Facial Fat Removal in Tokyo, GinzaBuccal, jowl, malar & nasolabial fat · AVAN TOKYO
Safe liposuction for a beautiful mind and body.
Facial Contours
Facial fat removal at a glance
| Areas treated | Removal of malar fat, nasolabial fat, jowl fat and buccal fat. Combinations are decided at counseling |
|---|---|
| Procedure time | About 30 minutes (about 1 hour from arrival to departure) |
| 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 | Small incisions inside the mouth (near the corners of the mouth or inside the cheek) or inside the nose, so no scar is visible from outside |
| Downtime | Pain and swelling about 1 week; bruising and edema settle in 2 to 3 weeks. Symptoms are mild and many patients return to work the next day. A face band is worn until the next morning |
| Follow-up visits | Usually not required after the procedure (you are welcome to visit any time if you have concerns) |
| 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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Who Is a Good Candidate for Facial Contouring Liposuction? (Jowl Fat, Malar Fat, Nasolabial Fat, Buccal Fat)
- Those whose cheeks become prominently rounded when smiling
- Those wanting to improve sagging jowls
- Those concerned about smile lines
- Those wanting to prevent future facial sagging
Types of Facial Contouring Liposuction Methods
Malar Fat Removal
Malar fat is subcutaneous fat with a distinctive inverted triangle shape around the cheekbones. Excessive malar fat gives the appearance of the cheekbone area becoming noticeably prominent when smiling, emphasizing a round face appearance.
Malar fat removal reduces cheek volume, making smile lines less pronounced and creating a more youthful appearance. This procedure is ideal for those who notice “cheeks that bulge when smiling” or “deepening smile lines.”
This treatment also offers facial slimming benefits. During the procedure, a small incision is made inside the mouth near the corner, and a thin suction tube (cannula) is inserted to remove the fat.
Nasolabial Fat Removal
Nasolabial fat is a vertically elongated fat deposit located above the smile lines as part of the malar fat closer to the inner part of the face. Because it sits directly above the smile lines, excessive fat in this area creates a noticeable height difference, making the smile lines appear more prominent.
Nasolabial fat removal not only reduces the appearance of smile lines but can also help prevent future marionette lines and droopy mouth lines. This procedure is recommended for those wanting to “improve deep smile lines” or “prevent future facial sagging.”
During the procedure, small incisions are made either beside the corners of the mouth or along the jawline, through which a cannula is inserted to remove the fat.
Jowl Fat Removal
Jowl fat is a superficial fat (the layer just beneath your skin) located beside the corners of the mouth, extending downward from the mouth to the chin. This area tends to descend gradually with age, causing an undefined jawline, downward mouth corners that make you look older, and sagging jowls.
Jowl fat removal can reduce sagging and lower facial fullness or heaviness, creating a defined jawline. This procedure is recommended for those wanting to prevent future sagging jowls or reduce marionette lines.
Removing jowl fat at a younger age can help prevent age-related sagging and lower facial fullness, maintaining a youthful and natural beauty for longer. After the procedure, not only will your jawline appear more sharper, but you’ll also benefit from a slimming effect that makes your entire face look more defined.
The procedure involves making small incisions near the corners of the mouth (similar to nasolabial fat removal) and inserting a cannula to remove the fat.
Buccal Fat Removal
Buccal fat is a vertically elongated fatty deposit extending from the cheekbone to the corner of the mouth, classified as a deep fat component located well beneath the surface. The buccal fat is covered by superficial fat layers (malar fat and jowl fat), making its volume difficult to assess.
Excess buccal fat can make the lower part of the face appear fuller, contributing to lower facial fullness and sagging. If you frequently bite your inner cheeks, you may have excess buccal fat volume.
While the amount of buccal fat varies between individuals, its extensive coverage means that after removal, the entire cheek area can appear more defined. This procedure is recommended for those wanting to reduce lower facial fullness or create sharper cheek definition.
