For patients comparing non-surgical tightening options such as Thermage RF, HIFU, Titan XL or laser treatment, with a preference for shorter treatment time and limited downtime.
English cosmetic dermatology in Tokyo
Visibly firmer, luminous skin.
Skin tightening treatment in
Tokyo.
Advanced lifting and rejuvenation for cheeks, jawline, neck sagging and tired-looking skin, with options for patients who want to compare early visible improvement, shorter treatment times, comfort during treatment and minimal downtime.
Options
Non-surgical to surgical
Planning
Downtime discussed in advance
Support
Consultation available in English
Skin tightening treatment for face sagging, jawline laxity and neck sagging.
Recommended for those who
- Notice sagging around the cheeks, jawline, under eyes or neck
- Want to compare non-surgical options before considering surgery
- Are concerned about deepening nasolabial folds or marionette lines
- Want a natural-looking result that does not look overdone
- Need consultation and reservation options in English in Tokyo
What causes sagging?
Effective lifting starts by identifying the layer that is changing.
Facial sagging is usually caused by a combination of reduced skin elasticity, weakening facial support, fat descent, volume loss and age-related bone changes. A fold around the mouth, a heavier jawline or an eye bag can look similar from the outside but come from different layers.
Azabu Skin Clinic offers multiple treatment routes so the doctor can match the plan to the cause: Thermage RF for skin tightening, HIFU for deeper support, fillers for volume, lift-up injections for mild laxity, thread lift for mechanical lift and facelift surgery for stronger correction.
Key point: there is no single best skin tightening treatment for
everyone. The appropriate option depends on the area, severity,
skin thickness, volume loss and tolerance for downtime.
Treatment menu
Choose a skin tightening treatment by cause, area and downtime.
Each option is summarized by method and suitable concerns. Compare downtime and prices in the dedicated sections below.
For patients whose sagging impression is affected by hollowness, folds or mild skin laxity, and who want to discuss volume improvement that may be visible soon after injection-based treatment.
For jowls, jawline descent or stronger lower-face sagging that may need physical repositioning.
Illustrative image.
Thermal energy treatment
Thermacool / Thermage RF skin tightening
Thermacool uses radiofrequency energy to reach deeper layers of the skin, supporting collagen remodeling and a firmer-looking appearance. It may be considered for patients who want overall facial lifting, stronger tightening, a non-surgical approach and limited downtime. Patients comparing Thermage, Thermage FLX, comfort during treatment or the best Thermage treatment in Tokyo should confirm the current device, settings, expected discomfort and course during consultation.
Recommended for
- Overall facial lifting and tightening
- Firmness, pore tightening and jawline contouring
- Nasolabial fold improvement with no surgical incision
Price
Thermacool 4-pass courseJPY 151,800
Approx. USD 1,010*
Thermage treatment explanation
Thermage RF is positioned as an energy-based option for patients comparing non-surgical skin tightening with minimal downtime. Redness, warmth or tenderness may occur, so suitability, expected discomfort and the downtime estimate should be confirmed during consultation.
HIFU treatment
Doublo Gold HIFU / ultrasound skin tightening
Doublo Gold is a HIFU treatment for sagging that delivers high-density ultrasound to deeper layers. It may be considered for cheek sagging, nasolabial folds, the full face and the eye area without using a scalpel. It supports ultrasound skin tightening and non-surgical lifting goals while avoiding a surgical incision. Patients comparing Ultherapy treatment, comfort during treatment, searching for Ultherapy near me or researching Thermage vs Ultherapy can use this section to understand ultrasound-based lifting; current device availability, expected discomfort and downtime estimate should be confirmed during consultation.
Recommended for
- Patients who prefer a non-surgical lift
- Cheek sagging, eye-area lines and nasolabial folds
- Those who want a stronger effect from one treatment
Price
Full face trialJPY 135,000
Approx. USD 900*
Doublo Gold treatment explanation
Doublo Gold HIFU is an ultrasound-based option for patients who want lifting without surgery and a clear downtime estimate. It may be considered for cheek sagging, eye-area lines and folds, but treatment strength, discomfort and recovery vary by area.
