usually used for regular body hairs or women's thin facial hairs.
Because it only reaches shallow skin layer,melanin near the skin surface usually reacts easily to this laser that it may sometimes burn darker skin tone.
YAG laser's excellently deep skin penetration, makes it the best laser for thicker hair follicles.
Especially men's facial hair, VIO(Japanese terminology for
bikini line + groin area), or the armpit .
Since it goes deeper through the skin, it selectively reacts
only to the deeper melanin while sparing melanin
near the skin surface, meaning it does not easily burn it even with the darker skin types.
The only disadvantage is that it can also touch pain nerve endings
when it reacts deeper in the skin. This means pain during the procedure. But by using an outstanding cooling device with this procedure,
the pain is easily tolerable, making you do more on your next sesssion.
Cryo Cooling Device
Forehead laser hair removal shows good result faster than body hair removal, might require 6 sessions though, once in 2 mos.
Forehead Reduction
Over-widening of forehead can be treated by lowering the hairline, and the only procedure that is seem realistic is hair regrowth below hairline.
Oral Minoxidil for women and
Finasteride for men are
the commonly effective treatments
for hair regrowth.
Stronger Dutasteride(Zagallo, Avodart) for men also available.
Effects can be seen starting 3-6m later.
Side effects: minoxidil---scalp itchyness, headache, dizziness, hypotension
finasteride--liver enzymes increased, decreased libido 1.1%
erectile dysfunction 0.7%
dutasteride--increased liver enzymes 17.1%,
decreased libido 3.9%, erectile dysfunc. 4.3&
decreased semen
Topical Treatment
Topical Minoxidils(Rogaine) for both men & women are more effective
if conbined with the oral treatment stated above.
Minoxidil is a hypertension drug, so hypotension rarely might be
an issue even with the topical ones.
Hair Regrowth Shampoo & Tonic
Hair regrowth shampoo, conditioner, & tonic are available for further
hair care.
These are made from natural ingredients.
Pricing
Double Eyelid Procedures
The middle division of the frontal face usually is the part where most patients seek for reduction or shortening. Actual shortening of bone frame requires time and money, so minimal methods to cover longer midface is usually the choices, such as widening of the eyes by double eyelid procedures.
Slanted Eye Correction
Nose Enhancement
Nose Enhancement might be valid for correcting shorter midface, but most demands focus on shortening of longer ones. If elongation is still the treatment of choice, refer to 'Lateral View' 's Nose Enhancement section above.
Nose Reduction
Larger higher noses might emphasize longer midface. So reduction of nose sometimes helps toning down longer upper cheek. The following reduction methods are worth checking:
Pricing
。general anesthesia \50000 (with tax \55000)
Pricing
Chin Plasty (Mentoplasty)
Chin Enhancement
Chin Enhancement or Augmentation not only adds volume to an underdeveloped chin but also shows shortening image of a longer midface length. In this respect, this procedure certainly plays a big role in adjusting facial contour.
chin implant before/after
downtime: swelling lasts for 1 wk., if bruise observed, takes around 2 wks. to subside
Details of chin enhancement is mentioned at 'Lateral View' 's Chin Enhancement section above.
Chin Reduction
Chin reduction osteotomy(bone surgery) is performed sometimes in Cosmetic Surgery, but this concern usually involves with occlusion(teeth allignment) that might need correction, so consultation with Dental and Oral Surgery specialist is highly recommended.
Procedures for Equal Horizontal 5 Divison of Frontal Face
Ideal frontal face also includes equal 5 division of its horizontal length.
Horizontal facial length's 5 divided sections go as follows:
1nose-width section(nose alar width from side to side), 2 eye-width sections (from eye's inner edge to outer edge, then 2 face-outermost- width sections (from eye's outer edge to ear's outer edge), in total of 5 sections. Frontal face contour is assumed as ideal if these 5 are all in equal width sizes.
Correction of nose width is mainly done with Alar Reduction. In medical cosmetic care, reducing nose width is the most performed care instead of widening it.
Eye width, on the contrary, needs widening by Inner or Outer Canthoplasty, because in cosmetic care, bigger eye sizes is the priority.
Outer face width can be widened with Fat Transfer or Filler Injection and can be reduced withMasseter Muscle Botox Injection, Cheek Mini Lipo or Fat Dissolving Solutions, Otoplasty, and for the cheek bone or mandible, Osteotomy might be an option.
Otoplasty(Protruding Ear Correction)
chin HA injection before/after
downtime: puffy for few days, if bruising observed, takes around a week to subside
HA has been around for over 25 years, but still is a popular item among clients and doctors because of its convenience. In this long history of this filler,some alternatives sprang up, but did not succeed due to their unwanted effects. So that is why HA is still the main substance in use for these concerns.
HA filler has evolved to different kinds of brands and types, and the
followings are the main brands used which names are already more well-known
to most individuals than the name hyaluronic acid itself:
Juvederm
Injectable amount needed：for chin injection 1~4cc
Juvederm
Juvederm is the most common name now among dozens of HA brands that
exist because of its tactics in selling its products to the public. It
is produced by the company called Allergan which is famous of its Botox brand.
Juvederm VOLUMA is the thickest in concentration among the line-up of the brand, then Juvederm VOLBELLA and comes Juvederm VOLIFT (named in the States as VOLLURE) as the thinnest of them all. These 3 are the newest generation of Juvederm, older one includes Juvederm Ultra & Ultra plus.
These new ones last longer than the old generation, reported to show effect for 1 to 1.5 years, though might vary in the amount injected.
Effect lasting period might be around a year but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Teosyal(Teoxane)
Teosyal is the most used hyaluronic acid filler lately. It has the longest lasting effect among the latest brands, produced by the Swiss company called TEOXANE.
Teosyal has a lot of options in its hyaluronic acid concentration and cross-linking technology. The most long-lasting RHA series is the most adequate one to enhance chin contour.
The longest effect sustainability observed in highly-concentrated products is around 1 to 2 years, though might vary in the amount injected.
Effect lasting period might be around a year or two, but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Restylane
Restylane brand is the original producer of HA filler. Around 25 years ago, a Swedish company started the brand and, after that, has been taken over by an American firm. It is kind of being left behind by the famous Juvederm but still in vast use around the globe. It is reported to have a shorter effect duration than Juvederm, from 6 months to a year.
Restylane injection, same as Juvederm brand, needs careful observation of allergic reaction and tissue damage.
Juvederm VOLUMA is the thickest in concentration among the line-up of the brand, then Juvederm VOLBELLA and comes Juvederm VOLIFT (named in the States as VOLLURE) as the thinnest of them all. These 3 are the newest generation of Juvederm, older one includes Juvederm Ultra & Ultra plus.
These new ones last longer than the old generation, reported to show effect for 1 to 1.5 years, though might vary in the amount injected.
Effect lasting period might be around a year but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Teosyal(Teoxane)
Teosyal is the most used hyaluronic acid filler lately. It has the longest lasting effect among the latest brands, produced by the Swiss company called TEOXANE.
Teosyal has a lot of options in its hyaluronic acid concentration and cross-linking technology. The most long-lasting RHA series is the most adequate one to enhance chin contour.
The longest effect sustainability observed in highly-concentrated products is around 1 to 2 years, though might vary in the amount injected.
Effect lasting period might be around a year or two, but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Restylane
Restylane brand is the original producer of HA filler. Around 25 years ago, a Swedish company started the brand and, after that, has been taken over by an American firm. It is kind of being left behind by the famous Juvederm but still in vast use around the globe. It is reported to have a shorter effect duration than Juvederm, from 6 months to a year.
Restylane injection, same as Juvederm brand, needs careful observation of allergic reaction and tissue damage.
Pricing
| without tax | with tax | ||
| Teosyal | RHA/Kiss series | \60000 | \66000 |
| Redensity series | \50000 | \55000 | |
| Juvederm | VOLUMA 1syringe1.0cc | \60000 | \66000 |
| VOLIFT 1.0cc | \60000 | \66000 | |
| Restylane | 1.0cc | \40000 | \44000 |
| 0.5cc | \30000 | \33000 |
Fat Transfer
Chin part is where HA filler play a better role than fat grafting, because chin skin is not that loose enough to provide satisfactory environment for fat graft to survive. Another reason is that the area is not that large enough to be treated with larger particles of fats. Injected substance must stay in the tip tissue to enhance it slimly pointing which finer fillers can achieve if injected shallowly near or in deeper skin tissue.
If masculine type of chin enhancement is desired, meaning not so pointy but enlarged, fat grafting might be a good choice, around 4㏄ is the best shot.
Pricing
| without tax | with tax | ||
| Fat Transfer | chin | \100000＋mini lipo fee | \110000+mini lipo fee |
| lower mandibles | \130000＋mini lipo fee | \143000+mini lipo fee |
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
Botulinum Toxin Treatment
Even if the bone frame and tissue volume are full enough to shape an ideal protruding chin, sometimes active mentalis muscle might cause dimpling on chin. These dimplings usually hinder the chin to create pointy appearance. Since muscle is the issue, then enters botulinum treatment. This method might give the chin its ideal appearance without any fillers involved.
botulinum toxin injection before/after
downtime: injection redness for few hrs., sometimes bruise might appear that takes 1wk. to fade away
Botulinum toxin has plenty of brands worldwide, and the most famous one is the originalBotox brand from Allergan company.
Other ４brands are approved by the FDA and one of them called Dysport is available in our clinic. It is more like a generic drug of Botox from Ipsen, a British company. While Botox own 50％of the share in the US, Dysport comes nearly 50％, according to recent statistics.
Botulinum treatment shows its effect at the earliest on the 2-3rd day, sometimes may take a week, and completes around a 2-week period. 3－4 months later effect may start fading and might completely go away around 6- 8th month.
Allergic reaction rarely seen might be observed partly on the area injected. Pregnant or expecting to be pregnant individuals are not good candidates for this treatment.
If chin tissue volume is not enough to create a protruding chin tip, combination of filler injection mentioned above is recommended.
Pricing
| Botox | Dysport | ||||
| without tax | with tax | without tax | with tax | ||
| Botulinum Toxin Tx | chin | \18000 | \19800 | \10000 | \11000 |
Nose Enhancement
Nose Enhancement or Nose Lift, particularly at the nose tip part, is effective for improving esthetic line. Silicone implant method and other different kinds of procedures are available to treat this area.
Nose Enhancement or Nose Lift, particularly at the nose tip part, is effective for improving esthetic line. Silicone implant method and other different kinds of procedures are available to treat this area.
Silicone Implant Method
Enhancing nose contour by silicone implant is more effective at the nose bridge.
I shape and L shape are the choices. To avoid nasal tip deformities in later years, I type
is the suitable choice for thinner tip skin.
Soft tip implant is also available for L type implant. Nose tip is an area that is so sensitive to pressure that sometimes might cause skin thinning especially in later years when skin fats are decreasing. So softer and thinner implant is advisable to be used to this part.
L type nose implant before/after
downtime: swelling&bruises take for about 1to2-week period
If enhancement of the tip is the main concern, silicone implant has limited effect, Nose Tip Surgery（stated below）is recommended to this problem. It is effective for thinning and enhancing the tip area.
Wound for approach is made inside the nose, so scars are not noticeable. Stitches are removed 1 week later. Since implant surgery involves nose bridge area which is aboundant with blood vessels, swelling and bruises sometimes become obvious. They might subside as early as 1 week, but usually might stay until 2 weeks if bruises are severely observed.
Soft tip implant is also available for L type implant. Nose tip is an area that is so sensitive to pressure that sometimes might cause skin thinning especially in later years when skin fats are decreasing. So softer and thinner implant is advisable to be used to this part.
L type nose implant before/after
downtime: swelling&bruises take for about 1to2-week period
If enhancement of the tip is the main concern, silicone implant has limited effect, Nose Tip Surgery（stated below）is recommended to this problem. It is effective for thinning and enhancing the tip area.
