Comprehensive Page on Sagging and Lifting

Sagging and Lifting Treatments at Smart Skin Clinic Sagging and Lifting Treatments at Smart Skin Clinic

Don't cut,
Sagging and lifting
A center for treatment.

Sumaski’s Sagging Skin Treatment: By the Numbers

Sagging and Lifting Treatment

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Patients Who Have Undergone Sagging Skin Treatment

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Annual Injection Treatment Results

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Repeat rate

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(degree of) customer satisfaction

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Number of Sagging and Lifting Procedures and Number of Patients: Total for Jimbocho Clinic (June 2023–March 2026) and Yokohama Clinic (July 2025–March 2026) / Annual Injection-Based Treatment Results: February 2025–February 2026 / Repeat Visit Rate and Customer Satisfaction: Fiscal Year 2025 in-clinic survey

Treatment Options

For sagging,
Four Approaches.

The causes of sagging vary from person to person. Our clinic offers four different treatment approaches.

Concerns About Sagging Skin

That "sagging,"
What's bothering you?

Although we use the general term “sagging,” the specific areas of concern vary from person to person. At our clinic, we begin by carefully assessing exactly where your concerns are manifesting.

Map of Areas Prone to Sagging: Nasolabial folds, marionette lines, sagging around the mouth, blurred jawline, overall facial sagging, and under-eye sagging

Everyone has their own places they're curious about.
But what’s happening behind the scenes is the same.

The Structure of Sagging

The true cause of sagging is,
It's not just one.

The face is composed of five layers: skin, subcutaneous fat, SMAS (superficial musculoaponeurotic system), supporting ligaments, and bone. Even changes commonly referred to simply as “sagging” vary from person to person in terms of what is happening in each layer.

skin

The outermost layer, which provides firmness and elasticity.

As collagen and elastin levels decrease and elasticity declines, the skin as a whole begins to sag.

Subcutaneous fat

The layer that creates facial fullness and soft contours.

"Sagging," which occurs when the skin loses its support, and "atrophy," in which the fat tissue itself shrinks. These are two distinct changes. Sagging manifests as a loose, sagging jawline, while atrophy appears as sunken or hollow cheeks.

SMAS (Superficial Musculoaponeurotic System)

A membrane that supports the entire face as a "surface" beneath the skin and fat.

When the skin loses its elasticity and the support provided by the facial structure weakens, the entire face sags and the facial contours become less defined.

Supportive Ligaments

Ligaments that connect the bones to the skin and anchor the facial tissues at specific points.

The face also has ligaments. When these ligaments stretch and loosen, the tissues they were holding in place sag along with the underlying structure, leading to noticeable sagging that appears as “lines,” such as nasolabial folds and marionette lines.

The foundation that supports all the layers.

Facial bones also become thinner with age, reducing the surface area that provides support. This leads to a loss of support around the eyes, cheeks, and jawline.

In reality, it is not uncommon for multiple layers to be involved simultaneously.

That is precisely why our clinic,Skin Rejuvenation Injections, Devices, Thread Lifts, PRP(at sentence-end, falling tone) indicates a confident conclusion
We offer four different approaches.

Philosophy

Naturally, for the better.

"It's not about any specific area—I'm just concerned about sagging all over my face."
"I really want to get better, but I don't want to have surgery."
"I want to make things even a little better than they are now."

This is a comment we often hear from clients seeking advice on sagging skin.

Even though we use the single term “sagging,” when we listen carefully, we find that each person’s desires are different. First, we carefully ask what kind of changes you’re hoping for and assess your current condition. Based on that, we consider whether you want a significant change or a more subtle one, and how far we should go—we break it down into several scenarios and strive to present as many possible options as we can. Rather than simply recommending something unilaterally, we strive to be a trusted beauty advisor. That is our philosophy.

Our clinic’s guiding philosophy is “Naturally, for the better.” We hope to support you in your daily life—helping you feel natural and comfortable, and giving you a little boost of confidence when you look in the mirror.

We do not have counselors at our clinic; our doctors will listen to your concerns from the very beginning. We also welcome patients who come in just for a consultation. We would be delighted if you would consider us as one of your options the moment you start to notice even the slightest signs of sagging.

Kota Ishii, Chief Medical Director, Smart Skin Clinic

General Director, Smart Skin ClinicKota Ishii

Inside Smart Skin Clinic

The Smuski Philosophy

Eliminate anything unnecessary, and
Toward the Essence of Treatment.

We thoroughly eliminate anything unrelated to the quality of medical care—such as lavish interiors and excessive advertising—and allocate those savings to the essentials of treatment: medications, equipment, and the skills of our physicians. Our clinic’s skin tightening treatments are also based on this “Smart Essential” philosophy.

View the Sumaski Concept→directional marker or indicator

Let's start with a consultation.

Our clinic has a “promise to our patients” that we do not engage in sales activities. Please feel free to consult with us as soon as you have any concerns.