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Sagging Skin Treatment: Doctors Diagnose the Underlying Causes | [Official] Smart Skin Clinic Group, Tokyo and Yokohama
No cutting.
Sagging & Lift-up
A hub for treatment.
Smart Skin's Sagging Treatment: By the Numbers
Sagging & Lift-up Treatments
0treatments
Patients Who Have Received Sagging Treatment
0patientsand more
Annual Injection-Based Procedures
0treatmentsand more
Repeat Rate
0%
Patient Satisfaction
0%
Number of Sagging & Lift-up Procedures and Patients: total for Jimbocho Clinic (June 2023–March 2026) and Yokohama Clinic (July 2025–March 2026) / Annual Injection-Based Procedures: February 2025–February 2026 / Repeat Rate & Patient Satisfaction: FY2025 in-clinic survey
Treatment Menu
For sagging,
Three Approaches.
The causes of sagging vary from person to person. Our clinic offers three different treatment approaches.
Concerns About Sagging
That "sagging"—
where is it bothering you?
Even under the single word "sagging," the areas of concern differ from person to person. At our clinic, we begin by carefully identifying exactly where your concerns are showing.
The areas of concern differ for each person.
But what is happening beneath the surface is the same for everyone.
The Structure of Sagging
The true cause of sagging
is not just one thing.
The face is made up of five stacked layers: skin, subcutaneous fat, the SMAS (superficial musculoaponeurotic system), supporting ligaments, and bone. Even changes described simply as "sagging" differ from person to person in terms of which layer is affected and what is happening there.
skin
The outermost layer, which produces firmness and elasticity.
As collagen and elastin decrease and elasticity declines, the skin as a whole begins to loosen.
Subcutaneous fat
The layer that creates facial fullness and soft contours.
"Ptosis," which occurs when the fat loses its support and drops, and "atrophy," in which the fat itself thins. These are two different changes. Ptosis appears as a loose, sagging jawline, while atrophy appears as sunken or hollow cheeks.
SMAS (superficial musculoaponeurotic system)
A membrane beneath the skin and fat that supports the entire face as a single "surface."
When this membrane loosens and its ability to support the face as a surface weakens, the entire face drops and the contours slacken.
Supporting ligaments
Ligaments that connect bone to skin, anchoring the facial tissues at specific "points."
The face has ligaments too. When the ligaments stretch and loosen, the tissues they held in place drop along with the underlying structure, leading to sagging that stands out as "lines," such as nasolabial folds and marionette lines.
Bone
The foundation that carries all the layers.
The facial bones also thin with age, reducing the surface area available for support. Support around the eyes, cheeks, and jawline decreases.
In reality, it is not uncommon for several layers to be involved at the same time.
That is exactly why our clinic offersSkin Rejuvenation Injections, Devices, and Thread Lifts.
We offer three different approaches.
Case Study | Thread Lift – Woman in Her 50s
Of the three approaches, here is an example of a thread lift.
*Photos are published with the patients' consent. Results and progress may vary from person to person.
View Details on Thread Lifts→Philosophy
Naturally, for the better.
These are things we often hear from those seeking advice about sagging.
Even though "sagging" is a single word, when we listen carefully, what each person hopes for is different. First, we carefully ask what kind of change you are hoping for and assess your condition. From there—whether you want a significant change or something more subtle, and how far to go—we break it down into several scenarios and aim to present as many possible options as we can. Rather than one-sidedly recommending something, we want to be a trusted beauty advisor. That is what we believe.
And our clinic's guiding philosophy is "Naturally, for the better." Natural, with no sense of unease, giving you a little lift when you look in the mirror—we hope to support your everyday life in that way.
Our clinic has no counselors; a physician listens to your concerns from the very start. You are welcome to visit for a consultation only. When you first begin to notice even the slightest sagging, we would be glad to be remembered as one of your options.
The Smart Skin Philosophy
Leave out what is unnecessary,
and get to the essence of treatment.
Anything unrelated to the quality of care—lavish interiors, excessive advertising—we thoroughly leave out. What we save is put toward the essence of treatment: the formulations, the equipment, and our physicians' skill. Our sagging treatments, too, are built on this "Smart Essential" philosophy.
View the Smart Skin Concept→Let's start with a consultation.
Our clinic makes a "promise to our patients" that we do not engage in sales tactics. Please feel free to consult with us while you are still at the stage of simply wondering.
Regarding Treatment
Risks and Side Effects
- Redness, swelling, pain, and bruising at the injection site
- Temporary stiffness, asymmetry
- With high-frequency devices, a sensation of heat and temporary redness at the treatment site
- The extent of the results and the duration of downtime vary from person to person.
Those who are not eligible for the treatment
- Women who are pregnant or breastfeeding
- People with impaired immune function or those undergoing immunosuppressive therapy
- People who are prone to keloids, hypertrophic scars, or pigmentary disorders
- People with a tendency to bleed or those taking anticoagulants or similar medications
- Individuals with sunburn, eczema, dermatitis, or severe inflammation in the treatment area
About Fees
The treatment for sagging skin varies depending on the underlying layer causing the issue. Therefore, prices differ for each procedure. During your consultation, we will explain the necessary treatments and provide a total cost estimate. The prices for each procedure are listed on their respective pages.
Legal Notices
The treatments described on this page involve the use of drugs or medical devices that are not approved in Japan. The drugs and devices used for treatment have been imported through personal import procedures based on the judgment of our clinic’s physicians. There are no domestically approved drugs or medical devices with the same ingredients or performance characteristics. Please refer to the Ministry of Health, Labor and Welfare’s website for information on drugs and medical devices that require caution when imported through personal import procedures.