Wound for approach is made inside the nose, so scars are not noticeable. Stitches are removed 1 week later. Since implant surgery involves nose bridge area which is aboundant with blood vessels, swelling and bruises sometimes become obvious. They might subside as early as 1 week, but usually might stay until 2 weeks if bruises are severely observed.
Pricing
| without tax | with tax | ||
| Implant Nose Enhancement | I shape | \240000 | \264000 |
| L shape soft implant | \270000 | \297000 | |
Y-KO Thread Spiral Nose Lift
As an alternative for filler injection, Y-ko Spiral Thread for nose lift is the latest trend in nonsurgical
rhinoplasty. Threads are introduced by a blunt cannula to avoid tissue
damage which is sometimes observed in filler injection. The thread is dissolvable
within a year but is changed with newly generated collagen that can maintain
the nose contour for a while.
Y-ko thread has the nose ridge and nose tip types.
For nose ridge use, it is about 60mm in length, enough to enhance and narrow the nose from the bridge down to the tip. One thread is not enough to see a noticeable effect, At least 2 threads are needed.
A spiral thread is inserted inside a blunt cannula beforehand, so that it is possible to just introduce it with one small needle point. The needle point is made usually at the tip skin but also possible to hide inside the nose.
Done usually under local anesthesia. Swelling is less, similar to filler injection's.
nose ridge Y-ko thread before/after
downtime: nose skin puffiness for few days to 1 week, if bruises are observed, take 1 wk. to subside
Nose tip thread is about 40mm, introduced into the columella(nose part
between tip and philtrum) to push and lift up the tip. Needs at least 2
threads to see an effect.
nose tip Y-ko thread before/after
downtime: nose skin puffiness for few days to 1 week, if bruises are observed, take 1 wk. to subside
Combining the ridge and tip Y-kos to treat nose hump and droopy tip is also possible.
nose ridge&tip Y-ko threads before/after
downtime: nose skin puffiness for few days to 1 week, if bruises are observed, take 1 wk. to subside
Using the short tip Y-ko threads at least 2 each in the bridge and 2 in the tip gives you a straighter ridge contour within minutes. Of couse, the more threads used the better effect you see.
Y-ko thread advantages to filler injection include:
・avoids skin necrosis(death)
・avoids visual defect
・solid thread gives stable effect
Disadvantage：
・not permanent
Why not use permanent thread? This is the most asked question. It is already proved in thread lifting procedures of cheeks(from where this nose procedure derives) that permanent thread causes troubles such as infection, noticeable thread rim, and other skin issues.
Y-ko thread has the nose ridge and nose tip types.
For nose ridge use, it is about 60mm in length, enough to enhance and narrow the nose from the bridge down to the tip. One thread is not enough to see a noticeable effect, At least 2 threads are needed.
A spiral thread is inserted inside a blunt cannula beforehand, so that it is possible to just introduce it with one small needle point. The needle point is made usually at the tip skin but also possible to hide inside the nose.
Done usually under local anesthesia. Swelling is less, similar to filler injection's.
nose ridge Y-ko thread before/after
downtime: nose skin puffiness for few days to 1 week, if bruises are observed, take 1 wk. to subside
Nose tip thread is about 40mm, introduced into the columella(nose part
between tip and philtrum) to push and lift up the tip. Needs at least 2
threads to see an effect.nose tip Y-ko thread before/afterdowntime: nose skin puffiness for few days to 1 week, if bruises are observed, take 1 wk. to subside
Combining the ridge and tip Y-kos to treat nose hump and droopy tip is also possible.
nose ridge&tip Y-ko threads before/after
downtime: nose skin puffiness for few days to 1 week, if bruises are observed, take 1 wk. to subside
Using the short tip Y-ko threads at least 2 each in the bridge and 2 in the tip gives you a straighter ridge contour within minutes. Of couse, the more threads used the better effect you see.
Y-ko thread advantages to filler injection include:
・avoids skin necrosis(death)
・avoids visual defect
・solid thread gives stable effect
Disadvantage：
・not permanent
Why not use permanent thread? This is the most asked question. It is already proved in thread lifting procedures of cheeks(from where this nose procedure derives) that permanent thread causes troubles such as infection, noticeable thread rim, and other skin issues.
Pricing
| without tax | with tax | ||
| Y-ko Thread Rhinoplasty | 1thread | \20000 | \22000 |
How Effective isY-ko Thread Noselift
Filler Nose Enhancement
Besides its broad usage in wrinkle repairs, hyaluronic acid (HA) filler has been also used for enhancement of face contour, not to mention the nose. Hyaluronic acid is one of the main elements of the skin together with collagen fibers. Juvederm and Restylane are the main brands of HA fillers. Usually last for a year.
HA filler before/after
downtime: nose skin puffiness for few days to 1 week, if bruises are observed, take 1 wk. to subside
However, recently, clinics that are recommending HA filler for a lunch-time nose lift are significantly decreasing due to serious concerns caused by the substance. When injected to the nose, fillers sometimes by chance enter into blood vessels and clog them that subsequently may induce skin necrosis(death) and visual defects.
Furthermore, since HA is a soft gel, it easily spreads to its nearby area, the reason why days later it cannot hold a firm nose contour, allowing the patient to need more and more for thinner nose ridge, until the spreading gel forms a not-so-thin big nose bridge, the appearance which some describe it as the nose bridge that resembles that of the main characters in the movie 'Avatar'.
Still there are individuals who love to do HA for nose lift. If this is the case, using blunt cannula which has less chance of clogging the arteries is recommended.
HA filler before/after
downtime: nose skin puffiness for few days to 1 week, if bruises are observed, take 1 wk. to subside
However, recently, clinics that are recommending HA filler for a lunch-time nose lift are significantly decreasing due to serious concerns caused by the substance. When injected to the nose, fillers sometimes by chance enter into blood vessels and clog them that subsequently may induce skin necrosis(death) and visual defects.
Furthermore, since HA is a soft gel, it easily spreads to its nearby area, the reason why days later it cannot hold a firm nose contour, allowing the patient to need more and more for thinner nose ridge, until the spreading gel forms a not-so-thin big nose bridge, the appearance which some describe it as the nose bridge that resembles that of the main characters in the movie 'Avatar'.
Still there are individuals who love to do HA for nose lift. If this is the case, using blunt cannula which has less chance of clogging the arteries is recommended.
Pricing
| without tax | with tax | ||
| Juvederm | VOLUMA 1syringe1.0cc | \50000 | \55000 |
| VOLIFT 1.0cc | \50000 | \55000 | |
| Restylane | 1.0cc | \40000 | \44000 |
| 0.5cc | \30000 | \33000 |
Cartilage Transplant Nose Enhancement
If artificial implant is not the choice, using autologous(self) cartilage is the technique to be done. Cartilage graft is harvested from ear auricle.
approach wound from back of the ear where cartilage is harvested
downtime: swelling&bruises need around 1 wk. to subside, when gauze&tape are used for compression
In this procedure, I type graft for the ridge, and tip graft for the nose tip are the 2 types to be used, performed solely or simultaneously.
nose ridge&tip graft transplant before/after
downtime: swelling&bruises need 1to2 wks. to subside
Cartilage graft enhancement has its advantages and, on the other hand, disadvantages. Its advantages include:
・autologous cartilage cannot cause rejection or severe infection
・even inserted tightly inside nose tissue, graft tends to blend and adjust
Disadvatages goes as follows:
・not enough amount to meet necessary graft volume
・particularly ridge part tends to get crooked and correction is not as easy as silicone method
Since ear auricular cartilage has limited amount, achieving a satisfactory enhancement is hard. And even if you have enough to create the desired contour, shape of the nose ridge part is not as smooth as silicone method, since cartilage graft surface is kind of rough and bumpy in its nature. So in this procedure, moderation in graft quantity is the key to a successful outcome.
Tip graft, in contrast, is more reliable than silicone implant. Silicone is not gentle to nose tip skin tissue, the reason why excessive insertion of it is not advisable. But using a little more of cartilage graft does not do any harm, since it naturally blends and adjust itself to its surrounding tissue.
Nose tip graft is usually done together with Nose Tip Surgery(refer to statement below). This surgery is to slim down bulbous nose tip, and adding cartilage graft to this can show more remarkable effect on tip enhancement.
Cartilage graft transpalnt goes as follows:
Nose ridge I-shaped graft is made from 2－3 cartilage pile
Rectangular or diamond-shaped tip graft is a 3－4 cartilage pile inserted over alar cartilages
Surgical approach wounds are done inside the nose, so no worries for noticeable outer scars. Stitches are dissolvable that require no removal. Plaster tape compression is needed for 4－5 days, so washing and make-uping can be resumed after this.
Pricing
| without tax | with tax | ||
| Cartilage Transplant Nose Enhancement | I shape graft | \240000 | \264000 |
| tip graft | \150000 | \165000 | |
| I shape＋tip | \300000 | \330000 |
Nose Tip Surgery
A procedure to tuck together cartilages in the nose tip to slim down bulbous tip part. In our clinic, approach incision is usually done in 'close method', which scar is limited within the nasal cavity not to be seen from the
outer part of the nose.
nose tip surgery
downtime: surgery limited in nose tip shows not much swelling& bruises but needs 5 days of plaster tape compression
For more enhancement of the tip, combination of cartilage transplant is recommended.
approach wound from back of the ear where cartilage is harvested
downtime: swelling&bruises need around 1 wk. to subside, when gauze&tape are used for compression
Postsurgically, no stitch removal, there is tape compression to secure tip form. After tape removal, usually swelling is not that noticeable. If it is, covering it with make-up is easy because wound scar is inside the nose.
The actual procedure:
securing space over alar cartilage
suturing alar cartilage
reduction of alar cartilage
if needed, cartilage transplant from ear auricle
nose tip surgerydowntime: surgery limited in nose tip shows not much swelling& bruises but needs 5 days of plaster tape compression
For more enhancement of the tip, combination of cartilage transplant is recommended.
approach wound from back of the ear where cartilage is harvested
downtime: swelling&bruises need around 1 wk. to subside, when gauze&tape are used for compression
Postsurgically, no stitch removal, there is tape compression to secure tip form. After tape removal, usually swelling is not that noticeable. If it is, covering it with make-up is easy because wound scar is inside the nose.
The actual procedure:
securing space over alar cartilage
suturing alar cartilage
reduction of alar cartilage
if needed, cartilage transplant from ear auricle
Pricing
| without tax | with | ||
| Nasal Tip Surgery | \240000 | \264000 | |
| ＋ear cartilage transplant | ＋\50000 | +\55000 | |
| ＋nose bridge implant | ＋\100000 | +\110000 |
Bulbous Nose Tip Care
Septum Elongation (Nose Elongation) Surgery
Even with an implant, tip thinning surgery, or cartilage transplant,
if the tip is still not elongated enough, Septum Elongation Surgery is
the procedure needed. Septum is the cartilage found at the middle of the
nose that divides both nostrils. By extending the length of this structure
with a cartilage, uplifted nose tip can be elongated down more than other
techniques.
septum elongation before/after
downtime: surgery limited in nose tip shows not much swelling& bruises but needs 5 days of plaster tape compression
In this procedure, autologous(self) cartilage from part of the septum or from ear auricle is used.
Actual treatment in diagram:
septum cartilage in the mid of nose
transplanted cartilage on frontal edge of septum
Needs 5 days of plaster taping to secure the form, after tape removal covering with make-up already possible if swelling and bruises are not that obvious which is usually the case. If noticeable, a period of 2 weeks might be needed.
septum elongation before/after
downtime: surgery limited in nose tip shows not much swelling& bruises but needs 5 days of plaster tape compression
In this procedure, autologous(self) cartilage from part of the septum or from ear auricle is used.
Actual treatment in diagram:
septum cartilage in the mid of nose
transplanted cartilage on frontal edge of septum
Needs 5 days of plaster taping to secure the form, after tape removal covering with make-up already possible if swelling and bruises are not that obvious which is usually the case. If noticeable, a period of 2 weeks might be needed.
Pricing
| without tax | with tax | ||
| Nose Elongation | \300000 | \330000 | |
| ＋nose bridge implant | +\100000 | +\110000 | |
Nose Tip Elevation
A method to fix 'witch nose'. Cartilage of the nose septum is trimmed inorder to raise up the droopy tip. Incision is done inside the nasal cavity.
nose tipelevation
downtime: surgery limited in nose tip shows not much swelling& bruises but needs 5 days of plaster tape compression
This is an opposite procedure of septum elongation, which is actually the shortening of septum. Cutting off the septum's edge usually is not enough, so reduction of the alar cartilages which is done with nose tip thinning should be performed together.
The actual remedy in diagram:
septum shortening & alar cartilage reduction
The healing process is almost the same with Nose Tip Surgery( Nose Tip Thinning) which needs 5 days of cast or plaster tape. After tape removal, make-up is already okay, no stitches are to be removed.
Tip elevation sometimes needs additional cartilage transplant at the base of the colummela (the thin part between the tip and philtrum), inorder to enhance the relative uplifting of the tip.
nose tipelevation
downtime: surgery limited in nose tip shows not much swelling& bruises but needs 5 days of plaster tape compression
This is an opposite procedure of septum elongation, which is actually the shortening of septum. Cutting off the septum's edge usually is not enough, so reduction of the alar cartilages which is done with nose tip thinning should be performed together.
The actual remedy in diagram:
septum shortening & alar cartilage reduction
The healing process is almost the same with Nose Tip Surgery( Nose Tip Thinning) which needs 5 days of cast or plaster tape. After tape removal, make-up is already okay, no stitches are to be removed.
Tip elevation sometimes needs additional cartilage transplant at the base of the colummela (the thin part between the tip and philtrum), inorder to enhance the relative uplifting of the tip.
Pricing
| without tax | with tax | ||
| Nose Tip Elevation | \250000 | \275000 | |
| ＋colummela cart. transplant | ＋\50000 | +\55000 | |
Lip Reduction
Reducing lips sizes reduces not only lip appearance but also the protruding mouth going beyond the E line.
lips reduction before/after
downtime: lips swell and bruise easily, takes around 1 wk. to fade
Since bigger lips are the trend, Lip Reduction is not that popular nowadays.
But still there are some that think bigger is not always better. Everyone has one's own opinion. But from a cosmetic practicioner's view, in a long run, bigger might give you less noticeable vertical lines on lips in older ages, might mean that you look younger with bigger lips.
This procedure is done with incision, along the boundary of lip's wet and dry area, making the scar not noticeable, aiming to remove about 1/3 of the visible dry lip part.
A week later is stitch removal. Swelling and bruises are also about a week. Wound can soon be covered with make-up after stitch removal and recovery is fast.
Pricing
| without tax | with tax | ||
| Lip Reduction | both | \200000 | \220000 |
Protruding Forehead (Forehead Enhancement)
From side views, flat or dented forehead appears scanty or lack of youthfulness which makes others hide it with their bangs. A moderately curvy and bulging forehead is acknowledge as attractive or youthful and assumed as a criterion of a beautiful profile view of the face, together with the E line at the lower facial area.Lots of methods are available to meet this need, but fat transfer and filler injection are the most popular.
Fat Transfer
forehead fat transfer before/after
downtime: puffy for few days to 1wk., if bruises occur, it takes about 1 to 2 weeks to subside
Forehead is a part that has to be bulgy to look adorable. Especially with the new generation who are only aware about the digital era, seeing ownselves through instagram or other video shots makes everyone more conscious how face contour should be, and forehead is not an exemption.
Protruding forehead is adorable because it makes lower face part look smaller or shorter, which is a trend in the Orient. And also it gives you thighter texture that is good for wrinkle lines without doing any brow lift.
Forehead fat injection requires same amount as cheek injection, around 20 cc. If a right size just after injection is the desire, around 6cc is the adequate amount. Unnoticeable cannula point is at the hairline. The procedure takes about an hour.
Recovery is similar to cheek fat graft, usually no noticeable swelling or bruises. But if swelling is observed, which is rare, eye surrounding might be affected.
Fat transfer details can be found here.
| without tax | with tax | ||
| Fat Transfer | forehead | \150000＋mini lipo fee | \165000+mini lipo fee |
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
Hyaluronic Acid(HA) Filler Treatment
HA filler treatment for forehead is more convenient than fat transfer
which only takes minutes. However, it is not permanent, might only lasts
for 1-2 years.
forehead HA filler injection before/after
downtime: puffy for few days, if bruising observed, takes around a week to subside
HA filler has many brand names. Stated below are mostly used ones:
forehead HA filler injection before/after
downtime: puffy for few days, if bruising observed, takes around a week to subside
HA filler has many brand names. Stated below are mostly used ones:
Juvederm
Injectable amount neededt：for partial forehead enhancement 1~4cc
full enhancement 6-12cc
Juvederm is the most common name now among dozens of HA brands that exist because of its tactics in selling its products to the public. It is produced by the company called Allergan which is famous of its Botox brand.
Juvederm VOLUMA is the thickest in concentration among the line-up of the brand, then Juvederm VOLBELLA and comes Juvederm VOLIFT (named in the States as VOLLURE) as the thinnest of them all. These 3 are the newest generation of Juvederm, older one includes Juvederm Ultra & Ultra plus.
These new ones last longer than the old generation, reported to show effect for 1 to 1.5 years, though might vary in the amount injected.
Effect lasting period might be around a year but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Teosyal(Teoxane)
Teosyal is the most used hyaluronic acid filler lately. It has the longest lasting effect among the latest brands, produced by the Swiss company called TEOXANE.
Teosyal has a lot of options in its hyaluronic acid concentration and cross-linking technology. The most long-lasting RHA series is the most adequate one to enhance forehead contour.
The longest effect sustainability observed in highly-concentrated products is around 1 to 2 years, though might vary in the amount injected.
Effect lasting period might be around a year or two, but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Restylane
Restylane brand is the original producer of HA filler. Around 25 years ago, a Swedish company started the brand and, after that, has been taken over by an American firm. It is kind of being left behind by the famous Juvederm but still in vast use around the globe. It is reported to have a shorter effect duration than Juvederm, from 6 months to a year.
Restylane injection, same as Juvederm brand, needs careful observation of allergic reaction and tissue damage.
Juvederm VOLUMA is the thickest in concentration among the line-up of the brand, then Juvederm VOLBELLA and comes Juvederm VOLIFT (named in the States as VOLLURE) as the thinnest of them all. These 3 are the newest generation of Juvederm, older one includes Juvederm Ultra & Ultra plus.
These new ones last longer than the old generation, reported to show effect for 1 to 1.5 years, though might vary in the amount injected.
Effect lasting period might be around a year but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Teosyal(Teoxane)
Teosyal is the most used hyaluronic acid filler lately. It has the longest lasting effect among the latest brands, produced by the Swiss company called TEOXANE.
Teosyal has a lot of options in its hyaluronic acid concentration and cross-linking technology. The most long-lasting RHA series is the most adequate one to enhance forehead contour.
The longest effect sustainability observed in highly-concentrated products is around 1 to 2 years, though might vary in the amount injected.
Effect lasting period might be around a year or two, but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Restylane
Restylane brand is the original producer of HA filler. Around 25 years ago, a Swedish company started the brand and, after that, has been taken over by an American firm. It is kind of being left behind by the famous Juvederm but still in vast use around the globe. It is reported to have a shorter effect duration than Juvederm, from 6 months to a year.
Restylane injection, same as Juvederm brand, needs careful observation of allergic reaction and tissue damage.
Pricing
| without tax | with tax | ||
| Teosyal | RHA/Kiss series | \60000 | \66000 |
| Redensity series | \50000 | \55000 | |
| Juvederm | VOLUMA 1syringe1.0cc | \60000 | \66000 |
| VOLIFT 1.0cc | \60000 | \66000 | |
| Restylane | 1.0cc | \40000 | \44000 |
| 0.5cc | \30000 | \33000 |
full enhancement 6-12cc
FRONTAL VIEW
Ideal Frontal View of the Face：Equally Divided 3 Parts of Vertical LengthEqually Divided 5 Parts of Horizontal Length
Procedures for Equal Vertical 3 Division of Frontal Face
To correct unequal sections, the following procedures might be good options: forehead enhancement or reduction, double eyelid procedures or slant eye correction, maxillary or mandibular osteotomy, nose enhancement or reduction, chin plasty, etc.
Forehead Enhancement
Fat Transfer/Filler Treatment
Forehead is suitable for doing simple instant enhancement with fat transfer or filler injection. Details are mentioned above at 'Lateral View' 's Forehead Enhancement section.
forehead fat transfer before/after
downtime: puffy for few days to 1wk., if bruises occur, it takes about 1 to 2 weeks to subside
Forehead Permanent Laser Hair Removal
If forehead hairline is lower than the desired level, which sometimes hinder forehead skin, permanent laser hair removal might be a good procedure to correct this.
forehead laser hair removal before/after
downtime: puffy&red for few days to 1 wk., needs treatment every 1to2 m. at least 6x
Elite Plus epilation laser is a dual wavelength
device that adopts alexandrite and YAG ,
the pair which complement each other's
insufficiency inorder to achieve the best
hair removal outcome.
Alexandrite laser has a good melanin absortionthat enables it to perform the best epilation among all lasers
and it is the most used type in the field of
cosmetic devices.
However, its penetration through the skin layer
is not satisfactorily deep that makes it not reliable enough
to conquer thicker and deeper hair follicles such as
men's facial hair and bikini line hairs.
This wavelength is usually used for regular body hairs or women's thin facial hairs.
Because it only reaches shallow skin layer,melanin near the skin surface usually reacts easily to this laser that it may sometimes burn darker skin tone.
YAG laser's excellently deep skin penetration, makes it the best laser for thicker hair follicles.
Especially men's facial hair, VIO(Japanese terminology for
bikini line + groin area), or the armpit .
Since it goes deeper through the skin, it selectively reacts
only to the deeper melanin while sparing melanin
near the skin surface, meaning it does not easily burn it even with the darker skin types.
The only disadvantage is that it can also touch pain nerve endings
when it reacts deeper in the skin. This means pain during the procedure. But by using an outstanding cooling device with this procedure,
the pain is easily tolerable, making you do more on your next sesssion.
Cryo Cooling Device
Forehead laser hair removal shows good result faster than body hair removal, might require 6 sessions though, once in 2 mos.
Pricing
| １treatment | 6 treatments | beyond 6th | ||
| Laser Hair Removal | forehead | \5000(with tax \5500) | \25000(with tax \27500) | \3000(with tax \3300) |
Forehead Reduction
Over-widening of forehead can be treated by lowering the hairline, and the only procedure that is seem realistic is hair regrowth below hairline.
Oral Minoxidil for women andFinasteride for men are
the commonly effective treatments
for hair regrowth.
Stronger Dutasteride(Zagallo, Avodart) for men also available.
Effects can be seen starting 3-6m later.
Side effects: minoxidil---scalp itchyness, headache, dizziness, hypotension
finasteride--liver enzymes increased, decreased libido 1.1%
erectile dysfunction 0.7%
dutasteride--increased liver enzymes 17.1%,
decreased libido 3.9%, erectile dysfunc. 4.3&
decreased semen
Topical Treatment
Topical Minoxidils(Rogaine) for both men & women are more effective
if conbined with the oral treatment stated above.Minoxidil is a hypertension drug, so hypotension rarely might be
an issue even with the topical ones.
Hair Regrowth Shampoo & Tonic
Hair regrowth shampoo, conditioner, & tonic are available for further
hair care. These are made from natural ingredients.
Pricing
| without tax | with tax | ||
| Fenasteride | men's oral 0.2mg 28d | \6000 | \6600 |
| men's oral 1.0mg 28d | \6800 | \7480 | |
| Dutasteride | men's oral 0.5mg 28d | \8000 | \8800 |
| Minoxidil | women's oral | ||
| women's lotion 60ml 1m | \6000 | \6600 | |
| 60ml×3 | \15000 | \16500 | |
| men's lotion 60ml 1m | \6000 | \6600 | |
| 60ml×3 | \15000 | \16500 | |
| local injection for both | |||
| Hair Regrowth Goods | shampoo | \6000 | \6600 |
| conditioner | \6000 | \6600 | |
| lotion | \9000 | \9900 |
Double Eyelid Procedures
The middle division of the frontal face usually is the part where most patients seek for reduction or shortening. Actual shortening of bone frame requires time and money, so minimal methods to cover longer midface is usually the choices, such as widening of the eyes by double eyelid procedures.
Eyelid Double Fold (Suture Method Upper Blepharoplasty)
Suture Method eye lift has a 100-year history in Japan and still is a very popular procedure for the youth and
the elderly. It has evolved through this long period of time, adopting
lots of names such as 'quick something' or 'natural something', but the
basic process has never changed, using a buried suture to create a fold
on the upper eyelid.
suture method blep.(eye lift) before after
downtime: swelling/tenderness few days to1 wk., if bruise noticed, needs 1to2 wks.
This procedure is done by suturing the skin side and the conjuctiva(lid back) side together. Both sides thread parts should be buried and not be exposed for safety reasons. In our clinic, the tiniest but durable thread used in microsurgery is available for better and natural looks..
Swelling might be obvious for a few days, slight puffiness stays some time up to 1 to 2 weeks.
Suture Method is not permanent. Sometimes it might be good enough for the suture to function until 3-4 years and create a permanent fold on the lid skin.
If more details are needed, refer to the ' In Focus' journal here.
Pricing
What are Bigger Beautiful Eyes
suture method blep.(eye lift) before after
downtime: swelling/tenderness few days to1 wk., if bruise noticed, needs 1to2 wks.
This procedure is done by suturing the skin side and the conjuctiva(lid back) side together. Both sides thread parts should be buried and not be exposed for safety reasons. In our clinic, the tiniest but durable thread used in microsurgery is available for better and natural looks..
Swelling might be obvious for a few days, slight puffiness stays some time up to 1 to 2 weeks.
Suture Method is not permanent. Sometimes it might be good enough for the suture to function until 3-4 years and create a permanent fold on the lid skin.
If more details are needed, refer to the ' In Focus' journal here.
Pricing
| without tax | with tax | ||
| Suture Method | 1 thread | \20000 | \22000 |
| both eyes 2 threads each | \70000 | \77000 | |
| 3-year guarantee | \100000 | \110000 | |
| 5-year guarantee | \120000 | \132000 | |
| both eyes 3 threads each | \100000 | \110000 | |
| 3-year guarantee | \120000 | \132000 | |
| 5-year guarantee | \140000 | \154000 |
What are Bigger Beautiful EyesIncision Method Upper Blepharoplasty(Eye Lift)
This is a procedure to widen the folds of the upper eyelid by incision
to achieve a permanent result. Removal of the excess skin and fats to reconstructure wider new folds will show your eyes bigger, meaning
not only for cosmetic reasons but for younger looks and improved eyesight.
incision method upper blep.(eyelift) before
after
downtime: swelling&bruises for 1to2 wks., puffiness&overdone looks for around 2 mos.
Wound scar is done on the fold line, and detailed suturing is performed to enhance more natural outcome. Strong adhesion to a cartilage structure called tarsus must be secured by this sutures inorder to obtain a permanent effect.
Stitch removal is on the 5th day, make-up is already okay on the 6th, obvious swelling is observed from 1 to 2 weeks, and unnatural overdone appearance might lasts for a month or up to 3 months.
With this method, the wound is done along the fold line as long as the eye width. The longer the wound the stronger the fold holds. The scar heals well on this area, but if a shorter and fast healing is the choice, Partial Incision Method is the option. The scar goes half-size of the full incision, folds might be weaker but still are stronger than those of Suture Method, and excess fat removal is also possible with this procedure. But if the excess skin is the issue, full incision eye lift is recommended.
＜cosmetic surgery tips＞In this procedure, some surgeons might advise you to do the under-the-brow approach instead of along -the-fold incision. But this approach is not that effective enough that sometimes surgeons might extend the scars to the temple, that is not good to see, or sometimes just perform the suture method (mentioned above) together to have a new fold which is not permanent. So be aware of this when you are considering to undergo this surgery.
Pricing
incision method upper blep.(eyelift) before
after
downtime: swelling&bruises for 1to2 wks., puffiness&overdone looks for around 2 mos.
Wound scar is done on the fold line, and detailed suturing is performed to enhance more natural outcome. Strong adhesion to a cartilage structure called tarsus must be secured by this sutures inorder to obtain a permanent effect.
Stitch removal is on the 5th day, make-up is already okay on the 6th, obvious swelling is observed from 1 to 2 weeks, and unnatural overdone appearance might lasts for a month or up to 3 months.
With this method, the wound is done along the fold line as long as the eye width. The longer the wound the stronger the fold holds. The scar heals well on this area, but if a shorter and fast healing is the choice, Partial Incision Method is the option. The scar goes half-size of the full incision, folds might be weaker but still are stronger than those of Suture Method, and excess fat removal is also possible with this procedure. But if the excess skin is the issue, full incision eye lift is recommended.
＜cosmetic surgery tips＞In this procedure, some surgeons might advise you to do the under-the-brow approach instead of along -the-fold incision. But this approach is not that effective enough that sometimes surgeons might extend the scars to the temple, that is not good to see, or sometimes just perform the suture method (mentioned above) together to have a new fold which is not permanent. So be aware of this when you are considering to undergo this surgery.
Pricing
| without tax | with tax | ||
| Incision Method Upper Bleph | both sides | \240000 | \264000 |
| Partial Incision Method Upper Bleph | both sides | \150000 | \165000 |
Slanted Eye Correction
The vertical size of an eye can be increased simply with a double eyelid procedure which
is performed on the upper eyelid. But if the upper eyelid is already at
its limit or upper eyelid surgery is not the choice, one has to focus on
the lower eyelid for widening the eye vertically, aiming of making it look
rounder.
Recently, surgery of enhancing the eye size in the lower direction called Slanted Eye Correction is definitely the craze among the new generations in Japan and maybe in the other Asian countries.
slanted eye correction before
after
downtime: swelling&bruises take about 1 wk., wound redness lasts about 1to2 mos., coverable with make-up
Slanted Eye Surgery, sometimes called Lower Eyelid Retraction Surgery, is often performed with Lateral Canthoplasty (widening of outer eye corner, mentioned below).By doing so minute effect of each procedure can be enhanced altogether because of the pulling and relaxing factors provided by both methods.
Specific Process：
4-5mm width of skin removed along half side of lower eyelashes
shortening of fascia(tissue sheet) at back of lower lid
closing stitches(less than half length of Hamra Method)
A night of compression tape, stitch removal on the 5th, and then make-up can be resumed from the 6th day. Redness of scar might be noticed from 1-3- month period but can be covered with make-up.
Pricing
Recently, surgery of enhancing the eye size in the lower direction called Slanted Eye Correction is definitely the craze among the new generations in Japan and maybe in the other Asian countries.
slanted eye correction before
after
downtime: swelling&bruises take about 1 wk., wound redness lasts about 1to2 mos., coverable with make-up
Slanted Eye Surgery, sometimes called Lower Eyelid Retraction Surgery, is often performed with Lateral Canthoplasty (widening of outer eye corner, mentioned below).By doing so minute effect of each procedure can be enhanced altogether because of the pulling and relaxing factors provided by both methods.
Specific Process：
4-5mm width of skin removed along half side of lower eyelashes
shortening of fascia(tissue sheet) at back of lower lid
closing stitches(less than half length of Hamra Method)
A night of compression tape, stitch removal on the 5th, and then make-up can be resumed from the 6th day. Redness of scar might be noticed from 1-3- month period but can be covered with make-up.
Pricing
| without tax | with tax | ||
| Slanted Eye Correction | both sides | \180000 | \198000 |
| ＋Lateral Canthoplasty both sides | \300000 | \330000 | |
Nose Enhancement
Nose Enhancement might be valid for correcting shorter midface, but most demands focus on shortening of longer ones. If elongation is still the treatment of choice, refer to 'Lateral View' 's Nose Enhancement section above.
Nose Reduction
Larger higher noses might emphasize longer midface. So reduction of nose sometimes helps toning down longer upper cheek. The following reduction methods are worth checking:
Nose Tip Elevation
A method to fix 'witch nose'. Cartilage of the nose septum is trimmed inorder to raise up the droopy tip. Incision is done inside the nasal cavity.
nose tip elevation
downtime: surgery limited in nose tip shows not much swelling& bruises but needs 5 days of plaster tape compression
This is an opposite procedure of septum elongation, which is actually the shortening of septum. Cutting off the septum's edge usually is not enough, so reduction of the alar cartilages which is done with nose tip thinning should be performed together.
The actual remedy in diagram:
septum shortening & alar cartilage reduction
The healing process is almost the same with Nose Tip Surgery( Nose Tip Thinning) which needs 5 days of cast or plaster tape. After tape removal, make-up is already okay, no stitches are to be removed.
Tip elevation sometimes needs additional cartilage transplant at the base of the colummela (the thin part between the tip and philtrum), inorder to enhance the relative uplifting of the tip.
nose tip elevation
downtime: surgery limited in nose tip shows not much swelling& bruises but needs 5 days of plaster tape compression
This is an opposite procedure of septum elongation, which is actually the shortening of septum. Cutting off the septum's edge usually is not enough, so reduction of the alar cartilages which is done with nose tip thinning should be performed together.
The actual remedy in diagram:
septum shortening & alar cartilage reduction
The healing process is almost the same with Nose Tip Surgery( Nose Tip Thinning) which needs 5 days of cast or plaster tape. After tape removal, make-up is already okay, no stitches are to be removed.
Tip elevation sometimes needs additional cartilage transplant at the base of the colummela (the thin part between the tip and philtrum), inorder to enhance the relative uplifting of the tip.
Pricing
| without tax | with tax | ||
| Nose Tip Elevation | \250000 | \275000 | |
| ＋colummela cart. transplant | ＋\50000 | +\55000 | |
Nose Hump Reduction
A procedure to surgically shave the bump on the nasal bone to obtain
a straighter nose profile. Wound incision is done inside the nose so scarring
is not an issue with this method.
nose hump reduction before/after
downtime: swelling&bruises take 1to2-wk. recovery, 4to5 d. of plaster taping applied
Non-surgical hump treatment is also the latest trend. By introducing dissolvable threads inside the nose bridge and tip, this gives a straighter nose line but not permanent.
The actual hump reduction process involves shaving of the nasal bone part at the upper side and cartilage part of the lower side of the bump.
The actual shaving :
Cartilage part is reduced by using a scalpel and surgical scissors, then the bone part is done with surgical chisel and file to effectively shave the firm solid part of the hump.
Nasal bone is rich in blood vessels that postsurgically acquires secure 4-5 days of tape compression to prevent severe swelling and bruises. Swelling might stay 1-2 weeks,if bruises is noticeable around the eye parts, more than 2 weeks might be necessary to recover. Make-up is already applyable beginning the 6th day. No stitch removal is needed because dissolvable sutures are used.
If the nose contour is not straight and thin enough with just hump shaving, an additional silicome implant might be needed to enhance the narrow and straighter profile of the nose ridge.
nose hump reduction before/after
downtime: swelling&bruises take 1to2-wk. recovery, 4to5 d. of plaster taping applied
Non-surgical hump treatment is also the latest trend. By introducing dissolvable threads inside the nose bridge and tip, this gives a straighter nose line but not permanent.
