column (e.g. in newspaper)
2025.08.27
What is the downtime for facial fat removal? We also explain contracture prevention massage.
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,Image Designer/Plastic Surgeon Ryutaro Natsumeis



Left: Pre-operative, Right: Post-operative
A clean, sharp facial contour creates a youthful and sophisticated impression.
”It's Not Just the E-Line! What Is the ”Neck-Jaw Angle' That Defines a Beautiful Profile?"
Please read if you like!
While options like fat-dissolving injections and mechanical treatments exist, cheek/submental liposuction is recommended if you have time for downtime and seek significant change in a single session.
⸻
Postoperative Downtime Progress
Day 1 to Day 3 after surgery:
Pain peaks from the evening of the surgery day when the anesthesia wears off through the following day, but it is manageable with oral pain medication.
For the face, swelling peaks immediately after surgery and lasts for about two days. Wear the face band securely for the first 72 hours after surgery.
The day after surgery, you can apply makeup, wash your face, and take a shower. Most people who work at a desk return to work.
For those in customer service or sales roles, we recommend resting for about three days just to be safe.
Wearing a hat and mask will make it almost unnoticeable. For those in professions where masks aren't an option, you might be concerned about bruising, so concealer is recommended to hide it.
Postoperative Day 4 to Postoperative Week 1:
The pain and swelling will gradually subside.
One month after surgery:
Reduces puffiness and refines your jawline.
On the other hand, contracture (hardening) begins.
3 months after surgery:
The contracture has improved, and it's complete.
⸻
Massage Start Date and Method
Begin by noting any contracture you experience 2-3 weeks after surgery.
Swelling is most pronounced during the first two weeks, so massaging the area may actually prolong your recovery time.
When massaging, use the pads of your fingers to apply gentle pressure, pressing firmly but not so hard that it causes pain.
We recommend using it once a day during your bath time.
Massage can help contractures heal faster, but they will heal even without massage.
Be careful, as excessive massage can also cause sagging.
⸻
Does Indiba work?
Indiba is a high-frequency thermal device that warms the body from within, promoting blood circulation and boosting metabolism. It improves lymphatic flow and is also effective for reducing swelling.
Some people receive Indiba therapy after liposuction at esthetic salons.
While the downtime after liposuction seems to be slightly shorter, it does not significantly affect the final results.
⸻
Summary
This time, we explained the downtime after liposuction and massage methods.
Please feel free to contact us anytime.
⸻
Reservations can be made here.
Complete your reservation in 60 seconds ▶︎
https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
⸻
※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
Full Member of the Japanese Society of Aesthetic Medicine
【SNS】
Instagram account
https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr