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 skinです。長期間にわたり紫外線を浴び続けることで、肌内部のコラーゲン・エラスチンといった成分に対して悪影響を及ぼします。その結果、ハリが失われ、たるみが目立ちやすくなります。
たるみの少ない肌にするには、紫外線対策が欠かせません。日焼け止めクリームや日傘、帽子の着用などを心がけて過ごしましょう。また、紫外線は季節や天気を問わず室内まで降り注ぐため、毎日の対策が重要です。
■ [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.
顔には表情筋と呼ばれる筋肉があり、その周囲には皮膚や皮下脂肪を支えるSMAS筋膜があります。SMAS筋膜は、加齢などによって構造や弾力性が徐々に変化していきます。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.です。SMAS層は、皮膚や脂肪を支える土台の役割を持っており、たるみとの関係が深いとされています。これまで手術で対応していた層に対して、外科的な治療をせずに熱エネルギーによるアプローチが可能になりました。
熱エネルギーをSMAS層へ照射することで、フェイスラインのもたつきや頬の下がりへ働きかけます。また、熱の刺激によってコラーゲンなどの生成が促され、You can also expect improved firmness and a reduction in the appearance of fine linesYou will be able to.
ヤヨイクリニックでは、痛みに配慮した「スーパーハイフ」を採用。施術者の技量による差が出にくく、均一な照射を行いやすい設計が特徴です。加えて、一人ひとりの悩みや顔立ちに合わせて、細かな部分までデザインを決めて照射します。
■ Radiofrequency (RF) Treatment: Boosts Skin Firmness and Radiance with Thermal Energy
高周波（RF）治療は、肌へ高周波の熱エネルギーを加えることで、たるみやハリ不足へアプローチする施術です。皮膚内部へ熱を届けることでコラーゲン生成を促し、引き締めや弾力感アップを目指します。
ヤヨイクリニックでは、サーマジェンとボルニューマを導入しています。サーマジェンは、真皮層から皮下組織の浅い層へ熱を与えることでコラーゲンの生成をサポートします。Expected benefits include skin tightening, reduction of fine lines, and improved firmnessできるでしょう。また、痛みに配慮した設計となっており、施術中の負担を軽減できる点も特徴です。
一方、ボルニューマは、真皮層から皮下組織全体に働きかける機器です。ボルニューマは冷却機能や振動機能を備えており、施術時の刺激や痛みに配慮した設計となっています。肌表面への負担を抑えながら照射できるため、たるみケアと施術時の快適性を両立した治療を求める方に向いています。
なお、どの治療法が向いているかは、たるみの状態に左右されることも。気になる方は、まずはカウンセリングを予約してご相談ください。
■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.
ヤヨイクリニックでは、異なるタイプの糸を用意しています。一人ひとりのたるみの状態に合わせて糸の種類を選択し、顔全体の凹凸やバランスを考慮しながら自然な引き締めを目指しています。また、ハイフやサーマジェンなどを組み合わせ、無理のない治療計画を提案している点も特徴です。
■Injection Treatments (Hyaluronic Acid, Botox): To correct wrinkles and volume loss
広島市中区の美容皮膚科のヤヨイクリニックでは、たるみやシワのお悩みに合わせて、ヒアルロン酸とボトックスの注入治療を用意しています。
ヒアルロン酸注入は、ボリュームを補う施術です。加齢によって目立つようになったほうれい線や頬のくぼみなどへ注入することで、Natural three-dimensional effectを目指せるでしょう。顔全体のバランスを確認しながら注入量や部位を調整しています。
対して、ボトックス（ボツリヌストキシン製剤）注射は、筋肉の動きへアプローチする施術です。表情によってできるシワへ使用されることが多く、額や眉間、目尻などが主な対象部位です。By relaxing muscle movement, it is expected to reduce expression lines and give the entire face a more refreshed appearance.できます。どちらもメスを使用しない施術であり、比較的短時間で受けられる点が特徴です。
[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 ほとんどなく、痛みが苦手な方も選びやすい施術 [Volnuma]. 部位によっては熱感や軽い痛みが生じることがあるが、痛みに配慮されている |
Thermagen ほとんどないが、赤みや腫れが数日～1週間ほど出る可能性がある [Volnuma]. ほとんどないが、ごくまれに赤みやほてり、痛み、腫れが数時間～数日続く可能性がある |
| 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.
広島市中区の美容皮膚科ヤヨイクリニックでは、たるみにアプローチする治療を受けられます。たるみ治療には種類があり特徴が異なるため、ご自身の肌の状態に合う施術を見つけることが大切です。「広島の美容皮膚科でおすすめはどこ？」「名医や有名な院長がいるクリニックは？」と思っている方は、まずはカウンセリングに足を運んでみてはいかがでしょうか。たるみの状態を見極めて丁寧な診療を行うクリニックで、若々しい印象の肌に近づけましょう。
広島の美容皮膚科・美容内科・美容外科・アートメイク ヤヨイクリニック（YAYOI CLINIC）では、お肌、お体、お顔のお悩み別に治療法をご紹介しています。
皆さまにより良い選択肢をご提案できますよう一人ひとりのお肌の状態を見極め、治療期間やご予算、ダウンタイムの許容範囲などご希望に合わせた治療方針を立案していく考えです。
お悩みのある方は、まずはカウンセリングにお越しください。
■Related Articles Recommended for You
【施術の内容】ヒアルロン酸
【施術回数の目安】
Hyaluronic acid: per treatment
Hyaluronidase: 1-2 times
*The number of treatments for each of these varies from person to person.
【費用】
ヒアルロン酸：1本 ¥79,800（＋施術料 ¥22,000）※使用する本数には個人差があります。
ヒアルロニダーゼ：
・自院：1回 ¥33,000
・他院：1回 ¥55,000
【副作用・リスク】
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.
【使用機器について】
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.
