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2025.07.29
Do you really need that jawline filler? Beware of sunken cheeks and sagging skin⚠️
A dual-specialty doctor with a background in plastic surgery, bridging cosmetic surgery and ophthalmology. At the university hospital, he performed numerous high-difficulty cases, primarily focusing on eye and facial bone surgeries, cultivating precise techniques grounded in anatomy. He prioritizes achieving both aesthetic beauty and functional safety, offering customized treatments around the eyes that incorporate ophthalmological expertise. He actively utilizes not only incisional surgery but also non-invasive procedures like hyaluronic acid injections. By carefully assessing each individual's condition and unique appeal, he provides bespoke treatments that guide patients toward naturally harmonious, well-defined eyes.
Hello,Plastic Surgeon Shaping Impressions: Ryutaro Natsumeis

Facial slimming treatment ≠ Jaw Botox!
Be especially cautious of clinics advertising coupons like "50 units of jaw Botox for ◯◯ yen!"
Incorrect application can cause sunken cheeks and sagging.will become.


The target of masseter Botox is the masseter muscle.By suppressing the movement of the masseter muscle and reducing volume, we refine the facial contour.
The lower portion of the masseter muscle is where Botox is effective.

The upper part of the masseter muscle is prone to sagging, so Botox injections are avoided.

As shown in the figure above, originallyIf you have sunken cheeks but also notice bulging masseter muscles, be cautious with jaw Botox!Please note!!⚠️
Reducing fullness with jawline Botox can lead to sunken cheeks, creating a gaunt appearance.will become.
Patients usually only notice after they've become gaunt.
For those who are like this,Injecting hyaluronic acid into sunken cheeks creates a smooth contour for a smaller-looking face.will become.
Adding volume makes your face look smaller.Visual effectsby.
If you're concerned about your masseter muscle movement, a very small amount of Botox injections can neatly smooth it out.

And when you pinch a large section of skin from the jawline area like this, you'll notice the sagging around the mouth improves. Please give it a try.
In other words, the protruding jaw is pulling the skin outward.
When jawline Botox reduces jaw prominence, it becomes a cause of sagging.will become.
There is also a technique called hyaluronic acid lift, which involves injecting hyaluronic acid into the temples, cheeks, and jawline to achieve a lifting effect. This results in changes that run counter to that procedure.
For those considering jaw Botox not because they're concerned about the volume of their jawline, but because they're concerned about teeth grinding...

We recommend combining it with temporalis muscle Botox.
The biting action is performed by the masticatory muscle group, consisting of four muscles: the temporalis, masseter, lateral pterygoid, and medial pterygoid. Since the lateral and medial pterygoid muscles lie behind bone, direct access is difficult. Therefore, administering Botox to both the temporalis and masseter muscles effectively suppresses teeth grinding.
Reducing the Botox dosage for the masseter muscle itself also helps prevent sunken cheeks.
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Summary
The misconception that facial slimming treatment equals jawline Botox has become widespread.
Elabotox is a good treatment when appropriate, but we often see patients who come in for consultations after being given excessive amounts indiscriminately, resulting in a gaunt appearance.
Incidentally, I myself have administered 20 units to the right and 10 units to the left.
We assess suitability and, if appropriate, propose a dosage tailored to each individual patient.
Facial contouring treatments offer many options, including HIFU, Voluma, thread lifts, liposuction, and hyaluronic acid injections.
Please feel free to come in for a consultation anytime.
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Reservations can be made here.
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https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
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※There are various approaches to aesthetic medicine, and opinions and practices may differ among physicians. Please consider the information provided here as one reference only, and we hope you will choose medical care that suits you and meets your expectations.
We apologize if any unintended inaccuracies or misleading expressions were included. In such cases, we will make appropriate corrections or additions.
【Profile】
Plastic Surgeon Dr. Ryutaro Natsume
https://biancaclinic.jp/doctor/natsume/
Performed numerous facial surgeries, particularly focusing on the eye area and facial bones, in the field of plastic surgery.
Regarding treatments for the eye area, I believe that not only aesthetic appearance but also ophthalmic functionality is extremely important. To provide safer and more reliable treatments, I am currently deepening my expertise as an ophthalmologist.
We actively incorporate non-surgical procedures such as hyaluronic acid injections, in addition to treatments requiring surgical instruments.
From a multifaceted professional perspective encompassing cosmetic surgery, cosmetic dermatology, reconstructive surgery, and ophthalmology
BIANCA CLINIC, a leading Japanese clinic specializing in beauty and regenerative medicine, provides the latest aesthetic treatments.
【Career】
2020: Graduated from Tokyo Medical University Tokyo Metropolitan Saiseikai Central Hospital
2022 Jikei University Hospital Department of Plastic Surgery
2023 Department of Plastic Surgery Jikei University School of Medicine Kashiwa Hospital
2024 BIANCA CLINIC
【Professional Affiliations/Qualifications】
Japanese Society of Aesthetic Surgery (JSAS)
Full Member of the Japan Society of Plastic and Reconstructive Surgery
Full Member of the Japanese Society of Craniofacial Surgery
Full Member of the Japanese Ophthalmological Society
【SNS】
Instagram account
https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr