クリニック案内 東京都のクリニック 湘南美容クリニック 秋葉原院 特集記事 English version Japan’s Top Aesthetic Surgeon Explains! Causes of Downward-Turning Corners of the Mouth Due to Aging and 3 Effective Treatments

メニュー

SPECIAL特集記事

Japan’s Top Aesthetic Surgeon Explains! Causes of Downward-Turning Corners of the Mouth Due to Aging and 3 Effective Treatments

This page is created under the supervision of Dr. Shunsuke Nagura, Director of Shonan Beauty Clinic Akihabara Clinic.

2025.2.26

English version

Many people may be concerned about the downward turn of their mouth corners as they age, giving their expression a darker appearance.
In fact, there are several causes for the appearance of downward mouth corners, and by applying the appropriate treatments, you can naturally lift the corners and regain a brighter, more youthful impression.

In this article, Dr. Shunsuke Nagura, Japan’s top aesthetic surgeon with numerous accomplishments, will explain in detail the causes of downward mouth corners and effective treatments. If you're troubled by looking older, please read until the end.

Solving “concerns” about plastic surgery!
Watch Dr. Nagura’s YouTube

First, we will introduce the case of Dr. Nagura, a famous liposuction doctor.

CASE 01

In their 20s

In their 20s
【Treatment details】Liposuction (cheeks + under chin), buccal fat, primalift

【Case explanation]】The face line was sluggish due to buccal fat. By removing fat, my skin becomes less sagging and has a beautiful contour no matter which direction it wraps around.

CASE 02

In their 30s

In their 30s
【Treatment details】 Liposuction (cheeks/under chin), Jowl fat, Maeler fat, Embrace, Secret lift, VOV lift, fat injection (cheeks)

【Case explanation】 People whose lower cheekbones appear sunken. By injecting the harvested fat into the cheeks, a beautiful contour with no dents was created. The fat under my chin has also been reduced.

CASE 03

In their 40s

In their 40s
【Treatment details】 Liposuction (cheeks + under chin), jowl fat, mailer fat, secret lift, VOV lift

【Case explanation】 People who have fat on the side of their mouth that makes their outline look square. By removing fat from the sides of the mouth, the contours have changed to a feminine one. Also, by removing the fat under the chin, the face line from an angle became more beautiful.

CASE 04

In their 50s

In their 50s
【Treatment details】Liposuction (cheeks/under chin), Jowl fat, Maeler fat, Secret lift, VOV lift

【Case description】 A patient had fat in his cheeks and under his chin, making his face look round. By taking the appropriate amount of fat, you can maintain a rounded shape while creating a clean contour.

CASE 05

In their 60s

In their 60s
【Treatment details】Liposuction (cheeks + under chin), jowl fat, mailer fat, buccal fat, secret lift, primalift, VOV lift

【Case explanation】 When you look at it from the front, it doesn't look like there's a lot of fat, but when you look at it from an angle, you can see that there is fat. The sagging area under the chin due to age has been transformed into a more youthful face by removing fat and lifting it with a thread lift.
年代問わず症例写真を多数公開中👀
Instagramで症例をチェック！

Why is Dr. Nagura chosen by many patients both domestically and internationally?

QUESTION 01

01.Dr. Nagura's dedicated state-of-the-art operating room.

01.Dr. Nagura's dedicated state-of-the-art operating room.
The clinic, which spans 8,268 square feet, houses 11 operating rooms. Great care has been taken with the equipment and interior design, incorporating the latest technology. All rooms feature reflective glass that is not visible from the outside, and the glass is treated with UV protection. You can undergo surgery with peace of mind in an operating room filled with Dr. Nagura’s meticulous attention to detail.

QUESTION 02

02.Over 10 lectures at domestic and international conferences. A leading cosmetic surgeon representing Japan.

02.Over 10 lectures at domestic and international conferences. A leading cosmetic surgeon representing Japan.
Not only at domestic conferences, but also at international conferences in Miami, Paris, Shanghai, and Bangkok. He provides specialized knowledge on facial contouring and contributes to the development of international medical practices.

QUESTION 03

03.He has been the number one in the country for 7 consecutive years in the number of liposuction procedures performed on the face.

