column (e.g. in newspaper)
2025.09.08
Condensed Rich Face (CRF) differs from hyaluronic acid.
As an Assistant Professor, Associate Ward Director, and Chief of Dermatopathology at the university hospital dermatology department, I deepened my expertise through academic presentations and paper publications both domestically and internationally. I have handled a wide range of treatments, from birthmark therapy in children to adult pigmentation concerns, utilizing various lasers and injection therapies, while also contributing to community healthcare. Through encountering numerous cases, I strongly felt the potential and necessity of aesthetic medicine, resolving to pursue further expertise. Building upon my solid dermatological knowledge and meticulous diagnostic skills, I value treatments that gently support each individual's skin while bringing out its inherent beauty.
Condensed Rich Face (CRF) is an effective treatment for natural rejuvenation.
I am Dr. Aya Hayama, a board-certified dermatologist.
Have you ever had the experience where hyaluronic acid injections get absorbed too quickly, or where thread lifts lift your face but leave it looking sunken?
Recently, a method that has been gaining attention is using one's own fat to achieve natural rejuvenation.Condensed Rich FaceThis is a treatment method.
This time, I'd like to write about the effects and features of Condensed Rich Face, comparing it with hyaluronic acid and thread lifts.
What is Condensed Rich Face?
Condense Rich Face involves centrifuging fat harvested from your own body using specialized medical equipment to remove impurities and aged fat cells,A treatment that involves injecting only high-concentration, high-purity fat into the faceis.
①Fat retention rate increases
Not only does it surpass conventional fat grafting, but it also achieves a significantly higher rate of fat survival than fat stem cell grafting, previously considered the gold standard.
Previous comparisons of fat grafting have focused on ”survival rates,” claiming ”standard fat graft survival rates are 40% to 50%” and "in contrast, adipose-derived stem cells achieve 80%." However, in adipose-derived stem cell grafting, half of the harvested fat is used for stem cell extraction and cannot be used for injection.
In other words, half the fat was wasted at this stage, meaning that even with a good "retention rate," the "retention amount" was not high.
Condensed fat injection not only eliminates wasteful fat but also boasts a high "retention rate."It achieves a significantly higher fat "survival rate" than fat stem cell injections.
②Avoid risk
Concentrated fat, purified using proprietary condensation technology to remove dead and aged cells, is injected under sterile conditions.The likelihood of lumps or fat necrosis occurring has decreased.
Compared to cases where artificial materials are introduced into the body, fat grafting offers the advantages of reduced risk of foreign body reactions and a more natural feel and appearance. On the other hand, it is also a fact that traditional fat grafting carries the risk of the injected fat undergoing necrosis or calcification.
However, Condensed Rich Fat injection removes potentially necrotic dead and aged cells through condensed (concentrated) technology,Since only healthy fat is injected under sterile conditions, the above risks are avoided.
③ Reducing physical strain
The procedure time is less than half that of fat stem cell injections. By injecting only high-quality, fresh fat, we have also significantly reduced post-operative downtime.
Until now, fat stem cell injection—considered the pinnacle of fat grafting—required at least six hours, and sometimes up to half a day, from harvesting the fat to extracting the stem cells and performing the injection. This necessitated prolonged anesthesia, and in some cases, two separate anesthetizations—one for fat harvesting and another for injection—placing a significant burden on the body.
On the other hand, condensed rich fat injection utilizes specialized machinery that can condense fat in a short time,The surgery can be completed in approximately two and a half hours.As a result, the burden on the body has been significantly reduced.
【Technical Features】
① Weight Effect
Apply approximately 25 times the G-force (pressure) of normal centrifugation
The weight of the weight filter increases the G-force (pressure) exerted on fat during centrifugation to approximately 25 times that of standard centrifugation. At this point, aged and weak fat cells cannot withstand the G-force (pressure) and become waste oil. Only the strong and healthy fat cells (Condensed Rich Fat) that can withstand this approximately 25 times greater G-force (pressure) are extracted and used for injection.

