Cheek & Under-Chin Liposuction in Tokyo, GinzaCheeks & under chin · AVAN TOKYO
Safe liposuction for a beautiful mind and body.
Cheeks & Under Chin
Cheek & under-chin liposuction at a glance
| Procedure time | About 30 minutes |
|---|---|
| Anesthesia | Performed while you sleep under sedation (IV sedation / general anesthesia fees are in the “Anesthesia” table). A blood test is taken beforehand |
| Incisions / scars | A few millimeters below each ear and under the chin; a skin port is fitted for the cannula |
| Fat removed | Typically 40 to 80 cc, up to around 100 cc |
| Downtime | Swelling and bruising 2 to 3 weeks, edema about 2 weeks. It can be hidden with makeup or a mask, and some patients return to work the next day. Contracture peaks around 1 month; the result is complete at about 3 months |
| Compression | Face band for 24 hours after surgery |
| Prices (tax included) | See the price table below. Prices are synchronized with our Japanese price list |
| Not included | Anesthesia fee (see “Anesthesia” in the price table) |
Counseling is free. Dr. Moriwaki speaks English and handles the consultation, surgery and follow-up himself. For patients visiting from overseas, see our English guide (flow, stay, payment).
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Doctor in charge / medical supervision
Dr. Shin Moriwaki (Director, AVAN TOKYO)
The same doctor handles your counseling, surgery and post-operative check-ups (Director Shin Moriwaki). Over 5,000 liposuction procedures performed in total (including previous positions).
Member of the Japan Society of Aesthetic Surgery (JSAS) / Regular member of the Japanese Society for Regenerative Medicine / ECFMG Certificate
This page is supervised by the doctor in charge. View career and qualifications (Doctors)
Who Is a Good Candidate for Cheek & Under Chin Liposuction?
- Those concerned about fullness around the mouth area
- Those wanting to improve a double chin
- Those wanting a sharper, more defined jawline
- Those who haven’t seen facial slimming results from dieting and exercise
Causes of Facial Fat Accumulation
The main causes of facial fat accumulation are primarily related to lifestyle habits. For example, excessive calorie intake and unbalanced diets can make your face store more fat. Poor posture can also lead to poor blood circulation, causing waste products in the body and excess fluid to accumulate and create puffiness. When left untreated, this puffiness can lead to further accumulation of waste products, creating environments where fat is more likely to be stored.
Additionally, in today’s society, many people develop “tech neck” from using technology such as phones and computers. This condition prevents proper mobilization of the jaw and neck muscles, resulting in increased fat accumulation under the chin and contributing to the development of a double chin.
Benefits and Features of Cheek & Under Chin Liposuction
Cheek and under-chin liposuction directly removes fat cells themselves, fundamentally reducing the fat that causes a chubby face. Beyond improving specific areas, this procedure reduces the actual number of fat cells, which means—unlike with weight loss—there’s minimal risk of the fat returning to these areas.
Liposuction Procedure Methods
Cheek and under-chin liposuction is a procedure that directly removes fat cells using specialized suction tubes (cannulas). On average, 40-80cc of fat can be removed, and in some cases, up to approximately 100cc.
The procedure involves making several small incisions (just a few millimeters) below each ear and under the chin. Skin ports are inserted, through which the cannulas are introduced. The fat cells are then evenly suctioned to ensure that no areas are missed.
The procedure is performed under anesthesia while patients are comfortably asleep and relaxed to ensure those concerned about pain can rest assured that discomfort is minimized.
Downtime and Aftercare
Day of Procedure
The day after your procedure, as the anesthesia wears off, you may experience discomfort similar to muscle soreness. Pain is rarely severe with cheek and under-chin liposuction, but if you experience unbearable discomfort, we recommend taking the pain medication provided after your surgery.
3 Days Post-Procedure
Around the third day post-procedure, many patients tend to feel pain gradually subsiding.
Swelling and bruising typically start to appear around this time but will settle within 2-3 weeks. Bruising can often be covered up with makeup or a face mask, allowing some patients to return to work the day after the procedure. Fluids may also remain in the space created by suctioning, causing swelling, but this typically subsides within about two weeks.
2 Weeks Post-Procedure
By this time, bruising and swelling have usually subsided, allowing you to get back to normal daily activities. Depending on individual factors, some swelling may persist but will continue to improve over time.
1 Month Post-Procedure and Beyond
At the one-month mark, skin contraction (retraction) begins, which helps tighten the skin. You may experience some tightness, lumpy spots, or loss of skin elasticity, but this is an important part of the healing process and you should not be overly concerned about these symptoms.
Skin retraction typically takes the longest of all recovery phases, requiring approximately 1-3 months to heal. The final results are generally visible at around 3 months. If you have any concerns during this time, please don’t hesitate to consult with us.
Risks and Side Effects of Cheek and Under-Chin Liposuction
Following liposuction, infection or complications may rarely occur.
Infections can develop when bacteria enter through incisions, potentially causing inflammation, swelling, and a burning sensation. Temporary swelling and bruising can also occur, though most cases can be treated with antibiotics and are extremely rare.
