Kiko Kono, M.D.
Profile
Graduated from Kawasaki Medical School. Worked as a dermatologist for about 20 years at core hospitals. After many years of experience and achievements, he became a cosmetic dermatologist. His practice style is to examine the skin thoroughly and pursue what is happening where on the skin and approach the problem. Her specialties include customized treatment, laser treatment, Botox, and skin growth injections. In her private life, she is a mother of two children.
Many people are probably concerned about the jowls on either side of their mouth, which can make their face look dull. So, in this article, we’ll introduce four recommended treatments for jowls. We’ve summarized how each one works and the results you can expect, so please use this as a reference.
What Is the True Nature of "Jowls," the Cause of an Aged Appearance?

The "ponyo" lines around the mouth are actually caused by drooping corners of the mouth, marionette lines, and the extension of nasolabial folds. The "ponyo" lines around the mouth are,It is caused by a loss of muscle strength, sagging fat, and loose skin.. Those little jiggles at the corners of your mouth can make you look much older all at once. Let’s aim to improve them with the help of cosmetic medicine.
[Operation to Tackle Jowls, Part 1] Burn Fat with Thermagen

Thermagen is a device that uses radiofrequency (RF) to deliver thermal energy to the deep layers of the skin, thereby promoting collagen production and remodeling.By helping burn fat that has accumulated around the mouth and tightening sagging skin, you can work toward reducing the "chubby" appearance around the mouth.This product is recommended for those who are concerned about things like “I want more firmness along my jawline,” “My face has become rounder with age,” or “I feel like my face has become longer.”
Click here for treatment details
[Operation to Tackle Jowls, Part 2] Physically Lifting the Skin with Thread Lifts

This procedure involves inserting threads to physically lift sagging skin around the mouth. Furthermore,Since the stimulation from thread insertion promotes the production of collagen and elastin, you can expect improved firmness and elasticity.Yes, it is possible. Even after the suture is absorbed,Easy to maintain firmness and elasticityThis is another key feature. If you're looking to shorten your mid-face area or feel that radiofrequency treatments aren't enough, please give this a try.
Click here for treatment details
[Tip #3 for Reducing Jowls] Targeted Strengthening with the Shopping Lift

A shopping lift is a procedure in which threads are inserted in a grid pattern to reinforce the skin tissue.Since you can finely adjust the number, depth, insertion point, and angle, you can target the area next to the mouth with precision.That's right. Also, just like with thread lifts,Promotes the production of collagen and elastinThat’s why it’s perfect for anyone looking to add some firmness! The natural lifting effect and short downtime are also great benefits.
Click here for treatment details
[Tip #4 for Reducing Jowls] Achieve a Youthful Face with Hyaluronic Acid

