Dr. Takahiro Miki
Profile
After graduating from Kawasaki Medical University, he practiced orthopedic surgery at university hospitals and general hospitals, gaining experience in a wide range of fields, including trauma, sports injuries, regenerative medicine, and ultrasound-guided treatments. He continued to hone his skills as a board-certified orthopedic surgeon recognized by the Japanese Orthopaedic Association and joined YAYOI CLINIC in 2025. Specializing in skin-rejuvenation injections, Botox, and ultrasound-guided fascial release, he provides aesthetic medical treatments tailored to each individual’s needs, addressing both beauty and health.
If you’re interested in undergoing sagging skin treatment at a cosmetic dermatology clinic in Naka Ward, Hiroshima City, it’s important to understand the different treatment options available before you begin. Compare the pros and cons of each procedure to find the one that best addresses your concerns. In this article, we’ll provide a detailed overview of the sagging skin treatments offered at YAYOI CLINIC, a cosmetic dermatology clinic in Naka Ward, Hiroshima City. Find the treatment that’s right for you and achieve a more defined, refreshed facial contour.
An Explanation from a Cosmetic Dermatology Clinic in Naka Ward, Hiroshima City | What Causes Sagging?
"Sagging" refers to,Skin that should naturally be firm but has become looseThat is to say, facial sagging and nasolabial folds aren’t caused by just one factor. First, Yayoi Clinic, a cosmetic dermatology practice in Naka Ward, Hiroshima City, will explain the causes of sagging.
■ [Cause 1] Age-related decline in collagen and elastin
To maintain skin elasticity, it is important to,Collagen and elastin found in the dermisThese are the components. As we age, these components gradually decrease. As a result,The skin's supporting strength weakens, causing the cheeks and mouth area to sag more easily.. As a result, this can cause nasolabial folds to appear deeper or the facial contours to become less defined.
■ [Reason 2] Skin Damage Caused by UV Rays and Dryness
Ultraviolet rays are a major factor that puts a strain on the skinProlonged exposure to ultraviolet rays has a detrimental effect on components within the skin, such as collagen and elastin. As a result, the skin loses its firmness, and sagging becomes more noticeable.
To keep your skin firm and supple, UV protection is essential. Be sure to use sunscreen, carry a parasol, and wear a hat. Also, since UV rays penetrate indoors regardless of the season or weather, it’s important to take protective measures every day.
■ [Reason 3] Changes in skin structure, such as the weakening of facial muscles
One of the main causes of sagging is,Changes in the structure of the subcutaneous tissue of the faceIt is.
The face contains muscles known as facial muscles, and surrounding them is the SMAS fascia, which supports the skin and subcutaneous fat. The structure and elasticity of the SMAS fascia gradually change over time due to aging and other factors.When the supporting strength decreases, it becomes difficult to maintain the skin and fat, which can cause the jawline to sag.. In addition, as we age, changes in the location and volume of subcutaneous fat can disrupt the balance between the skin, fat, and fascia, making the cheeks and mouth area more prone to sagging, which can result in noticeable drooping.
Common Sagging Skin Treatments Available at Cosmetic Dermatology Clinics in Naka Ward, Hiroshima City
Next, we’ll explain the types and characteristics of sagging skin treatments available at cosmetic dermatology clinics in Naka Ward, Hiroshima City.
■HIFU: Tightening the SMAS fascia using ultrasound
HIFU is a treatment for sagging skin that uses high-intensity focused ultrasound.A key feature of this treatment is its ability to deliver thermal energy to the SMAS layer deep within the skin without placing significant strain on the skin's surface.That's right. The SMAS layer serves as the foundation that supports the skin and fat, and is considered to be closely related to sagging. While this layer was previously treated only through surgery, it is now possible to target it using thermal energy without surgical intervention.
By delivering thermal energy to the SMAS layer, this treatment addresses sagging along the jawline and drooping cheeks. In addition, the thermal stimulation promotes the production of collagen and other substances,You can also expect improved firmness and a reduction in the appearance of fine linesYou will be able to.
At Yayoi Clinic, we use “Super HIFU,” a pain-minimizing treatment. It is designed to minimize variations based on the practitioner’s skill level and to facilitate uniform energy delivery. In addition, we tailor the treatment plan down to the finest details to address each individual’s concerns and facial features.
■ Radiofrequency (RF) Treatment: Boosts Skin Firmness and Radiance with Thermal Energy
Radiofrequency (RF) treatment is a procedure that addresses sagging and loss of firmness by applying radiofrequency thermal energy to the skin. By delivering heat deep into the skin, it stimulates collagen production, aiming to tighten the skin and improve its elasticity.
Yayoi Clinic offers Thermagen and Volnuma treatments. Thermagen supports collagen production by delivering heat from the dermis to the superficial layers of the subcutaneous tissue.Expected benefits include skin tightening, reduction of fine lines, and improved firmnessIt should be possible. Another key feature is its pain-conscious design, which helps reduce discomfort during treatment.