Very rarely, fat embolism syndrome may occur if fat enters the bloodstream during liposuction. Fat that enters the bloodstream can form clots in various locations, potentially causing serious complications.
Liposuction Procedure Process
STEP1Consultation
We’ll carefully address your concerns and goals, and thoroughly explain potential side effects, risks, and post-procedure care.
STEP2Pre-Surgery Health Evaluation
Once you’ve decided to proceed, we’ll conduct pre-surgery tests (blood work) to ensure you can safely undergo anesthesia and to check for any allergies. We recommend that you check your calendar before your consultation since we will schedule your procedure date during the consultation.
STEP3Surgical Planning (Marking)
On the day of your procedure, we’ll first check your overall health. If there are no concerns, we’ll mark the treatment areas.
STEP4Anesthesia
You’ll lie down on the operating table and receive anesthesia.
STEP5Liposuction
After making small incisions below each ear and under the chin, we’ll insert skin ports and begin the suctioning process. This entire procedure typically takes about 30 minutes.
STEP6Postoperative Care
After the procedure and facial compression bandaging, you’ll rest in our recovery room. Once you’re feeling stable, we’ll explain how to manage your recovery and what to expect during the healing process. If there are no health concerns, you’re free to return home after a final consultation with your doctor.
Frequently Asked Questions
QWill eating be difficult after surgery?
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After cheek and under-chin liposuction, most patients don’t experience major difficulties with eating.
However, around days 2-4 when swelling and puffiness peak, you might find it challenging to open your mouth widely or chew comfortably. If you find it difficult when eating, we recommend a liquid diet and soft foods that won’t put strain on the treated areas.
QHow long do I need to wear facial compression?
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For our cheek and under-chin liposuction patients, we ask you to wear the face band for 24 hours after surgery, and after that, until swelling and bruising subside, we recommend wearing it when possible, such as at home or while sleeping. Compression helps reduce swelling and bruising, so we encourage you to continue wearing it as long as it’s comfortable for you.
QWhen can I return to work?
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While recovery varies by individual and occupation, some patients return to work the very next day. Bruising, swelling, and puffiness can typically be covered with makeup or a face mask, so your daily activities and work shouldn’t be significantly affected.
One important note: For more physically demanding jobs, we advise avoiding work for about 3 days, as increased blood flow may cause more swelling and discomfort.
Liposuction Prices
All prices include tax (Japanese yen). Prices are synchronized with our Japanese price list.
| Area | Regular price | Monitor price |
|---|---|---|
| Cheeks | ¥220,000 | ¥178,000 |
| Under chin (submental) | ¥220,000 | ¥178,000 |
| Cheeks + under chin | ¥418,000 | ¥298,000 |
Anesthesia
| IV sedation | ¥55,000 (¥110,000 when administered by a board-certified anesthesiologist) |
|---|---|
| General anesthesia (by a board-certified anesthesiologist) | ¥220,000 |
BMI surcharge: BMI 25–29 → ×1.5, BMI 30 or above → ×2 (multiplier applied to the procedure fee).
The final total is confirmed at counseling. Prices for all treatments are listed on the price list (Japanese).
Select the areas to calculate an estimated total including anesthesia, the pre-operative blood test and compression garments (linked to our price list).
Cheek & under-chin liposuction FAQ
- QIs eating difficult after surgery?
- AGenerally there is no major inconvenience. Around day 2 to 4, when swelling peaks, you may find it harder to open your mouth or chew; soup and soft foods are recommended during that time.
- QHow long do I wear the compression band?
- AWe ask patients to wear the face band for 24 hours after surgery, and to keep wearing it when possible, such as at home or while sleeping, until swelling and bruising subside. It helps reduce swelling and bruising, so please continue within a comfortable range.
- QWhen can I go back to work?
- AIt depends on the symptoms and your job, but some patients return to work the next day. Bruising, swelling and edema can be hidden with makeup or a mask, so daily life is rarely affected. If your work involves strenuous physical activity, about 3 days off is reassuring because activity can increase swelling and pain.
- QHow long does the procedure take?
- AThe liposuction itself takes about 30 minutes. Afterwards you rest in the recovery room until you feel well, receive downtime instructions and go home.
- QWill there be scars?
- AA few-millimeter incision is made below each ear and under the chin. A skin port protects the skin at the incision, so scarring is minimal.
- QAre there costs other than the procedure fee?
- AAnesthesia is charged separately. IV sedation and general anesthesia fees are listed in the “Anesthesia” table above. Any other costs are itemized in the written estimate you receive at your counseling.
- QWhat is the “monitor price”?
- AThe monitor price is the discounted price shown next to the regular price. It applies to patients who agree to photo and video documentation and attend the follow-up visits; conditions are explained at counseling. Monitor prices may end without notice.
Visiting from overseas? See our English guide for the flow, length of stay and payment. Prices are synchronized with the Japanese price list.
Liposuction Before & After
Cheeks & under chin liposuction — 2 months after surgery
Upper body · Upper arms · Full-body liposuction · Forearms · Thighs · Back · Lower back · Abdomen · Cheeks & under chin liposuction
Cheeks & under chin liposuction — 3 months after surgery
Cheeks & under chin liposuction
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