03.He has been the number one in the country for 7 consecutive years in the number of liposuction procedures performed on the face.
- Facial Liposuction: No. 1 in the country for 7 consecutive years (2018–2024)
- Thread Lift: No. 1 in the country for 6 consecutive years (2019–2024)
- Buccal Fat Removal: No. 1 in the country for 7 consecutive years (2018–2024)
- Jawline Fat Removal: No. 1 in the country for 3 consecutive years (2022–2024)
- Malar Fat Removal: No. 1 in the country for 3 consecutive years (2022–2024)
- Liposuction (Including Body): No. 1 in the country for 4 consecutive years (2021–2024)

With an overwhelming number of cases supporting it, his exceptional technical skill and knowledge create natural beauty.

REASON 04

04.Named the 'Best Aesthetic Surgeon in Japan' for two consecutive years.

04.Named the 'Best Aesthetic Surgeon in Japan' for two consecutive years.
I was honored with the 'Highest Annual Medical Revenue in Japan' award among over 400 doctors at SBC. The amount and quality of patient requests are reflected in the total medical revenue. I believe this is a numerical representation of the 'trust' from my patients. Moving forward, I want to continue facing patients sincerely, entrusting their important bodies to me, and providing medical care that only I can offer.

REASON 05

05.The only fat removal and rejuvenation expert doctor at SBC.

05.The only fat removal and rejuvenation expert doctor at SBC.
This qualification is awarded to doctors who have made significant contributions to high-quality treatments and the advancement of medical technology. In addition to treatment achievements, it recognizes doctors with clear accomplishments in activities such as major domestic and international conference presentations and published papers.

REASON 06

06.15 years of experience in cosmetic surgery.

06.15 years of experience in cosmetic surgery.
Dr. Nagura, with 15 years of experience in cosmetic surgery, performed surgeries for a record 3,619 patients in 2024, the highest number since the opening of the Akihabara clinic. Among 465 SBC doctors, he achieved the highest sales from surgery requests in Japan. His unwavering commitment to "focusing on results" will continue to guide his approach as he provides top-tier cosmetic medical care.

REASON 07

07.Presentation on Revision Surgery at Academic Conference

07.Presentation on Revision Surgery at Academic Conference
Not only has he performed numerous revision surgeries, but he has also presented on revision surgery at academic conferences. His technique and knowledge, based on solid theory, are highly regarded by plastic surgeons both domestically and internationally, contributing to the advancement of medical technology.

REASON 08

08.He has performed numerous complex and revision surgeries.

08.He has performed numerous complex and revision surgeries.
He handles revision surgeries that require high skill, including corrections for unevenness after liposuction, under- or over-suction, and asymmetry in eyelid openings. He has also performed liposuction for contour revisions up to the fourth time, and correction requests from China were featured on a TV program.
Behind-the-scenes footage of fat suction revision surgery is now available!
Watch Dr. Nagura's YouTube

REASON 09

09.Performed many surgeries as a cosmetic surgeon

09.Performed many surgeries as a cosmetic surgeon
Many cosmetic surgeons from across the country visit to learn about various doctors' surgeries. Surgery requests from other cosmetic surgeons are proof of high recognition for their skills.

REASON 10

10.Performed surgery on my own mother.

10.Performed surgery on my own mother.
Many surgeons are reluctant to perform surgery on family members, but I firmly believe in my policy of fully committing to ensuring my patients' satisfaction. This dedication drives me to give my all in every surgery I perform.

With this mindset, I decided to carry out the procedure to fulfill my mother's desire to "look younger." Instead of making drastic changes, my goal was to help her look naturally 15 years younger.

REASON 11

11.Aesthetic Surgery Instructor

11.Aesthetic Surgery Instructor
He has mentored numerous cosmetic surgeons active both domestically and internationally. His expertise has earned the trust of doctors around the world.

REASON 12

12.He has performed surgeries on numerous celebrities.

12.He has performed surgeries on numerous celebrities.<br />
He has performed surgeries on many celebrities, including removing under-eye bags for influencer R-chan and corrective surgery for the celebrity Vanilla.
名倉医師のモニターを見る

REASON 13

13.There are over 200 staff members and doctors waiting for surgery.

13.There are over 200 staff members and doctors waiting for surgery.
Not only the staff working alongside me, but also over 200 staff members and plastic surgeons from across the country have requested surgeries. The requests from staff and plastic surgeons themselves are a testament to my high level of expertise.

REASON 14

14.I handle a wide range of patients, from men to individuals in their 20s to 70s.

14.I handle a wide range of patients, from men to individuals in their 20s to 70s.
I handle surgeries for a wide age range, from people in their 20s to 70s, as well as for men. With extensive experience, I offer tailored treatment plans that address each patient's unique concerns based on their age and gender.