②Filtering Technology
Separate the condensed rich fat and excreted oil (triglycerides)
The weight filter features tiny holes that allow only liquids to pass through, enabling the removal of waste oil (triglycerides from dead or aged cells) unsuitable for injection from the harvested fat. This filter achieves the separation of impure waste oil (triglycerides from dead or aged cells) from fresh, healthy fat—a feat unattainable with conventional fat injection methods.

③ Process that does not come into contact with air
Perform all processes within a syringe that does not come into contact with air.
Conventional fat grafting involved transporting harvested fat exposed to air from collection to injection. In contrast, Condense Rich Fat performs the entire process—from tumescent fluid injection, liposuction, waste fluid removal, to condensation—without ever leaving the syringe, thus avoiding exposure to air. Consequently, the procedure is conducted in an environment free from contamination by airborne bacteria, dust, and other impurities, significantly reducing the risk of infections and other complications.

This method specifically extracts cells from fat that are particularly well-suited for engraftment, resulting in a higher survival rate compared to conventional fat grafting and a reduced likelihood of complications such as lumps or calcification. Particularly noteworthy is the fact that...Once fat is stored, it remains semi-permanently.that point.
Condense Rich Face is characterized by its ability to remain in your tissue long-term, unlike hyaluronic acid, which is completely absorbed over time.
Now, the case.



How about it?
Well then...
How is it different from hyaluronic acid or thread lifts?
hyaluronic acid
This treatment offers immediate results, improving wrinkles and hollows right after injection, with virtually no downtime. However, the effects last only about 6 months to a year, so repeat treatments are often necessary.
Additionally, depending on the area and the amount injected, the swelling may be excessive or the firmness may be noticeable.
Thread Lift
This procedure involves inserting special dissolvable threads under the skin to physically lift sagging areas. Skin regeneration then occurs on this foundation, providing a tightening effect. It also takes relatively little time and delivers a lifting effect for a certain period. However, its primary effects are lifting and tightening.It is not particularly suitable for correcting volume loss associated with aging.。
In contrast, CRF is a treatment that restores the “plumpness” lost with age while enhancing overall facial volume and dimensionality. Furthermore, through the action of stem cells contained within the fat,The skin quality at the injection site itself improves.There are also cases where it's not just about increasing volume.
Additionally, the Condensed Rich Face is,"I want to rejuvenate naturally," "I don't want anyone to notice," "I don't want to have anything foreign put in."This treatment is especially recommended for those who think this way.
Additionally, for those who have repeatedly undergone hyaluronic acid treatments and feel constrained by costs or the limits of visible change, or who feel that the “lifting” effect of thread lifts alone is insufficient, and for those seeking to address the root cause of an "aged appearance"—For those who want to seriously improve facial thinness and sunken areasIt is also suitable for.
Since the procedure uses your own fat, the risk of allergic reactions is extremely low, and the results look very natural. The fat is carefully injected in minute portions, allowing the doctor's design skills and technique to achieve your ideal results down to the millimeter.
What about downtime and risks?
Condense Rich Face involves some downtime. Swelling and bruising may occur at both the fat harvest sites (primarily the thighs or abdomen) and the injection sites. Swelling typically subsides within 3 days to a week, while bruising usually resolves within 1 to 2 weeks.
In rare cases, some of the injected fat may harden (fat necrosis) or asymmetry may occur. However, these risks can be significantly reduced through the physician's skill and injection design. Fat that does not take is naturally absorbed within a few months, while fat that does take persists long-term. Overall, this makes it a highly cost-effective treatment.
Both hyaluronic acid and thread lifts are excellent cosmetic treatments, but for those seeking a more natural, longer-lasting rejuvenation, I highly recommend exploring this alternative.
By reconstructing volume and dimensionality lost with age using your own fat, this treatment not only rejuvenates the overall facial appearance but also simultaneously improves skin texture. This sets it apart from conventional injection therapies.
If you are currently receiving regular hyaluronic acid injections, are dissatisfied with the results of thread lifts, or feel you want a more fundamental rejuvenation, we recommend consulting a specialist physician about CRF.
https://biancaclinic.jp/treatment_category/aging-care/aging_01/crf_face/