The actual hump reduction process involves shaving of the nasal bone part at the upper side and cartilage part of the lower side of the bump.
The actual shaving :
Cartilage part is reduced by using a scalpel and surgical scissors, then the bone part is done with surgical chisel and file to effectively shave the firm solid part of the hump.
Nasal bone is rich in blood vessels that postsurgically acquires secure 4-5 days of tape compression to prevent severe swelling and bruises. Swelling might stay 1-2 weeks,if bruises is noticeable around the eye parts, more than 2 weeks might be necessary to recover. Make-up is already applyable beginning the 6th day. No stitch removal is needed because dissolvable sutures are used.
If the nose contour is not straight and thin enough with just hump shaving, an additional silicome implant might be needed to enhance the narrow and straighter profile of the nose ridge.
Pricing
| without tax | with tax | ||
| Nasal Hump Reduction | \250000 | \275000 | |
| ＋silicone implant | \100000 | \110000 | |
Nasal Osteotomy
Thicker nasal bone is fractured on both sides to narrow its wider frontal
shape. Usually performed with the hump shaving(see above) to obtain a straighter profile.
nasal osteotomy before/after
downtime: swelling&bruises last for 2to3 wks., 1 wk. of plaster tape compression needed
Procedures mentioned above can sometimes or mostly be performed just under local anesthesia, but osteoplasty must be performed under general anesthesia because nasal bone is rich not only in blood vessels but also in pain nerves.
The actual treatment in diagram：
After hump reduction, nasal bone is cut and fractured at the base, then press in the mid direction to narrow its shape. Bleeding might sometimes be observed in this process but stops with just simple compression during surgery.
Cast or plaster compression should be longer than that of just a hump shaving, approximately 1-2 weeks might be needed. Swelling and bruises usually extend around eye structures so 2-3 weeks of noticeable swelling might be observed.
This procedure alone might be done independently, but usually bulbous nose tip is also a concern in this case. So Nasal Tip Surgery is often done together with this. And if the contour is not detailed enough, then silicone implant's help might also be necessary.
nasal osteotomy before/after
downtime: swelling&bruises last for 2to3 wks., 1 wk. of plaster tape compression needed
Procedures mentioned above can sometimes or mostly be performed just under local anesthesia, but osteoplasty must be performed under general anesthesia because nasal bone is rich not only in blood vessels but also in pain nerves.
The actual treatment in diagram：
After hump reduction, nasal bone is cut and fractured at the base, then press in the mid direction to narrow its shape. Bleeding might sometimes be observed in this process but stops with just simple compression during surgery.
Cast or plaster compression should be longer than that of just a hump shaving, approximately 1-2 weeks might be needed. Swelling and bruises usually extend around eye structures so 2-3 weeks of noticeable swelling might be observed.
This procedure alone might be done independently, but usually bulbous nose tip is also a concern in this case. So Nasal Tip Surgery is often done together with this. And if the contour is not detailed enough, then silicone implant's help might also be necessary.
Pricing (10% tax not included)
| without tax | with tax | ||
| Nasal Osteotomy | \300000 | \330000 | |
| ＋silicone implant | ＋\100000 | +\110000 | |
| ＋nose tip surgery | ＋\100000 | +\110000 | |
| ＋ear cart. transplant | ＋\50000 | +\55000 |
Lip Enhancement
Lip Enhancement shows effect in enhancement of the lower 1/3 of the frontal
face. Also, by enhancing this area, it relatively reduces the length of
midface. The followings are popular procedures to expand lip volume:
Hyaluronic Acid(HA) Fillers
Recently, glowing fuller lips are getting more popular than ever
among the youths while older individuals are bothered with vertical lines
along lips. These are the main reasons why HA Fillers are showing more demands year after year.
lips HA filler injection before/after
downtime: puffy for few days, if bruising observed, takes around a week to subside
Hyaluronic acid filler has been around for over 25 years, and still it
is the main filler product used in the field. During that relatively long
history of the substance, many alternatives that were thought better appeared
but gradually faded away because of their unexpected flaws. So, at this
point, HA is still the main favorite in filler technique.
Within its long usage history period, HA filler produced many brands.
The followings are mostly popular and frequently used brands:
Juvederm
Juvederm is the most common name now among dozens of HA brands that exist because of its tactics in selling its products to the public. It is produced by the company called Allergan which is famous of its Botox brand.
Juvederm VOLUMA is the thickest in concentration among the line-up of the brand, then Juvederm VOLBELLA and comes Juvederm VOLIFT (named in the States as VOLLURE) as the thinnest of them all. These 3 are the newest generation of Juvederm, older one includes Juvederm Ultra & Ultra plus.
These new ones last longer than the old generation, reported to show effect for 1 to 1.5 years, though might vary in the amount injected.
Effect lasting period might be around a year but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Teosyal(Teoxane)
Teosyal is the most used hyaluronic acid filler lately. It has the longest lasting effect among the latest brands, produced by the Swiss company called TEOXANE.
Teosyal has a lot of options in its hyaluronic acid concentration and cross-linking technology. Kiss series has more elastic touch that might be the most adequate one to enhance the lips.
The longest effect sustainability observed in highly-concentrated products is around 1 to 2 years, though might vary in the amount injected.
Effect lasting period might be around a year or two, but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Restylane
Restylane brand is the original producer of HA filler. Around 25 years ago, a Swedish company started the brand and, after that, has been taken over by an American firm. It is kind of being left behind by the famous Juvederm but still in vast use around the globe. It is reported to have a shorter effect duration than Juvederm, from 6 months to a year.
Restylane injection, same as Juvederm brand, needs careful observation of allergic reaction and tissue damage.
Juvederm VOLUMA is the thickest in concentration among the line-up of the brand, then Juvederm VOLBELLA and comes Juvederm VOLIFT (named in the States as VOLLURE) as the thinnest of them all. These 3 are the newest generation of Juvederm, older one includes Juvederm Ultra & Ultra plus.
These new ones last longer than the old generation, reported to show effect for 1 to 1.5 years, though might vary in the amount injected.
Effect lasting period might be around a year but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Teosyal(Teoxane)
Teosyal is the most used hyaluronic acid filler lately. It has the longest lasting effect among the latest brands, produced by the Swiss company called TEOXANE.
Teosyal has a lot of options in its hyaluronic acid concentration and cross-linking technology. Kiss series has more elastic touch that might be the most adequate one to enhance the lips.
The longest effect sustainability observed in highly-concentrated products is around 1 to 2 years, though might vary in the amount injected.
Effect lasting period might be around a year or two, but the actual HA substance stays in the tissue for around 5 years, while it is gradually excreted from the body. It is designed not to cause severe reactions to human body, but there are rare allergic reactions observed within this period of time. Reactions such as obvious lumps and redness of the injected area are the common symptoms. This can be dissolved and subsided by injecting HA dissolving solution called hyaluronidase.
Besides allergic reaction, skin and other tissue necrosis (death) are also the concerns of HA injection. When injected, HA rarely gets inside a blood vessel that may clog it and cause the problem. To avoid this, injection of the filler with blunt cannula is the best prevention available. If this side effect occur, a remedy using hyaluronidase is done to revive the damaged tissue.
Restylane
Restylane brand is the original producer of HA filler. Around 25 years ago, a Swedish company started the brand and, after that, has been taken over by an American firm. It is kind of being left behind by the famous Juvederm but still in vast use around the globe. It is reported to have a shorter effect duration than Juvederm, from 6 months to a year.
Restylane injection, same as Juvederm brand, needs careful observation of allergic reaction and tissue damage.
Lips enhancement can sometimes be done with fat injection. This procedure
was performed a lot before the advent of HA fillers. But since HA is convenient
and lasts longer, it captured more popularity than traditional fat injection.
lips fat transfer before/after
downtime: swelling for few days to 1 wk., if bruises occur, might take 1to2 wks .to subside
Below half of the injected fat volume might permanently stay in the lips,
and a few sessions are needed to gain the desired lip volume. Fat injection
is done in 3-to-6-month interval and every injection should enhanced lips
more than the desired volume in speculation of its rapid decrease within
months.
Another disadvantage of fat injection is the inconvenience of doing liposuction
in every session. Lower ab or thighs are the best donor of fats needed
in the treatment.
Lips need on few cc's, so HA filler is the method that fits such tiny
volume, instead of acquiring it everytime from abs and thighs. HA might
go away 100% but lasts longer than 1 time fat injection.
Pricing
| without tax | with tax | ||
| Teosyal | RHA/Kiss series | \60000 | \66000 |
| Redensity series | \50000 | \55000 | |
| Juvederm | VOLUMA 1syringe1.0cc | \60000 | \66000 |
| VOLIFT 1.0cc | \60000 | \66000 | |
| Restylane | 1.0cc | \40000 | \44000 |
| 0.5cc | \30000 | \33000 | |
| Fat Injection | 1 treatment | \100000+Mini-Lipo fee | \110000 |
Lip injectables standard volume：upper lip 0.5cc~1.0cc
lower lip 0.3cc~1.0cc
Usually 1.0cc is divided as desired to upper and lower
Philtrum Reduction (Lip Lift)
Philtrum Reduction or Lip Lift is the shortening of the width of the
space in between the nose base and upper lip to minimize the image of a
longer face or to revitalize looks of the aging.
lip lift before/after
downtime: upper lip swelling&bruises might be observed, and wound stitches need mask covering
Especially with the youth today in Japan who are apt to pursue small faces or the trend of fuller lifted upper lip are really making this procedure more popular than ever.
The actual treatment diagram:
As shown below, a 5mm width of the skin under the nose is removed, then skin flapping or undercutting is performed downward to exposed the orbicularis oris muscle which is to be retracted in the upward direction. Then, skin is closed.
Lip Lift is done with skin and muscle flaps, so obvious swelling is anticipated widely down to the upper lip. If swelling is severe, it might be noticeable for a week, and the remaining mild puffiness might stay until the 2nd or 3rd week. Stitches are removed on the 5th, make-up is already okay on the 6th day.
Needs months for the redness of wound to subside, but covering with make-up is capable of hiding it. Afterwards it turns into a whitish scar that is not noticeable enough because it blends to the sorrounding skin but not completely going away.
This procedure includes skin removal, so it is not reversible. And upper lip that shows gummy smile is not a good candidate for this technique.
Similar effect can be achieved by injecting Botox and filler on the upper lip but temporary. Botox relaxes the orbicularis oris muscle while HA filler lifts the upper lip up, which effects last from 4 to 6 months. It is a good advice to do this injectables first as a simulation before undergoing the irreversible one.
lip lift before/after
downtime: upper lip swelling&bruises might be observed, and wound stitches need mask covering
Especially with the youth today in Japan who are apt to pursue small faces or the trend of fuller lifted upper lip are really making this procedure more popular than ever.
The actual treatment diagram:
As shown below, a 5mm width of the skin under the nose is removed, then skin flapping or undercutting is performed downward to exposed the orbicularis oris muscle which is to be retracted in the upward direction. Then, skin is closed.
Lip Lift is done with skin and muscle flaps, so obvious swelling is anticipated widely down to the upper lip. If swelling is severe, it might be noticeable for a week, and the remaining mild puffiness might stay until the 2nd or 3rd week. Stitches are removed on the 5th, make-up is already okay on the 6th day.
Needs months for the redness of wound to subside, but covering with make-up is capable of hiding it. Afterwards it turns into a whitish scar that is not noticeable enough because it blends to the sorrounding skin but not completely going away.
This procedure includes skin removal, so it is not reversible. And upper lip that shows gummy smile is not a good candidate for this technique.
Similar effect can be achieved by injecting Botox and filler on the upper lip but temporary. Botox relaxes the orbicularis oris muscle while HA filler lifts the upper lip up, which effects last from 4 to 6 months. It is a good advice to do this injectables first as a simulation before undergoing the irreversible one.
Pricing
| without tax | with tax | ||
| Lip Lift | \250000 | \275000 | |
| +commisure lift | +\100000 | +\100000 | |
Commisure(Corner of Mouth) Lift
Mouth Corner Lift is literally lifting of the droopy mouth ends to lessen
sad or tired looks, and also aging impression that can be seen even with
younger individuals.
commisure lift before/after
downtime: swelling&bruises take around 1 wk. to fade
8 to 10ｍｍ of incisions are done along the vermillion border of lower
and upper lips at the corner.Then a triangular skin flap is removed over
the upper lip wound, expression muscle underneath is also lifted, then
closed with stitches.
Swelling and bruises go away fast in the same manner as lip reduction method. After stitch removal a week later, it is already coverable with make-up.
Pricing (10% tax not included)
commisure lift before/after
downtime: swelling&bruises take around 1 wk. to fade
8 to 10ｍｍ of incisions are done along the vermillion border of lower
and upper lips at the corner.Then a triangular skin flap is removed over
the upper lip wound, expression muscle underneath is also lifted, then
closed with stitches.Swelling and bruises go away fast in the same manner as lip reduction method. After stitch removal a week later, it is already coverable with make-up.
Pricing (10% tax not included)
| without tax | with tax | ||
| Commisure Lift | both sides | \250000 | \275000 |
| ＋Lip Lift | ＋\100000 | +\110000 | |
Chin Plasty (Mentoplasty)
Chin Enhancement
Chin Enhancement or Augmentation not only adds volume to an underdeveloped chin but also shows shortening image of a longer midface length. In this respect, this procedure certainly plays a big role in adjusting facial contour.
chin implant before/after
downtime: swelling lasts for 1 wk., if bruise observed, takes around 2 wks. to subside
Details of chin enhancement is mentioned at 'Lateral View' 's Chin Enhancement section above.
Chin Reduction
Chin reduction osteotomy(bone surgery) is performed sometimes in Cosmetic Surgery, but this concern usually involves with occlusion(teeth allignment) that might need correction, so consultation with Dental and Oral Surgery specialist is highly recommended.
Procedures for Equal Horizontal 5 Divison of Frontal Face
Ideal frontal face also includes equal 5 division of its horizontal length.
Horizontal facial length's 5 divided sections go as follows:
1nose-width section(nose alar width from side to side), 2 eye-width sections (from eye's inner edge to outer edge, then 2 face-outermost- width sections (from eye's outer edge to ear's outer edge), in total of 5 sections. Frontal face contour is assumed as ideal if these 5 are all in equal width sizes.
Correction of nose width is mainly done with Alar Reduction. In medical cosmetic care, reducing nose width is the most performed care instead of widening it.
Eye width, on the contrary, needs widening by Inner or Outer Canthoplasty, because in cosmetic care, bigger eye sizes is the priority.
Outer face width can be widened with Fat Transfer or Filler Injection and can be reduced withMasseter Muscle Botox Injection, Cheek Mini Lipo or Fat Dissolving Solutions, Otoplasty, and for the cheek bone or mandible, Osteotomy might be an option.
Alar Reduction
’Inner method', which scar ends within the nasal cavity, and 'outer method', which wound extends out to the outer side of the alar, are the 2 approaches
performed in reducing the flared alar portion. The later is mostly done
for cases in which obvious effects are necessary.
outer method alar reduction before
after
downtime: swelling&bruises are not noticeable but wound stitches are, so mask covering is needed
However, Inner Method shows a subtle effect which is not unnaturally noticeable, the effect that mostly is the demand of the newer generation.
Actual treatment in diagram:
Inner Method
Outer Method
Alar Reduction does not need any skin undermining or flapping,so swelling is usually is not an issue. Taping might be needed for the outer method, but can be removed the next day, stitches will be out on the 7th. Redness of outside wound might stay for a while which might subside the earliest on the 2nd month, the latest on the 3rd, but coverable with make-ups.
outer method alar reduction before
after
downtime: swelling&bruises are not noticeable but wound stitches are, so mask covering is needed
However, Inner Method shows a subtle effect which is not unnaturally noticeable, the effect that mostly is the demand of the newer generation.
Actual treatment in diagram:
Inner Method
Outer Method
Alar Reduction does not need any skin undermining or flapping,so swelling is usually is not an issue. Taping might be needed for the outer method, but can be removed the next day, stitches will be out on the 7th. Redness of outside wound might stay for a while which might subside the earliest on the 2nd month, the latest on the 3rd, but coverable with make-ups.
Pricing
| without tax | with tax | ||
| Alar Reduction | inner method | \160000 | \176000 |
| outer method | \180000 | \198000 | |
Inner Canthoplasty
A procedure of cutting the folds(Mongolian folds) of the inner corner of an eye to show it wider horizontally.
inner canthoplasty before
after
downtime: swelling&bruises take about 1 wk., wound redness lasts about 1to2 mos., coverable with make-up
Simply cutting and removing of the fold does not show a good outcome, making it look crooked and unnatural and the worst not even widen your eye appearance. There are clinics that actually are still doing this, so be aware.
The method that is popular among the cosmetic surgeons is called Uchida Method, after a Japanese doctor who suggested this procedure. A W-shape wound and skin flap is made at the inner eye corner to retract the Mongolian fold in the inner direction.
In our clinic, Uchida method is adopted but not completely similar. It is somewhat modified a bit to lessen wound scars, so we call it a Modified Uchida Method.
The actual Uchida Method :
W-shape wound marking
retraction with flaps
Our Modified Uchida Method：
modified W-shape wound marking
retracting folds with flaps
W-shaped wound's lower part is simply shortened by changing the method design. Upper part of the W is combined to the fold,also a technique adopted to our clinic's method. Both strategies are to minimize scar's appearance when it becomes obvious in certain individuals who have keloid tendency since inner eye corner is a common area of this issue.
Stiches are removed on the 5th day, make-up begins on the 6th.
Inner canthoplasty's scar redness might stay for awhile for some cases, so mastering to hide it with make-up is a must.
Pricing
inner canthoplasty before
after
downtime: swelling&bruises take about 1 wk., wound redness lasts about 1to2 mos., coverable with make-up
Simply cutting and removing of the fold does not show a good outcome, making it look crooked and unnatural and the worst not even widen your eye appearance. There are clinics that actually are still doing this, so be aware.
The method that is popular among the cosmetic surgeons is called Uchida Method, after a Japanese doctor who suggested this procedure. A W-shape wound and skin flap is made at the inner eye corner to retract the Mongolian fold in the inner direction.
In our clinic, Uchida method is adopted but not completely similar. It is somewhat modified a bit to lessen wound scars, so we call it a Modified Uchida Method.
The actual Uchida Method :
W-shape wound marking
retraction with flaps
Our Modified Uchida Method：
modified W-shape wound marking
retracting folds with flaps
W-shaped wound's lower part is simply shortened by changing the method design. Upper part of the W is combined to the fold,also a technique adopted to our clinic's method. Both strategies are to minimize scar's appearance when it becomes obvious in certain individuals who have keloid tendency since inner eye corner is a common area of this issue.
Stiches are removed on the 5th day, make-up begins on the 6th.
Inner canthoplasty's scar redness might stay for awhile for some cases, so mastering to hide it with make-up is a must.
Pricing
| without tax | with tax | ||
| Inner Canthoplasty | both sides | \180000 | \198000 |
Lateral(Outer) Canthoplasty
Making a slit at the end of the eye to make it wider. Likewise the inner
canthoplasty, this procedure widens the horizontal length of the eye.
lateral canthoplasty before
after
downtime: swelling&bruises takes 1to2 wks. to recover, wound scar is not that obvious but 1 wk. of taping needed
This procedure is not as effective as inner canthoplasry but necessary if the inner widening is not the treatment of choice.
To show an excellent effect, conjunction of this treatment with Slanted Eye Correction (mentioned above) may strengthen the effects of both procedure more.
The actual outer canthoplasty goes as follows：
creating a ５ｍｍ slit at the end corner, then trimming of upper & lower lids
suturing of the lids while cutting stitches longer for tape pulling
1 week of tape pulling is required to prevent reattaching of the edges. Outer canthoplasty usually creates non-noticeable scars.
Compared to outer canthoplasty, this procedure's wound scar is not that obvious, but if bruises appear, covering with make-up is necessary.
Pricing
Enhancing the actual width of the face's outer section is not cosmetically
popular, but adding minimal partial volume to certain parts can revive
youthfulness. Temple enhancement is one of these procedures.
Fat Transfer/Filler Injection
Details about fat transfer and HA filler treatment are already mentioned at the 'Lateral View' 's Forehead Enhancemen section.
temple fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise observed, take 1to2 wks. to fade away
Fat transfer to temples needs half amount of the forehead procedure, around 10cc on both sides. Fat graft on these parts is usually done together with the forehead. Blunt cannula is introduced along temple hairline. Takes about an hour to complete.
HA(Hyaluronic Acid) filler may require 2-4cc.
Pricing is only for 1 treatment session.
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
lateral canthoplasty before
after
downtime: swelling&bruises takes 1to2 wks. to recover, wound scar is not that obvious but 1 wk. of taping needed
This procedure is not as effective as inner canthoplasry but necessary if the inner widening is not the treatment of choice.
To show an excellent effect, conjunction of this treatment with Slanted Eye Correction (mentioned above) may strengthen the effects of both procedure more.
The actual outer canthoplasty goes as follows：
creating a ５ｍｍ slit at the end corner, then trimming of upper & lower lids
suturing of the lids while cutting stitches longer for tape pulling
1 week of tape pulling is required to prevent reattaching of the edges. Outer canthoplasty usually creates non-noticeable scars.
Compared to outer canthoplasty, this procedure's wound scar is not that obvious, but if bruises appear, covering with make-up is necessary.
Pricing
| without tax | with tax | ||
| Outer Canthoplasty | both sides | \180000 | \198000 |
| ＋Slanted Eye Correction both sides | \300000 | \330000 | |
Temple Enhancement
Enhancing the actual width of the face's outer section is not cosmetically
popular, but adding minimal partial volume to certain parts can revive
youthfulness. Temple enhancement is one of these procedures.
Fat Transfer/Filler Injection
Details about fat transfer and HA filler treatment are already mentioned at the 'Lateral View' 's Forehead Enhancemen section.
temple fat transfer before/after
downtime: puffy for few days to 1 wk., if bruise observed, take 1to2 wks. to fade away
Fat transfer to temples needs half amount of the forehead procedure, around 10cc on both sides. Fat graft on these parts is usually done together with the forehead. Blunt cannula is introduced along temple hairline. Takes about an hour to complete.
HA(Hyaluronic Acid) filler may require 2-4cc.
Pricing
| without tax | with tax | ||
| Fat Transfer | temples | \120000＋mini lipo fee | \132000 |
| HA Filler | Juvederm VOLUMA 1.0cc | \50000 | \55000 |
| Juvederm VOLIFT 1.0cc | \50000 | \55000 | |
| Restylane 1.0cc | \40000 | \44000 | |
| 0.5cc | \30000 | \33000 |
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
Cheek/Cheekbone/Mandible(Jawline) Enhancement
Similar to temple area, enhancing areas from cheek to jawline are necessary to revive skin texture. But in the Orient, where smaller facial contour is valued, sunken cheek could be filled moderately, but adding more to cheekbone or jawline is not a thing. Therefore, these procedure are mainly common to Westerners who care for detailed facelines.
Fat Transfer/Filler Injection
Sunken cheeks might look cool in your teens or twenties, but after that, they only define your oldness.
sunken cheek fat transfer before/after
downtime: puffy for few days to 1wk., if bruise occur, takes about 1 to 2 weeks to subside
Cheek fat graft is not only for sunken ones, but also to enhance cheek bone to gain younger face contour, a procedure which is very popular in the West while somewhat rejected in the Orient where smaller face contour is the trend.
cheekbone fat transfer before/after
downtime: puffy for few days to 1wk., if bruise occur, takes about 1 to 2 weeks to subside
Fat grafting at the mandible or jawline is not that popular in Japan and other Asian countries where tiny face contour is favored. While in western countries, detailed jawline is an appealing element cosmetically.
jawline fat transfer before/after
downtime: puffy for few days to 1wk., if bruise occur, takes about 1 to 2 weeks to subside
HA filler(Juvederm, Restylane) injection is also done a lot in these parts that usually needs around 6 cc for both cheeks, around 4 for both cheekbones, and around 6cc for both jawlines. Fat graft is usually injected around 20 cc, 2 to 3 times more than the desired volume inorder to compensate for the later absorption of the fats. Extented size of the cheek might be noticeable for a month or two but is worth the waiting to minimize treatment sessions into one more or maybe none. Immediate natural look is also possible with fat grafting by injecting smaller volume of 6 cc, meaning that you need more sessions, once in every 3 months.
20㏄ of fats can be harvested by minimal liposuction we call Mini Lipo.
A palm-sized small area around the belly button or thighs is good enough
to acquire the fats. Refer to Mini Lipo page for details of recovery.
The procedure requires about an hour.
A blunt cannula needle used can prevent severe swelling and bruises. Finer cannula needle points are usually unnoticeable and can be hidden along hairlines of sideburns. They can be washed beginning the next day.
Pricing is only for 1 treatment session.
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
Cheek/Jawline Reduction
Cheek reduction is done by Mini Lipo or Fat Dissolving Injection, while jawline can be reduced with Botox Injection:
Cheek Mini Lipo
cheek mini lipo before/after
downtime: swelling/soreness 1wk., if bruise observed around 2wks.
Cheeks' Mini Lipo is approached from the back of ear lobe. After introducing local anesthetics through a small hole for a couple of minutes,
smallest 2mm suction tube connected to the smallest syringe is used
to aspirate minimal fat layer of the cheek that takes about 5-10 minutes.
Around 10cc of suctioned fats from both side are enough to show good
result. Taking more than this amount is possible but maybe not okay years
later when you might see sunken parts on cheek area.
Compression with bandage for 1 night , then compression band beginning the next day. The longer the pressing the better, but since face is noticeable with such garments, at least a week of compressing is required to avoid obvious longer swelling and unwanted scar tissue inside that may minimize effect of the treatment. A very fine stitch is done on each approach hole that to be removed 1 week later.
Cheek area has relatively less fat deposit compared to other parts of the body, the reason why it shows treatment effect much later than fat-rich areas. For the time being, cheek parts might look the same or a little bit puffy for few months.
saggy jowls
before minilipo marking after minilipo
downtime: swelling/soreness for few days, if bruising observed around 1wk.
Saggy jowls due to aging are good candidates for surgical facelift procedure. (Click here for facelift details.)
However, facelift surgery is one of those cosmetic procedures that needs time for healing and recovery, the fact that usually hesitates one to decide undergoing it. Under such circumstances, particularly when sagginess is not that severe, fat removal might show some tightening or maybe flattening effect on the concerned jowl area.
To be specific, cheek mini-lipo(mentioned above) is further minimized to a smaller area limited to jowl part only, so a smaller ２ｍｍtube opening is made at the inner side of the jowl, outer side of the under-chin to introduce a smaller syringe suctioning device. Within few minutes the suctioning is completed.
Of course, local anesthesia is much preferred for this procedure.
A minimal amount can be suctioned from these areas, less than few cc's.
Compression after surgery is simply done with just simple gauze and tape that can be covered with a simple mask. Without compressing might cause noticeable swelling that might linger on.
Suction hole is more like a needle point that needs no stitches at all.
A week of taping for compression is advisable.
Jowls do not have that much fat volume to be removed, so a noticeable effect might be observed months later. For a while, suctioned areas may look unchanged or show a little puffiness.
buccal fat removal
Buccal fat is a fat pad located under the cheek bone.
A 1-2cm slit is made at each side of the upper jaw's oral vestibule at the level of the 2nd molar tooth, and use this as the approach wound aiming behind buccinator muscle in the direction of lower rim of the cheek bone to expose lower part of the fat pad and excise it in a thumb-tip size.
buccal fat removal before/after
downtime:puffy&sore within 1 wk.,
if bruising observed, takes 1wk. or more
Buccal fat removal slims cheek part by making a slightly sunken under-cheek bone area, a state that might be easy to simulate beforehand by sucking in one's cheek to create a hollow cheek. Jowl area or lower cheek is not affected by performing this procedure alone, resulting in a slimmer, slightly sunken cheekline leaving prominent or defined jawlines untouched to show a square-like front facial feature.
buccal fat removal before/after
downtime:puffy&sore within 1 wk.,
if bruising observed, takes 1wk. or more
So if slimmer jowls are also favored to make a more like oval-shaped or heart-shaped slimmer lower face contour, which is a favorite feature among Japanese or Asian individuals, jowl mini lipo procedure(refer to saggy jowls mini minilipo mentioned above)might be additionally necessary.
buccal+jowl fat removal before/after
downtime:puffy&sore within 1 wk.,
if bruising observed, takes 1wk. or more
Buccal fat removal effect that turned out satisfactory in early years might become more sunken in later years due to aging, and this might cause some concern of looking badly aged. So a decision to do the procedure should be considered thoroughly in order to avoid this unwanted future of your facial contour. Fat transfer can be a solution,but not a perfect one, to treat this issue.
This procedure has been around for about 30 years but its popularity lately is rekindled by Hollywood stars and SNS influencers particularly from the West.。
Approach wounds inside the oral cavity are not noticeable and also heal easily, stitched by dissolvable threads, need 4-5 days of aseptic gurgling. Bandages compression is not necessary but a simple compressing band for a night or 2 might help prevent bleeding and bruises. Mild slimming of the operated portion can soon be observed just after the procedure, but for few weeks or months, cheek puffiness might hide the effect for the time being.
Cheek Mesotherapy(Liposculpturing Injection)
Cheek mesotherapy is not as effective as mini lipo but quite popular as an option to those who want to get rid of surgical procedures. The following solutions are well-known globally and injected a lot in many areas besides cheek part:
Mandible(Jawline) Botulinum Toxin Injection
Mandibular angle(outer jawline) is assumed to be the main factor that determines outer facial contour. Mandibular angle osteotomy might be an effective solution for reduction but requires long surgical process and recovery. Botulinum injection reduces masseter muscle volume at this area, which seems to have the same reduction effect as osteotomy, the reason why it is more popular.
outer jawline botulinum injection before/after
downtime: injection redness for few hrs., sometimes bruise might appear that takes 1wk. to fade away
Botulinum toxin has plenty of brands worldwide, and the following 2 brands are both approved by the FDA which are the most used ones:
Botox is the most well-known and usually has good feedbacks.
Botox is famous for its effect on lessening wrinkle lines, but also has an effect on reducing muscle bulging. By injecting it to the masseter muscle at the outer jawline, days later you can see how it lessens the volume of the area with just few seconds of treatment time.
Dysport
Other ４brands are approved by the FDA and one of them called Dysport is available in our clinic. It is more like a generic drug of Botox from Ipsen, a British company. While Botox own 50％of the share in the US, Dysport comes nearly 50％, according to recent statistics.
Botulinum treatment shows its effect at the earliest on the 2-3rd day, sometimes may take a week, and completes around a 2-week period. 3－4 months later effect may start fading and might completely go away around 6- 8th month.
Allergic reaction rarely seen might be observed partly on the area injected. Pregnant or expecting to be pregnant individuals are not good candidates for this treatment.
Pricing (10% tax not included)
Fat Transfer/Filler Injection
Sunken cheeks might look cool in your teens or twenties, but after that, they only define your oldness.
sunken cheek fat transfer before/after
downtime: puffy for few days to 1wk., if bruise occur, takes about 1 to 2 weeks to subside
Cheek fat graft is not only for sunken ones, but also to enhance cheek bone to gain younger face contour, a procedure which is very popular in the West while somewhat rejected in the Orient where smaller face contour is the trend.
cheekbone fat transfer before/after
downtime: puffy for few days to 1wk., if bruise occur, takes about 1 to 2 weeks to subside
Fat grafting at the mandible or jawline is not that popular in Japan and other Asian countries where tiny face contour is favored. While in western countries, detailed jawline is an appealing element cosmetically.
jawline fat transfer before/after
downtime: puffy for few days to 1wk., if bruise occur, takes about 1 to 2 weeks to subside
HA filler(Juvederm, Restylane) injection is also done a lot in these parts that usually needs around 6 cc for both cheeks, around 4 for both cheekbones, and around 6cc for both jawlines. Fat graft is usually injected around 20 cc, 2 to 3 times more than the desired volume inorder to compensate for the later absorption of the fats. Extented size of the cheek might be noticeable for a month or two but is worth the waiting to minimize treatment sessions into one more or maybe none. Immediate natural look is also possible with fat grafting by injecting smaller volume of 6 cc, meaning that you need more sessions, once in every 3 months.
20㏄ of fats can be harvested by minimal liposuction we call Mini Lipo.
A palm-sized small area around the belly button or thighs is good enough
to acquire the fats. Refer to Mini Lipo page for details of recovery.The procedure requires about an hour.
A blunt cannula needle used can prevent severe swelling and bruises. Finer cannula needle points are usually unnoticeable and can be hidden along hairlines of sideburns. They can be washed beginning the next day.
Pricing (10% tax not included)
| without tax | with tax | ||
| Fat Transfer | both cheeks | \150000＋mini lipo fee | \165000 |
| both jawlines | \130000+mini lipo fee | \143000 | |
| both cheeks+jawlines | \200000+mini lipo fee | \220000 | |
| HA Filler | Juvederm VOLUMA 1.0cc | \60000 | \66000 |
| Juvederm VOLIFT 1.0cc | \60000 | \66000 | |
| Restylane 1.0cc | \40000 | \44000 | |
| 0.5cc | \30000 | \33000 |
2nd fat injection and beyond are 50% OFF.
Liposuction fee is required in every session. Refer to Liposuction page for pricing details.
Cheek/Jawline Reduction
Cheek reduction is done by Mini Lipo or Fat Dissolving Injection, while jawline can be reduced with Botox Injection:
Cheek Mini Lipo
cheek mini lipo before/after
downtime: swelling/soreness 1wk., if bruise observed around 2wks.
Cheeks' Mini Lipo is approached from the back of ear lobe. After introducing local anesthetics through a small hole for a couple of minutes,
smallest 2mm suction tube connected to the smallest syringe is used
to aspirate minimal fat layer of the cheek that takes about 5-10 minutes. Around 10cc of suctioned fats from both side are enough to show good
result. Taking more than this amount is possible but maybe not okay years
later when you might see sunken parts on cheek area.Compression with bandage for 1 night , then compression band beginning the next day. The longer the pressing the better, but since face is noticeable with such garments, at least a week of compressing is required to avoid obvious longer swelling and unwanted scar tissue inside that may minimize effect of the treatment. A very fine stitch is done on each approach hole that to be removed 1 week later.
Cheek area has relatively less fat deposit compared to other parts of the body, the reason why it shows treatment effect much later than fat-rich areas. For the time being, cheek parts might look the same or a little bit puffy for few months.
saggy jowls
before minilipo marking after minilipo
downtime: swelling/soreness for few days, if bruising observed around 1wk.
Saggy jowls due to aging are good candidates for surgical facelift procedure. (Click here for facelift details.)
However, facelift surgery is one of those cosmetic procedures that needs time for healing and recovery, the fact that usually hesitates one to decide undergoing it. Under such circumstances, particularly when sagginess is not that severe, fat removal might show some tightening or maybe flattening effect on the concerned jowl area.
