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Hyaluronic Acid Injection

DescriptionThis treatment involves injecting hyaluronic acid beneath the skin to fill in wrinkles by lifting the skin from underneath. It can also be used to enhance and reshape areas such as the nose or chin. Additionally, it can create lower eyelid volume (“tear bags”), plump sunken cheeks, and address a wide range of aesthetic concerns.
RisksSwelling, bruising, etc.
Price¥55,000 – ¥60,000 per 1 cc
(Price varies by product type)

Hyaluronic Acid – Overview Video

Precautions for Hyaluronic Acid Injections
Treatment NameHyaluronic Acid Injection
DescriptionThis treatment involves injecting hyaluronic acid beneath the skin to fill in wrinkles by lifting the skin from underneath. It can also be used to enhance and reshape areas such as the nose or chin. Additionally, it can create lower eyelid volume (“tear bags”), plump sunken cheeks, and address a wide range of aesthetic concerns.
Treatment AreaForeheadNasolabial foldsLipsNoseTear bags (Lower Eyelids)Under eyesChinCheeks
RisksSwelling, bruising, etc.
Price¥60,000 per 1 cc: VOLUX XC
¥55,000 per 1 cc: VOLUMA XC, VOLIFT XC, VOLBELLA XC, VOLITE XC

Recommended for People Who:

  • Want to reduce the appearance of nasolabial folds (smile lines).
  • Wish to smooth out wrinkles around the eyes or between the eyebrows.
  • Want to diminish forehead lines.
  • Want to create fuller, more defined tear bags (lower eyelids) under the eyes.
  • Want to reduce the appearance of dark circles.
  • Wish to add volume to sunken cheeks.
  • Want to enhance thin lips for a fuller look.
  • Want to raise and define the nose bridge.
  • Want to sculpt the chin and achieve a more refined facial contour.

What Is Hyaluronic Acid Injection?

Hyaluronic acid is a naturally occurring substance in the human body. In cosmetic treatments, it is used in the form of a transparent gel.
When injected under the skin into areas with wrinkles or hollow depressions, hyaluronic acid acts as a filler, helping to lift and smooth the surface of the skin.
One of the key benefits of hyaluronic acid injections is their immediate effect—results can often be seen right after the procedure.

ヒアルロン酸

The duration of the effect varies depending on the injection site and amount used, but because hyaluronic acid is a natural substance in the body, it is gradually absorbed and broken down over time. For first-time treatments, the effects typically last 3 to 6 months.

With repeated sessions, the results tend to last longer as the product becomes more stable within the tissue.


【Our Hyaluronic Acid Product Lineup】
We offer a wide range of hyaluronic acid products tailored to the different thickness and softness of skin in various areas of the face. These include trusted products from Allergan Japan, known for their BOTOX VISTA:

● Juvéderm Vista ULTRA PLUS XC: Approved in March 2014, this was the first hyaluronic acid filler in Japan to receive official authorization for the treatment of facial wrinkles and folds. It also features shape-memory properties, helping to maintain natural facial contours over time.
● Juvéderm Vista VOLUMA, Juvéderm Vista VOLIFT XC (Approved by Japan’s Ministry of Health, Labour and Welfare): Designed for deep volumizing with excellent lifting capacity.
● Juvéderm Vista ULTRA XC, Juvéderm Vista VOLBELLA (Approved by Japan’s Ministry of Health, Labour and Welfare): Formulated for use in softer facial areas, providing gentle, smooth volume.

In addition to these, we also offer a curated selection of hyaluronic acid fillers that have received regulatory approval from international bodies such as the U.S. FDA and equivalents of Japan’s Ministry of Health, Labour and Welfare. All products are carefully selected by Dr. Kumano, our clinic director, to ensure quality and safety. Thanks to this wide range of options, we are able to recommend and provide the most suitable hyaluronic acid filler for your unique facial concerns and aesthetic goals.

アラガン・ジャパンのマーク・ヴァンデルハイデン社長が弊院にご訪問されました。皆様のシワのお悩み、輪郭形成などに貢献していきます。

Indications for Hyaluronic Acid Injections

Wrinkle ReductionForehead, Glabella (between eyebrows), Outer corners of eyes, Under eyes, Mid-cheek grooves (Gorgo lines), Nasolabial folds, Marionette lines (below corners of mouth), Backs of hands, etc.
Volume EnhancementTear bags (Lower Eyelids), Cheeks, Above cheekbones, Below cheekbones, Forehead, Temples, Lips, etc.
Dark Circle ReductionUnder eyes
Nose ContouringNasal bridge
Chin ContouringChin

*Additional areas may also be treated. Based on the condition of the targeted area, we will suggest the most appropriate product from our lineup.
*If you wish to dissolve existing fillers, hyaluronidase injections are also available.

