column (e.g. in newspaper)
2025.11.13
The Last Resort for Sagging Skin—What You Should Know Before Considering a Facelift
As a plastic surgeon, I have gained extensive experience through numerous cases, cultivating precise techniques and a deep understanding of anatomy. Currently, I combine plastic surgery expertise with the latest techniques to provide aesthetic medicine addressing aging concerns like skin, contours, and sagging. "Natural beauty" isn't about doing nothing and leaving it to chance; it lies beyond the will to choose how you want to be. My experience as an idol during medical school made me realize the power appearance holds over the heart, and I focus on supporting patients in achieving "days where they can like themselves more." I also offer consultations in English and prioritize creating a comfortable environment for open discussion.
Hello, everyone!
Natural and elegant rejuvenationpropose,plastic surgeonのMs. Aliceis.
Previously, regarding sagging treatment
Thread Liftと
Embrace RFRegarding
I brought it up.
I'd be thrilled if you read it!
This time, I've had some lifting treatments before, but I'm starting to notice sagging along my jawline and the depth of my nasolabial folds.
“I think I might need a ”cut lift' soon."For those who are beginning to think this way, I'd like to talk about it, but...
・What exactly is a facelift?
・There are just too many different names, and I can't tell how they differ!
・The downtime, costs, and complications seem pretty intense, even if I'm not entirely sure...
To provide clear answers to such questions, this blog willA Clear Explanation of Facelift Surgery in 3 PartsI'm going to do it!
【Tentative 3-Part Structure】
1️⃣ Part 1 (This Time): The Big Picture of Sagging Treatment and Why a Facelift Might Be Necessary
2️⃣ Session 2: Types of Facelifts and Differences Between Surgical Techniques
3️⃣ Session 3: What You Should Know Before Getting the Procedure: Downtime, Complications, Costs, and More
Understanding the “Steps” of Sagging Treatment
Sagging treatments range from mild tightening to structural lifting.
If the looseness is minor,HIFU (High-Intensity Focused Ultrasound) and RF (Radio Frequency)Such “thermal energy-based treatments” provide sufficient results by delivering thermal stimulation to the skin and SMAS layer, thereby promoting collagen regeneration and tightening.
As skin loses its firmness and the sagging of the fat layer becomes noticeable,
Thread lifts, hyaluronic acid injections, and treatments like Embrace RFwill be added as an option.
These treatments support more three-dimensional rejuvenation by physically lifting, creating support while adding volume, and reconstructing the skin from both inside and out.
However, in cases of more advanced sagging,
"Even if I thread it, it immediately snaps back." "The outline becomes blurred."etc.,
There may come a stage where this treatment alone is insufficient.
In that case,Surgical lift-up—removing sagging, stretched-out tissue and restoring the three-dimensional layered structure to its original position—facelift surgeryHowever, it brings about more reliable and lasting improvements.

Face lifts aren't all the same
That said, even though we use the term "facelift," the surgical procedures actually vary greatly.
Cut just a little bit in front of the earMini Lift、
Lift firmly from the temples to the jawlineFull Face Lift、
Directly treating the SMAS layer (superficial musculoaponeurotic system)SMAS LiftやDeep Plane Liftetc.
eachScope and depth of withdrawaldiffer.
In other words,
"Which demographic" "To what extent" "By what method"
Depending on how you lift it, both the downtime and the results are completely different.
Comparison with Other Sagging Treatments
Here's a summary of major treatments for sagging skin!
◆Comparison Chart for Sagging Treatments
(※Results and duration may vary from person to person; these are merely guidelines.)

While facelifts are sometimes called a "last resort," in reality“The most fundamental way to improve sagging”is.
It's not just that "cutting makes it powerful,"The only treatment that directly addresses the root cause of saggingThat's precisely why,Long-term rejuvenating effectscan be obtained.
Summary: Knowledge transforms anxiety into confidence.
A facelift is by no means a “scary surgery.”
If done properly with a thorough understanding and under the guidance of a trusted physician,
"Naturally," "elegantly," and "reliably" rejuvenate.Treatment.
Next time, we'll look at what kinds of procedures are actually available.
I'd like to break down specialized terms like "SMAS Lift" and "Deep Plane" and explain each surgical procedure step by step!
The concept of not merely “concealing” sagging skin, but “restoring” it.
Step into the world of facelifts that turn back time.

Author: Arisu Hatade
Board-Certified Plastic Surgeon / Cosmetic Surgeon
After graduating from Kyushu University School of Medicine, he worked in plastic and reconstructive surgery and cosmetic surgery at university hospitals and affiliated facilities, obtaining board certification in plastic surgery.
With extensive experience in a wide range of cases, from facial and trunk reconstructive surgery to cosmetic surgery, I prioritize achieving natural and beautiful results based on anatomical knowledge.
Having worked as an idol during my student days, I possess a unique perspective that understands both “beauty for being seen” and “beauty as medicine.” This allows me to offer customized aesthetic medical treatments tailored to each individual patient.
In my personal life, I enjoy traveling and gourmet food, and I share information about beauty and lifestyle on Instagram.
career
- Graduated from the School of Medicine, Kyushu University
- New Tokyo Hospital Initial Training
- Jichi Medical University Hospital Department of Plastic Surgery Employee
- Luce Clinic Employee
- Shin-Koyama Municipal Hospital Plastic Surgery Department Employee
- Teikyo University Hospital Department of Plastic Surgery
- JR Tokyo General Hospital Plastic Surgery and Reconstructive Surgery Department Employee
- Ariake Hifuka Clinic Employee
Professional Affiliations and Qualifications
- Board-Certified Specialist, Japanese Society of Plastic and Reconstructive Surgery
Field of expertise
- Cosmetic surgery (eyes, jawline, gynecological procedures, etc.)
- Injection Therapy (Hyaluronic Acid, Botox, Fat Grafting)
- Laser Skin Treatment
- Regenerative Medicine and Anti-Aging Care