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院長ブログトップ > The Ineffectiveness of Gold Thread Lifts: A Closer Look

The Ineffectiveness of Gold Thread Lifts: A Closer Look

History of Gold Thread Lifts

Introduced decades ago, the origin of the gold thread lift (Golden Lift) remains somewhat unclear. Believed to have developed in Asia, it gained popularity, particularly in Japan and Korea. Initially a luxury treatment for the wealthy, it gradually found acceptance among a wider patient demographic.


Mechanism of Gold Thread Lifts

In a gold thread lift (Golden Lift), very fine threads of pure gold, each about 5-10 cm long, are inserted under the skin. Usually, 40-50 threads are used for the face and neck. Grouped with short thread lifts like shopping lifts and collagen lifts, gold is chosen for its stability and low allergy risk. The gold threads supposedly trigger an inflammatory response under the skin, stimulating new collagen production to enhance skin elasticity, reduce fine lines, and contribute to overall rejuvenation.


Effects of Gold Thread Lifts

The primary benefits of gold thread lifts (Golden Lift) include skin tightening, wrinkle reduction, and overall skin quality improvement. As gold threads remain stable in the body for a long time, this treatment’s effects are often advertised as being longer-lasting than other thread lifts.


Risks of Gold Thread Lifts

Potential risks and side effects include inflammation, infection, thread exposure or migration, and excessive scar tissue formation. There’s also psychological resistance to having gold threads remain in the body.


Why Gold Threads are Ineffective

Despite the attention gold thread lifts (Golden Lift) have garnered in cosmetic medicine, common misconceptions about their effectiveness exist. Many clinics and doctors claim that gold threads continually generate collagen, but is this really the case?

●Body’s Reaction to Gold Threads: While stable, gold threads are essentially foreign objects in the body. Their insertion triggers inflammation and immune responses, leading to scar tissue formation around the threads. This scar tissue, primarily made of collagen, is often cited by clinics as “abundant collagen and elastin generation by fibroblasts,” which is essentially a normal bodily reaction to inflammation and not specific to gold threads.

●End of Collagen Production: Scar tissue eventually encapsulates, integrating the gold threads as part of the body. This natural response to coexist with foreign material ends the body’s reaction to the gold threads, halting further collagen production. Thus, the claim that gold threads continually stimulate collagen production is scientifically unfounded. Also, the advertised claim of restoring the normal turnover cycle of the skin seems dubious, with no supporting evidence.

●Comparison with Nylon Thread Lifts: Interestingly, gold threads (Golden Lift) undergo a similar process as traditional nylon thread lifts. Nylon threads also cause inflammation and subsequent scar tissue formation, followed by encapsulation. Thus, gold threads can be considered a type of non-absorbable thread, similar to nylon.


Debunking Common Myths about Gold Thread Lifts

Q: Why does skin rejuvenate with gold thread (Golden Lift) insertion?

A: Claims of rejuvenation due to collagen accumulation, new capillaries, and cell regeneration are false. There’s little to no rejuvenation effect.

Q: Is it safe to leave gold threads in the body?

A: Without infection, major issues are unlikely.

Q: Is the treatment painful, and will it leave scars or marks?

A: It can be painful with local anesthesia alone, but bearable with intravenous anesthesia. Needle marks usually disappear in 2-3 days.

Q: How much rejuvenation and how long does it last?

A: Gold thread (Golden Lift) effects last only a few months, similar to other thread lifts. Effects lasting over a year are unlikely, and claims of 10-15 years duration by some clinics are unfounded.

Q: How long does the treatment take?

A: Typically, a gold thread (Golden Lift) procedure takes about 30 minutes.

Q: What’s the difference between gold thread and thread lifts?

A: Thread lifts use notched or barbed threads for lifting, while gold thread (Golden Lift) aims to improve skin firmness, similar to shopping or collagen lifts.

Q: Can I undergo laser treatment after gold thread insertion?

A: IPL or laser treatments are probably safe about 2 months post-procedure.

Q: What about gold allergies?

A: Gold is less likely to cause allergies, but the possibility exists.

Q: How quickly do gold thread effects appear?

A: Effects of gold thread (Golden Lift) are said to appear around 3 months post-procedure, but they typically fade within a few months.

Q: When can I wear makeup after gold thread treatment?

A: Makeup is usually possible a day after the procedure.

Q: How much gold thread is used?

A: Typically, 4-5 meters of thread are inserted across the face and neck.

Q: Can gold thread be inserted anywhere on the body?

A: Gold thread can be implanted in almost any body part.

Q: Will it set off metal detectors at airports?

A: The total amount of gold thread is about the same as a gold tooth, so it’s unlikely to trigger metal detectors.

Q: Can I undergo CT or MRI scans with gold threads?

A: Generally yes, but the final decision rests with the medical facility conducting the scan.


Conclusion on Gold Thread Lifts

It’s evident that the marketing around gold thread lifts often borders on exaggeration. When considering cosmetic treatments, it’s crucial to establish clear criteria, consult thoroughly with trusted physicians, and make informed decisions based on accurate information. Additionally, exploring other treatments offering similar benefits to gold thread lifts is advisable for a comprehensive approach to treatment selection.

Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.

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院長ブログトップ > Unveiling the True Effectiveness of Silhouette Soft®: An In-Depth Look at 3D Lift

Unveiling the True Effectiveness of Silhouette Soft®: An In-Depth Look at 3D Lift

The Introduction of Silhouette Soft®

Silhouette Soft®, commonly referred to as the 3D Lift, is a thread lift technique characterized by its bi-directional cones, designed to achieve a three-dimensional lift. This article delves into the effectiveness, benefits, considerations, and how it differs from the traditional Silhouette Lift.


What is Silhouette Soft® (3D Lift)?

Developed by SINCLAIR, a UK-based company, and manufactured in the USA, Silhouette Soft® (3D Lift) is a relatively new thread lift technique, an enhanced version of the traditional ‘Silhouette Lift’. The thread lift procedure with Silhouette Soft®, focusing on mini-facelifts and collagen production, has gained FDA and CE mark certification, validating its safety.


Uniqueness of Silhouette Soft® (3D Lift)

The standout feature of Silhouette Soft® (3D Lift) lies in its extensive contact area with subcutaneous tissue. Compared to the spike type, the cone type anchors over a larger area, increasing friction and purportedly enhancing lifting and collagen production. Immediate lifting effects are felt post-insertion, with the bi-directional cones positioned opposite to each other, leading to further lifting over time as they contract towards each other.


Structure and Material of Silhouette Soft®

Comprising two medical-grade soluble materials, PLLA (Poly-L-lactic acid) for the threads and PLGA (Lactic-Glycolic Acid Copolymer) for the cones, Silhouette Soft® offers variations with 8, 12, or 16 cones. These cones firmly hold the subcutaneous tissue and contract the skin towards the thread’s center, lifting sagging areas. Even after the cones and threads dissolve, the collagen produced remains, contributing to long-term effects. Silhouette Soft® is known for providing prolonged lift and skin firmness due to its structure and materials.


Effects of Silhouette Soft®

The procedure offered by Silhouette Soft® (3D Lift) brings two clear advantages: facial rejuvenation and skin quality improvement. The effects, known as “3D Lift,” include:

①Challenging Facial Sagging: The primary effect of Silhouette Soft® is visibly improving facial sagging. Its bi-cones delicately lift and support the skin, addressing deep sagging and providing a clear lift to facial contours. This is particularly effective for areas like nasolabial folds and marionette lines, restoring three-dimensional beauty.

②Collagen Production and Skin Elasticity: Beyond lifting, the procedure promotes collagen production, thereby restoring skin firmness. The minor tissue damage induced by the treatment triggers a natural healing process, enriching the skin with collagen. This ensures that the skin’s texture and lifting effects continue even after complete absorption of the threads and cones.


Benefits of Silhouette Soft®

A significant advantage of Silhouette Soft® (3D Lift) is that it leaves no foreign material in the body. Made of PLLA and PLGA, it is less likely to cause adverse reactions and eventually breaks down into harmless components. Additionally, as it requires no incisions, the procedure minimizes physical stress and eliminates the need for suture removal. The longevity of Silhouette Soft®’s effects, though individual, typically lasts around 18 months. While the threads dissolve in 18 months and the bi-cones in 8-10 months, the surrounding collagen and elastin maintain skin firmness and lifting, potentially extending the effects to nearly two years. The manufacturer recommends annual or bi-annual treatments for sustained improvement.


Drawbacks and Considerations of Silhouette Soft®

Despite being a minimally invasive thread lift, Silhouette Soft® (3D Lift) comes with several considerations:

①Potential for Post-Treatment Irregularities: Temporary facial irregularities may occur as the skin adjusts to the lifted position, usually settling within 1-2 weeks. Persistent irregularities beyond two weeks necessitate medical consultation. Swelling and bruising are possible, taking 2-3 weeks to subside.

②Scarring and Needle Marks: While Silhouette Soft® requires no incisions, the larger needles for bi-cone insertion can leave marks. These typically become inconspicuous within 3-15 days and can be concealed by hair.

③Pain During Treatment: Local anesthesia is used to minimize discomfort during the procedure. For those apprehensive about anesthesia needles, pre-treatment anesthetic cream is an option. Some clinics offer intravenous sedation for a more relaxed experience.


Failure and Downtime of Silhouette Soft®

Thread insertion in the nerve-dense facial area with Silhouette Soft® can cause temporary tightness or discomfort, usually resolving within a month. In rare cases, nodules may form if the threads are placed too superficially, potentially requiring surgical removal.


Differences Between Silhouette Soft® and Silhouette Lift

Unlike the uni-directional cone placement in Silhouette Lift, Silhouette Soft® features bi-directional cones and ensures complete absorption in the body. This makes it suitable for those hesitant about leaving foreign materials in their body, enabling a more dimensional lift.


The Real Effectiveness of Silhouette Soft®

Let’s scrutinize the actual effectiveness of Silhouette Soft® (3D Lift) from an expert perspective. In thread lifting, “collagen regeneration” often mentioned, but this essentially refers to simple scar formation. When the body heals, hard tissue forms, primarily composed of collagen. In thread lifts, this scarring, or collagen formation, occurs around the inserted threads. However, the lift provided by this collagen is limited, as the scars formed by the fine threads lack sufficient tension. The effectiveness of Silhouette Soft® is limited to the period until the threads dissolve. The PLLA (PLA) and PLGA materials used are absorbed slower than traditional absorbable threads, but the tension typically diminishes within 3-6 months. Over time, the threads’ position lowers due to gravity, diminishing the lifting effect.


Conclusion on Silhouette Soft®

While Silhouette Soft®’s bi-cones initially garnered significant attention, it’s become clear that like other absorbable threads, its effects diminish within months. Considering cost-effectiveness, this thread lift may not be recommendable. In cosmetic medicine, carefully weighing risks and results is essential. When considering a thread lift, deciding whether absorbability or durability is a priority is crucial. Success depends on treatment by an experienced physician. Clinic selection is vital, and thorough consultation with a specialist is the first step to avoiding unnatural results.

Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.

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院長ブログトップ > Exploring the Effectiveness of Anchor MAX: A New Thread Lift Technique

Exploring the Effectiveness of Anchor MAX: A New Thread Lift Technique

What is Anchor MAX?

Anchor MAX is a relatively new thread lift technique in the realm of cosmetic procedures. This non-surgical method utilizes threads to address facial sagging without the need for surgical incisions. The treatment uses threads made from PCL (Polycaprolactone). Let’s delve into whether this approach is effective.


About PCL in Anchor MAX

Polycaprolactone (PCL) is a type of synthetic biodegradable polyester. Like other biodegradable plastics, it is slowly absorbed in the body and eventually breaks down into water and carbon dioxide. PCL is known for its flexibility and chemical stability. These properties make it very suitable for medical applications, such as in orthopedics for promoting bone and cartilage regeneration and in aesthetic medicine as absorbable threads for thread lifts. Overall, PCL stands out for its unique characteristics in medical applications and is environmentally friendly, making it a sustainable material choice. It is also a safe material approved by the United States Food and Drug Administration (FDA).


Structure of Anchor MAX

●Needle Thickness and Thread Structure: The needles used in Anchor MAX are relatively thick, around 18G. The thread structure generally involves needles attached to both ends of the thread.

●Thread Structure: The threads in Anchor MAX have small projections, ensuring they are firmly fixed within the skin to provide a lifting effect.

●Durability: The PCL threads are absorbed slowly over 2-3 years, continuing to stimulate collagen production, potentially offering lifting and skin beautification effects for 3-5 years.

●Flexibility: The flexibility of Anchor MAX threads allows for a natural and less tense finish.


Ideal Candidates for Anchor MAX

Individuals concerned about facial sagging

Those noticing looseness in their face line

People looking to restore skin elasticity

Seeking a powerful lift

Desiring a beautifying skin effect

Preferring immediate effects with minimal downtime

Those with previous thread lift experiences seeking further improvement

Aiming for a more sculpted facial appearance


Features of Anchor MAX

●Longevity: Anchor MAX’s PCL threads boast about twice the durability of typical PDO threads, providing effects that last over two years.

●Collagen Production for Beautified Skin: It promotes skin regeneration by enhancing collagen production, offering greater beautification effects than traditional methods.

●Enhanced Lifting with 3D Structure: An increased number of cones in a 3D structure delivers a more powerful, multi-dimensional lift.


Safety Points of Anchor MAX Treatment

The thread and cone placement in Anchor MAX minimizes shifting, allowing for a natural lifting effect.

The cone structure brings together subcutaneous tissues, creating a more dimensional finish.


Anchor MAX Treatment Procedure

①Consultation: Assessing the patient’s facial condition to determine the number and placement of Anchor MAX threads.

②Anesthesia: Local anesthesia is administered, sometimes complemented with intravenous sedation for pain relief.

③Insertion: Inserting the Anchor MAX threads under the skin to form anchors and lift the skin.

④Securing: Fixing the Anchor MAX threads with appropriate tension for optimal lifting.

⑤Completion: Trimming the ends of the Anchor MAX threads to conclude the procedure.


Price Range of Anchor MAX

The cost varies depending on the number of threads used, typically ranging from 50,000 to 100,000 yen per thread. Some clinics offer package prices, so consultation is advised.


Common Questions About Anchor MAX

●Downtime: Mild swelling and redness post-treatment are common, usually subsiding within a week.

●Combining with Other Treatments: Effective anti-aging results can be achieved by combining with hyaluronic acid injections or Botox.

●Pain Management: Pain during treatment can be minimized with anesthetic creams and local anesthesia.

●Possible Side Effects: No serious side effects have been reported, but careful post-treatment care is needed due to potential effects on facial muscles.


The Truth About Anchor MAX’s Real Effectiveness

While Anchor MAX has garnered attention in the beauty industry, its true effectiveness raises questions. Thread lifts are known for promoting collagen regeneration, but this collagen is essentially just scar tissue. When the skin is injured, hard tissue forms around the wound, composed mainly of collagen. In thread lifts, this scarring process occurs around the inserted threads, leading to so-called collagen regeneration. However, the lifting effect from this collagen is minimal, as the fine nature of the threads results in equally fine scar tissue lacking the necessary tension for lifting. The PCL threads in Anchor MAX are absorbed over a more extended period, supposedly prolonging effectiveness. However, their tension is believed to last only about 3-6 months. My experience with similar absorbable thread lifts, like Happy Lift, supports this, showing effects lasting up to six months.


Conclusion: Questions About Cost-Effectiveness of Anchor MAX

Despite being a new technology using PCL, Anchor MAX, like other absorbable threads, loses its effectiveness within a few months. Considering cost-effectiveness, this thread lift may not be the best choice. In cosmetic medicine, it’s crucial to carefully weigh risks and results. Decisions should not be made on trends alone but after thorough consideration and appropriate consultation.


Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.

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院長ブログトップ > Exploring the Effectiveness of VOV Lift in Cosmetic Medicine

Exploring the Effectiveness of VOV Lift in Cosmetic Medicine

What is VOV Lift?

In the ever-evolving world of cosmetic medicine, the field of lift treatments is particularly dynamic, with various innovative techniques constantly emerging. Among these, the VOV Lift (also referred to as Bob Lift) shines as a prominent newcomer. This advanced lift treatment differentiates itself from traditional thread lifts with its unique materials and techniques, garnering significant interest among beauty enthusiasts. But what really sets it apart?


Uniqueness and Effectiveness of VOV Lift

VOV Lift utilizes a type of absorbable lift thread called “VOV Lift Premium,” made from PCL (Polycaprolactone). This non-surgical facelift method promises long-lasting effects for over two years and employs patented cog technology for effective facial lifting. Its high safety profile, recognized by the US FDA, offers significant reassurance for patients.


Expected Benefits of VOV Lift

●Improving sagging cheeks and jawline

●Diminishing nasolabial folds

●Reducing the prominence of marionette lines

●Correcting bulldog-like facial appearance

●Sharpening the facial contour


Technical Features of VOV Lift

The PCL threads used in VOV Lift are distinct from traditional PDO or PLLA materials in terms of cog shape, strength, and flexibility. The procedure is designed to minimize pain and offers a longer-lasting effect, making it suitable for facial treatments.


About PCL Material in VOV Lift

PCL is a synthetic biodegradable polyester. Similar to other biodegradable plastics, it breaks down in the body. PCL is known for its flexibility and chemical stability, making it highly suitable for medical applications, including regenerative tissue and organ scaffolding, and absorbable threads for thread lifts. It is absorbed slowly in the body and eventually breaks down into water and carbon dioxide, reducing the risk of long-term foreign substances. Additionally, it is known for its very low toxicity to the body.


Balancing Lifting Power and Safety

The patented cog formation enhances lifting power and fixation strength compared to traditional absorbable thread lifts. Lasting over 24 months, the threads stimulate collagen regeneration, leading to rejuvenated, firmer skin.


Reliability of VOV Lift

The threads in VOV Lift are fully absorbable, minimizing physical burden. Its CE marking and FDA approval further affirm its safety.


Frequently Asked Questions about VOV Lift

Q: Can VOV Lift alone resolve sagging?

A: Results can vary depending on individual skin and fat conditions, but many report noticeable lifting effects.

Q: What is the downtime?

A: Downtime is relatively short, with most returning to daily activities the next day, though this can vary.

Q: When do the effects become apparent?

A: Immediate effects are noticeable post-treatment, with gradual collagen production enhancing the lift over time.


Does VOV Lift Truly Deliver Results?

The term “collagen regeneration” often surfaces in discussions about thread lifts. However, this process is essentially scar tissue formation. When the body heals wounds, hard tissue forms around them, composed of collagen. In thread lifts, this scarring process occurs around the threads inserted into subcutaneous tissues. Despite the impressive sound of “collagen regeneration,” the lifting effect from this scar tissue is minimal. The fine nature of the threads means that the resulting scar tissue lacks significant tension for lifting. Thus, the lifting effect of thread lifts lasts only as long as the thread remains unabsorbed. VOV Lift, using PCL, is said to be absorbed more slowly than other materials like PLLA or PDO, potentially extending its effectiveness. However, the fine threads imply a loss of tension within 3-6 months. My experience with Happy Lift, a similar absorbable thread lift, aligns with this, showing effects lasting up to six months.


Conclusion on VOV Lift

Initially, VOV Lift, utilizing PCL, was hailed for its longer-lasting technology compared to PLLA or PDO materials. However, similar to other absorbable threads, its effects diminish within a few months. Considering cost-effectiveness, I do not recommend VOV Lift. When considering cosmetic treatments, weighing the risks and results is crucial. Decisions should be made after careful consideration, not just on a whim.


Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.

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院長ブログトップ > Understanding the Effectiveness of Z Lift and Collagen Lift: A Journey Through Absorbable Thread Lifts

Understanding the Effectiveness of Z Lift and Collagen Lift: A Journey Through Absorbable Thread Lifts

What are Z Lift and Collagen Lift?

Z Lift and Collagen Lift are types of thread lifts that use absorbable threads, specifically designed for anti-aging treatments to improve skin sagging and wrinkles. Unique for their use of PLLA (Poly-L-lactic acid) and PLA (Polylactic Acid) threads, these lifts are also known under trademarks like “Happy Lift.” Let’s explore the specifics of these materials and the effects they offer.



About PLLA and PLA Material

In the medical field, PLLA and PLA are essentially considered the same substance. PLA stands for Polylactic Acid, commonly known as poly lactate in Japan. PLLA, a specific stereoisomer of PLA, is a biodegradable synthetic polymer widely used in medical applications.

Basic Characteristics of PLLA and PLA

●Biodegradability: PLLA naturally breaks down into water and carbon dioxide in the body.

●Biocompatibility: Safe for insertion into the body without toxicity.

Manufacturing and Structure of PLLA

PLLA is formed through the polymerization of L-lactic acid, often produced through microbial fermentation from common carbon sources. In the presence of heat and catalysts, it forms polymer chains.

Biological Properties of PLLA

●Collagen Stimulation: As it slowly degrades in the body, PLLA stimulates surrounding tissues to produce collagen.

●Medical Uses Outside of Cosmetic Treatments:

●Absorbable Sutures: PLLA and PLA are used for suturing wounds post-surgery.

●Orthopedics: Used in pins and plates for fracture treatment, they are absorbed slowly, eliminating the need for removal surgery.

Safety and Degradation Time of PLLA and PLA

The complete breakdown of PLLA and PLA can take months to years, varying significantly depending on the form inside the body. In the case of Z Lift and Collagen Lift, it’s said that the threads may dissolve within 3-6 months.



Role of PLLA and PLA in Z Lift and Collagen Lift

These biodegradable materials gradually break down in the body while stimulating collagen production. This process is believed to promote natural skin rejuvenation and lifting effects.


Structure of Z Lift and Collagen Lift

●Needles and Thread Structure in Z Lift: The needles are relatively thick (around 18G) with small projections on the threads for effective anchoring and lifting. Collagen Lift, similar to Shopping Lift, uses finer needles and lacks these projections.


Effects and Longevity of Z Lift and Collagen Lift

The immediate effects start showing post-treatment, with gradual improvements due to stimulated collagen production over time. The duration of these effects can last from several months up to a year, influenced by the material, individual body reactions, and lifestyle habits.

Safety and Side Effects

While generally considered safe, there are potential temporary side effects like bruising, swelling, and redness. Rarely, there might be risks of thread rejection or infection.

Comparing with Shopping Lift (PDO Thread Lift) PLLA and PLA threads, decomposing more slowly than PDO, are typically believed to be more effective than the shorter, projection-less threads used in Shopping Lift. However, the effect of Collagen Lift, which has a similar structure to Shopping Lift, is considered comparable.


Patient Feedback on Z Lift and Collagen Lift

●Satisfaction: Many report immediate effectiveness and tightening of the skin post-treatment, with continued improvement over time.

●Pain and Recovery: Experiences vary, with some feeling minimal discomfort and others experiencing pain. The recovery period is generally brief, allowing a quick return to daily activities.

●Longevity: Results, while temporary, usually last from several months to a year. Repeated treatments can prolong the effects.

●Side Effects and Complications: Swelling, bruising, and infection risks are relatively rare.

●Cost-Effectiveness: While many are satisfied with the results for the price, others feel the effects did not meet expectations.



Do Z Lift and Collagen Lift Really Work?

From an expert perspective, it can be asserted that collagen production through thread lifts does not significantly contribute to lifting effects. The effect of a thread lift should be considered only for the duration until the thread is absorbed. In Z Lift and Collagen Lift, the thinness of PLLA and PLA threads leads to their dissolution within 3-6 months, thus limiting the lift effect to this period. My experience with Happy Lift, a PLLA/PLA lift, also aligns with these observations, showing effects lasting up to six months.



Initially popular in Japan, PLLA/PLA lifts like Z Lift and Collagen Lift have become less favored due to the short-lived effects and the development of more effective thread lifts. When considering a thread lift, it’s crucial to prioritize whether absorbability or longevity is more important. Ultimately, the key to success lies in consulting with an experienced specialist and understanding that the choice of treatment depends on your specific priorities.

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院長ブログトップ > Exploring the Effects of Miracle Lift: A Non-Absorbable Thread Lift Developed in Korea

Exploring the Effects of Miracle Lift: A Non-Absorbable Thread Lift Developed in Korea

What is Miracle Lift?

Miracle Lift, a thread lift technique developed by Dr. Woo, a renowned South Korean cosmetic surgeon, stands out for its use of non-absorbable threads. It has garnered attention for its effectiveness and lasting results among various thread lift procedures. Let’s dive deeper into the technology behind Miracle Lift.


Structure of Miracle Lift

●Needle Thickness: The needles used in Miracle Lift are designed to be extremely fine, minimizing patient discomfort while ensuring precision and stability during insertion.

●About Polypropylene: This synthetic plastic, widely used in the medical field, is known for its durability and biocompatibility, being unlikely to cause allergic reactions and stable inside the body for extended periods.

●Thread Size and Length: Measuring around 40cm, these threads strike a balance between being inconspicuous under the skin and effectively performing the lift.

●Thread Structure: The Miracle Lift threads are designed with small projections and textures to effectively anchor into the skin, providing a more natural and lasting lift effect.


Procedure of Miracle Lift

①Counseling: Assessing the patient’s facial condition to determine the number and placement of threads needed.

②Anesthesia: Local anesthesia is administered, sometimes complemented with intravenous sedation to alleviate pain.

③Insertion: Special needles are used to insert the Miracle Lift threads under the skin, anchoring them to lift the skin.

④Securing: The threads are fixed with proper tension for effective lifting.

⑤Completion: The ends of the Miracle Lift threads are trimmed, concluding the procedure in about 30 to 60 minutes. Patients usually return to daily activities immediately, thanks to the minimal downtime.



Safety of Miracle Lift

The use of non-invasive methods and established polypropylene materials makes Miracle Lift relatively safe. However, the surgeon’s skill and experience significantly impact safety, so choosing a qualified and reputable doctor is crucial.


Principle of Miracle Lift

Miracle Lift works by inserting threads under the skin, with their projections gripping the subcutaneous tissue for lift. Over time, like all thread lifts, it stimulates collagen production, enhancing the lifting and skin-tightening effects.


Drawbacks and Failures of Miracle Lift

All procedures have their downsides. In Miracle Lift, the use of non-elastic threads can sometimes cause a sensation of tightness or discomfort. Unlike the Spring Thread recommended by the author, which is silicone-based and highly flexible, Miracle Lift might not be as comfortable. Some cases have reported visible threads under the skin or short-lived effects.


Downtime and Side Effects of Miracle Lift

Most cases see swelling and bruising subside within a week, with no severe long-term side effects reported. However, careful post-procedure care is needed as it can affect facial muscles.


Cost of Miracle Lift

The price varies based on the number of threads used, typically around 50,000 yen per thread. Clinics might offer package deals, so it’s advisable to consult first.


Patient Feedback on Miracle Lift

Many patients are satisfied with the immediate lifting effect and minimal recovery time. While discomfort varies, it’s generally mild and brief. However, opinions on long-term effects are mixed, with some reporting a return to pre-treatment state within three months.


Is Miracle Lift Truly Effective?

From an expert’s perspective, non-absorbable threads like those in Miracle Lift are expected to be more effective than absorbable ones. However, due to its structure where the thread loops back in the middle (similar to the previously used Happy Lift by the author), its position tends to descend over time due to gravity, reducing its effectiveness. Initially, the threads anchor in the fat layer, providing some lift, but this layer isn’t as stable as fascia and loses effect within months.



Initially popular in Japan, Miracle Lift has gradually become less favored due to its short-term effects and non-absorbable nature. Deciding between absorbable and non-absorbable threads, and prioritizing longevity, is crucial when considering a thread lift. Success heavily relies on the treatment being performed by an experienced doctor. Choosing a clinic with a solid track record is essential to avoid unnatural outcomes. However, be wary as many clinics now post edited before-and-after photos. Thorough consultation with a specialist and starting with counseling is the most critical step in this process.


Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.

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院長ブログトップ > Understanding the Risks and Precautions of Facelift Failures and Revision Surgeries

Understanding the Risks and Precautions of Facelift Failures and Revision Surgeries

Facelift Failures: Causes and Examples

Facelift surgeries are highly sought after for facial rejuvenation within the realm of cosmetic procedures. Despite their popularity, not all outcomes are successful, and dissatisfaction is not uncommon among patients. Various factors, such as surgical technique and inadequate postoperative care, can lead to failure. It’s crucial for patients to understand these risks and select a trustworthy surgeon.

●Thinning Skin Complications

A significant cause of facelift failure is the thinning of the skin. Overzealous removal of skin during the lift can lead to a thinner and stretched appearance, often resulting in a taut, unnatural facial expression, particularly around the eyes and mouth. The skill and experience of the surgeon are vital in avoiding such outcomes.

●Unnatural Expressions

Another example of facelift failure is the unnatural look of facial expressions post-surgery. Improper direction during the skin lift can distort facial features, leading to an unnatural smile or look. Proper communication with the surgeon during preoperative counseling and conveying the desired outcome are key to prevention.


Repeat Facelift Considerations

Facelift results are not permanent; as aging continues, some consider undergoing the procedure again. However, caution is advised when repeating facelifts, as one should be mindful of the risks, such as skin thinning and unnatural expressions.

●Importance of Timing and Frequency

When considering multiple facelifts, the timing and frequency play a crucial role. If not enough time has passed since the previous surgery, the skin’s elasticity may not have fully recovered, potentially leading to less satisfactory results. Additionally, repeated surgeries can cause irreversible skin damage.

●Assessing Past Surgeries and Risks

For those who have had facelifts before, sharing a complete surgical history with the doctor is essential. The techniques used and the extent of skin removal in past surgeries can significantly impact the risks associated with revision surgeries. Accurate information allows the surgeon to properly assess risks and plan effectively.


Preventative Measures for Facelift Failures

Preparation and method selection are pivotal in avoiding facelift failures. Patients must understand the risks and have realistic expectations, making informed decisions alongside their surgeon.

●Utilizing the SMAS Technique

Modern facelifts often involve manipulating the SMAS (superficial musculoaponeurotic system) layer, which can provide more natural rejuvenation and reduce the risk of failure. Discussing the use of SMAS with your surgeon is a crucial step in achieving a successful outcome.

●The Direction of Lift

The direction of the skin pull during a facelift is critical. Incorrect lifting can upset facial balance, leading to an unnatural look. Detailed consultations with the surgeon to establish the most natural and balanced direction for lifting are essential.



Choosing the Right Surgeon for Facelift Surgery

The skill of the surgeon is a key factor in the success of a facelift, directly affecting patient satisfaction. A facelift is not just about lifting skin; it requires an understanding of facial structure and precise skin removal and design.

●Recognizing the Risks with Inexperienced Surgeons

The risks of undergoing surgery with an inexperienced surgeon include overly tight skin and unnatural expressions, often due to a lack of anatomical knowledge or surgical experience. Such risks necessitate careful selection of a qualified and experienced surgeon.

●Selecting a Qualified Surgeon

When choosing a surgeon, prioritize qualifications and a proven track record. Verify their certification with reputable surgical societies and look into patient reviews and before-and-after photos, while being cautious of potentially altered images or biased reviews. Ultimately, thorough pre-surgical consultations are essential to establish trust and clarify expectations.

By understanding these aspects, patients can make informed decisions to minimize the risks associated with facelift surgeries and revisions.

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院長ブログトップ > Is Botox Effective for Axillary Bromhidrosis?

Is Botox Effective for Axillary Bromhidrosis?

Axillary bromhidrosis refers to body odor resulting from sweat produced by specific sweat glands, particularly the apocrine glands. Let’s delve into the function of apocrine glands and explore Botox, a treatment option that has been gaining attention.


Difference between Eccrine and Apocrine

Glands Our bodies have two main types of sweat glands: eccrine and apocrine glands. They secrete eccrine sweat and apocrine sweat, respectively. Eccrine glands are found throughout the body and secrete sweat to regulate body temperature. Apocrine glands, on the other hand, are located in specific areas such as the armpits and groin, and become active during puberty. Both types of glands are controlled by the sympathetic nervous system, though they respond to different neurotransmitters. Eccrine glands are activated by acetylcholine, while apocrine glands respond to catecholamines.


What is Botox?

Botox is a product that primarily consists of botulinum toxin A, produced by the bacterium Clostridium botulinum. Botox works by inhibiting the release of neurotransmitters, particularly blocking the release of acetylcholine.


Understanding Catecholamines and Acetylcholine

Imagine participating in a relay race, passing a baton between teammates. When you pass the baton, you transfer momentum from your hand to your teammate’s. This act of passing the baton is analogous to how neurotransmitters work in neuronal communication. Acetylcholine, the neurotransmitter, is primarily used by neurons controlling eccrine glands. Botox disrupts this transmission, inhibiting eccrine gland activity. On the other hand, apocrine glands respond to a different neurotransmitter, catecholamines. Botox does not directly affect this transmission.


Application of Botox in Treating

Axillary Bromhidrosis Considering Botox’s mechanism of action, it is expected to suppress eccrine gland activity. Indeed, Botox is widely used for treating hyperhidrosis, with proven efficacy. However, since apocrine bromhidrosis is mainly caused by apocrine glands, which are controlled by catecholamines and not acetylcholine, Botox is not expected to have a direct inhibitory effect on these glands.


So, is Botox Ineffective for Axillary Bromhidrosis?

Apocrine sweat itself does not have an odor. The odor arises when N-acetyl-5-methyloornithine in the apocrine sweat, combined with fatty acids secreted by sebaceous glands, is broken down by resident bacteria (such as Corynebacterium) on moist skin. A moist environment encourages bacterial proliferation, intensifying the odor. By suppressing eccrine sweat with Botox, the skin’s moist environment improves, potentially reducing bacterial growth and subsequently alleviating the “axillary odor.”



While Botox is effective in suppressing eccrine gland activity and treating hyperhidrosis, it is not expected to have a direct effect on apocrine bromhidrosis. However, since sweating can contribute to odor, suppressing hyperhidrosis with Botox can have a beneficial effect, depending on the severity and cause of the axillary bromhidrosis. Thus, when considering Botox for axillary bromhidrosis treatment, it is crucial to consult with a specialist to ensure the selection of an appropriate treatment method.

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院長ブログトップ > All About Axillary Osmodrosis Surgery: Keys to Success and Risks of Recurrence

All About Axillary Osmodrosis Surgery: Keys to Success and Risks of Recurrence

Axillary osmodrosis is a concern for many people. The primary cause is associated with the apocrine sweat glands in the armpits. Surgery is highlighted as a fundamental solution to fundamentally resolve osmodrosis, but what does this procedure entail?

Factors Influencing the Success of the Surgery
The key to a successful axillary osmodrosis surgery lies in how completely the apocrine sweat glands can be removed. If any glands are left behind, there is a high chance that the osmodrosis will reoccur. Thus, this surgery demands high levels of skill and experience. In fact, there are cases among those who wish to undergo reoperation where the apocrine sweat glands were not fully removed during the initial surgery, leading to a recurrence.

Various Surgical Methods and Risks of Recurrence

There are various approaches to axillary osmodrosis surgery, including the shaving method, the QuadraCut technique, methods using ultrasonic scalpels, and the inversion excision method. It is not straightforward to say which method is the most effective. What is crucial is not the method chosen, but how meticulously the surgery is performed.


The Reality of Axillary Osmodrosis Surgery

In surgery to treat axillary osmodrosis, the skin is cut open, and the skin containing the apocrine sweat glands is peeled away from the fat layer. In this process, thoroughly removing the apocrine sweat glands is key to preventing recurrence. The shaving method is said to be highly precise, but it does not completely eliminate the risk of osmodrosis recurrence. This is because the apocrine sweat glands that should be removed can remain in the fat layer. While many doctors do not see this as a problem due to the small amount of glands remaining, to completely prevent recurrence, it is necessary to also remove the apocrine sweat glands within the fat layer.


My Shaving Method Procedure

In the surgeries I perform, I use special tools to check for any remaining apocrine sweat glands in the fat layer and remove them as necessary. This step requires a minimum wound size of 2cm. There are facilities that perform surgery with wounds less than 2cm, but it is believed that such procedures increase the risk of recurrence. The key is to thoroughly remove the “apocrine sweat glands” embedded in the fat layer without leaving any behind.



Axillary osmodrosis surgery demands meticulous work to minimize the risk of recurrence. I take great care in performing surgeries to ensure that my patients do not have to face the troubles of osmodrosis again. Those considering treatment for osmodrosis should carefully consider not just the surgical method, but also the skill and experience of the surgeon performing the operation.”

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院長ブログトップ > Does Being Muscular Mean Having a Strong Body Odor?

Does Being Muscular Mean Having a Strong Body Odor?

 The Relationship Between Diet and Body Odor

The Relationship Between Diet and Body Odor It is widely known that body odor is significantly affected by one’s diet. Our bodies digest and absorb food, and in this process, substances are produced that are then expelled through sweat, leading to body odor. Certain foods can hasten this process, resulting in a unique body odor. This article focuses on the relationship between body odor and food, delving into the specifics of how different foods can affect body odor, and the mechanisms behind it.

muscle and body odor

The Mechanism of Body Odor

The main cause of body odor is the breakdown of secretions such as sebum and sweat by bacteria on the skin. This process produces a unique odor. Certain foods can expedite this process, leading to a strong body odor. Additionally, some ingredients in food can directly result in body odor after being broken down in the body.

①The Impact of Food on Body Odor

Foods such as garlic, alcohol, red meat, and spices are known to intensify body odor. These foods produce specific odorous compounds during their breakdown in the body, which are then expelled through sweat, intensifying body odor. A diet rich in these foods tends to increase body odor.

②The Relationship Between Consumption Quantity and Body Odor

Not just the type, but also the quantity of food consumed can impact body odor. Generally, consuming large quantities of specific foods can intensify body odor. Conversely, maintaining a balanced diet can help control body odor. Eating plenty of vegetables and fruits, which are rich in dietary fiber, can enhance metabolism and facilitate the expulsion of substances that cause body odor.



Foods That Intensify Body Odor

Certain foods are notorious for their ability to intensify body odor. Consuming these foods can result in a stronger bodily scent. This section explores some of the primary foods known for this effect, and explains why they have such an impact.

①Garlic and Body Odor

Garlic is infamous for causing a pungent body odor. This is due to a compound called allicin in garlic, which breaks down in the body, releasing a strong smell. The effects can last for days after consumption.

Mechanism: Allicin in garlic breaks down in the body, producing sulfides and other odorous compounds, leading to bad breath and body odor.

How to Counteract: To reduce garlic odor, consuming green tea or parsley can be effective. Cooking garlic can also decrease the amount of allicin, thereby reducing the odor.

② Alcohol and Body Odor

Consuming alcohol can lead to a stronger body odor as some of it is expelled through sweat. Fermented beverages like beer and sake are particularly known for this effect.

Mechanism: The breakdown of alcohol in the body produces acetaldehyde, a substance with a strong odor. When expelled through sweat, it contributes to body odor.

How to Counteract: Drinking plenty of water after consuming alcohol can help metabolize the alcohol faster. Reducing the amount and frequency of alcohol consumption can also mitigate body odor.

③Red Meat and Body Odor

Red meat is hard to digest and can ferment in the intestines, leading to a stronger body odor. This is especially true for muscular individuals who may consume large amounts of red meat to build muscle.

Mechanism: Red meat contains a high level of amines, which can release odorous substances like sulfides during fermentation in the intestines.

How to Counteract: Consuming digestive aids such as ginger or green tea with red meat can help maintain a healthy gut environment and reduce body odor.

④Spicy Foods and Body Odor

Spicy foods can raise body temperature and induce sweating, potentially intensifying body odor. This is particularly true for foods rich in chili peppers or spicy curries. Capsaicin, the compound that gives spicy foods their heat, also affects body odor.

Mechanism: Capsaicin in spicy foods raises body temperature and promotes sweating, leading to body odor. The strong scent of capsaicin itself can also contribute to body odor when expelled through sweat.

How to Counteract: Limiting the intake of spicy foods is a direct way to reduce their impact on body odor. On days when you eat spicy foods, drink plenty of water, and shower thoroughly to wash away sweat and expel capsaicin from your body.


Foods That Help Control Body Odor

On the other hand, there are foods that can help control body odor. By actively incorporating these foods into your diet, you can suppress body odor and live a more comfortable life. In this section, we will introduce these foods and how to incorporate them in detail.

①Green Tea and Body Odor

Catechins found in green tea have the effect of suppressing body odor. They prevent the growth of bacteria on the skin and the production of substances that cause body odor. This is particularly effective in suppressing body odor after consuming strong-smelling foods such as garlic. By incorporating green tea into your daily meals, you can naturally control body odor.

②Vegetables and Body Odor

Vegetables are rich in components that help control body odor. Green and yellow vegetables, in particular, are effective in suppressing the production of substances that cause body odor. Vegetables are also rich in dietary fiber, which helps improve the gut environment. By maintaining a balanced diet, you can naturally control body odor.

③Yogurt and Body Odor

Yogurt helps improve the gut environment, which in turn helps prevent body odor. Yogurt that contains probiotics, in particular, increases the number of good bacteria in the gut, helping to control body odor. Additionally, yogurt aids digestion, so it’s good to consume it after meals.

④The Enzyme Power of Kiwi Fruit

Actinidin, an enzyme found in kiwi fruit, helps with digestion and improves the gut environment. Consuming kiwi fruit helps smooth the elimination of waste products from the body, suppressing foul smells in the gut that can lead to body odor.

⑤Detox Effects of Citrus Fruits

The abundant vitamin C found in citrus fruits such as oranges and lemons has detox effects, helping to eliminate waste products from the body. The refreshing scent unique to citrus fruits also helps reduce body odor. By regularly consuming citrus fruits, you can emit a fresh scent from within, helping to suppress body odor.


Food and Body Odor

Q&A In this section, we answer common questions people have about the relationship between food and body odor. We provide concrete advice on what kind of diet to maintain to control body odor and how to suppress body odor after consuming certain foods.

Common Questions and Answers

Q: Is there a way to control body odor after eating garlic?

A: Drinking green tea after consuming garlic can help. The catechins in green tea can help neutralize the smell of garlic. It is also important to moderate the amount of garlic you consume.

Q: Is there a way to prevent strong body odor after drinking alcohol?

A: You can prevent intensifying body odor by limiting your alcohol intake and staying well-hydrated. It’s also good to drink plenty of water after consuming alcohol.

Q: I’m concerned about body odor; what kind of diet should I maintain?

A: To control body odor, maintain a balanced diet and actively incorporate vegetables, green tea, and yogurt. Additionally, moderating your intake of garlic, alcohol, red meat, and spices can be effective.



Through this article, we’ve gained a lot of insight into how food affects body odor. Dietary content is a crucial factor in controlling body odor, and those with a tendency to eat unbalanced diets need to be particularly careful. Those who try to compensate for a lack of vegetables with supplements should also be cautious. The most effective way to obtain necessary nutrients is through food, and eating plenty of vegetables is vital in controlling body odor. People who frequently engage in strength training, often referred to as “gym buffs,” tend to consume excessive amounts of red meat and supplements, which can lead to stronger body odor. Even if you can attract people with your appearance, strong body odor upon closer interaction can drive them away, negating all your hard work. It is crucial to maintain a balanced diet and take appropriate measures to keep your body odor pleasant.

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院長ブログトップ > The True Nature of Unique Odors (Body Odor)

The True Nature of Unique Odors (Body Odor)

Why does body odor occur?

We have discussed “axillary osmidrosis,” “vaginal odor ,” and “areola odor,” which are caused by apocrine sweat glands, in previous articles. However, there are various types of body odors besides axillary osmidrosis. Body odor is an inevitable phenomenon that we commonly experience in our daily lives, especially during seasons or situations where we tend to sweat more, leading to a stronger odor. The main cause of this odor is the gases, or volatile components, produced when bacteria on the skin break down sebum, old keratin (dead skin cells), and sweat components. The secretion of sweat onto the skin accelerates the growth of these bacteria, making it easier for odors to develop.

Mechanism of Body Odor Formation

①Skin Structure: The skin has two main types of glands: sebaceous glands and sweat glands. Sebaceous glands secrete sebum, while sweat glands secrete sweat. Sebum keeps the skin soft and protects it from external irritants. Sweat is mainly involved in regulating body temperature and is secreted in response to heat, stress, spicy food intake, etc.

②Skin Microorganisms: A variety of resident bacteria exist on the skin, cohabiting on its surface along with sebum and sweat. Fresh sweat and sebum are almost odorless, but over time, these bacteria act on them, leading to the production of body odor components.

③Influence of Diet: Consuming large amounts of certain foods is known to affect body odor. This is because specific components in the food are metabolized and expelled from the body through sweat and sebum.



Types and Characteristics of Sweat

Let’s delve deeper into the types of sweat glands. There are two types: eccrine glands and apocrine glands, each producing sweat with different components and resulting in different odors.

Eccrine glands are spread throughout the body, particularly concentrated in the palms of the hands and soles of the feet. The main components of eccrine sweat are water (about 99%), with the remainder being salts, amino acids, uric acid, etc. Although its primary role is in thermoregulation, it can also be produced in large quantities during times of stress. Eccrine sweat is odorless, but it can develop a smell when mixed with external dirt and bacteria, leading to the breakdown of amino acids.

Apocrine glands are located in the armpits, genital area, and around the nipples. Apocrine sweat contains water, proteins, lipids, fatty acids, cholesterol, and other substances. It is believed that the characteristic odor of apocrine sweat once served as a pheromone in animals, attracting the opposite sex for mating.


Identifying the Source of Unique Body Odors

There are various factors contributing to body odor. Here are some examples of main body parts and types of odor:

①Armpits: Due to a high concentration of apocrine glands, a distinctive odor, axillary osmidrosis, can occur. 3-Methyl-2-hexenoic acid is a main component of this odor.

②Soles of the Feet: A high concentration of eccrine glands and the tendency for dead skin cells to accumulate, coupled with the enclosed environment of shoes and socks, can lead to the production of a specific foot odor, isovaleric acid.

③Genital Area, Nipples: Similar to armpits, these areas have a high concentration of apocrine glands, possibly leading to “sousogakushu” or “chichigakushu.”

④Scalp: With well-developed sebaceous glands and a tendency for dandruff to occur, the scalp can produce a distinctive odor when mixed with aldehydes and fatty acids from the hair.

⑤Aging Odor: As we age, the composition of our sebum changes, with an increase in linoleic acid. When this acid oxidizes, it produces a unique odor, 9-nonenal.

⑥Tobacco Odor: Components of tobacco taken into the body during smoking are expelled through the skin and breath, producing a tobacco odor.

⑦Bad Breath: Gases produced when bacteria in the mouth break down leftover food and dead cells are the main cause of bad breath.

⑧Food-Related Body Odor: Consuming garlic, alcohol, red meat, and spices can result in a unique odor, as these foods are broken down and expelled through sweat glands.




Understanding the components of sweat, their functions, and the causes of odors in different parts of the body can aid in more effective body odor prevention. Daily care and lifestyle adjustments can lead to a more comfortable life. However, if you are still concerned about body odor, it may be beneficial to consult a medical professional.

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院長ブログトップ > Factors that Intensify Body Odor from Bromhidrosis and Daily Countermeasures

Factors that Intensify Body Odor from Bromhidrosis and Daily Countermeasures

There are several factors that can intensify the odor associated with bromhidrosis. Understanding these factors can help us find ways to mitigate the smell in our daily lives. Below, we will delve into the causes of intensified body odor and propose some countermeasures.


Main Factors that Intensify Bromhidrosis Odor

①Increased Sympathetic Nerve Activity As mentioned in previous blogs, the fundamental cause of bromhidrosis lies in the apocrine sweat glands. These glands are controlled by the autonomic nervous system, specifically, the sympathetic nerves. Thus, when the sympathetic nerve activity is heightened, or dominates over the parasympathetic nerves that usually balance it, more apocrine sweat is produced, intensifying the bromhidrosis odor.

②Proliferation of Resident Bacteria Substances contained in apocrine sweat, such as N-acetyl-5-methylornithine, are broken down by resident skin bacteria like Corynebacterium, creating compounds like 3-methyl-2-hexenoic acid. This compound is a major cause of the goat-like odor associated with bromhidrosis (as referred to in previous blogs). Resident bacteria proliferate under conditions of increased sebum, which can amplify bromhidrosis odor.

③Rise in Body Temperature An increase in body temperature activates both eccrine and apocrine sweat glands, leading to a stronger body odor.

④Clothing Issues Synthetic fibers, such as polyester, are known to promote the growth of microorganisms responsible for body odor. Furthermore, clothes made of synthetic fibers or garments with poor breathability can inhibit sweat evaporation, raising skin humidity and temperature. This creates a favorable environment for bacterial growth, potentially intensifying bromhidrosis odor.


Daily Countermeasures for Bromhidrosis

①Avoiding Dominance of Sympathetic Nerves Humans tend to have dominant sympathetic nerve activity under stress, fatigue, and lack of sleep. Finding ways to relax and ensuring adequate rest can prevent excessive activity of the sympathetic nerves, thereby reducing bromhidrosis odor. However, it is inevitable that body odor becomes apparent during tense moments due to the activation of sympathetic nerves. Nevertheless, promptly wiping your underarms with wet tissues can help in mitigating the intensity of the odor.

②Understanding the Times When Sebum Increases In women, the concentration of estrogen in the body decreases during premenstrual and menstrual periods, leading to an increase in sebum. Many women suffer from acne during this time, but the increased underarm sebum also creates an environment conducive for the proliferation of resident bacteria, intensifying bromhidrosis odor. Additionally, body temperature tends to rise during these periods, making the apocrine sweat glands more active. Wiping your underarms frequently during these times can help in controlling the odor.

③Choosing the Right Clothing Synthetic fibers, such as polyester, have a different surface structure compared to natural fibers, making them less absorbent of sweat and sebum. On the other hand, cotton (100% Cotton) is a natural fiber with high absorbency, quickly soaking up sweat and allowing it to evaporate, thus reducing odor accumulation. Wool, another natural fiber, is particularly known for its odor-resistant properties, especially merino wool. Bamboo also has antibacterial and absorbent properties, contributing to odor control. Choosing clothing made of natural fibers or those with antibacterial properties is crucial in managing bromhidrosis odor.



Understanding the causes of bromhidrosis odor and implementing appropriate daily countermeasures can significantly reduce this unpleasant smell. However, if these measures are insufficient, medical treatments such as Botox, miraDry, or surgery are available, and seeking professional medical advice is recommended.


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院長ブログトップ > JK is the reason for the B.O.

JK is the reason for the B.O.

JK is a bacteria, formally known as Corynebacterium jeikeium. This skin-resident bacterium plays a major role in producing the distinctive odor associated with body odor, commonly referred to as “BO.”



Mechanism of Body Odor

So why does body odor, medically referred to as bromhidrosis, produce such a unique smell? Let’s delve into the mechanism behind it.

①When the sympathetic nervous system is stimulated, and sweat is secreted, it includes sweat from the apocrine sweat glands located in areas like the armpits. There are two types of sweat glands in the human body: the apocrine sweat glands mentioned before, and the eccrine sweat glands, which are spread throughout the skin and primarily help to regulate body temperature. Eccrine sweat glands do not directly contribute to body odor.

②Individuals with bromhidrosis have higher levels of N-acetyl-5-methylornithine (or compounds similar to it) in their apocrine sweat.

③N-acetyl-5-methylornithine is broken down by skin bacteria such as JK bacteria, resulting in the production of 3-methyl-2-hexenoic acid (TMHA), which is a major contributor to body odor.



About 3-Methyl-2-Hexenoic Acid (TMHA)

TMHA is an unsaturated short-chain fatty acid with the chemical formula C7H12O2. The only instance in which TMHA plays a role in our lives is in creating the smell associated with goats. In other words, the smell of goats and body odor are essentially the same. Body odor is often compared to the smell of rotten cheese, but this is a misconception. The smell of rotten cheese is due to isovaleric acid, which is a different chemical substance.



Can Eliminating JK Bacteria Cure BO?

While JK bacteria, a type of skin resident bacterium, is deeply involved in body odor, it cannot be eliminated as it is a commensal bacterium. While it is possible to temporarily reduce the number of bacteria on the skin through bathing or showering, bacteria can survive deep within the skin or inside hair follicles and will start to multiply rapidly once conditions become favorable again.



Originally, All Humans Had Body Odor

The substance N-acetyl-5-methylornithine in apocrine sweat is a key factor in the development of body odor. Anthropologically speaking, a mutation from 538G to 538A in the ABCC11 gene resulted in the cessation of production of this substance. Please refer to a previous blog for more details on the genetics of body odor.

Historically, it is believed that all humans initially had the GG genotype (associated with wet earwax and body odor). However, at some point, the 538G→538A( ※)mutation occurred, giving rise to individuals with the AA genotype, associated with dry earwax and a lack of body odor. This mutation spread over time, particularly in certain regions and among East Asian populations. The exact timing and reasons behind the emergence and spread of this mutation are not fully understood, but some theories suggest that it may have been advantageous in cold climates or specific ecosystem(s.

(※)The 538G→538A notation refers to a nucleotide change at position 538 in the ABCC11 gene, where guanine (G) is replaced by adenine (A).



In Conclusion

While JK bacteria are heavily involved in body odor, they cannot be eliminated. Since genetic factors play a significant role in the development of body odor, if you are concerned about it, it is recommended that you consult a specialist, such as a dermatologist or a cosmetic surgeon.

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院長ブログトップ > Is Body Odor Inherited from Parents?

Is Body Odor Inherited from Parents?

Body odor, commonly referred to as B.O. or bromhidrosis or osmidrosis, is a prevalent concern. Many wonder to what extent the intensity and risk of this condition can be attributed to genetics.


Role of Genetics

A crucial gene in discussing the relationship between B.O. (osmidrosis) and genetics is ABCC11. This gene is involved in producing a specific compound, N-acetyl-5-methyloornithine, secreted by apocrine sweat glands. When certain bacteria on the skin, particularly from the Corynebacterium genus, break down this compound, they produce 3-methyl-2-hexenoic acid, the primary cause of B.O.


ABCC11 Gene Variations and B.O.

Our bodies are governed by bundles of information called genes, acting as blueprints for specific traits and characteristics. Within these blueprints, small changes or variations, known as SNPs (Single Nucleotide Polymorphisms), exist. Regarding the ABCC11 gene, specific SNPs are associated with B.O., determining whether a person has dry or wet earwax, each type correlating with varying B.O. risks:

■Dry type (AA): Low risk of B.O.

■Wet type (GG): High risk of B.O.

■Intermediate type (GA): Moderate risk of B.O.

Numerous studies have validated the relationship between earwax type and B.O. risk.



Identifying Your Type

Think of it like blood types. While there are combinations like AA, AO, BB, BO, AB, and OO in ABO blood types, focus on AA, BB, and AB for this context.

If both parents are AA, following Mendel’s laws of inheritance, the child will undoubtedly be AA. Similarly, if both parents have the GG variant in the ABCC11 gene (wet type), their child will undoubtedly be GG. On the other hand, if both parents are AA (dry type), the child will not develop B.O.


Onset and Risk of B.O.

Individuals with the GA variant are at a higher risk of B.O. (osmidrosis) compared to AA, but lower than GG. However, this does not mean someone with GA has a B.O. intensity halfway between GG and AA. GA simply indicates a state of carrying two different variations, serving as a gauge for B.O. risk. Nonetheless, the incidence rate and intensity of B.O. are influenced by not just genetic factors but also environmental conditions, diet, lifestyle habits, hormonal fluctuations, and the balance of bacteria on the skin.


Geographical Variations in B.O.

Genetic studies have shown that the AA genotype is particularly common in East Asian regions, gradually decreasing from north to south and east to west. Specifically, the frequency of dry earwax (AA) is incredibly high among Chinese and Korean populations. This suggests that the AA genotype originated in Northeast Asia and later spread worldwide, implying that Chinese and Koreans are more likely to have a lower risk of B.O. (osmidrosis) . Although Chinese people are often said to be as sensitive to smells as Japanese, this could be related to the significantly lower prevalence of B.O. among the Chinese population.



If both parents have B.O. (osmidrosis) , there is a 100% chance their child will inherit the condition. However, the intensity of the odor is influenced by a myriad of factors, including genetics, environment, diet, lifestyle habits, hormonal fluctuations, and the balance of skin bacteria. If you are concerned about potentially having B.O., it is recommended to consult with a specialist, such as a cosmetic surgeon or dermatologist.


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院長ブログトップ > Agnes Acne Treatment Photos

Agnes Acne Treatment Photos

In a previous blog post, we introduced Agnes as an absolutely effective treatment for acne. In this article, we will chronologically follow patients who underwent Agnes acne treatment at both Chiba Chuoh Clinic and Aoyama Celes Clinic with photos.

Agnes Treatment Before and After 3 Sessions


Above Photo: Before Agnes Treatment (March 27, 2022)


Above Photo: After 1 Session of Agnes Treatment (April 24, 2022)


Above Photo: After 2 Sessions of Agnes Treatment (July 13, 2022)


Above Photo: After 3 Sessions of Agnes Treatment (December 25, 2022)


Above Photo: After Completion of Agnes Treatment (March 12, 2023)

As seen in these photos, improvement occurs with each additional Agnes treatment session.



Effectiveness of Agnes

Agnes employs high-frequency radio waves to thermally destroy sebaceous glands within acne, reducing inflammation and decreasing excessive sebum production—the main culprit of acne. With repeated treatments, the bacteria contributing to acne are also eliminated, making acne less likely to recur. Furthermore, Agnes stimulates collagen production by causing minor deep-layer skin damage, promoting the smoothing of acne scars.



Patient Testimonials for Agnes Treatment

Here are some thoughts from actual patients who underwent Agnes acne treatment:

Q: What led you to choose Agnes treatment, and what were your concerns before the treatment?

A: I suddenly developed skin irritation, acne, redness, and nothing seemed to improve it, no matter which skincare products or medications I used. I chose this clinic because there was a possibility of resolving acne from the root with Agnes.

Q: What was your experience with counseling, the explanation before Agnes treatment, and how did you feel about it?

A: I received very thorough explanations and felt that my questions and concerns were addressed with care.

Q: Can you describe the content of Agnes treatment, pain level, and the time it took?

A: The treatment was effective from the start. At the beginning of the treatment, it was a bit painful, but I could endure it as there were short breaks during the procedure.

Q: Please share your experience from the day of the treatment, from arrival at the clinic to after the procedure.

A: After counseling, the doctor examined me, and then I received a detailed explanation. After the treatment, I experienced some redness, but I followed the post-treatment care instructions provided.

Q: What was the progression after the treatment?

A: Initially, there was a slight swelling. However, the redness gradually subsided the next day.

Q: Tell us about the content of Agnes aftercare and your thoughts on it.

A: I found iontophoresis to be pleasant. I also learned the importance of moisturizing.

Q: Please share your thoughts on the results of Agnes treatment (satisfaction, positive aspects, etc.).

A: I am extremely satisfied! I chose the 6-session course, but I saw significant improvement after just 3 sessions. I now feel confident even without makeup.

Message to the Clinic Staff and Readers of the Report:

I, too, suffered from acne for many years, and while you might find it a bit costly, I believe it’s worth every penny! The earlier you seek Agnes treatment, the better. The doctor and staff were truly kind and attentive. Thank you very much!



In Conclusion

Acne often does not fully resolve with medication alone, and it can lead to noticeable acne scars. Early treatment for acne is crucial, and we highly recommend considering Agnes treatment as an option for timely intervention.

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院長ブログトップ > The Best Acne Treatment: It’s Agnes!

The Best Acne Treatment: It’s Agnes!

Agnes is currently the most popular skin medical treatment for acne. Agnes is a non-invasive procedure designed to address the fundamental causes of acne, such as overactive sebaceous glands, bacteria, and excessive inflammation. In a previous blog, we introduced how Agnes is an application of the Kobayashi Method. While Agnes is highly effective for various skin conditions, including conditions like sweat gland disorders, we’ll focus on its application for acne treatment in this article.



Principles of Agnes Treatment

Agnes treatment employs radiofrequency (RF) technology to target and treat sebaceous glands and inflamed tissues within the skin’s pores. Here are the key principles:

①Utilizing RF Energy: Agnes uses RF energy to selectively destroy overactive sebaceous glands responsible for acne. RF energy is delivered through a specialized handpiece.

②Micro-Insulated Needles: The tip of Agnes’ handpiece features micro-insulated needles with insulating components to protect surrounding tissues. These specialized needles allow precise delivery of RF energy to the sebaceous glands without harming adjacent tissues.

③Thermal Coagulation: RF energy causes controlled thermal coagulation of the sebaceous glands, reducing inflammation, promoting acne scar improvement, and decreasing excess sebum production—the primary contributor to acne.

④Bacterial Elimination: Agnes also aids in eliminating bacteria associated with acne by creating an unfavorable environment for them on the skin.

⑤Collagen Generation: Agnes treatment stimulates collagen production deep within the skin by inducing minor thermal damage. This results in improved skin elasticity and texture, potentially smoothing out acne scars.


Treatment Frequency

The frequency of Agnes treatment varies based on the patient’s acne condition. Typically, treatments are performed every few weeks to a few months. Generally, undergoing treatment once a month for about three sessions can lead to lasting improvements in acne-prone skin.


Treatment Procedure

The treatment process involves:

①Anesthesia: Surface anesthesia with cream is applied before treatment to ensure the patient’s comfort.

②Agnes Device Usage: A nurse, guided by a physician’s instructions, uses the Agnes device to commence treatment.

③Completion of Treatment: The duration of Agnes treatment varies depending on the targeted area but usually takes about 30 minutes.

④Post-Treatment “Melting”: Within three days of Agnes treatment, a follow-up appointment is scheduled to remove any exudate or sebum produced as a result of the treatment.


Agnes Treatment Downtime and Possible Side Effects

Agnes is generally a minimally invasive procedure with minimal downtime. Patients can typically resume their regular activities immediately after treatment. While Agnes has few significant side effects, some individuals may experience temporary redness, swelling, or mild discomfort at the treatment site. These effects usually subside within a few days.



and Results of Agnes Treatment Agnes is highly effective in reducing various types of acne, including inflammatory acne, comedonal acne, and cystic acne. By addressing the root causes of acne, it delivers long-lasting results. Agnes also regulates sebum production, helping prevent future acne breakouts.


Agnes Treatment, Before and After


↑this is before the agnes treatment

↑this is after the agnes treatment 3 times.



In Conclusion

Agnes treatment is garnering attention as a revolutionary advancement in acne treatment. This innovative procedure tackles the primary culprits of acne—overactive sebaceous glands, bacteria, and inflammation—while providing long-term results through a non-invasive approach. Agnes treatment offers hope to those struggling with acne, but it’s crucial to consult with a knowledgeable physician to create a tailored treatment plan. Agnes treatment represents a promising solution for individuals dealing with acne, helping them regain their confidence.

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院長ブログトップ > Dr. Kobayashi’s “Kobayashi Method”

Dr. Kobayashi’s “Kobayashi Method”

A Tribute to Dr. Toshio Kobayashi

We pay our respects to Toshio Kobayashi, M.D., a dermatologist who practiced at the “Aoyama Kobayashi Clinic” in Tokyo. Dr. Kobayashi is particularly renowned for his groundbreaking “Kobayashi Method” in the field of acne treatment. Although his name may be fading from recent memory, I wish to honor Dr. Kobayashi’s legacy and delve into the details of the Kobayashi Method. It’s worth noting that Dr. Toshio Kobayashi has already passed away.



What Is the “Kobayashi Method”?

The “Kobayashi Method” involves the use of needles to penetrate the sebaceous glands responsible for acne and applying electric current to burn and destroy them. Dr. Kobayashi first presented this method in a research paper in 2003. His innovative treatment garnered high praise, and his Aoyama clinic was reputedly thriving. I personally felt a strong interest in learning this method, and I sought opportunities to be mentored directly by Dr. Kobayashi. Unfortunately, he passed away, and that opportunity was lost.



Why Didn’t the “Kobayashi Method” Gain Widespread Recognition?

The “Kobayashi Method” earned a reputation for dramatically improving acne symptoms, garnering recognition among experts in cosmetic surgery and dermatology. However, one of the reasons it didn’t become widely known to the general public is likely due to Dr. Kobayashi’s passing before his innovative treatment could spread. Additionally, there were few physicians capable of practicing the Kobayashi Method, and over time, the name itself began to fade.



Then, Suddenly

Just when I had lost the opportunity to learn the Kobayashi Method and was caught up in other cosmetic surgeries, an extraordinary opportunity came my way. That opportunity was the “Agnes” device. Recommended by a trusted supplier, this device had gained acclaim in Korea for its effectiveness in treating acne. As I listened to the explanation, I immediately recognized that it was an adaptation of the Kobayashi Method. The more I learned, the clearer it became that Agnes was designed to make the Kobayashi Method more practical and effective. Without hesitation, I decided to purchase Agnes. That was seven years ago.



Using Agnes

 Seven years have passed since I started using Agnes. This remarkable device has the potential to dramatically improve acne symptoms. I particularly recommend Agnes as the first choice for patients with inflammatory acne. However, many are unaware that this incredible treatment owes its roots to Dr. Toshio Kobayashi. There is no mention of Dr. Kobayashi on the official Agnes website. I felt compelled to acknowledge Dr. Kobayashi’s accomplishments, and that’s why I’ve written this article about the relationship between the “Kobayashi Method” and Agnes. In tribute to Dr. Toshio Kobayashi.


Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.

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院長ブログトップ > Bumps on the face: What are these? Could it be Sebaceous Gland Hyperplasia?

Bumps on the face: What are these? Could it be Sebaceous Gland Hyperplasia?

Have you ever wondered about Sebaceous Gland Hyperplasia? It’s a condition many people experience, presenting as tiny bumps on certain areas of the face, especially on the forehead and cheeks. These bumps are actually related to an overgrowth or enlargement of the sebaceous glands, which are a natural part of the skin.

sebaceous hyperplasia

What are sebaceous glands?

Embedded in our skin are tiny glands that secrete oils to moisturize and protect. These are the sebaceous glands. Occasionally, these glands can overgrow or enlarge, leading to the condition known as Sebaceous Gland Hyperplasia.

What are the symptoms of Sebaceous Gland Hyperplasia?

These manifest as small bumps on the skin, often appearing soft, shiny, and ranging from flesh-colored to slightly yellowish. Frequently, noticeable blood vessels can also be seen around these lumps. Although these nodules are quite small, about 2-5 millimeters in size, they are painless and do not pose any health risk.

Why does this occur?

The exact cause of Sebaceous Gland Hyperplasia remains unclear. However, hormonal changes, particularly the decrease in androgens with age, have been suggested as contributing factors. This condition is common among middle-aged and older adults, especially those over 50. Genetic predispositions and immunosuppressants can also increase the risk.

Distinguishing from other facial bumps:

①Sebaceous Gland Hyperplasia:

■Appearance: Soft, shiny bumps ranging from flesh-colored to slightly yellowish.
■Features: Often has a depressed center.
■Location: Face, especially forehead and cheeks.