Near-infrared tightening
Titan XL
Titan XL uses near-infrared light to contract and tighten collagen in the dermis, then support collagen regeneration. It is described as a gentler option for patients comparing quick, comfort-focused skin tightening options with minimal downtime, and many patients may be able to apply makeup soon after treatment depending on skin response.
Recommended for
- Face swelling, dullness and mild laxity
- Fine facial wrinkles, neck and chin sagging
- Patients who prefer a gentler heat-based treatment
Price
Full face, 2 passesJPY 37,620
Approx. USD 250*
Titan XL treatment explanation
Titan XL is described as a gentler near-infrared tightening treatment. It may suit patients looking for a shorter treatment time, comfort-focused care and minimal interruption, but the clinic should confirm whether it matches the severity of sagging.
Illustrative image.
Fractional laser tightening
Power Lift Laser
Power Lift Laser is a fractional laser treatment using thermal energy to stimulate fibroblasts and support collagen production. It is described for facial sagging, wrinkles around the eyes and enlarged pores, and is relevant for patients comparing laser-based skin tightening options and downtime estimates by laser strength.
Recommended for
- Sagging skin on the face, eye area and neck
- Wrinkles around the eyes and face
- Pore improvement with laser-based collagen remodeling
Price
Cheeks, one sessionJPY 28,400
Approx. USD 190*
Power Lift Laser treatment explanation
Power Lift Laser supports collagen remodeling through fractional laser energy. It is positioned for facial sagging, eye-area wrinkles and pores, with downtime depending on treatment strength and skin response. Patients searching for no downtime skin tightening should confirm whether laser redness, sensitivity or other recovery time may occur.
Volume restoration injection
Hyaluronic acid filler injection
Hyaluronic acid filler can add natural volume and support to areas such as nasolabial folds, under-eye wrinkles and selected facial wrinkles. It is often compared by patients looking for volume improvement that may be visible soon after treatment, shorter treatment time and short downtime, while bruising or swelling may still occur. Dr. Chiaki Kawashima is listed as a Galderma Certified Trainer for filler injection treatments.
Recommended for
- Specific folds, wrinkles and under-eye hollowness
- Patients who want a shorter treatment time
- Volume-related sagging rather than only skin laxity
Price
0.1 mlJPY 7,900
Approx. USD 53*
0.1 ml with anesthesia, varies by productJPY 7,900 or JPY 12,000
Approx. USD 53-80*
Lift-up injection, cheeks, one sessionJPY 62,000
Approx. USD 410*
Injection treatment explanation
Hyaluronic acid filler addresses volume loss, folds and selected wrinkles. Lift-up injection is grouped here as another injection route for mild laxity and surface refinement, making it easier to compare early visible improvement, comfort during treatment and downtime estimates.
Illustrative image.
Non-surgical mechanical lift
Thread lift for jowls and jawline tightening
Thread lift uses absorbable medical threads with barbs to lift sagging tissue without a scalpel. The threads are absorbed over about 1 to 2 years, while collagen around the threads helps maintain firmness.
Recommended for
- Face line lift and double chin improvement
- Cheek and nasolabial fold area concerns
- Patients interested in a facelift but preferring non-surgical treatment
Price
4 threadsFrom JPY 160,000
Approx. USD 1,070*
6 threads, campaign priceJPY 200,000
Approx. USD 1,330*
Thread lift treatment explanation
Thread lift is positioned between injection treatment and surgery. It may create a lifting effect that is visible sooner than energy-device treatment for selected patients, but swelling, pulling sensation and unevenness can occur. Patients searching for no downtime treatment should compare the downtime estimate before choosing threads.
Surgical correction
Facelift and other surgical treatments
Facelift surgery is described as one of the longer-lasting rejuvenation methods for sagging of the cheeks, neck and eye-area descent. It is considered when a stronger correction is desired than energy or injection treatment can provide, especially when quicker or immediate-looking non-surgical goals are not realistic.
