Author Archives: admin

Five conditions for longevity

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I have talked about the subject like the title in fact in my book about 14 years ago. Looking back now, there are places where I nod and why.
1. Genetic factors
2. Social and behavioral factors
3. Environmental factors
4. Mental factors
5. Physical factors
In a very brief explanation, 1 is a person who has a gene of longevity and can not do anything about this. Regarding social factor of 2, it refers to a stable family life, friendship, or connection with society. Behaviorally, there are overseas data that people with anger and those with aggressive personality are likely to progress atherosclerosis. Excessive drinking also shortens the life span, so I think it is important to know the appropriate amount.

The mental factor of 4 is to think about measures to prevent aging of brain cells. On my own terms, I feel that 3 and 5 actually affect individuals most.

For 3, a person who does not smoke, for example, by smoking clean air, not approaching places and environments where it is easy to meet accidents, saying that you do not smoke, when you ride a car seat belts, job-related work and exercise It is not recommended, etc.

Regarding the physical factors of 5, it is better to exercise not only thinking about things like aerobic exercise but also enjoying and doing it for a long time. Even in golf, tennis or swimming, I think that I will continue doing things I like. I hope to continue with the fitness using the gym instruments, can I still be old? about it. Those who are not good at exercising, I think whether walking, only walking while shopping.

And regards to eating habits, I often see comments from the experts that people with less calorie intake will live longer, do you all know? This is an experimental result that is confirmed only by a mouse or a small creature. In the history of medicine research, there are many examples that even if I think that a good medicine was found in mouse experiments, it did not work for human beings at all. For humans, I do not yet know whether excessive calorie restriction, high protein diet is really good. Learn more about our board-certified plastic surgeon.

Limited offer for Laser Hair Removal

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Laser Hair Removal Special Offer!

50% off of listed price (one-time offer)
Up to two areas (e.g. underarm and bikini)
Special promotion limited to new patients only
By appointment only
Must present or refer to this coupon at the time of reservation

Please inquire by e-mail or call 03-5475-2345

(This special offer may end without further notice)

*The Laser Hair Removal in our facility is done by female medical staff.

Fat graft to buttocks

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According to a recent journal of the American Society of Aesthetic Plastic Surgery, complications due to the injection of fat into the buttocks are more common than other procedures, and many are serious. For example, complications leading to fat embolism and death are reported in various places.

This is what we had been proposed several times from the past, but this report is published as a fairly clear numerical value.

At our clinic and hospital, due to the reasons mentioned above, fat injection into the buttocks is not performed except for special cases.

Aesthetic medicine: US – Japan differences

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In Japan, there are many people who imagine something special about aesthetic medicine and cosmetic surgery. Many clinics bring patients with flashy advertising, and many patients coming to the clinic come secret. Moreover, it is said that many patients are different from the patients who visit usual medical department, i.e., having conditions such as psychosomatic diseases, neurosis, obsessive compulsive disorder, etc. As for the treatment contents, it is better to restore any problems into more normal looking status so that people can live a normal life after plastic surgery, but it is not a good case if someone is concerned about very small and trivial things. The latter is the scene of Japanese aesthetic medicine care, especially in cosmetic surgery.

On the other hand, there is no independent specialized department called cosmetic surgery in the United States because the plastic surgery also includes cosmetic surgery. In the United States, plastic surgery corrects the shape of the nose and the eyelid’s eyelid due to aging, just like general otolaryngology and ophthalmology, who should be cured as anyone sees it and agree with the treatment. It is common for the whole family to come to the clinic/hospital, and often they come to consult with a couple or parents. The inside of the clinic is also bright, not like being hidden quietly like in Japan.
As a result of doing aesthetic medicine care and plastic surgery in both the United States and Japan, I definitely feel such a difference as mentioned above.