Features of Hyaluronic Acid Injection

  • Quick and simple—performed via injection!
  • Immediate results after treatment!

We Prioritize Minimizing Pain!

  • Use of Microcannulas
    We use a special blunt-tip injection needle called a microcannula to reduce bruising and discomfort during the procedure.
    While we cannot guarantee zero bruising, the use of microcannulas significantly reduces the risk and contributes to a more comfortable experience.
    *Not applicable for nose or chin areas.
    *¥7,500 per cannula
  • Use of Inhalational Anesthesia (Nitrous Oxide Gas)
    Nitrous oxide (also known as “laughing gas”) has analgesic and sedative effects, allowing you to stay relaxed during the procedure. It takes effect quickly, wears off soon after the session, and has minimal side effects.
    *¥3,000
  • Use of Topical Anesthesia
    Lidocaine cream and painless tape (Penless) help to reduce the pain of needle insertion.
    For the delicate under-eye area, we use Penless tape instead of cream, as the cream may run into the eyes when warmed by body temperature, causing discomfort.
    *Lidocaine Cream: ¥3,000
    *Penless Tape: ¥1,000 per patch

Case Blog

Treatment Details

Procedure TimeApproximately 5–10 minutes.
PainMild needle prick at injection site.
SwellingTemporary puffiness may occur; use a cold damp towel for relief if needed.
BruisingMinor bruising may occur and typically resolves within 2 weeks.
AnesthesiaTopical or nitrous oxide anesthesia available.
Follow-up VisitsNot necessary.
HospitalizationNot necessary.
MakeupPermitted from the same day.
Face WashingPermitted from the same day.
Hair WashingPermitted from the same day.
ShoweringPermitted from the same day.
BathingRecommended from the next day.
DrivingNot recommended on the day if nitrous oxide anesthesia was used.

Precautions

  • In areas such as the nasolabial folds and under the eyes, hyaluronic acid may slightly shift over time due to facial movements like speaking, blinking, or smiling.
  • In very rare cases, swelling may occur due to bacterial infection.
  • In very rare cases, vascular complications such as impaired blood flow may occur.
  • In very rare cases, an excessive foreign body reaction to hyaluronic acid may cause the formation of fibrous nodules.

Price List (Tax Included)

Treatment NameDetails / AmountPriceNotes
Hyaluronic Acid InjectionJuvéderm Vista
VOLITE XC
1 Syringe (1 cc)
¥55,000

Neck wrinkles, Thin skin around mouth

Juvéderm Vista
VOLBELLA XC
1 Syringe (1 cc)
¥55,000

Under eyes, Tear bags (lower eyelids), Lips

Juvéderm Vista
VOLIFT XC
1 Syringe (1 cc)
¥55,000

Lips, Nasolabial folds, Marionette lines (below corners of mouth)

Juvéderm Vista
VOLUMA XC
1 Syringe (1 cc)
¥55,000

Nose, Chin, Cheeks, Forehead, Temples, Nasolabial folds, Marionette lines (below corners of mouth)

Juvéderm Vista
VOLUX XC
1 Syringe (1 cc)
¥60,000

Nose, Chin, Cheeks, Forehead, Temples

Anesthesia Fee

Anesthesia may be added if necessary (optional).
If you are concerned about pain, please feel free to consult with us.

  • Lidocaine Cream (Full Face): ¥3,000
  • Penless Tape: ¥1,000 per Patch
  • Nitrous Oxide Gas (Laughing Gas): ¥3,000

Recommended for treatments on the lips, forehead, or temples.

  • Local Anesthesia (Injection): ¥4,000

Treatment May Be Declined in Certain Cases

Patients with uncontrolled diabetes may be advised not to undergo the procedure for safety reasons.

FAQ

What are the effects of hyaluronic acid injections?
Are there any side effects of hyaluronic acid injections?
Hyaluronic acid is a substance naturally found in the human body and has been used for many years not only in cosmetic treatments but also in joint therapies, so the risk of side effects is very low. However, in rare cases, an excessive foreign body reaction (allergy) to hyaluronic acid can occur, which may cause fibrous lumps, infections (such as swelling and pain), or vascular complications. Additionally, in areas where the skin is thin, such as under the eyes, even if the injection is done evenly, the distribution of hyaluronic acid may shift over time due to muscle movement.

Does the effect of hyaluronic acid last forever?
Since hyaluronic acid is naturally absorbed by the body, the effect usually lasts 3 to 6 months after the first injection, depending on the area and amount injected. With repeated treatments, the effects tend to last longer. Different types of hyaluronic acid have varying durations, which will be explained during your consultation.

I had hyaluronic acid injections at another clinic, but the results look unnatural. Can you fix it?
Injected hyaluronic acid can be dissolved using a medication called hyaluronidase. If you have too much filler or are concerned about bumps, please come for a consultation so we can assess your condition and provide the appropriate treatment plan.

