column (e.g. in newspaper)
2025.12.14
【Case Study】Non-Surgical Sagging Treatment: This Much Rejuvenation
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.
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"I'm concerned about sagging... but I feel it might be too soon for surgery. Is there anything that can be done?"
This is a concern I hear quite often in counseling.
I don't want to undergo major surgery like a facelift.
But if you feel limited by threads and fillers alone—this is what we want you to know about: “non-surgical combination treatments for sagging skin.”
This time, I performed the treatment.Customized Treatment Cases for Sagging SkinThrough this, we convey the possibility that "you can get this far without cutting."
Concerns regarding this case
・Face contours become blurred
・There is fat and sagging under the chin, making the profile appear less defined.
・Looseness around the mouth and lower face
・The tip of the nose and philtrum droop, giving an overall aged appearance.

What happens as we age is,Not only skin laxity, but also changes in the amount and sagging of soft tissues such as fat, and alterations in skeletal balance.is.
Therefore, it is not uncommon for a single treatment alone to be insufficient to produce adequate results.
Treatment Approach|Understanding Aging Changes
In this case,
Break down the causes of sagging and layer treatments optimized for each
We took that approach.
Even with non-surgical treatment,
・Fat
・Skin laxity
・Tightening of subcutaneous tissue
・Facial Contour・Skeletal Balance
By simultaneously addressing these points, the following can be achieved:Changes akin to surgeryIt is possible to aim for.

Actual treatment performed
① Facial Contouring and Submental Liposuction
First,Properly reduce excess fatthing.
Performing tightening treatments while sagging fat remains will not create a sharp contour.
・Face line
・Under the chin
We performed liposuction focusing on the central area, taking care not to remove too much or leave too much behind, while also considering future sagging.
② Face Tight
This is the core treatment for this case.
Face Tightis,
・SubcutaneousFrom RF (radio frequency)directlyirradiation
・Strongly tightens the fat layer and skin
This is a treatment that can be performed.
When combined with liposuction,
・Minimize skin sagging
・RatherMaximize the tightening effectdo
has the advantage of.
"Is it possible to achieve such a defined jawline without surgery?" The reason people are amazed is precisely this.
③ Mofius 8
To further enhance skin texture and firmness,Morpheusused in combination.
・RF irradiation to the dermis and subcutaneous tissue
・Skin tightening
・Improvement of fine lines and pores
If Face Tight is “deep-tissue tightening,”
Mophius is “surface to mid-layer finishing.”
Sagging treatment is,Layer-by-Layer Approachis important.

④ Thread Lift
After adjusting the fat and skin,
As much as needed, in the necessary directionThread lift procedure performed.
・Do not pull up too hard
・Avoid creating unnatural tension
I use it as support for designing the face line.
⑤ Hyaluronic Acid Injection (E-Line Adjustment)
As the final touch, with hyaluronic acidWe have adjusted your skeletal balance.。
・Nose bridge
・Membranous nasal septum
・Cat (nose)
・Lip
・jaw
This procedure lifts the tip of the nose that had sagged due to aging, creating a rounded appearance reminiscent of a cat nose job, while also adding a C-curve to the lips to make them appear upturned.
The E-line is well-defined, appearing flawless from the front, side, and profile views.Refined impressionbecame.
Sagging treatment is not about lifting, but rather...Achieving overall balance is the ultimate form of rejuvenation.is.
Changes in Cases|Without Cutting, This Far
Here are the results of the above procedures.

※In this case, no skin excision or incision procedures such as facelifts were performed to lift the skin.
All treatments performed are exclusively combinations of non-invasive therapies.
How about it?
・Defined jawline
・Disappearance of the double chin
・The lower face becomes firmer, creating a youthful impression
・The E-line of the profile is beautiful
Even so,The changes achieved through combined therapyIt is possible to issue.
Individuals for whom this case is suitable / Individuals for whom this case is not suitable
The direction you're facing
・I still have reservations about facelifts.
・I want to make changes without cutting as much as possible, but still make sure they're noticeable.
・Loose skin along the jawline and under the chin is the primary concern
・Feeling that thread and injections alone are insufficient
Individuals who may not be suitable
・Significant excess skin
・Cases with significant neck sagging requiring skin excision
・Seeking maximum lifting results in a single treatment
※While we will make a determination based on an actual examination, the same treatment may not be optimal for everyone.
For those who are unsure whether to cut or not to cut
"I guess I have no choice but to cut myself..."
Even if you feel that way,
ActuallyCases where sufficient improvement is achieved through a combination of non-surgical treatmentsThere are quite a few.
Conversely, non-surgical treatments may have their limitations.
That's precisely why what matters most is,
Thinking together about which choice is best for the current situation
I think so.
Summary
・Even non-surgical treatments for sagging skin can yield significant results depending on the combination used.
・Comprehensive adjustment of fat, skin, and skeletal structure is essential.
"I don't want anything flashy, but I do want to look younger."
If that sounds like you, please feel free to contact us for a consultation.
Let's work together to find the best customization for you.

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.
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career
Graduated from the School of Medicine, Kyushu University
New Tokyo Hospital Initial Training
Jichi Medical University Hospital, Department of Plastic Surgery
Luce Clinic Employment
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