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南国の美容クリニック

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〒900-0016 沖縄県那覇市前島2-2-1-3F

    

シワ・タルミの美容ケアFacelifts & Fillers

                           日本語は こちら

Injectables
 Hyaluronic Acid(HA) Fillers
  Juvederm
  Restylane
 Botulinum Toxin
  Botox
  Dysport
Facelift
 Full Facelift
 Mini Facelift
Thread Lift
 N-COG Spiral
 Silhouette Lift



Injectables

   Hyaluronic Acid Fillers        
  Hyaluronic acid (HA) is the commonly used filler in today's cosmetic care. The nasolabial folds(parentheses in between nose and lip), marionette lines (lines extending from lip corner to chin), cheek lines, neck lunes, and other wrinkle lines are parts that are treatable with HA fillers.

  HA fillers are not only good for wrinkles but also capable of filling in dents of body parts or expanding parts that are needed to be expanded. Usually parst such as lips, sunken cheeks or cheekbones, sunken temples, chin, lower eyelid circles, lower eyelash base enhancement (a popular demand from Japanese clients) , and also breast for enlargement.

   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

   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.


    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 (8% tax not included)                                   

       promo
 Juvederm VOLUMA 1syringe1.0cc  \50000  20%OFF 
  VOLIFT  1.0cc \50000  20%OFF 
 Restylane         1.0cc  \40000 20%OFF 
          0.5cc  \20000 20%OFF 
      Injectable amount on each part:
            

                  FILLERS are here to stay




Botulinum Toxin Treatment
  Botulinum toxin injection is the first treatment choice for expression lines, such as forehead lines, frown lines, crowsfeet lines (smiling lines at outer corners of eyes), and lower eyelid lines. It is also used to suppress excessive perspiration of armpit and limbs and to reduce hypertrophic appearances of certain parts such as calf muscle( for slimming down), masseter muscle(chewing muscle) in the lower jaw, and others. Recently Botox treatment is also popular for treating dilated pores which is called MicroBotox, according to Japanese clinics' terminology.It is injecting micro amounts of Botox within skin layer in a wider area such as cheek and nose to stop sebum fats secretion through pores.
  
  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 80%of the share in the US, Dysport comes nearly 20%, 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 (8% tax not included)
    Botox  Dysport  promo
 wrinkle lines  forehead   \16600  \7400  50%OFF
   glabella(btw brows)  \16600  \7400  50%OFF
   crowsfeet  \16600  \7400  50%OFF
   lower eyelids  \16600  \7400  50%OFF
   nose bridge  \16600  \7400  50%OFF
   upper lip  \16600  \7400  50%OFF
   lower lip  \16600  \7400  50%OFF
   chin  \16600  \7400  50%OFF
micro Botox  upper cheek \50000  \30000  50%OFF
   lower cheek  \50000  \30000  50%OFF
   neck(platysma) \60000   \40000  50%OFF
   nose  \40000  \20000  50%OFF
   others5×5cm  \40000  \20000  50%OFF
 reduction/lift slant eye correct.  \16600  \7400  50%OFF
   alar reduc.  \16600  \7400  50%OFF
   gummy smile correc.  \16600  \7400  50%OFF
   lip corner lift  \16600  \7400  50%OFF
   masseter muscle  \50000  \30000  50%OFF
  lower jaw+masseter  \80000  \50000  50%OFF
   sternocleidomastoid  \80000  \50000  50%OFF
   trapezius m  \100000  \70000  50%OFF
   calf m  \100000 \70000   50%OFF
 sweat control armpits  \80000 \50000   50%OFF
  palms  \100000 \70000   50%OFF
   soles  \120000 \80000   50%OFF
   forehead  \60000 \40000   50%OFF
   temples  \60000 \40000   50%OFF
  head/etc10×10cm  \60000 \40000   50%OFF
       
         

            BOTOX the Great



Facelifts

Full Lift

  Even how filler/injectables, lasers, and thread lifts are evolving to a newer level, still surgery is the best procedure to correct loosening of the aging skin. Maybe in the future, a better-than-surgery non-surgical method come out, but for the time being, surgical facelift still reigns.

   Especially the full facelift removes not only cheek excess skin, but also chin and neck's loosening. Incision in front of the ear is for cheek tightening, incision at back of the ear is for the chin/neck sagging.