Is follow-up necessary after hyaluronic acid injection?
Generally, follow-up visits are not required. However, if you experience any concerns, please come for a check-up. Since the effects are not permanent, we recommend additional injections when the effect fades. The filler tends to last longer with repeated treatments. If you are unsure about timing for additional injections, please visit us for a consultation and advice.

I am sensitive to pain and worried about discomfort during hyaluronic acid injections.
For patients concerned about pain, we offer various anesthesia options and techniques to minimize discomfort during injections. We also use micro-cannulas that reduce bruising and pain (except for injections on the nose and chin). Please let us know if you would like to use these options.

Can hyaluronic acid injections cause allergies?
Hyaluronic acid is a substance naturally found in the body and has been used safely for many years not only in cosmetic treatments but also for joint therapies. Therefore, the risk of allergic reactions is very low, but it cannot be said to be zero.

Can laser treatments for removing dark spots dissolve hyaluronic acid?
There are no reports of hyaluronic acid dissolving as a result of laser treatments such as those for spot removal.

Can massaging cause hyaluronic acid to move or disappear?
In areas with thin skin, such as under the eyes or on the forehead, massaging may cause hyaluronic acid to shift, leading to uneven distribution. It is also possible that the filler may break down slightly faster due to massage.

Is hyaluronic acid safe?
Since hyaluronic acid is naturally present in the body and has been used for many years in both cosmetic and joint treatments, side effects are very rare. However, in rare cases, an excessive foreign body reaction (allergy) can cause fibrous lumps, infections (such as swelling or pain), or skin necrosis due to vascular complications. Also, in thin-skinned areas like under the eyes, even if the initial result is smooth, muscle movements may cause uneven distribution of the filler over time.

Is there a risk of looking unnatural after hyaluronic acid injections?
With careful consultation and precise determination of the injection areas and amounts by a doctor, unnatural results can be avoided. However, in thin-skinned areas such as under the eyes, muscle movement may cause uneven filler distribution over time. Also, seeking excessive height on the nose with hyaluronic acid can cause widening of the nasal root, resulting in an unnatural appearance.


Is it too early for someone in their 20s to get hyaluronic acid injections for wrinkles?
Hyaluronic acid injections are a popular minimally invasive treatment accepted by a wide age range of patients. If you have concerns such as nasolabial folds, please feel free to consult us regardless of your age. Since skin sagging and deepening wrinkles can become harder to improve with age, early treatment as a preventive measure is also recommended.

Are hyaluronic acid injections effective for fine wrinkles at the corners of the eyes?
If fine wrinkles are visible even when you are not smiling, hyaluronic acid injections may be effective. However, for fine wrinkles that appear when smiling, treatment that relaxes the muscles around the eyes is more effective. In such cases, botulinum toxin (Botox) injections are recommended instead of hyaluronic acid.


I want to make my nose higher. Which is better, hyaluronic acid injection or silicone prosthesis insertion?
If you prefer quick treatment with almost no downtime, we recommend hyaluronic acid injections. However, we will suggest the best option based on your desired shape during the consultation.
Please note that hyaluronic acid injection mainly enhances the nasal bridge. If you want changes to the nasal tip or a significant height increase, excessive hyaluronic acid may cause the nasal bridge to look thick. In such cases, silicone implant (prostheses) insertion, nasal-tip plasty, or ear cartilage transplantation to the nasal tip may be more suitable.


I have a small chin and want to enhance it. Which is better, hyaluronic acid injection or silicone prosthesis insertion? Are there other recommended treatments?
If you prefer quick treatment with almost no downtime, we recommend hyaluronic acid injections or a treatment called “Quick E-line.” After listening to your preferences during the consultation, we will recommend the best option for you. If your chin is very small, a large amount of hyaluronic acid may be required, which can sometimes result in a rounder chin shape. In such cases, we may recommend silicone implant (prosthesis) as the first choice.


Can I make my hollow cheeks look fuller and healthier?
Hyaluronic acid injections are generally recommended for this purpose. However, we would like to provide you with appropriate advice tailored to your condition, so please make a reservation and come for a consultation first.

The temple area is sunken. Can this be improved?
Hyaluronic acid injections are usually effective for this. Please make a reservation and visit us for a consultation so we can offer you the best advice.


What is the difference between hyaluronic acid and botulinum toxin (Botox) for wrinkle treatment?
Hyaluronic acid injections work by lifting sunken skin to reduce the appearance of wrinkles. On the other hand, Botox injections are used to treat dynamic wrinkles caused by muscle movements, often called expression lines. For wrinkles that remain even when your face is at rest, hyaluronic acid injections can also help improve them.


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.





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