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Eliminate sagging for a clean and defined facial line
Those who want a sharp, slimmer face
Those who want to reduce cheek fat
Those who want to improve a round or bulldog face
Those who are concerned about sagging or fullness around the mouth
Marking is done to determine the areas and range to be approached during the procedure. In order for the procedure to be successful, the area to be treated must be accurately assessed and marked. If this assessment is insufficient, it can lead to significant failures. Examples of procedure failures include hollowing or unevenness along the jawline, as well as uneven fat removal, all of which occur due to improper marking. At LIVELY CLINIC, we use the "4D Marking Simulation," which is different from traditional marking methods. Traditional marking involves simply writing down the areas to be suctioned, while 4D marking involves detailed annotations of suction areas, suction volume, fat layers to be suctioned, and areas to avoid. Additionally, while traditional marking is done only once before the procedure, 4D marking allows for the review of the procedure through simulations before actually performing it.
Liposuction and fat removal around the cheeks require advanced technical skills and design abilities, so there are few clinics in Japan offering this procedure. At LIVELY CLINIC, doctors who have honed their skills by handling over 2,000 cases at a former liposuction specialist clinic are in charge.
Fat removal varies in its suitability for each patient. Some people have facial thickness made up of fat, while others have it made up of skin thickness. The amount of fat to be removed must also be determined based on the overall balance of the face; otherwise, it could result in an excessively hollowed and aged appearance. At LIVELY CLINIC, we observe each patient's fat distribution and provide counseling and suggestions based on their suitability. Unnecessary suggestions will not be made.
While malar fat is superficial fat located closer to the skin, buccal fat refers to deep fat situated beneath the muscles. Although both are fats located in the cheeks, the effects of their removal differ. When cheek sagging is difficult to improve through malar fat removal alone, combining it with buccal fat removal can enhance the effect and create a more defined, slimmer facial appearance.
This is a facial contouring surgery in which a cannula (fat suction instrument) is inserted through the inside of the mouth to suction fat. Facial fat is difficult to lose with dieting, and even if you succeed in slimming down your face, the moment you stop dieting, rebound often occurs. Malar fat removal removes the fat cells themselves, reducing the chance of rebound, allowing for a naturally slimmed face without the need for further effort.
Jowl fat refers to the fat that descends from the cheeks to the sides of the mouth, causing puffiness. If jowl fat continues to sag, it leads to sagging around the mouth and causes a bulldog face. By removing jowl fat, the sagging of the jawline and marionette lines are improved, resulting in a refined and tightened contour.
| Buccal Fat Removal | ¥220,000 |
| Laughing Gas Anesthesia | ¥8,800 |
| Intravenous Anesthesia | ¥55,000 |
Lively Clinic operates on a completely reservation-based system to protect your privacy. Reservations can be made via the web or phone.
*Depending on availability, surgery may be performed on the same day as the consultation.
Upon arrival, please fill out a questionnaire about your concerns and desires.
You will be guided to a private room where we will discuss your concerns regarding cheek sagging and facial contours, based on the completed questionnaire.
Feel free to ask any questions or express concerns.
During the consultation, we will mark the areas where fat will be suctioned, based on your preferences.
Once confirmed and agreed, we will proceed with preparing for the surgery.
The treatment area is disinfected, and local anesthesia is applied inside the mouth.
The anesthesia is injected slowly to minimize pain.
You can choose laughing gas anesthesia or intravenous anesthesia as an option.
Small incisions are made inside the mouth on both sides, and the buccal fat is removed.
The surgery takes about 30 minutes.
You will receive aftercare instructions before returning home. If you have any concerns after returning home, please contact us via our official LINE account.
If you experience any discomfort or unusual symptoms, please consult with a doctor immediately.
| Procedure Time | Approximately 30 minutes |
|---|---|
| Post-surgery Swelling | Approximately 1–2 weeks |
| Bruising | Approximately 1–2 weeks |
Will the scars be noticeable?
Since the procedure is performed inside the mouth, the scars will not appear on the skin surface.
Will the buccal fat return over time?
Once the buccal fat is removed, it generally does not return.
What should I be careful about after buccal fat removal surgery?
After surgery, stick to soft or liquid foods. Avoid hot, spicy, or hard foods.
When can I start noticing facial slimming effects?
Around one month after the swelling and bruising subside, you’ll start noticing improvements in sagging cheeks and puffiness, leading to a slimmer facial appearance.
