2016/10/13
*他院エラボツリヌストキシン修正と頬骨下ヒアルロン酸
今日は
デザインプチ整形
の話題です
モニター様は
30代前半の方です。
他院にて小顔注射の
エラボツリヌストキシンを
注射したところ、
奥歯を噛みしめると
ボコッと筋肉が張って
変なフェイスラインになった
とのことで
ご来院されました。
↓ご来院時の状況↓
↓奥歯を噛みしめると↓
特に右（画面左側）のエラが
不自然にふくらみます。
↓ご来院時↓
↓奥歯を噛みしめると↓
↓ご来院時↓
↓奥歯を噛みしめると↓
これは、
ボツリヌストキシンが
深層の筋肉には効いたけれど
逆に
深層筋が動きが抑制されたため
浅層筋の動きが補填するように
頑張ってしまい、動きが増して
ふくらみが増した
という状況です
（Netter Atlas of Human Anatomyより）
この施術をなさった
クリニックさんに
ご相談したそうですが、
「保障はないから」
とのことで
ご対応して下さらなかった
とのことで、
弊院にご来院されました。
確かに
月単位で経過をみると
自然軽快することもありますが、
ボツリヌストキシンが
効いている期間で
こういった状況が
それなりに続くこともあります。
そこで
ボツリヌストキシンを
エラに追加
させていただきました。
ただ、この状況が解決しますと
こういったタイプの方は
斜めに走る浅層筋まで
効いてしまうと
頬がこけることが
多々ございます。
その際は、頬骨の下
（特に頬骨弓の下）に
ヒアルロン酸を足した方がよい
状況になることがあります。
このような背景もお客様に
ご理解いただいた上で
施術させていただきましたが、
エラの不自然さは
ボツリヌストキシンの追加で
治まりましたが、
やはりこけました。
↓ご来院時↓
↓奥歯を噛みしめると↓
↓ボツリヌストキシン追加で修正後↓
そこでヒアルロン酸を
頬骨下に注入させていただきました。
↓ヒアルロン酸施術直後↓
エラの高さの
お顔の横幅は
確実に細くなり、
ヒアルロン酸で
頬骨からお口元までの
なだらかさが
実現しています
頬骨下のヒアルロン酸の
施術前後で
真横、斜めから比較します。
↓施術前↓
↓施術直後↓
↓施術前↓
↓施術直後↓
↓施術前↓
↓施術直後↓
↓施術前↓
↓施術直後↓
仕上がりを
とても気に入っていただき、
本当に良かったです
ご参考になりましたら幸いです。
▶Botox Injection (Jaw Angles: Masseter Muscles) / Botox Injection (Salivary Glands: Parotid / Submandibular)
- Massage: If Botox is injected into the face, please avoid massaging the treated area for 3 days.
- Cleansing and Bathing: You may wash your face, shampoo your hair, take a shower, and apply makeup starting from the same day. However, please refrain from taking a bath until the next day.
- Driving and Operating Vehicles: 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 same day.
- Contraception: As this product is derived from biological sources, we ask that you use contraception for 3 months.
- Botox treatments for the masseter muscles and salivary glands (parotid and submandibular) are not covered by the warranty.
- Other Concerns: If you have any questions or notice anything unusual, please do not hesitate to contact us.
▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions▼Treatment Name▼ Price▼Description▼Risks▼Post-Procedure Precautions
▶
Botox Injection (Jaw Angles: Masseter Muscles) / Botox Injection (Salivary Glands: Parotid / Submandibular)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.
▶
Botox Injection (Jaw Angles: Masseter Muscles) / Botox Injection (Salivary Glands: Parotid / Submandibular)- 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.
▶
Hyaluronic Acid Injection (Cheeks)- VOLUMA XC (1 cc): ¥55,000 (tax included)
- VOLUX XC (1 cc): ¥60,000 (tax included)
Note: The amount used varies depending on the original condition and the desired degree of change. Generally, about 1 to 4 cc is used per side.
▶
Hyaluronic Acid Injection (Cheeks)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.
▶
Hyaluronic Acid Injection (Cheeks)- 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.
▶
Hyaluronic Acid Injection (Cheeks)- 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.
Note: Our clinic provides only private (self-paid) medical services.
Some treatments include unapproved pharmaceuticals and medical devices.
Pharmaceuticals and medical devices used in treatments may be procured through personal importation under the discretion of our clinic’s physicians.
This website is published in accordance with medical advertising guidelines under the supervision of medical doctors.
Japanese