About EBM

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Do you know the word EBM? EBM is an abbreviation for Evidence Based Medicine, which is a concept that has been used for a long time in clinical medicine, including plastic surgery. The details are given to the book, but to put it briefly, it is natural thinking that scientifically accepted treatment method is used according to the result such as clinical trials carried out by a reliable method.
However, this way of thinking has not necessarily been followed in the field of medical treatment for non-insurance covered cosmetic treatments. For example, if we say treatment not dependent on EBM, we cured several patients with this treatment method, for example, this method is a unique treatment developed at our hospital, etc. However, it is not supported by data of harsh clinical trials I will do.

I think that this problem will also be found in the treatment site of beauty care, but unfortunately also in the field of regenerative medicine, (unauthorized) cancer treatment, gene therapy and others. We hope you will be a smart customer and accept only EBM.

Botox treatment popular among men (US news)

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According to Huffington news in the USA, in the United States in recent years the number of men who receive Botox treatment has increased considerably. Most patients in our hospital are English speaking patients, but many foreign men are receiving Botox treatment each year. The treatment area is forehead (forehead), eyebrows are central. Unlike women, Botox treatment for wrinkles in the outer corner of the eye may be better for men, if you think carefully.

For details, please see the following:

http://www.huffingtonpost.com/entry/men-getting-more-botox_us_58ebf37de4b0c89f9120b2aa

Breast augmentation and lymphoma (part 3)

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Although it is rare but when a breast augment implant bag was used in breast augmentation and reconstructive surgery after breast cancer surgery, a special lymphoma subsequently occurred in patients who had a textured type surface roughened type bag inserted. We have stated in the past that there is a slightly higher possibility than general population.

It is reported that this issue is becoming a big social issue in the USA today in the New York Times electronic version of the major newspaper in the USA. For details, please refer to the following site.
https://mobile.nytimes.com/2017/05/14/health/breast-implants-cancer.html?smprod=nytcore-iphone&smid=nytcore-iphone-share&_r=0&referer=

Breast augmentation and lymphoma (part 2)

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We informed previously in the part 1 of this title, but the relevance between the implant (bag) used for breast augmentation and T lymphoma has been reported in Europe and the United States. This phenomenon is likely to happen when holding a breast augmentation bag for more than 10 years in the body, especially on a textured type product whose surface is rough. Actually, this Textured type is a kind of breast enlargement bag that is often used in breast rebuilding after breast cancer.

The textured type was said to have less effect of so-called capsule contracture, which makes it harder for the breast and stiffer than the Smooth type with smooth surface. However, on the other hand, it was also known that bacteria settled in the surface roughness, creating a phenomenon called infected biofilm.

The most important thing is that patients who have this breast enlarged bag in their body once palpated by themselves and feel uncomfortable, we recommend that you consult a specialist and perform MRI examination .

Liposuction for men and women – the differences

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With regard to liposuction of tummy (abdomen), we need to think separately for men and women. In general, abdominal fat of females accumulates outside the abdominal wall (subcutaneous of the stomach), and it is suitable for liposuction. On the other hand, as a man’s stomach is represented by the expression “metabolic belly”, it is often stored inside the abdominal wall, that is, between the intestines and organs (visceral fat), as it is represented by the expression of metabolic belly, There are few parts that can be taken with suction.
There are men who often misunderstand liposuction as weight loss surgery. In the case of men, improvement of dietary habits, exercise, change of stress, and sometimes diet medication may be more effective than liposuction although some men are still qualified for localized liposuction procedures.

Hyaluronic acid injection and serious complications

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The director at our plastic surgery clinic about 12 years ago when he just returned to Japan he had a lecture for a Japanese doctor.

At that time he already mentioned that it may lead to blindness rarely as a US report with hyaluronic acid or other subcutaneous infusions. In particular, special care is required for injection into the areas near eyes, between the eyebrows and the nose root. It is better not to inject such sites as much as possible, and when it is absolutely necessary to avoid excessive injection depth and speed (pressure).

