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2026.11.04
Who Is a Good Candidate for Alma Prime X? An Explanation of Facial and Body Applications and Case Studies
My journey into aesthetic medicine stems from a desire to help enrich and beautify lives beyond simply treating illness. My specialties include hyaluronic acid, Botox, and thread lifts. I provide treatments that enhance each individual's unique qualities and bring out an elegant, natural beauty. For concerns around the eyes that are difficult to improve with dermatology alone, I also perform surgical procedures. By integrating dermatology and surgery, I holistically balance the entire face. With three periods of overseas study, I am also able to provide consultations in English.
Alma Prime X is a treatment option for those concerned about localized fat deposits on the face or body, as well as sagging skin. Suitability varies depending on the amount of fat and the condition of the skin.
"I want to get rid of my double chin, but I don't want my cheeks to look sunken."
It’s not simply a matter of reducing facial fat. The same goes for the abdomen and upper arms—the appropriate treatment depends not only on the amount of fat but also on the condition of the skin.
So, who is the Alma Prime X best suited for?
In this article, Dr. Ayeri Yokoyama of BIANCA CLINIC will explain the appropriate treatments for the face and body, using case examples.
Who is the Alma Prime X best suited for?
Alma Prime X is ideal for those who want to address fat and sagging skin in specific areas without surgery.
Because it uses ultrasound (US) to target fatty tissue and radiofrequency (RF) to tighten the skin, it can be used on a wide range of areas, from the face to the body.
For more information on the effects and mechanism of Alma Prime X, see another articleAs explained in detail there, the key point to consider when determining who this is suitable for is that you don't necessarily have to use both.
Should the focus be on reducing fat, or on tightening the skin? This distinction is key to determining the appropriate treatment.
People who are concerned about both fat and sagging skin
For example, if you have fat under your chin and the skin along your jawline is sagging.
Even if you lose fat, if your skin remains loose, you may not achieve the desired facial contours.
For those who want to address both fat and skin, Prime X is one option to consider.
People who prefer minor adjustments rather than major changes
If you're not looking to lose a lot of weight, but rather want to refine the contours of specific areas, Prime X is the perfect choice for you.
On the other hand, it is not a procedure that removes as much fat as liposuction. Whether it is suitable for you depends on the extent of the changes you are hoping to achieve.
Who Should Consider Alma Prime X for the Face? | Based on Body Fat Levels and the Causes of Sagging
When it comes to the face, it's important to consider not only the amount of fat but also the volume you want to preserve.
People whose facial contours are blurred by fat under the chin
Even if it doesn't seem like much of a problem when viewed from the front, the bulge under the chin can be noticeable when seen from the side. If subcutaneous fat is the cause, Prime X's ultrasound treatment is a viable option.
However, a double chin isn’t caused solely by fat. It can also be related to sagging skin or skeletal structure, so a diagnosis must be made based on the specific cause.
For those who want to tone their cheeks while maintaining their fullness
Some people may feel, “I want to define my jawline, but I want to avoid losing weight in my entire face.” Especially if you have little fat in your cheeks, losing any more volume could accentuate the hollows.
For people like this, it might be worth considering treatments that focus on skin tightening using radiofrequency rather than ultrasound for fat reduction. Even when aiming for a slimmer face, fat reduction isn’t necessarily the best approach.
Facial Case Studies | A Case Aiming for Skin Tightening Using Radiofrequency
[Treatment Details] AlmaPrimeX (Face)
[Treatment Period and Number of Sessions] Left: Before treatment; Right: 3 months after treatment
[Side Effects and Risks] Sensation of heat, skin irritation, pain, erythema, burns, tinnitus, dry skin, etc.
[Cost] Type 1 (Uni-Large (RF) or Tune Face (RF)): 31,300 yen
*Please note that the information provided reflects the menu and prices at the time of the treatment. As the current offerings and prices may have changed, please contact us for details.
This is an example of a facial treatment using one type of high-frequency applicator.
Prime X is not a treatment that necessarily combines fat reduction with other approaches. It can also be used for the purpose of skin tightening.
*Results may vary from person to person.
Who Should Use Alma Prime X for Body Treatments? | Focusing on Fat and Sagging in the Abdomen and Upper Arms
When it comes to the body, the thickness of subcutaneous fat and skin elasticity are key factors in making a judgment.
People who are concerned about localized fat, such as on their stomachs or upper arms
"My weight hasn't changed, but I'm worried about my stomach."
In such cases, if you're concerned about subcutaneous fat, you might want to consider Prime X.
We use different ultrasound applicators depending on the treatment area—such as UltraWave for large areas of the abdomen and MiniSpeed for small pockets of fat on the upper arms.
However, Prime X is not a treatment designed for overall weight loss; rather, it focuses primarily on targeting localized fat.
People who are concerned not only about the thickness of their fat but also about sagging skin
The abdomen and upper arms are areas where not only the volume of fat but also sagging skin affects the body's contours.
