Minimally Invasive Plastic Surgery

Plastic surgical care for the wounds

Plastic surgical wound repair is available for most local surface wounds, e.g., minor lacerations, cuts, dog bites, minor burns, etc. We think the initial wound care by a plastic surgeon is important. In general it is more difficult to revise the imperfectly healed wounds than the doing right job at the first time. If you happen to have one of those wounds, it is desirable to treat within first 8 hours (before bacterial overgrowth). Although we do not take the Japanese national insurance, our fee for the plastic closure of the wounds are reasonable and any foreign insurance reimbursement form will be filled out. Our doctors are both U.S. trained and board-certified by the American Board of Plastic Surgery.

From ￥21,000.

Non-cutting Double Eyelids for Asians

New York, NY - An improved non-incisional technique to create double eyelids in Asian patients is reported in the year 2000 issue of Aesthetic Surgery Journal (ASJ), the peer-reviewed publication of the American Society for Aesthetic Plastic Surgery (ASAPS).

Double-eyelid surgery is the most popular cosmetic surgical procedure in Japan. Whereas most surgeons in the United States perform cutting-type double eyelid surgery, Japanese women prefer non-incisional techniques. According to the authors of a study appearing in ASJ, current non-incisional techniques for creating double eyelids are either technically complex or do not produce lasting results.

Doctors in Japan and the USA describe an improved procedure that uses double sutures and twists (called DST technique) to create double eyelids in Asian patients. They say the non-incisional procedure is “simple, durable, and virtually scar free.” As described in the article, the method uses only two sutures on each upper eyelid, with the durability explained by the areas of ties and the central twists that result in more secure and therefore longer-lasting results.

The authors performed 1108 cases using the DST method during the past ten years, with no loss of double eyelid line after follow-up periods ranging from one month to seven years (with a mean follow-up time of 32 months). The average operative time ranged from 20 minutes (one side) to 60 minutes (bilateral). Most patients did not require sedation, and the surgeries were performed with only local anesthesia. Complications were minor and rare.

￥63,000 per site for DST method (both sides - ￥105,000).

*The simple "Smart method" (non-DST) cost ￥49,000 for both eyes.

double eyelid_1 double eyelid_2

double eyelid_3 double eyelid_4

Asian double-eyelids

Result of DST double-eyelids technique

(from top: "before",

"immediately after",

and "1 week later")

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Liposuction

liposuction

We specialize in “tumescent” liposuction using minimally invasive "microcanula"system.

Liposuction has been performed for more than 20 years and has proved to be a safe and effective procedure for most patients.

Depending on the amount of fat tissue removed, a same-day procedure or overnight stay may be chosen. For the same-day liposuction, it is done under a combination of local anesthesia and oral sedation while general anesthesia is used for large areas of liposuction.

One of us (Dr. Kure) has performed many cases of liposuction in the U.S. for last 10 years. He is specialized not only in micro-liposuction but also in mega-liposuction. From ￥315,000.

　Ｆor more "before and after" pictures, please click here (photo gallery)

and , also for more information on liposuction in Tokyo and tummy tuck surgery.

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Fat Injection/Liposculpture

There are a few different ways to treat depressions in upper eyelids. The simplest and most effective way is to inject your own fat into the tissue under the skin of the upper lid. This is called "lipoinjection." The fat is harvested from the donor site (wherever you want), then injected into the upper lid depression. Approximately 60-70% of the fat will be naturally absorbed in a year, but the remainder will usually last for a long time (unlike other injectables such as Restylane).

Similarly, fat can be injected to correct smile lines (Nasolabial lines), Chin augmentation, Cheek augmentation, Marionette lines, and so forth. We prefer to use patients' own (autologous) fat in micro-particle form to correct these problems. The fat tissue is usually harvested from a tiny hole in the patients' umbilicus (lower abdomen) using a small syringe. The whole process is done under local anesthesia at an outpatient setting without any pain. The harvested fat is carefully processed into smaller particles, then injected to the target areas using a small 1 cc syringe. There is no incision involved. The recovery is quick and most patients go back to work next day. There is minimal swelling and almost no down time.

From ￥315,000.

eyelid depression corrected by fat injection
[Correction of upper lid depression with fat]

[Chin augmentation by fat injection]

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Other Procedures:

Breast augmentation is done using either saline filled bags or silicone bags to your desired layers (below or above the muscles). It can be approached through the nipples or the underarm areas. It is usually done under general anesthesia in an outpatient surgery center. Various sizes of bags are available (we use only American products). From ￥630,000 for both sides.

breast augmentation breast implants

　For more breast "before-after" photos, click here

Rhinoplasty (Nose Surgery) is done in many different ways including hump removal, reshaping of the entire nose using either cartilage graft or silastic implants. It is usually done under twilight anesthesia in an outpatient surgery center.

nasal hump removal

　For more Nose "before-after" photos, click here

Facelift can be minimally invasive "mini-lift" or extensive full brow and neck dissecting type facelift. While mini-lift and limited facelift are done in outpatient setting, the full facelift is done in an affiliated hospital under general anesthesia. Please ask for more details.

facelift

　For more facelift "before-after" photos, click here

Gynecological plastic surgery includes Labiaplasty and vaginal rejuvenation.

For the former, we use special methods to minimize the scar and color mismatch including UCLA's Altman method in which natural thin edge is obtained even for a large thick tissue.

For the vaginal procedure, we refer to an affiliated US Board-Certified OB-GYN surgeon in Tokyo. For more detailed information, please email to us.

For Other Procedures and more information regarding breast augmentation, breast lift, breast implants, repair of ear deformity, removal of skin lesions, Scar revision, Labiaplasty, Gynecological plastic surgery, etc., please ask the doctor at the consultation or by e-mail.

We cannot show all the facial pictures of our patients here due to consent issue, but those will be available at the time of consultation at the office.

Ear reconstruction

Ear resocnstruction for prominent ear Ear reconstruction for prominent ear

Scar Revision and Tummy tuck

scar revision with tummy tuck

Scar revision for the old vertical abdominal wounds. Tummy tuck method was used to remove the scar and thin down the abdominal fat.

Scar revision from ￥210,000.

Buttock augmentation by fat tissue graft　(from ￥945,000)

　Ｃlick here for the example of Buttock augmentation using fat tissue graft

　Nipple Reconstruction (click here) (from ￥210,000)

Ear piercing, Body piercing available. (￥4725 per site)

~Hiroo, Tokyo~

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