The filler injection might appear an easy procedure but because of rare yet serious complication that my occur, a board-certified plastic surgeon or dermatologist should be doing the procedures.

Liposuction and obesity

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Liposuction is not a procedure to eliminate obesity, it is an operation that effectively removes locally accumulated fat (lower abdomen etc.). Many people misunderstand this as well as the general public, as well as non-professional physicians.

At the American Society of Plastic Surgery, liposuction is not recommended for people with a BMI index of 30 or more. Such a person must first lose weight with diet therapy. As liposuction for patients with a BMI of 30 or more, the risk of complications (deep venous thrombosis and side effects of anesthesia) also increases, so careful response is required.

Breast reduction by liposuction Tokyo Japan

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If the breast is too large and there are symptoms such as shoulder stiffness, it is common practice to cut out the breast tissue by the method called breast reduction method and then sew the skin again.
However, this method has problems in patients who are planning breast-feeding in the future. Another way that can be considered in such a case is to do a method of first reducing fat-portion of the breast by liposuction and then sewing only the skin of the breast. Feeding breastfeeding is possible with this method.

Facelift and type of anesthesia

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A facelift is a rejuvenating operation that pulls the slack portion of the face and neck, and excise extra skin etc. Surgery may be a 4-5 hour operation in the case of a full face lift. This operation is generally done in a system where you are hospitalized in a hospital under general anesthesia, but sometimes it is done by local anesthesia as a day surgery outside.
Local anesthesia is not inferior to general anesthesia, and local anesthesia may be safer in some patients. Complications of deep venous thrombosis (so-called economy class syndrome) may occur with long operation surgery. It is said that this is not common in procedures under local anesthesia. The patient is awake and is involuntarily moving his legs.

Breast augmentation and lymphoma

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In Europe and the United States, some patients who have undergone breast augmentation in the past have lymphomas in their breasts and are currently monitoring such cases.

ALCL (Anaplastic Large Cell Lymphoma) is called T cell lymphoma in detail. Unlike the same type of lymphoma that occurs in the whole body, what is associated with breast augmentation is localized to the breast and the prognosis is said to be good. It is a phenomenon only seen in cases using breast enlargement bags, especially on the surface called Textured type more commonly found in grainy breast enlarged bags.
The US FDA has instructed plastic surgeons to inform these patients about such information. In France, there is a debate as to whether to prohibit the use of such breast enlargement bags more seriously. However, since it is a very rare phenomenon at frequent times, it seems that discussion has not been done in Japan either.

Liposuction – tumescent technique revisited

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Regarding liposuction, our clinic has received various questions from many patients of different nationality.

At this time, we will discuss about slimming surgery using various accompanying devices which are said to be the “latest type” among them. For liposuction, it is famous for its wet method with ordinary cannulas using a tumescent solution that has been widely used in the United States for many years and has established safety. In this method, a local anesthetic or a drug which becomes difficult to bleed is diluted highly, injected so as to inflate the tissue in the target area, and then suctioned. In this method, it is known that bleeding volume is 1% or less of the aspiration volume (very little). Also, depending on the skill of the doctor, it is said that there is little damage to the tissues due to the equipment used, and it is a safe way. In our clinic, using this microcannula method which further evolved this method, effective results with little unevenness are obtained.

Nowadays, in place of the above method, some devices have come up that generate ultrasonic waves and lasers at the tip of the liposuction device. Japanese people are sensitive to new technologies, so treatment using these devices seems to be commonly done in Japan. Then how about in the United States? In the United States, such devices temporarily attracted attention, but it is not being used more often now that it is not used frequently. Why? The biggest problem is the seriousness of complications. Many of these liposuction plus alpha devices emit high energy at the tip, resulting in burns (burns) in the subcutaneous tissue, damage to the nerve, edema due to a delay in the course of healing (water accumulation) etc.

As a result, in the United States and elsewhere, it is true that we have returned to liposuction using a conventional tumescent-based system that does not use lasers or ultrasound.