SKIN REJUVENATION
Skin Tightening
Laser Treatment
Dermapen4 Microneedling
Chemical Peeling
Skin Rejuvenation Set
Injectables
Hyaluronic Acid(HA) Fillers
Juvederm
Restylane
Botulinum Toxin
Botox
Dysport
Thread Lift
N-COG Spiral
Silhouette Lift
Skin Tightening
Laser Treatment
Skin tightening should be done with the device that owns the latest
technology. And Picosure, the latest picosecond laser, has it. Its Fractional technique just happened to be the talk of the whole world.
Picosure is the most popular picosecond laser that works in picosecond level, emitting laser 1000 times faster than the traditional nanosecond ones such as Q-Switched laser.
Picosure has the Focus Lens Array handpiece that performs the fractional procedure.
Focus Lens Hanpiece
This lens redistributes the laser beam into a high-and-low-power manner, and by this effect micro changes inside the epidermis occur, which is called LIOB(Laser-Induced Optical Breakdown), an event that causes the dermis to activate its collagen and elastin production. This fiber's mass production revives the skin tightness and improves smoothness of wrinkly areas.
The actual treatment：
Picosure is the most popular picosecond laser that works in picosecond level, emitting laser 1000 times faster than the traditional nanosecond ones such as Q-Switched laser.
Picosure has the Focus Lens Array handpiece that performs the fractional procedure.
Focus Lens Hanpiece
This lens redistributes the laser beam into a high-and-low-power manner, and by this effect micro changes inside the epidermis occur, which is called LIOB(Laser-Induced Optical Breakdown), an event that causes the dermis to activate its collagen and elastin production. This fiber's mass production revives the skin tightness and improves smoothness of wrinkly areas.
The actual treatment：
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 side), cheek lines, neck lunes, and other wrinkle lines are parts that are treatable with HA fillers.
nasolabial folds HA filler injection before
after
downtime: puffy&tender for few days,
if bruises observed, take around 1 wk.
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 about 30 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 than the actual name of the substance '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.
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, then more elastic Kiss series for lip filling, and the low-concentrated Redensity series for fine lines on neck and around eyes.
cheek Teosyal RHA injection before/after
neck Teosyal Redensity injection before/after
downtime: puffy&tender for few days, if bruises observed, take around 1 wk.
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.
nasolabial folds HA filler injection before
after
downtime: puffy&tender for few days,
if bruises observed, take around 1 wk.
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 about 30 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 than the actual name of the substance '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.
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, then more elastic Kiss series for lip filling, and the low-concentrated Redensity series for fine lines on neck and around eyes.
cheek Teosyal RHA injection before/afterneck Teosyal Redensity injection before/afterdowntime: puffy&tender for few days, if bruises observed, take around 1 wk.
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 |
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.
forehead botulinum toxin injection before/afterdowntime: injection redness for few hrs., sometimes bruises might appear that takes 1wk. to fade away
Botulinum toxin has plenty of brands worldwide, and the most famous one is the original Botox 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.
Rarely seen allergic reaction might be observed partly on the area injected. Pregnant or expecting to be pregnant individuals are not good candidates for this treatment.
Pricing
| Botox | Botox | Dysport | Dysport | ||
| without tax | with tax | without tax | with tax | ||
| wrinkle lines | forehead | \16800 | \18480 | \7600 | \8360 |
| glabella(btw brows) | \16800 | \18480 | \7600 | \8360 | |
| crowsfeet | \16800 | \18480 | \7600 | \8360 | |
| lower eyelids | \16800 | \18480 | \7600 | \8360 | |
| nose bridge | \16800 | \18480 | \7600 | \8360 | |
| upper lip | \16800 | \18480 | \7600 | \8360 | |
| lower lip | \16800 | \18480 | \7600 | \8360 | |
| chin | \16800 | \18480 | \7600 | \8360 | |
| micro Botox | upper cheek | \50000 | \55000 | \30000 | \33000 |
| lower cheek | \50000 | \55000 | \30000 | \33000 | |
| neck(platysma) | \60000 | \66000 | \40000 | \44000 | |
| nose | \40000 | \44000 | \20000 | \22000 | |
| others5×5cm | \40000 | \44000 | \20000 | \22000 | |
| reduction/lift | slant eye correct. | \16800 | \18480 | \7600 | \8360 |
| alar reduc. | \16800 | \18480 | \7600 | \8360 | |
| nosetip elevation | \16800 | \18480 | \7600 | \8360 | |
| gummy smile correc. | \16800 | \18480 | \7600 | \8360 | |
| lip corner lift | \16800 | \18480 | \7600 | \8360 | |
| masseter muscle | \50000 | \55000 | \30000 | \33000 | |
| lower jaw+masseter | \80000 | \88000 | \50000 | \55000 | |
| sternocleidomastoid | \80000 | \88000 | \50000 | \55000 | |
| trapezius m | \100000 | \110000 | \70000 | \77000 | |
| calf m | \100000 | \110000 | \70000 | \77000 | |
| sweat control | armpits | \80000 | \88000 | \50000 | \55000 |
| palms | \100000 | \110000 | \70000 | \77000 | |
| soles | \120000 | \132000 | \80000 | \88000 | |
| forehead | \60000 | \66000 | \40000 | \44000 | |
| temples | \60000 | \66000 | \40000 | \44000 | |
| head/etc10×10cm | \60000 | \66000 | \40000 | \44000 | |
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.
N-COG thread lift before/after
downtime: puffy for few days to 1 wk., if bruises present, need 1to2-wk. for recovery
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. An alternative of surgical method, but its effect is not as good.
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 had 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.
Just one visit, basically no check-ups and no stitch removal on coming days, 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. Threads are inserted below deeper level
of the subcutaneous(subskin) fat layer to tighten sagging facial skin by
suspending the SMAS(superficial muscular aponeurotic system, muscle fascia
or covering) at this level.
1 to 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. The platysma band(muscular drape along the neck) is suspended by threads to stretch saggy neck.
How Effective is N-COG Thread Lift
PDO Mono Thread Lift(Shopping Lift)
N-COG thread lift before/after
downtime: puffy for few days to 1 wk., if bruises present, need 1to2-wk. for recovery
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. An alternative of surgical method, but its effect is not as good.
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 had 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.
Just one visit, basically no check-ups and no stitch removal on coming days, 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. Threads are inserted below deeper level
of the subcutaneous(subskin) fat layer to tighten sagging facial skin by
suspending the SMAS(superficial muscular aponeurotic system, muscle fascia
or covering) at this level.1 to 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. The platysma band(muscular drape along the neck) is suspended by threads to stretch saggy neck.
How Effective is N-COG Thread Lift PDO Mono Thread Lift(Shopping Lift)
Mono thread lifting uses absorbable PDO(polydioxanone) thread to tighten shallower layer of subcutaneous(underskin)
tissue, whereas N-COG thread(mentioned above section) works deeper. This
thread lifting is to tighten finer wrinkles and sags on cheeks and other
parts of face and body. Several number of tiny threads are introduced one
by one with a tiny needle, the reason why sometimes the procedure is called
cosmetic acupuncture. It is as simple as it sounds from its another Japanese name called 'shopping lift'.
cheek shopping lift before/after
downtime: puffy for few days, if bruises present, need few d. to 1 wk. for recovery
PDO Mono Thead Lift is only recommended to the ones who are not willing to undergo surgery lifts or to those who just have minimal loosening. An alternative for surgery, but effect is not as good.
PDO Mono Thread, as shown in the pic, has no cogs or spikes along
The procedure lasts for about minutes, as similar as filler injection's duration, and only deals with tiny needle points in each area. It is made of dissolvable thread that dissolves within half a year, then the activated collagen production holds the effect for a while.
Why use dissolving thread instead of permanent one? It is because permanent threads had 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.
Just one visi, basically no check-ups and no stitch removal on coming days, and if you need more pulling, you just can add some touch-ups months later.
Actual method：
As shown in the diagram, lower cheek needs 10 to 20 threads on its side
and upper cheek 10 to 15, introducing them in a network manner to enhance tightening of the area.
Forehead needs 10 to 20 threads on its side, and middle part 10 to 15.
Neck sag requires 20 to 40.
Anesthetic cream or tape is usually used. In extensive area, minute amount of local anesthetic is more comfortable.
forehead lifting bef/aft
downtime: puffy for few days, if bruises present, need few d. to 1 wk. for recovery
cheek&neck Silhouette Lift before/after
downtime: puffy for few days, is bruises observed, take around 1 wk. to subside
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
cheek shopping lift before/after
downtime: puffy for few days, if bruises present, need few d. to 1 wk. for recovery
PDO Mono Thead Lift is only recommended to the ones who are not willing to undergo surgery lifts or to those who just have minimal loosening. An alternative for surgery, but effect is not as good.
PDO Mono Thread, as shown in the pic, has no cogs or spikes along
The procedure lasts for about minutes, as similar as filler injection's duration, and only deals with tiny needle points in each area. It is made of dissolvable thread that dissolves within half a year, then the activated collagen production holds the effect for a while.
Why use dissolving thread instead of permanent one? It is because permanent threads had 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.
Just one visi, basically no check-ups and no stitch removal on coming days, and if you need more pulling, you just can add some touch-ups months later.
Actual method：
As shown in the diagram, lower cheek needs 10 to 20 threads on its side
and upper cheek 10 to 15, introducing them in a network manner to enhance tightening of the area.Forehead needs 10 to 20 threads on its side, and middle part 10 to 15.
Neck sag requires 20 to 40.
Anesthetic cream or tape is usually used. In extensive area, minute amount of local anesthetic is more comfortable.
forehead lifting bef/aftdowntime: puffy for few days, if bruises present, need few d. to 1 wk. for recovery
Silhouette Lift
The latest thread lift using absorbable biocones, instead of cogs, to tighten up the skin .cheek&neck Silhouette Lift before/after
downtime: puffy for few days, is bruises observed, take around 1 wk. to subside
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
| without tax | with tax | ||
| N-COG | 1 thread | \20000 | \22000 |
| PDO Mono Thread | 10 threads(trial) | \30000 | \33000 |
| 20 | \50000 | \55000 | |
| 40 | \80000 | \88000 | |
| 60 | \120000 | \132000 | |
| N-COG + Mono | NCOG4+Mono20 | \130000 | \143000 |
| Silhouette Lift | 1 thread | \40000 | \44000 |
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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For online booking click here
e-mail info@miyagi-clinic.info
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