For example, when treating the upper arms, the treatment approach differs depending on whether there is a lot of fat or little fat but excess skin. If both subcutaneous fat and sagging skin are involved, a treatment combining ultrasound and radiofrequency may be an option.
On the other hand, if there is a significant amount of excess skin, it may not be possible to achieve sufficient tightening.
Body Case Studies | A Case Focusing on Abdominal Fat and Skin
[Treatment Details] AlmaPrimeX (Body)
[Treatment Period and Number of Sessions] Left: Before treatment; Right: 3 months after treatment
The photographs of this case are reference cases provided by the device developer, and the effects may vary from person to person.
[Side Effects and Risks] Sensation of heat, skin irritation, pain, erythema, burns, tinnitus, dry skin, etc.
[Cost] One abdominal session: 59,800 yen
*Please note that the information provided reflects the menu and prices at the time of the treatment. As the current offerings and prices may have changed, please contact us for details.
Unlike facial treatments, this procedure is designed to address both fat and skin. The results may vary from person to person depending on the amount of fat and the condition of the skin.
In what situations might the Alma Prime X not be the right choice?
While Prime X can be used to address a wide range of concerns, depending on the desired results or the underlying cause of your symptoms, a different treatment may be more appropriate.
If you have little facial fat and are concerned about a lack of volume
If you have sunken cheeks or are concerned about facial hollows, you should carefully consider procedures to reduce fat.
While skin tightening may be appropriate in some cases, in other cases you may want to prioritize treatments that add volume.
When there is a significant amount of excess skin and the patient desires a noticeable lift
In cases of significant excess or sagging skin, tightening with thermal energy alone may not produce the desired results.
In such cases, it is important to consider all options, including thread lifts and surgical procedures.
When a bulge in the abdomen is caused by something other than subcutaneous fat
A protruding abdomen may be caused not only by subcutaneous fat but also by visceral fat and the condition of the abdominal wall.
Prime X cannot improve visceral fat or diastasis recti itself.
Please note that individuals who are pregnant or breastfeeding, those with implanted electronic devices such as pacemakers, and those with metal or silicone implants in the treatment area may not be eligible for the procedure. This must be confirmed separately from the issue of suitability.
What factors does Bianca Clinic consider when evaluating a treatment?
When considering the appropriate use of Prime X, what I prioritize is not treating “fat reduction” and “creating a beautiful silhouette” as the same thing.
For example, even if you’re concerned about fat under your chin, that doesn’t necessarily mean you want to reduce the volume in your cheeks as well. There are areas of the face where you want a sleeker look, and others where retaining some fullness creates a more natural three-dimensional appearance.
For this reason, at Bianca Clinic, we examine the overall facial bone structure, fat distribution, and skin condition to determine what kind of treatment is needed and where it should be applied.
Prime X features ultrasound that targets fat and radiofrequency that tightens the skin, and another key feature is the ability to switch between different applicators.
Similarly, for the body, we assess the thickness of the fat layer, the elasticity of the skin, and the contours the patient desires.
Also, at Bianca Clinic, in addition to Prime X,Liposuction for the JawlineやBody liposuction、Thread LiftWe carry these items, among others.
Do you want to avoid an incision, or what level of change are you hoping for? We’ll work with you to find a realistic option that takes into account not only the characteristics of the procedure but also what’s important to you as a patient.
Frequently Asked Questions About Who the Alma Prime X Is Best Suited For
We’ll answer common questions we receive from patients regarding eligibility for Alma Prime X, including body type, age, and previous treatment history.
Q1. Is this treatment suitable for people with a slim build who are concerned about a double chin?
Even if you have a slender build, this may be an option if you have subcutaneous fat under your chin. However, if skeletal structure or sagging skin is the main cause, we may consider other methods.
Q2. Is it possible to undergo treatment that targets only sagging without reducing facial fat?
Yes. Prime X can also be used with high-frequency energy alone. We’ll assess your body fat and skin condition before making a decision.
Q3. Are there age-related factors that make this activity more or less suitable?
Age alone does not determine suitability. Factors such as body fat, skin elasticity, and the degree of sagging are important.
Q4. Is this product suitable for people concerned about cellulite?
While this treatment is sometimes used to address the uneven skin texture associated with cellulite, the results may not always meet expectations. Depending on the condition, we may consider other treatments as well.
Q5. Can I still undergo this procedure even if I’ve had liposuction or a thread lift in the past?
While treatment may be possible, the decision will depend on your past treatment history, the timing of those treatments, and the condition of the tissue. Please inform us of your treatment history during your consultation.
For those who want to know if Alma Prime X is right for them
Alma Prime X is a treatment designed to target localized fat and sagging skin on the face and body.
However, even if the goal is the same—to “tone up”—the appropriate method differs depending on whether the person needs to reduce fat or would prefer to focus on the skin.
The key is to consider not only the areas that concern you, but also how they balance with the surrounding elements.
At BIANCA CLINIC, we recommend the necessary treatments while taking into account both your preferences and your actual condition. If you’re unsure whether Prime X is right for you, please feel free to consult with us.
