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2026.01.07
What is aristocrat surgery and cat surgery｜What is midface lifting surgery?
As a board-certified plastic surgeon, I have handled numerous cases involving trauma, reconstruction, and congenital conditions, cultivating precise techniques and deep anatomical understanding. Driven by the desire to deliver the transformative power of beauty—where visible change uplifts the spirit—I pursued a career in cosmetic surgery. My areas of expertise include comprehensive eye treatments, injectable therapies, and anti-sagging procedures. Guided by a commitment to sincerely address each patient's aspirations, I provide meticulously crafted treatments focused on achieving beauty.
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Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
If the midface is concave, the nose may appear to be buried in the cheeks or only the mouth may appear to be forward.
This discomfort is caused not by the height of the nose itself, but rather by the position of the base on which the nose rises, which is located behind the nose.
The surgery to adjust that foundation forward is the so-called midface lifting surgery, which is"Aristocratic Surgery."とCat Surgery."is.
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Surgery to raise the base of the nasal wing forward
What is aristocratic surgery?Surgery to supplement the base of the nasal wings (base of the nose) forward to increase heightis.
In the type where the nose appears to be pushed into the cheek when viewed from the side, the nose is buried in the midface.
In surgery, a pocket is created on the periosteum, approached from the nasal wing or oral cavity.
Within its pockets,Insertion of support material such as harvested cartilage or prosthesisBy doing so, the base of the nasal wing is pushed forward.
As a result,A three-dimensional effect is created in the center of the face.The nose will appear to stand up naturally as the bump (shadow) between the nose and cheeks is weakened.
Lines are also not sagging skin.Shadows caused by skeletal concavityis the main cause, improvement can be expected by performing aristocoronary surgery.
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Surgery to raise the base of the nasal bridge forward
What is cat surgery?Surgery to supplement the base of the nasal column (base of the nasal column) forward to increase its heightis.
In those with severe midface retraction, even if only the nasal wing bases are brought forward, the base of the nasal column may remain in the back.
In this condition, only the tip of the nose appears forward, the connection from the nose to the middle of the person appears weak, and the protruding mouth is easily accentuated.
Cat surgery creates a pocket on the periosteum at the base of the nasal column, near the anterior nasal spine (ANS).Inserted mainly with cartilage as support materialI will do so.
As a result,The impression of the nasolabial folds is improved.The mouth and the mouth will be more easily balanced.
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The concept of "cat aristocracy (combined use)
After looking at the concavity of the midface and the overall balance of the face, a decision will be made as to whether to choose aristocrat or cat surgery, or a combination of the two.
A combination of both may be used if necessary, but the surgical technique depends solely on the indications.
Alone or in combination,The goal is not to create an unnatural appearance, but to achieve a natural three-dimensional effect.is.
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Points to note and surgical positioning
The aristocrat and cat surgeries are,Basically, it is not a surgery performed on its own.。
Often for nasal surgeries such as nasal septum extension, rhinoplasty, rhinoplasty, etc.＋Combination as +α、The goal is to achieve a more natural balance of the midfaceThe following is a list of the most common types of products that are used in the market.
The surgery itself is performed on the periosteum, and importantly,Where, to what extent, and how much volume to createis to adjust the
In contrast to surgery that creates the shape of the nose itself, aristocrat surgery and cat surgery areRole in fine-tuning the foundation on which the nose rises.The company will be responsible for
Depending on this design, the tactile sensation, the naturalness of the contours, and the way it works can vary greatly.
*For information on the types of materials used (cartilage, prosthesis, etc.) and how to select them,
We will discuss this in detail in another article.
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■ Summary
Aristocrat and cat surgery is a surgical procedure to realign the foundation of the midface forward and three-dimensionally, and to restore the relationship between the nose and mouth to their natural positions.
The nose is now taller, but it still floats in the face."
The discomfort is often caused not by the shape of the nose itself, but by the foundation on which the nose rises.
Aristocrat and cat surgeries are based on the indications,Surgery combined as needed for overall balancing purposesis.
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【Profile】
Masataka Fujihashi, MD, Plastic Surgeon
Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.
We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.
Designing natural beauty with trust.
We cherish that sentiment and apply it to our daily practice.
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【Career】
March 2015: Graduated from the School of Medicine, Showa University
April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training
April 2017 Showa University Hospital Department of Plastic Surgery
October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery
April 2019 Nishio Municipal Hospital Plastic Surgery Department
April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department
November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery
July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery Department Head
July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)
April 2024 Deputy Director, Ginza TA Clinic
November 2025 BIANCA CLINIC
【Professional Affiliations and Qualifications】
Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon
Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)
Member of the Japanese Society of Aesthetic Surgery (JSAS)
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