To be specific, cheek mini-lipo(mentioned above) is further minimized to a smaller area limited to jowl part only, so a smaller ２ｍｍtube opening is made at the inner side of the jowl, outer side of the under-chin to introduce a smaller syringe suctioning device. Within few minutes the suctioning is completed.
Of course, local anesthesia is much preferred for this procedure.
A minimal amount can be suctioned from these areas, less than few cc's.
Compression after surgery is simply done with just simple gauze and tape that can be covered with a simple mask. Without compressing might cause noticeable swelling that might linger on.
Suction hole is more like a needle point that needs no stitches at all.
A week of taping for compression is advisable.Jowls do not have that much fat volume to be removed, so a noticeable effect might be observed months later. For a while, suctioned areas may look unchanged or show a little puffiness.
buccal fat removal
Buccal fat is a fat pad located under the cheek bone.
A 1-2cm slit is made at each side of the upper jaw's oral vestibule at the level of the 2nd molar tooth, and use this as the approach wound aiming behind buccinator muscle in the direction of lower rim of the cheek bone to expose lower part of the fat pad and excise it in a thumb-tip size.
buccal fat removal before/after
downtime:puffy&sore within 1 wk.,
if bruising observed, takes 1wk. or more
Buccal fat removal slims cheek part by making a slightly sunken under-cheek bone area, a state that might be easy to simulate beforehand by sucking in one's cheek to create a hollow cheek. Jowl area or lower cheek is not affected by performing this procedure alone, resulting in a slimmer, slightly sunken cheekline leaving prominent or defined jawlines untouched to show a square-like front facial feature.
buccal fat removal before/after
downtime:puffy&sore within 1 wk.,
if bruising observed, takes 1wk. or more
So if slimmer jowls are also favored to make a more like oval-shaped or heart-shaped slimmer lower face contour, which is a favorite feature among Japanese or Asian individuals, jowl mini lipo procedure(refer to saggy jowls mini minilipo mentioned above)might be additionally necessary.
buccal+jowl fat removal before/after
downtime:puffy&sore within 1 wk.,
if bruising observed, takes 1wk. or more
Buccal fat removal effect that turned out satisfactory in early years might become more sunken in later years due to aging, and this might cause some concern of looking badly aged. So a decision to do the procedure should be considered thoroughly in order to avoid this unwanted future of your facial contour. Fat transfer can be a solution,but not a perfect one, to treat this issue.
This procedure has been around for about 30 years but its popularity lately is rekindled by Hollywood stars and SNS influencers particularly from the West.。
Approach wounds inside the oral cavity are not noticeable and also heal easily, stitched by dissolvable threads, need 4-5 days of aseptic gurgling. Bandages compression is not necessary but a simple compressing band for a night or 2 might help prevent bleeding and bruises. Mild slimming of the operated portion can soon be observed just after the procedure, but for few weeks or months, cheek puffiness might hide the effect for the time being.
Pricing
| without tax | with tax | ||
| Mini Lipo | both cheeks | \150000 | \165000 |
| jowls mini | \100000 | \110000 | |
| buccal fat rem. | \200000 | \220000 |
Cheek Mesotherapy(Liposculpturing Injection)
Cheek mesotherapy is not as effective as mini lipo but quite popular as an option to those who want to get rid of surgical procedures. The following solutions are well-known globally and injected a lot in many areas besides cheek part:
Deoxycholic Acid
Deoxycholic acid is one of the substances found in bile acid produced
in the liver. This substance has the ability to melt and dissolve fats,
and it is also proven recently that it has the power to
reduce fats when it is injected into fat layer. Its efficacy is approved by the FDA. Deoxycholic acid solution has many brand names which have different concentration of the substance:
Cincelar +
Cincelar Plus has relatively high concentration of deoxycholic acid, 0.8%.
Despite its rich content, pain and swelling after treatment are light,
and side effect is less, the reason why it is applicable to other body
parts.
double chin Cincelar+ injection before/after
downtime:puffy for few days, if bruise observed, takes 1 wk. to subside
Amount of injection is about 0.2 cc per 1 ㎠ (about 1cc per square inch), 5×5㎠ needs about 2㏄, approximate amount for minimal double chin. Broad chin parts need treatment of at least 4㏄.
Deolipo (Kabelline)
Deolipo (or Kabelline) has a modest 0.5% concentration od deoxycholic acid,
combined with the other 2 fat-melting substances which are L-carnitine
and artichoke extract.
Treatment amount is similar to Cincelar+, but can be done frequently every 1-2weeks, up to 6 sessions if needed.
BNLS neo
BNLS is the new fat removal method done by injecting natural substances that burn fats. Treatment will be performed from 1 to 3 sessions which are more effective than the previous version of this brand. Facial and body parts are best candidates for this remedy.
nose tip BNLS injection before/after
downtime:puffy for few days, if bruise observed, takes 1 wk. to subside
cheek BNLS injection before/after
downtime:puffy for few days, if bruise observed, takes 1 wk. to subside
Kybella
Kybella is the original brand of deoxycholic acid solution which has 1.0% concentration.
Because of its rich contents, severe pain and swelling after injection
are observed and sometimes causes nerve dysfunction and skin necrosis,
the reason why it is available in Japan.
Pricing
reduce fats when it is injected into fat layer. Its efficacy is approved by the FDA. Deoxycholic acid solution has many brand names which have different concentration of the substance:
  |
  |
  |
  |
|
|---|---|---|---|---|
| product name | Cincelar + | Deolipo(Kabelline） | BNLS neo | Kybella |
| deoxycholate concentration | 0.8％ | 05% | 0.0001% | １％ |
| effect | excellent | good | mild | excellent |
| pain/swelling | mild | none | none | severe |
| treatment sessions | 1/4weeks 2 to 6 times |
every week 6 times or more |
1/2 to 3wks. 6 × or more |
1/4weeks 2 to 6 times |
Cincelar +
Cincelar Plus has relatively high concentration of deoxycholic acid, 0.8%.
Despite its rich content, pain and swelling after treatment are light,
and side effect is less, the reason why it is applicable to other body
parts.double chin Cincelar+ injection before/afterdowntime:puffy for few days, if bruise observed, takes 1 wk. to subside
Amount of injection is about 0.2 cc per 1 ㎠ (about 1cc per square inch), 5×5㎠ needs about 2㏄, approximate amount for minimal double chin. Broad chin parts need treatment of at least 4㏄.
Deolipo (Kabelline)
Deolipo (or Kabelline) has a modest 0.5% concentration od deoxycholic acid,
combined with the other 2 fat-melting substances which are L-carnitine
and artichoke extract.Treatment amount is similar to Cincelar+, but can be done frequently every 1-2weeks, up to 6 sessions if needed.
BNLS neo
BNLS is the new fat removal method done by injecting natural substances that burn fats. Treatment will be performed from 1 to 3 sessions which are more effective than the previous version of this brand. Facial and body parts are best candidates for this remedy.
nose tip BNLS injection before/afterdowntime:puffy for few days, if bruise observed, takes 1 wk. to subside
cheek BNLS injection before/after
downtime:puffy for few days, if bruise observed, takes 1 wk. to subside
Kybella
Kybella is the original brand of deoxycholic acid solution which has 1.0% concentration.
Because of its rich contents, severe pain and swelling after injection
are observed and sometimes causes nerve dysfunction and skin necrosis,
the reason why it is available in Japan.Pricing
| without tax | with tax | ||
| Cincelar + | 1cc | \20000 | \22000 |
| 8cc | \140000 | \154000 | |
| 6times set | 1time free | ||
| Deolipo(Kabelline) | 1cc | \15000 | \16500 |
| 8cc | \100000 | \110000 | |
| 6times set | 1time free | ||
| BNLS neo | 1cc | \10000 | \11000 |
| 10cc | \90000 | \99000 | |
| 6times set | 1time free |
Mandible(Jawline) Botulinum Toxin Injection
Mandibular angle(outer jawline) is assumed to be the main factor that determines outer facial contour. Mandibular angle osteotomy might be an effective solution for reduction but requires long surgical process and recovery. Botulinum injection reduces masseter muscle volume at this area, which seems to have the same reduction effect as osteotomy, the reason why it is more popular.
outer jawline botulinum injection before/after
downtime: injection redness for few hrs., sometimes bruise might appear that takes 1wk. to fade away
Botulinum toxin has plenty of brands worldwide, and the following 2 brands are both approved by the FDA which are the most used ones:
Botox
Botox is the most well-known and usually has good feedbacks.Botox is famous for its effect on lessening wrinkle lines, but also has an effect on reducing muscle bulging. By injecting it to the masseter muscle at the outer jawline, days later you can see how it lessens the volume of the area with just few seconds of treatment time.
Dysport
Other ４brands are approved by the FDA and one of them called Dysport is available in our clinic. It is more like a generic drug of Botox from Ipsen, a British company. While Botox own 50％of the share in the US, Dysport comes nearly 50％, according to recent statistics.
Botulinum treatment shows its effect at the earliest on the 2-3rd day, sometimes may take a week, and completes around a 2-week period. 3－4 months later effect may start fading and might completely go away around 6- 8th month.
Allergic reaction rarely seen might be observed partly on the area injected. Pregnant or expecting to be pregnant individuals are not good candidates for this treatment.
Pricing (10% tax not included)
| Botox | Dysport | ||
| Botulinum Toxin Injection | masseter muscle | \50000(with tax\55000) | \30000(with tax\33000) |
| inner+outer jawline | \80000(with tax\88000) | \50000(with tax\55000) |
Otoplasty(Protruding Ear Correction)
Protruding ear is a ,ajor factor to make outemost face contour noticeable. Correction of this concern certainly can change the silhouette of outer facial line.
protruding ear correction before/after
downtime: swelling&bruise last for around 1 wk., gauze&tape compression is needed for 1 wk.
Protruding ear is caused by poorly formed auricular cartilage that allows the ear shape to stick out. This procedure corrects this concern by folding the under-developed cartilage inorder to prevent the ear to pin out.
In Japan, pinning-out ears are not that big issues since its a belief that protruding ears bring money, while Westerns or Japanese people who have stayed long enough in western countries cannot stand these types of ears.
The procedure requires incision wound at the back of the ear auricle where it can be hidden well, then the stretching cartilage is slit inorder to bend it backwards.
Stitches are made at the back wound which are to be removed 1 week later, and also a tied-over gauze is done on the front side also for a-week long. After a week of downtime, it is already coverable with make-up or hair, since wound is at he nonnoticeable back of the ear.
Pricing
protruding ear correction before/after
downtime: swelling&bruise last for around 1 wk., gauze&tape compression is needed for 1 wk.
Protruding ear is caused by poorly formed auricular cartilage that allows the ear shape to stick out. This procedure corrects this concern by folding the under-developed cartilage inorder to prevent the ear to pin out.
In Japan, pinning-out ears are not that big issues since its a belief that protruding ears bring money, while Westerns or Japanese people who have stayed long enough in western countries cannot stand these types of ears.
The procedure requires incision wound at the back of the ear auricle where it can be hidden well, then the stretching cartilage is slit inorder to bend it backwards.
Stitches are made at the back wound which are to be removed 1 week later, and also a tied-over gauze is done on the front side also for a-week long. After a week of downtime, it is already coverable with make-up or hair, since wound is at he nonnoticeable back of the ear.
Pricing
| without tax | with tax | ||
| Otoplasty | both sides | \250000 | \275000 |
Miyagi Cosmetic Surgery宮城美容外科クリニック
〒900-0016
沖縄県那覇市前島２－２－１（３F)
2-2-1-3F Maejima, Naha City
Okinawa, Japan 900-0016
TEL 098-860-9120
FAX 098-860-9176
※電話が混み合っている場合、ウェブやメールでの予約も受けております。オンライン予約はこちら
In case line is busy, please make reservations through our website or e-mail.
For online booking click here
e-mail info@miyagi-clinic.info
日本語English