Hyaluronic acid injections are expected to help reduce the appearance of wrinkles, sagging skin, and nasolabial folds. By injecting the solution around the ligaments—much like driving in a nail—you can achieve a natural-looking lift.Since the injection volume and injection sites can be customized to suit your bone structure and specific concerns, this treatment is also effective for filling in depressions caused by sagging.This treatment is perfect for those concerned that “their face looks tired,” “they want a treatment that suits their facial features,” or “sunken areas have become more noticeable.” Let’s transform a heavy-looking mouth into a lighter, more youthful appearance.
Click here for treatment details
If you're concerned about sagging skin around your mouth, visit YAYOI CLINIC
We’ve introduced four recommended treatments designed to help improve sagging skin around the mouth. Let’s work toward a more youthful appearance by reducing the shadows around your mouth and addressing the sagging and wrinkles that can make you look older. You can choose to receive each treatment individually or as part of a package. If you’re unsure which treatment is right for you, please feel free to consult with Yayoi Clinic.
Aesthetic Dermatology, Cosmetic Medicine, Cosmetic Surgery, Art Makeup in Hiroshima YAYOI CLINIC offers treatments for different skin, body, and facial concerns.
In order to offer a better option for everyone, we will assess each person's skin condition and formulate a treatment plan that meets their needs in terms of treatment duration, budget, and acceptable downtime.
If you have any concerns, please come for a counseling session first.
Description of treatment] Thermagen
Approximate number of treatments: 4 to 6 times per month *Depends on the treatment.
[Cost] ¥21,780–¥249,000 *Prices vary depending on the treatment area and number of sessions.
Adverse effects/risks
The following complications may occur in rare cases after the procedure.
However, all of these can be improved with early treatment. If you experience any abnormalities, please consult our doctors as soon as possible.
*People who may be pregnant should always consult with their doctor in advance, as they may not be able to receive treatment.
Equipment used.
Thermagen treatments include procedures using domestically unapproved drugs or medical devices.
The medicines and medical devices used for treatment were imported by private individuals based on the judgment of the doctors at our clinic. Please refer to the following for information on medicines and other items of concern for personal importation.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no approved medical devices in Japan.
Information on safety, etc. in other countries
Significant risks and side effects may not be evident.
About the Adverse Reactions Relief System for Drugs
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief System.
Description of procedure] Thread lift
The number of visits varies depending on the individual.
[Cost] ¥72,600–¥508,200 *Prices vary depending on the specific products used and the number of treatments.
Adverse effects/risks
Swelling, pain, internal bleeding, swelling, pulling, foreign body sensation, partial skin indentation, and infection at the treated area
Equipment used.
Thread lift treatments include procedures using domestically unapproved drugs or medical devices.
Drugs and medical devices used for treatment were imported through a private importation procedure based on the judgment of a physician at our clinic.
There are no other domestically approved drugs with the same ingredients or performance.
Information on safety, etc. in other countries
Significant risks and side effects may not be evident.
Description of procedure] Shopping lift
If you wish to see long-lasting results, periodic treatments are recommended.
Cost】 ¥88,000~¥198,000
Side effects/risks: Swelling, pain, internal bleeding, swelling, tugging, or foreign body sensation at the treatment site may occur.
Equipment used.
Shopping lift treatments include procedures using domestically unapproved drugs or medical devices.
The medicines and medical devices used for treatment were imported from Japan under the judgment of our doctors. Please refer to the following for information on medicines and other items of concern for personal importation.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
Information on safety, etc. in other countries
Serious risks, side effects, etc. may not have been identified.
About the Adverse Reactions Relief System for Drugs
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief System.
Description of procedure] Hyaluronic acid
Approximate number of treatments
Hyaluronic acid: per treatment
Hyaluronidase: 1-2 times
*The number of treatments for each of these varies from person to person.
Cost]
Hyaluronic acid: 1 unit ¥79,800 (+ ¥22,000 for the procedure fee) *The number of units used depends on the individual.
Hyaluronidase:
One time ¥33,000
Other hospitals: 1 time ¥55,000
Adverse effects/risks
Very rare side effects of hyaluronic acid have been reported, including transient or irreversible blindness, induced stroke, as well as nodules, beaded nodules, allergic reactions, granulomas, herpes, lack of or decreased correction, misalignment, necrosis, numbness, pain, tumors, infection, angioedema, discoloration and hematomas.
Side effects of hyaluronidase have been reported to include needle marks, internal bleeding, and allergic reactions.
If you notice any of these symptoms or any other abnormalities, please consult your doctor as soon as possible.
Equipment used.
Fillers and hyaluronidase injections include drugs not approved in Japan and treatments that differ from their approved regulatory use.
The medicines and medical devices used for treatment were imported by private individuals based on the judgment of the doctors at our clinic. Please refer to the following for information on medicines and other items of concern for personal importation.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Information on safety, etc. in other countries
-Juviderm Vista® series: approved in Japan for "correction of moderate to severe wrinkles and furrows on the face
-Hyaluronidase: Approved by MFDS, Korea
About the Adverse Reactions Relief System for Drugs
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief System.