   Actual method:
























   After wound incision, undermining or undercutting of the skin takes place, cutting through underskin space till ligaments at the middle of cheek and lower edge of cheekbone are also cut and released inorder to set the skin flap free, allowing a good view of the SMAS(muscle covering sheet) on the cheek and the platysma muscle band below the jaw. These SMAS and muscle band are undermined and tightly pulled and tucked in the direction of temporal region and ear respectively. Then the skin flap is also pulled and suspended in similar directions. Cheek fats are suctioned if needed to be reduced.

   To secure good tightening of loose skin, around 3-hour time is consumed in a wide cutting underneath the skin and of ligaments, then pulling and suturing all other structures. So postoperatively, major swelling is anticipated, the reason why 2 days of bandage and 5 days of band compression is needed. A much simpler procedure like just shortening of skin then close may take only about a fast 1 hour and short time of compression, but the outcome will be disappointing.

   1 week later is stitch removal, face washing might be possible 2-3 days postoperatively. Swelling and bruises take 1-2 weeks, but if eye sorrounding is involved, might last till the 3rd week.              

<cosmetic surgery simple tips>
This procedure is undoubtedly a challenging one for a cosmetic surgeon, ranking it as the 3rd barrier of his/her carreer. Similar to what is mentioned in lower eyelid Hamra method (details here ), it is the question of whether you can show a satisfactory effect or not that really gives you sleepless nights in starting this procedure during your early days. Pulling the structures gently might give you faster recovery but not a gentle outcome, and if you tighten it as hard as you can surgical wounds sometimes take weeks to recover and be stretched wider in not a good appearances. Over this you have to deal with your time also, because even the highly trained ones take 3 hours as the fastest to finish both sides, those who are not take the whole day or maybe the whole day is not enough, the reason why some do the other side on another day. This procedure is certainly the one that tests the surgeon's technique, speed, and refinement, somewhat like an event that requires all of what you have obtained or mastered, and sometimes even those you have not yet.
                           

Mini Lift

   Minilift incision is done mainly just at ear's front to focus on the tightening of the cheek skin.

    It's a mini version of the full facelift(mentioned above). Skin incision is just half of the full one, but ligaments cutting and SMAS plication are performed. Also fats are suctioned if needed.

    Recovery time of mini lift is relatively minimal than that of full lift, including swelling and bruises withdrawal. Bandage and band compression can be shortened to about 3-4days. Stitch removal is done after a week.

  Pricing (8% tax not included)                                      

       
 Facelift full \600000   
   +cheek lipo \650000   
   mini  \400000  
   +cheek lipo  \450000  
     general anesthesia: \50000  


Thread Lift


 N-COG Spiral

   The latest thread lift available, using dissolvable sutures. The procedure is as easy as filler injection, meaning less swelling and less needle points.   
   Thread lift method is only recommended to the ones who are not willing to undergo surgery lifts or to those who just have minimal loosening. It could be done instead of surgery, but its effect could not be as effective as surgery..

   N-COG spiral has cogs or spikes along its thread that are aligned in spiral manner,













   
   The procedure lasts for about minutes, as similar as filler injection's duration, and only deals with a small one needle point in each area(not including local anesthetic injections). It is made of dissolvable thread that dissolves within half a year, then the stimulated collagen production holds the effect for a while.

   Why use dissolving thread instead of permanent one? It is because permanent threads have issues when they were used in the past. Permanent threads are usually used in other surgical method without any problem in leaving them inside the human body, but since thread lifting is done with a certain amount of threads under the very shallow skin layer, they sometimes cause problems later on such as infections, abcess, stretching sensation, or maybe noticeable thread rims on skin surface.

   Basically no check-ups and no stitch removal on coming days, undergoing the procedure with just one visit, and if you need more pulling, you just can add some touch-ups months later.

   Actual method:
   As shown in the diagram, 2 threads at the upper cheek and 3 near the jowls, 10 in total of both sides.

   1−2 threads can also be used as a trial but cannot expect that much effect.

   Neck sag can also be treated with this procedure with at least 2 threads at each side.

                                   

Silhouette Lift

   The latest thread lift using absorbable biocones, instead of cogs, to tighten up the skin .

   Instead of needle points, Silhouette Lift threads are introduced through bigger slits where they have to be tied together for pulling loose skin, so it requires at least 2 threads in each area.

Pricing (8% tax not included)                             

     promo
 N-COG 1 thread   \20000  25%OFF 
 Silhouette Lift 1 thread  \40000  
       

How to treat JOWLS


Med-Jet                             

The latest needle-free injector that introduces substances through skin via an ultra-fine(0.03mm) stream of liquid.

Mainly used for local anesthesia.

Pricing (8% tax not included)
       
 Med-Jet \5000     
       
       

                   このページの先頭へ

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

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