2018/07/09 *頬顎下の脂肪吸引+顎のヒアルロン酸+顎のボツリヌストキシン 施術後3か月一例

頬税込198,000円
頬骨上税込198,000円
顎下税込198,000円

局所麻酔や静脈麻酔の下、皮下脂肪を吸引除去する手術です。吸引する脂肪量を最大にすることが目的ではなく、可能な限りフェイスラインを細く長く見せることを目的にします。

リバウンドはしにくいですが、術後の体重増加により、術前よりも太くなることもありますので、術後の体重管理が大切です。

健康食品を含め、使用中薬剤の他、既往や治療中疾患がございましたら必ずお申し出ください。この手術のリスクを高めるお薬の使用がある場合、その中断が必要になりますが、その中断の可否はご担当医師の判断によります。お薬に限らず、持病内容等につき、ご担当医師の診断書をお願いすることがあります。健康食品でも血液の凝固活性を低下させる成分が含まれている場合があります。中断不要のお薬、あるいは当日までも継続していただきたいお薬もありますが、術前の休薬徹底をお願いする場合があります。また当日、お客様ご自身の体調不良により、手術をお断りすることがあります。

▼脂肪吸引の適応とならない方

適応年齢上限60歳。60歳以下でも、全身状態を診て負担が大きいと医師が診断した場合。
妊娠中、糖尿病、呼吸困難発作や治療中の喘息、BMI30以上、プレドニン換算10mg以上のステロイド内服・免疫抑制剤使用中、抗凝固・抗血小板薬中断不可、循環器疾患・呼吸器疾患・腎・肝機能障害・血液疾患、脳疾患の既往、2年以内のてんかん発作、意思疎通不可能な精神疾患、治療困難な感染症HIVなど
当院の規定で定める適応外の方、および疾患治療中でご担当医師の許可がない場合。

痛み…特に最初は痛みを伴います。徐々に軽快しますが、増悪する際は再診してください。
腫れ…概ね2週間で落ち着いてきます。より自然になるまで更に約3～4週間を要します。
内出血…内出血(青あざ)が生じます。通常は2～3週間程度で消失します。
貧血…貧血症状でふらつきやめまい等が生じることがあります。
極めて稀に感染、麻酔中毒、アナフィラキシーショックなど重篤な状態に陥ることがあります。
傷跡…耳たぶの裏、あるいは口角の粘膜に1cm程度の傷が残ります。稀に赤みや肥厚性瘢痕、ケロイドが残ることがあります。
硬さ…稀に硬さや若干の凹凸が残ることがあります。
口周りの動きと感覚の麻痺…稀に口周りの動きの異常や施術部位の感覚麻痺が生じることがあります。概ね3～12か月程度で改善しますが、非常に稀にその麻痺が長く残ることがあります。
吹き出物…稀に吹き出物が増えることがあります。一時的な場合もありますが、非常に稀に、その状態が長く続くことがあります。
個人差…吸引できる脂肪量や細くなる度合には個人差があります。また体重管理やむくみのコントロールが不良の場合、元よりも太くなることがあります。

洗顔、洗髪、シャワーは翌日から、入浴は1週間後からとなります。
食事を抜かず、水分も多めに摂取してください。もし吐気などで食欲がわかず、食べられない時には放置せずにご連絡ください。再診いただけましたら無料で点滴治療等をさせていただきます。
傷から血液がにじむことがあります。概ね心配ありませんが、心配な際はご連絡ください。
化膿止めは3日分服用してください。痛み止めは必要に応じて使用してください。
圧迫固定は、24時間程度は装着しておいてください。施術後7日後には抜糸を行いますので、通院して下さい。
施術後は少なくとも当日は、車、バイク、自転車の運転はお控えください。飲酒は1週間、激しいスポーツは1か月程度お控えください。
脂肪吸引部分は、１週間程度で皮膚が硬くなります。2週間程度してから、ホホバオイル等をご購入・使用して積極的にマッサージを毎日続けてください。お顔の脂肪吸引にリフトアップ術を併用した場合は、１か月はマッサージをお控えください。かなり痛みを我慢してのマッサージや、皮膚が赤くなるほどのマッサージは必要ありませんが、マッサージをしっかり行ったかどうかが、最終的な仕上がりにも影響します。硬い皮膚が触れるうちは、まだこれから細く絞れる期待がもてる時期ですので、硬さを触れたらマッサージを続けてください。硬さは概ね3～6か月で徐々に改善します。
その他分からない事や、異常を生じた場合はご連絡ください。

▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions

VOLUMA XC (1 cc): ¥55,000 (tax included)
VOLUX XC (1 cc): ¥60,000 (tax included)

Note: Usually, 1 to 2 cc is used for chin.

Hyaluronic acid injections are used to lift and shape areas of the skin, as well as to enhance the height of features such as the nose. The effects of hyaluronic acid vary depending on the type, injection site, and the amount injected. Typically, the effects of the first treatment last for 3 to 6 months before being absorbed by the body. With repeated treatments, the effects become longer-lasting and more durable.

Swelling: Some mild swelling may occur for a few days following the procedure. If swelling is particularly strong, applying a damp, cold towel can help reduce it.
Bruising: Bruising (blue discoloration) may appear at the injection site. This usually resolves within about two weeks without any special treatment.
Uneven Distribution of Hyaluronic Acid: In areas such as the nasolabial folds and under the eyes, the movement of the mouth, eyelids, and facial expressions such as smiling may, after some time, occasionally cause uneven distribution of the hyaluronic acid. If this happens, hyaluronidase (an enzyme that dissolves hyaluronic acid) can be used to correct it, but this requires a separate fee.
Changes in Skin Tone: In areas that require a larger amount of hyaluronic acid or in thinner skin areas (particularly under the eyes), the skin may appear pale or slightly translucent.
Infection: In very rare cases, bacterial infection may occur, leading to localized swelling. If this happens, please return for a follow-up consultation. Treatment may include antibiotics or procedures to dissolve the hyaluronic acid, and this treatment incurs an additional fee.
Circulatory Complications: In very rare cases, circulatory complications may occur due to the hyaluronic acid injection. If you experience increasing pain after the procedure, or if you notice any unusual sensations, especially in areas other than the treatment site, please contact us immediately. If it is after office hours, kindly reach out the next day for a follow-up appointment. There is a risk of skin necrosis, and treatment may be necessary to prevent further complications.
Granulomas: In very rare cases, an excessive foreign body reaction to the hyaluronic acid may cause fibrous lumps or granulomas. Treatment for this can be difficult and may incur an additional fee.

You may gently wash your face, shampoo your hair, take a shower and apply makeup starting from the day of the procedure. However, please refrain from taking a bath until the day after the procedure.
If nitrous oxide (laughing gas) anesthesia was used, please refrain from driving a car, riding a motorcycle, and operating a bicycle or any other vehicle on the day of the procedure.
Additional injections should be scheduled only after any swelling or bruising has fully subsided. At that time, a separate procedure fee will apply for the additional injection. If you wish to use local anesthesia or a microcannula, those fees will also be charged separately.
If you have any questions or notice anything unusual, please do not hesitate to contact us.

※この症例は1cc使用しています。

▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions

Korean Botulinum Toxin: ¥7,000 (tax included)
BOTOX VISTA: ¥11,000 (tax included)

This botulinum toxin type A product is derived from animal sources (bovine, sheep, and pig) and contains human serum albumin. While the manufacturing process includes rigorous screening, the risk of unknown disease transmission—such as Creutzfeldt-Jakob disease—is considered extremely rare. In the U.S., botulinum toxin was first used for strabismus (crossed eyes) in 1977. Since then, it has become widely used for relaxing muscle tension. In the field of aesthetics, it has received FDA approval and was used in over 1.6 million treatments in the year 2001 alone, with no reported cases of infection to date. However, because this is a biological product, the possibility of unknown risks cannot be entirely ruled out. Please note that in Japan, only injections into the glabellar lines (frown lines) and crow’s feet using Botox Vista are officially approved. All other aesthetic uses are considered off-label.

Facial Expression Lines: Reduces wrinkles caused by muscle movement. Effects usually begin to appear within about 3 days and typically last for around 4 months.
Hyperhidrosis (Underarm Sweating): Injections into the underarms can significantly reduce sweating. Effects start within a few days and last about 4 months. In cases of excessive sweating, discomfort may return within 2 months.
Calves: Injections into the gastrocnemius muscles can slim the calves by inducing muscle atrophy. Results may take about 4 weeks to appear. Some people may feel slightly restricted when climbing stairs, but this does not interfere with daily life. For optimal results, 3–4 treatments at regular intervals are recommended. Individual results and duration may vary.
Jaw Angles (Masseter Muscles): Weakens the chewing muscles to create a slimmer face. Effects begin to show around 4 weeks after treatment. Chewing hard foods may become slightly difficult, but normal meals are unaffected. Repeating the procedure 3–5 times over several months enhances and prolongs the effect. In some cases, nasolabial folds may deepen, or cheeks may appear sunken in thinner individuals. Additional correction treatments may be needed in such cases (charged separately).
Salivary Glands: Atrophying the submandibular and parotid glands can lead to a more defined jawline and slimmer facial appearance.
Shoulder Slimming / Shoulder Stiffness Relief: Injections into the trapezius muscles can reduce shoulder bulk and help relieve stiffness. Effects typically last about 4 months. In rare cases, tension may shift to other areas.
Nefertiti Lift: Relaxes the platysma muscle to create a more contoured and lifted appearance under the chin and along the jawline.

Swelling and Bruising: Mild swelling at the injection site may occur but typically subsides within a few hours. Bruising (blue discoloration) as subcutaneous hemorrhage may develop at the injection site and usually fades within approximately 2 weeks.
Facial Stiffness and Heaviness: Depending on the treated area, you may experience temporary facial stiffness, heaviness, or sensation of tightness. These effects generally improve over a period of about 3 months.
Infection: As this product is derived from biological sources, there is a potential risk of infection; however, such cases are extremely rare and have been rarely reported.