On the other hand, Volnuma is a device that targets the entire subcutaneous tissue layer, starting from the dermis. Volnuma is equipped with cooling and vibration functions and is designed to minimize discomfort and pain during treatment. Because it delivers treatment while minimizing stress on the skin’s surface, it is ideal for those seeking a treatment that effectively addresses sagging while ensuring comfort during the procedure.
Please note that the most suitable treatment option may depend on the severity of your sagging skin. If you have any concerns, please schedule a consultation to discuss your options.
■Thread Lift: Physically lifts the skin using special threads
A thread lift is a procedure in which medical-grade threads are inserted under the skin to address sagging in the cheeks and along the jawline. Threads with small barbs—known as “cogs”—are inserted near the temples to lift the subcutaneous tissue, thereby achieving a lifting effect. The threads used are designed to be absorbed by the body. As the threads break down and are absorbed, collagen production is stimulated.It helps improve skin firmness while also providing a lifting effectYou will be able to.
At Yayoi Clinic, we offer a variety of thread types. We select the appropriate thread based on each patient’s specific sagging condition and aim for a natural lifting effect while taking into account the contours and balance of the entire face. Another key feature of our clinic is that we combine treatments such as HIFU and Thermagen to propose a treatment plan that is gentle on the body.
■Injection Treatments (Hyaluronic Acid, Botox): To correct wrinkles and volume loss
At Yayoi Clinic, a cosmetic dermatology practice in Naka Ward, Hiroshima City, we offer hyaluronic acid and Botox injections tailored to address concerns such as sagging skin and wrinkles.
Hyaluronic acid injections are a treatment designed to restore volume. By injecting the substance into areas such as nasolabial folds and sunken cheeks—which become more noticeable with age—Natural three-dimensional effectYou should be able to achieve this. We adjust the injection volume and injection sites while checking the overall balance of your face.
In contrast, Botox (botulinum toxin) injections are a treatment that targets muscle movement. They are often used to treat wrinkles caused by facial expressions, with the forehead, the area between the eyebrows, and the outer corners of the eyes being the primary treatment areas.By relaxing muscle movement, it is expected to reduce expression lines and give the entire face a more refreshed appearance.Yes, they can. Both procedures are non-surgical and are characterized by their relatively short duration.
[Answers from a Cosmetic Dermatology Clinic in Naka Ward, Hiroshima City] Frequently Asked Questions About First-Time Sagging Skin Treatments
Finally, we’ve compiled a list of common questions people have when undergoing sagging skin treatments at a cosmetic dermatology clinic in Naka Ward, Hiroshima City. Be sure to review this information before your treatment to address any questions or concerns you may have.
■Q. How much does the procedure hurt, and how long is the downtime?
The severity and duration of pain and other side effects vary depending on the type of procedure. Additionally, the way these symptoms manifest differs from person to person.
| Type of treatment | pain | down time |
| HIFU (High-Intensity Focused Ultrasound) | You may experience a sensation of heat or a prickling pain, but it is a relatively easy procedure to undergo. | It rarely happens, but in rare cases, swelling may last for about a week. |
| Radiofrequency (RF) therapy | Thermagen A treatment that’s virtually pain-free and a good choice even for those who are sensitive to pain [Volnuma]. Depending on the area, you may experience a sensation of heat or mild pain, but the treatment is designed to minimize discomfort. |
Thermagen Although rare, redness and swelling may occur for a few days to about a week. [Volnuma]. Although rare, in very rare cases, redness, flushing, pain, or swelling may last for several hours to several days. |
| Thread Lift |
|
|
| Injection Therapy | Although the injection may be painful, anesthetic cream can be used as needed to help alleviate the pain. | Almost none |
■Q. Is a single treatment effective? How long do the results last?
At Yayoi Clinic, a cosmetic dermatology practice in Naka Ward, Hiroshima City, some patients notice a difference after just one session of our skin tightening treatments, depending on the procedure; however, the onset of results varies from person to person. Additionally, since the effects fade over time, ongoing visits are necessary to maintain the results achieved after treatment. Please note that the duration of the effects varies depending on the type of treatment.
■Q. What is the difference between HIFU and radiofrequency (RF) treatment?
The main difference between HIFU and radiofrequency (RF) treatment lies in the depth to which thermal energy is delivered. While HIFU can reach the area near the SMAS layer, radiofrequency (RF) treatment delivers heat from the dermis to the subcutaneous tissue, aiming to improve skin firmness and tightening.
■ Conclusion.
At Yayoi Clinic, a cosmetic dermatology clinic in Naka Ward, Hiroshima City, you can receive treatments designed to address sagging skin. Since there are various types of sagging skin treatments, each with different characteristics, it’s important to find the one that best suits your skin’s condition. If you’re wondering, “Which cosmetic dermatology clinic in Hiroshima do you recommend?” or “Which clinics have renowned doctors or well-known directors?”, why not start by scheduling a consultation? At a clinic that carefully assesses the condition of your sagging skin and provides thorough care, you can work toward achieving a more youthful complexion.
Aesthetic Dermatology, Aesthetic Medicine, Aesthetic Surgery, Art Make-up Yayoi Clinic (YAYOI CLINIC) in Hiroshima introduces treatments for different problems of the skin, body, and face.
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.
■Related Articles Recommended for You
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.
