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International Forum -JSAPS-

Combined Treatment of Sagging Face with the Goal of Natural Looking Results

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Naoki Arao
Chairman
Medical Corporation LE CIEL
Japan
naoki.everfree@gmail.com
Educational Background
Graduated from Showa University School of Medicine(M.D.)
Graduated from Showa University Graduate School of Medicine(Ph.D)
Majored in Plastic Surgery at Showa University Department of Plastic Surgery(Board
Certified Plastic Surgeon)
Work Experience
Chairman of Medical Corporation LE CIEL (2021~Present)
Concurrent lecturer of Showa University Department of Plastic Surgery(2012~Present)
Director of ARAO CLINIC(2012~2021)
Director of Aoyama RajeuBeau Clinic(2009~2011)
Assistant professor of Showa University Fujigaoka Hospital Department of Plastic
Surgery(2008~2009)
Ward chief of Saga University(2007~2008)
Assistant of Showa University Fujigaoka Hospital Department of Plastic
Surgery(2002~2007)• Student Research Fellowship - Chemical Research Engineering
and Development Center, Applied Chemistry
Branch, Edgewood, MD, (May-August, December 1987-1990).
Saturday, April 17
JSAPS Session
Venue:Room A,3F
11:20-11:32
Topic: Combined Treatment of Sagging Face with the Goal of Natural Looking Results
Abstract:
Cosmetological treatment is becoming more and more popular around the world every year. In Japan,
people tend to dislike major changes in appearance after cosmetological treatment and prefer natural
changes that are not noticed by others. This is especially true for older women.
However, as a result of overtreatment, we often see cases that look unnatural (even doctors!).
Why does cosmetological treatment result in an unnatural appearance? This is because they try to
supplement the volume excessively or pull up the skin while the skeleton and skin are atrophied.

In addition, when trying to treat sagging with a single method, problems such as insufficient volume,
insufficient correction of position, and excessive volume occur, resulting in inadequate therapeutic effect
and unnatural appearance.
We treat sagging by combining multiple treatment methods in order to achieve a natural and effective
lift-up effect in consideration of the anatomy of the face. The methods used are hyaluronic acid injection,
HIFU, RF, thread lift, etc.
Combine treatments corresponding to the anatomical site, such as using a device to tighten the fascia
and dermis, using threads to correct the position of drooping adipose tissue, and supplementing lost
volume with hyaluronic acid. This gives a natural looking results.
We will present our thoughts on the natural consequences of our work and how to do so.

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