Since buccal fat is located deep inside the cheeks, it’s typically resistant to diet-related weight loss. Buccal fat removal can be an effective solution for addressing lower facial fullness and sagging that doesn’t respond well to dietary restrictions or exercise.
The procedure involves making a small incision inside the mouth on the inner cheek area to remove the fat.
Downtime for Jowl Fat, Malar Fat, Nasolabial Fat, and Buccal Fat Removal
Following fat removal procedures, some patients may experience pain, swelling, bruising, and puffiness. Pain and swelling typically subside within about a week, but bruising and puffiness may take 2-3 weeks to completely resolve. Symptoms during downtime are usually mild, with many patients returning to work the next day.
Note: We ask that you wear facial compression until the following morning.
Risks & Side Effects of Facial Contouring Liposuction
While facial contouring liposuction can create a more defined facial feature and youthful appearance, there’s a risk of future sagging or hollowness if too much fat is removed.
The amount of fat you remove can ultimately contribute to an aged appearance, so it is essential to remove an appropriate amount of fat while considering age-related muscle weakening and skin elasticity.
Buccal fat, in particular, serves as a foundation for the cheeks, supporting malar fat and jowl fat. Removing too much buccal fat may accelerate facial hollowing and sagging, so the amount of fat removed must be carefully determined.
Facial Liposuction 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
Pre-surgery tests (blood work) will be conducted to ensure you’re in suitable condition for the procedure.
STEP3Anesthesia
You’ll lie down on the operating table and receive anesthesia.
STEP4Liposuction
Small incisions will be made inside the mouth or nasal cavity, and only the appropriate amount of fat will be suctioned out.
STEP5Postoperative Care
After the procedure, we’ll apply compression bandaging and explain downtime guidelines and precautions. The procedure itself takes about 30 minutes, with the total clinic visit taking approximately one hour.
Frequently Asked Questions
QHow long do the results last?
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The effects of facial liposuction, including malar fat and buccal fat removal, are semi-permanent. Since the removed fat cells don’t regenerate, your defined facial contours will last. However, it should be noted that overeating or decreased physical activity may cause increased volume in untreated areas, potentially giving the appearance of weight gain.
QHow many follow-up visits are required?
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When you undergo cheek liposuction at our clinic, follow-up visits are generally not required. However, if you have any concerns or questions after your procedure, you’re welcome to visit us at any time. We provide check-ups and consultations as needed. We are always here for you—please contact us if you have any questions during your downtime.
QWill the scars be noticeable?
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The procedure involves small incisions inside the mouth or nasal cavity, which means there’s no need to worry about visible external scarring. The incisions themselves are kept minimal and will not be noticeable.
Liposuction Prices
All prices include tax (Japanese yen). Prices are synchronized with our Japanese price list.
| Area | Regular price | Monitor price |
|---|---|---|
| Buccal fat removal | ¥428,000 | ¥270,000 |
| Malar fat removal | ¥198,000 | ¥148,000 |
| Jowl fat removal | ¥198,000 | ¥148,000 |
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 25–30 → ×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).
Facial fat removal FAQ
- QHow long does the result last?
- AThe result of removing cheek fat such as malar or buccal fat is long-lasting, because removed fat does not grow back. Note that if fat increases through overeating or less exercise, other areas can gain volume and the face may look fuller.
- QHow often do I need to visit after the procedure?
- AFollow-up visits are usually not required. If you have any concern after surgery you are welcome to visit at any time, and we will examine you or provide counseling as needed.
- QWill the scars be visible?
- AThe incisions are made inside the mouth or nose, so no scar is visible from outside, and the incisions themselves are kept minimal.
- QHow long does the procedure take?
- AThe fat removal itself takes about 30 minutes. Including fitting the compression band and downtime instructions, you will be at the clinic for about 1 hour.
- QHow much does nasolabial fat removal cost?
- AIt is not listed separately on the price table, so we provide an estimate at counseling. Prices for malar, jowl and buccal fat removal are in the price table above.
- 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.
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