Recommended for
- Patients who want stronger correction for significant sagging
- Cheek, neck and lower-face sagging
- Patients who accept surgical downtime for a longer-lasting approach
Price
Facelift and other surgical treatmentsFrom JPY 400,000
Approx. USD 2,670*
Facelift treatment explanation
Facelift surgery is the strongest route in this treatment menu for significant sagging. It is not appropriate for patients who need minimal downtime and requires a separate explanation of surgical risks, scars, anesthesia, downtime estimate and aftercare before deciding.
*Approximate USD amounts are rounded reference figures calculated at JPY 150 = USD 1. Payment, official quotation and final billing are in JPY. Prices, exchange rates and treatment suitability should be confirmed with the clinic.
Need help choosing?
Discuss the right treatment for your concerns.
Book an English consultation to compare suitable options, expected recovery and the next step.
Doctor profile
Experience in lifting, fillers and skin tightening.
Dr. Chiaki Kawashima graduated from Tokyo Medical University in 1992 and established Azabu Skin Clinic in 2002.
Her documented fields include hyaluronic acid filler injection, Thermage RF and Doublo Gold HIFU, supported by the training certificates shown below.
More than 20 years leading Azabu Skin Clinic in cosmetic dermatology and anti-aging care.
Energy-based lifting treatments and hyaluronic acid filler injection.
Expected results, limitations, risks and recovery are explained before treatment.
Training and certifications
Documented training across energy devices, injectables and anti-aging medicine.
These certificates support the clinic's experience claims and help patients understand the doctor's training background. They do not guarantee individual treatment results; suitability is confirmed at consultation.
Swipe to view more certificates
Treatment comparison
Skin tightening treatment comparison and prices.
Compare non-surgical facelift options, injections, thread lift and facelift surgery by concern, method and listed starting price. Prices are taken from the existing English campaign page and should be confirmed with the clinic before booking.
Hyaluronic acid filler listed from 0.1 ml. Product, anesthesia and area affect final price.
Laser, Titan XL, Thermage RF and HIFU differ by area, pass count, device and course.
Thread lift pricing depends on thread count. Surgical facelift has a separate recovery discussion.
| Treatment | Best matched concern | Method | Listed price |
|---|---|---|---|
| Thermacool / Thermage RF | Whole-face skin tightening, firmness, pores, jawline contouring and nasolabial folds | Radiofrequency heat supports collagen remodeling in deeper skin layers. | 4-pass course from JPY 151,800 Approx. USD 1,010* |
| Doublo Gold HIFU | Cheek sagging, eye area, folds, ultrasound skin tightening and non-surgical lift goals | High-density ultrasound targets deeper support layers without a scalpel. | Full face trial from JPY 135,000 Approx. USD 900* |
| Titan XL | Face swelling, dullness, fine wrinkles, neck and chin sagging | Near-infrared light tightens collagen in the dermis and supports regeneration. | Full face, 2 passes from JPY 37,620 Approx. USD 250* |
| Power Lift Laser | Facial sagging, eye-area wrinkles and enlarged pores | Fractional laser thermal energy supports fibroblast stimulation and collagen remodeling. | Cheeks, one session from JPY 28,400 Approx. USD 190* |
| Hyaluronic acid filler / lift-up injection | Volume loss, under-eye wrinkles, nasolabial folds, mild cheek laxity and pore tightening | Injection restores selected volume or supports surface refinement depending on the product and layer. | Filler 0.1 ml from JPY 7,900; with anesthesia/product variation JPY 7,900 or JPY 12,000. Lift-up injection cheeks from JPY 62,000 Approx. USD 53-410* |
| Thread lift | Face line, double chin, jowls, sagging jawline, cheeks and nasolabial fold area | Absorbable medical threads with barbs physically lift sagging tissue. | 4 threads from JPY 160,000; 6 threads campaign price JPY 200,000 Approx. USD 1,070-1,330* |
| Facelift surgery | Significant sagging requiring stronger correction | Surgical lifting removes and repositions facial sagging around cheeks and neck. | From JPY 400,000 Approx. USD 2,670* |
On mobile, each treatment appears as a separate comparison card.
