Facial sagging does not have a single cause. A plastic surgeon first assesses the whole face, including fat volume, skin elasticity and skeletal support. We then consider the roles of HIFU, DENSITY, ALLTITE and injection treatments, and which combination is needed.
2 doctorsPlastic-surgeon assessment
3 factorsFat, skin and skeletal support
3 devicesHIFU, DENSITY and ALLTITE
Doctor-ledCombined HIFU and injections
Facial sagging is not only a change at the skin surface. We consider both changes in skeletal support and laxity of the skin, subcutaneous tissue and retaining ligaments.
Assessing both skeletal support and firmness of superficial tissue, including retaining ligaments, is central to sagging treatment.
ALLTITE broadly delivers radiofrequency heat from the deep dermis to the area around the SMAS. It also targets structures that support the skin from within, aiming to tighten and firm the facial and under-chin contours. Its heating method differs from HIFU, which delivers heat in focused points.
Devices + injections: The device price is fixed. Botox is 15% off; hyaluronic acid alone is 20% off, or 25% off when combined with Botox. With a three-session device course, at least four syringes and Botox, hyaluronic acid is 30% off.
Injections only: A single injection treatment is 10% off; both together are 15% off. Four or more syringes of hyaluronic acid are 20% off whether or not Botox is selected, and accompanying Botox is 15% off.
Self-pay care; prices include tax. Campaign period: October 1–December 31, 2026.
Some medical devices described on this page are not approved in Japan under the Pharmaceuticals and Medical Devices Act and were personally imported at a doctor's discretion. Unapproved medical devices may not be covered by the Relief System for Sufferers from Adverse Drug Reactions and related programs. During consultation, we explain the specific device, procurement route, approval status of equivalent devices in Japan, and overseas safety information.
The scope of Japanese approval for hyaluronic acid products and BOTOX VISTA® varies by product, treatment area and purpose. Treatment of areas such as the masseter or platysma may be outside approved indications. Before treatment, we explain the product name, approval status, procurement route, alternative treatments and eligibility for relief systems.
Yes. We first ask about your concerns and treatment history, and a doctor assesses your whole face. After hearing about the treatment and costs, you may choose not to proceed that day.
HIFU and radiofrequency mainly target fat and laxity in the skin and deeper tissue. Hyaluronic acid supplements contour support, while Botox adjusts muscle movement. Where several causes contribute, treatments with different roles can be combined.
Hyaluronic acid mainly supplements tissue volume and contour support. Botox mainly adjusts the movement of the masseter, platysma and facial-expression muscles. Their actions and suitable areas differ.
Sometimes, but treatment order, areas, skin reactions and previous treatments may require separate visits. We will advise you after assessment.
Device plans have the fixed prices shown. With a device plan, Botox is 15% off and hyaluronic acid is 20% off; with both injections, hyaluronic acid is 25% off. With a three-session device course, at least four syringes and Botox, hyaluronic acid is 30% off. Without a device plan, a single injection treatment is 10% off, both are 15% off, and four or more syringes of hyaluronic acid are 20% off.
Depending on the injection site and method, a Cattelan needle fee of ¥11,000, a forehead procedure fee of ¥22,000, or an under-eye or lip procedure fee of ¥11,000 may apply. Selecting applicable items in the price calculator adds them to the estimate; these fees are not discounted. Volux has an additional fee of ¥3,300 per syringe.
HIFU and radiofrequency may cause redness, warmth or swelling. Hyaluronic acid and Botox may cause pain, swelling or bruising. Symptoms and duration vary with the treatment and individual.
No. All courses and treatments purchased during the campaign period can be used until March 31 of the following year. For a three-session course, we generally recommend treatment every 1 to 1.5 months. You do not need to complete every session during the campaign period.
You do not need to have all treatments on the same day. Depending on the combination, adjusting the order and interval may help refine the result. For example, forehead Botox may be performed first, followed by hyaluronic acid injections two weeks later. When combining device-based tightening with hyaluronic acid, the device treatment may be performed first and the result finished with hyaluronic acid. Alternatively, hyaluronic acid may be injected first, with device treatment beginning one month later. Treatments purchased during the campaign period may be scheduled on separate days until March 31 of the following year.
At your first treatment session, you must pay the full total for all courses and treatments you purchase. If you would like to pay in installments through your credit card, please check the available terms with your card issuer. Campaign prices do not apply if you pay separately for each treatment.
Yes. The applicable campaign discount applies separately to facial-expression Botox and masseter Botox. However, having these two Botox treatments together does not increase the discount rate further.
We ask about the areas that concern you and your previous treatments, then assess facial contours, skin condition and volume. During consultation, we explain the roles of devices and injections, costs and the treatment schedule.
5-3-3 Motomachidori, Chuo-ku,
Kobe, Hyogo 650-0022, Japan
Only cosmetic care is available on Saturdays and Japanese public holidays. Temporary closures are announced on our official Instagram account.