■Appearance: Small, flat, flesh-colored papules measuring 1-3 millimeters.
■Features: Uniform color with a smooth surface.
■Location: Typically, lower eyelids and cheeks.


■Appearance: Small, hard bumps that are white or yellow, about 1-2 millimeters.
■Features: Resemble tiny pearls and feel as hard as keloids.
■Location: All over the face, particularly around the eyes.

④Eccrine Hidrocystoma:

■Appearance: Small cystic lesions containing clear or bluish fluid.
■Features: They may enlarge in hot and humid conditions.
■Location: Mainly on the face, especially around the eyes.

How is Sebaceous Gland Hyperplasia treated?

While the condition is benign and often doesn’t require treatment, those who are bothered by its appearance have several options. Cryotherapy using liquid nitrogen, electrocautery, and laser treatments are a few methods available. Recently, a treatment known as “Agnes” has garnered attention, claiming to address multiple occurrences of Sebaceous Gland Hyperplasia in a single session.


Sebaceous Gland Hyperplasia is a harmless condition characterized by small bumps on specific skin areas and is particularly common in middle-aged and older adults. If you’re concerned about this condition, it’s recommended to seek advice from a dermatologist.


Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.


【Related Articles】

“Bumps Around the Eyes: What Are They? ①Could it be Syringoma?”

The Mysteries of Syringoma: Understanding Its Nature and the Innovative Treatment “Agnes”

“Bumps Around the Eyes: What Are They? ②Could it beMilia?”

“Bumps Around the Eyes: What Are They? ③Could it be Eccrine Hidrocystoma?”


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院長ブログトップ > “Bumps Around the Eyes: What Are They? ③Could it be Eccrine Hidrocystoma?”

“Bumps Around the Eyes: What Are They? ③Could it be Eccrine Hidrocystoma?”

There are various conditions that can cause bumps around the eyes. In previous blogs, we discussed syringoma and milia. This time, our focus is on eccrine hidrocystoma.

Eccrine hidrocystoma is a benign skin tumor derived from sweat glands, particularly appearing in the facial region. Here, we delve deeper into the specifics of eccrine hidrocystoma.

eccrine hidrocystoma

(The photo above showcases an eccrine hidrocystoma)


Characteristics of Eccrine Hidrocystoma

Eccrine hidrocystoma manifests as cystic structures in the sweat glands of the skin. These lesions are typically benign and are most commonly seen around the eyes. They usually appear as small, dome-shaped, clear or bluish cysts on the skin, ranging in size from a few millimeters to about a centimeter. While these lesions are often solitary, there can be instances of multiple cysts. One distinguishing feature of eccrine hidrocystoma is its transillumination, where the cysts allow light to pass through, rendering them a bluish appearance when viewed against light.



Causes of Eccrine Hidrocystoma

While the exact cause and mechanism of eccrine hidrocystoma’s development remain unclear, it’s believed that these cysts form due to blockage or dilation of the eccrine sweat gland ducts. Everyday skin injuries or sun exposure may play a role in its occurrence. Additionally, excessive heat or humidity could also heighten the risk.

Histologically, these tumors are characterized by cystic structures lined with a double layer of cuboidal epithelium, filled with a clear liquid resembling the sweat produced by eccrine glands. Surrounding tissues might show signs of inflammation or fibrosis, based on the lesion’s duration and severity.


Frequency of Occurrence

Though relatively rare, eccrine hidrocystomas are generally seen in adults and the elderly. While women tend to be more affected, men can also develop the condition. However, gender prevalence might vary depending on studies.




These cystic tumors typically appear as small, clear or pale-blue bumps (from a few millimeters to a centimeter) particularly around the eyes. They are usually painless but can cause visual disturbances or discomfort.



Differentiating Between Eccrine Hidrocystoma and Syringoma

 A similar bump that might appear around the eyes is the syringoma. However, they can be distinguished: syringoma are semi-transparent and flesh-colored, while eccrine hidrocystomas are clear or bluish. By touch, syringoma are firm, while eccrine hidrocystomas are soft and mobile.


(The photo above displays a syringoma.)



Treatment Options for Eccrine Hidrocystoma

■Observation: Since they’re usually benign and symptomless, treatment might not be necessary.

■Surgical Excision: These cysts can be surgically removed.

■Laser Treatment: Lasers can treat eccrine hidrocystoma similarly to surgical removal.

■Aspiration: Draining the cyst can reduce its size, though recurrence is possible.

■Botox: Botox (botulinum toxin) can potentially prevent or treat the cyst formation and symptoms by reducing sweat production.




Like many other benign facial bumps, eccrine hidrocystomas might not require removal. However, if you’re concerned about them from a cosmetic standpoint, especially if multiple lesions arise, it’s recommended to consult with an experienced cosmetic surgeon.


Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.


【Related Articles】

“Bumps Around the Eyes: What Are They? ①Could it be Syringoma?”

The Mysteries of Syringoma: Understanding Its Nature and the Innovative Treatment “Agnes”

“Bumps Around the Eyes: What Are They? ②Could it beMilia?”

Bumps on the face: What are these? Could it be Sebaceous Gland Hyperplasia?

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院長ブログトップ > “Bumps Around the Eyes: What Are They? ②Could it beMilia?”

“Bumps Around the Eyes: What Are They? ②Could it beMilia?”

 In a previous blog post, I introduced you to syringomas. Today, we’ll be discussing milia.

Milia are small cysts that appear as tiny white lumps on the face or other parts of the body. Besides milia, other types of bumps that can form on the face include syringomas, sebaceous hyperplasia, and eccrine hidrocystomas. This article, however, focuses on milia.


(The image above shows multiple occurrences of milia around the eyes)



Milia are small white or yellowish cysts commonly found on the face, especially around the eyes, nose, and cheeks. They are also known as “milk spots” and can appear in individuals of all ages, including infants, children, and adults.


How Milia Develop

Milia form when epidermal keratinocytes don’t shed normally and become trapped in the deeper layers of the skin. This is due to abnormal turnover of skin cells or hair follicles, causing keratin to accumulate beneath the skin’s surface. Their content is primarily composed of keratin, a protein found in the outer layer of the skin.


Causes of Milia

While the exact causes of milia are not fully understood, several factors may contribute to their formation, including:

■Skin trauma: Burns, blisters, sunburn, and other skin injuries can sometimes lead to the development of milia.

■Usage of certain skincare products: Ingredients such as liquid paraffin, petroleum jelly, and lanolin in skincare and cosmetics might cause milia in some people.

■Genetic predisposition: There might be a genetic component to the development of milia, as they can run in families.


Frequency of Milia

Milia are a very common skin condition seen in people of all age groups. In newborns, they often appear on the face because their oil glands aren’t fully developed. In adults, external factors like sun exposure or skin trauma can also cause milia. Both men and women can develop milia, and there’s limited data on any specific age or gender predisposition, but generally, it’s a common condition regardless of gender.

Distinguishing Milia from Other Skin Conditions

■Milia: Tiny, hard white or yellowish cysts that mainly appear around the eyes, cheeks, and nose. They are not easily expressed when pressed.

■Syringomas: Transparent to pale yellow small bumps, 1-3mm in size, often appearing on eyelids or cheeks. They often occur in clusters, have a smooth surface, and are movable when pressed.


(The image above shows syringomas)

■Eccrine Hidrocystomas: Transparent to bluish-purple cysts filled with liquid, primarily appearing on the face. They tend to enlarge in hot conditions and shrink in cold environments, making their variability a distinguishing feature.

eccrine hidrocystoma

(The image above shows eccrine hidrocystomas)

■Sebaceous Hyperplasia: Small yellow to brownish bumps that primarily appear in the central facial area. They often occur in clusters, and a tiny central blood vessel may sometimes be seen.

sebaceous hyperplasia

(The image above shows sebaceous hyperplasia)


Treatment Options for Milia

■Observation: Small milia may resolve on their own, especially in infants where they typically disappear within a few weeks without treatment. However, in older children and adults, milia can persist for a longer period, causing discomfort or cosmetic concerns. In such cases, the following treatment options are available:

■Cryotherapy: Using liquid nitrogen to remove the milia.

■Extraction: Extracting the cyst contents using a needle or a CO2 laser.

■Agnes: Using a very fine needle to cauterize the contents. The advantage of Agnes is that it causes minimal damage and gradually reduces the size of milia.

■Retinoid cream: Promotes skin regeneration and may prevent the formation of milia.

■Chemical peels: Removes the top layer of the skin, promoting new skin growth, and can be effective for prevention.

■Other notes: While milia are harmless and often resolve with time, it’s recommended not to attempt removal at home to avoid risks of inflammation or infection. Always consult a professional.


Prevention and Self-Care for Milia

Although it may not be possible to entirely prevent milia, several self-care measures can help reduce their occurrence or recurrence:

■Gentle skincare routine: Avoiding rough or coarse skincare products that could irritate the skin and contribute to milia formation.

■Choose non-comedogenic products: Opt for skincare and makeup products less likely to clog pores.

■Sunscreen: Protecting your skin from excessive sun exposure, as sun damage can increase the risk of milia.



 While milia are harmless and don’t necessarily need removal, their appearance might cause cosmetic concerns for some individuals. If you’re considering removal, it’s recommended to consult an experienced dermatological surgeon.

Written by Kenta Motogami, M.D.

Director of Funabashi Chuou Clinic (Chiba Pref. Japan) ana Aoyama Celes Clinic (Tokyo)

English is available at these clinics.


【Related Articles】

“Bumps Around the Eyes: What Are They? ①Could it be Syringoma?”

The Mysteries of Syringoma: Understanding Its Nature and the Innovative Treatment “Agnes”

“Bumps Around the Eyes: What Are They? ③Could it be Eccrine Hidrocystoma?”

Bumps on the face: What are these? Could it be Sebaceous Gland Hyperplasia?

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