*Approximate USD amounts are rounded reference figures calculated at JPY 150 = USD 1. Payment, official quotation and final billing are in JPY.
Before and after
Case images should support, not replace, consultation.
Individual results vary by age, skin condition, anatomy and treatment choice. Confirm expected outcome, risks and downtime with the doctor.
After reviewing the cases
Talk through what may be appropriate for you.
Case images are examples only. The doctor will assess your anatomy, goals and medical history during consultation.
Downtime and precautions
Check recovery before choosing a treatment.
- Energy treatment
- Often selected by patients who want faster skin tightening options, comfort-focused care and minimal downtime. Mild redness, swelling, warmth or tenderness may occur; many patients plan for same day to 2 days as a practical downtime estimate, depending on the device and area.
- Injection
- Injection treatment is often relatively quick and may be chosen by patients who want volume improvement that may be visible soon after treatment, but bruising, swelling, redness, asymmetry or lumpiness can occur. Many patients plan for several days; visible bruising can last 1 to 2 weeks.
- Thread lift
- Thread lift can create a quicker lifting impression than some device treatments, but swelling, pulling sensation, bruising and temporary unevenness may occur. A practical downtime estimate is about 1 to 2 weeks, varying by thread count and area.
- Facelift surgery
- Surgery is not positioned for patients who need minimal downtime or a lower-discomfort option. It requires a separate risk and recovery discussion. Initial downtime is often 1 to 2 weeks or longer, with swelling and scar maturation continuing beyond the early recovery period.
Trust and disclosure
Clinic facts, source basis and safety notes.
This section summarizes clinic information, the sources used for the treatment descriptions and the safety points to discuss during consultation.
Clinic information
Azabu Skin Clinic is a cosmetic dermatology clinic in Minami Azabu, Minato-ku, Tokyo. The clinic is near Hiroo Station and provides booking options in English for international patients.
Source of treatment information
This page summarizes Azabu Skin Clinic's English campaign content into treatment definitions, price rows, area-specific answers and FAQ. Listed prices and treatment names should be confirmed with the clinic before booking.
Medical limitations and safety
Results vary by anatomy, age, skin quality, severity and selected treatment. This page does not guarantee outcomes; consultation is required to confirm risks, downtime, contraindications and whether treatment is appropriate.
Treatment flow
From reservation to aftercare.
1
Reservation
Book through the online reservation form, email consultation route or clinic phone numbers.
2
Consultation
The doctor checks the area, depth and likely cause of sagging before recommending a personalized treatment plan.
3
Treatment explanation
Confirm expected effect, price, downtime, risks and alternatives before deciding whether to proceed.
4
Aftercare
Follow the clinic's aftercare instructions according to the treatment selected.
FAQ
Frequently asked questions.
What information should I share before my appointment?
Please tell the clinic about current medication, allergies, previous cosmetic procedures and relevant medical conditions. Do not stop prescribed medication unless a qualified clinician tells you to do so.
Can I have treatment if my skin is irritated or sunburned?
Please inform the clinic before your visit if you have sunburn, a rash, open skin or active irritation. The doctor may recommend waiting until the area has settled or may suggest a different approach.
Can two treatments be performed during the same visit?
Sometimes, but the order, timing and suitability of combining procedures depend on the doctor's assessment. Some options may need to be scheduled separately for safety and recovery planning.
Will I need a follow-up appointment?
Follow-up needs vary by procedure and individual circumstances. The clinic will explain expected reviews, aftercare and when to contact them before you proceed.
Can I decide on the procedure after the consultation?
Yes. You do not need to choose a procedure in advance. The doctor can discuss the available approach, expected process, risks, recovery and fees before you decide whether to proceed.
Book a consultation
Choose the treatment after your sagging pattern is assessed.
The most reliable way to choose between RF, HIFU, injections, thread lift and surgery is to let the doctor assess the layer and severity of sagging, then build a personalized treatment plan in English.