REASON 15

15.Appeared on television as a skilled surgeon.

15.Appeared on television as a skilled surgeon.
As a highly skilled surgeon, appeared on various TV programs such as Fuji TV's "Ariyoshi Damasetara 100,000 Yen," "Viking," and "Akuma no Biyou Jutsu."

QUESTION 16

16.Two-time champion of the "Plastic Surgery Cinderella" contest.

16.Two-time champion of the ">
He won the grand prize in a contest where cosmetic surgeons from all over Japan compete in their skills, for two consecutive years. This was featured on Fuji TV's "Nonfiction."

REASON 17

17.Developer of Liposuction Injections and Suction Lift.

17.Developer of Liposuction Injections and Suction Lift.
Responding to customer feedback, I further enhanced the Korean fat-reducing liposuction injection for smaller faces. Liposuction is a suitable treatment for those who are afraid of surgery or cannot afford significant downtime.

REASON 18

18.Trust from patients.

18.Trust from patients.
I receive requests daily not only from within Japan but also from overseas. Many of my patients return, and I have patients who travel from all over the country, saying, "I want to entrust my body to you, even if it means traveling far." Dr. Nagura's commitment to "delivering results because I am entrusted with such an important part of a person's body" has fostered a high level of trust.

REASON 19

19.Trust from staff and family

19.Trust from staff and family<br />
Dr. Nagura also performs surgeries for the staff he works with and their families. His commitment to the principle of "focusing on results" is why he receives so many requests. The trust from staff and their families is a testament to his skill and reliability.

REASON 20

20.Dr. Nagura is capable of performing surgeries for the eyes, nose, facial contours, and nasolabial folds.

20.Dr. Nagura is capable of performing surgeries for the eyes, nose, facial contours, and nasolabial folds.<br />
Dr. Nagura, with his extensive knowledge and high level of skill, handles all types of surgeries, including contouring, nasolabial folds, eyelid surgeries, and rhinoplasty. Case photos for each procedure are also available on Instagram.
Case photos for procedures such as liposuction, under-eye bags, and eyelid surgeries are currently being shared on 11 different accounts 👀.
Check out case photos on Dr. Nagura's Instagram.

REASON 21

21.Board-certified plastic surgeon and certified regenerative medicine specialist.

21.Board-certified plastic surgeon and certified regenerative medicine specialist.
A certified regenerative medicine specialist is a qualification granted by the Japanese Society for Regenerative Medicine. Even among doctors performing regenerative medicine procedures (such as rejuvenation using fat), few possess this certification. It serves as proof that the doctor’s knowledge and skills are recognized by the Japanese Medical Association.

REASON 22

22.Awarded the Best Clinic Award.

22.Awarded the Best Clinic Award.
Dr. Nagura, who serves as the director at the Akihabara clinic, part of the 214 clinics of Shonan Beauty Clinic nationwide, was honored with the "Best Clinic Award" for the Akihabara clinic, which ranked first. We will continue to strive to provide a higher level of aesthetic medical services to ensure that patients feel satisfied and glad they chose the Akihabara clinic.
Book a Consultation Now

1. What are the main causes of downward mouth corners?

POINT 01

Causes of downward mouth corners and the factors behind them

Causes of downward mouth corners and the factors behind them
Many people feel that their mouth corners have dropped with age, but the cause is not just skin sagging.

Main causes of downward mouth corners:
・Marionette lines (shadows around the mouth): Aging causes shadows to form around the mouth, making the corners appear to drop.
・Influence of jowl fat: When there is excess fat around the mouth, the weight can cause the corners to droop.
・Muscle influence: Strong activity of muscles like the "depressor anguli oris" can pull the corners of the mouth inward.

As you can see, there are various factors involved in the drooping of the mouth corners, so choosing the right treatment is crucial.

2. Options for Lifting the Corners of the Mouth

POINT 01

Optimal treatments for lifting the corners of the mouth

Optimal treatments for lifting the corners of the mouth
There are several methods to lift the corners of the mouth.

① Mouth corner lifting (mouth corner incision)
This surgery directly lifts the corners of the mouth, providing immediate results. However, it has limited applicability, so it needs to be chosen carefully.
② Fat removal (liposuction)
Reducing jowl fat, which causes shadows around the mouth, can provide a natural lifting effect.
③ Lift-up procedures
Combining thread lifts and facelifts can improve the downward turn caused by sagging skin.

Among these, fat removal and lift-up procedures are recommended for those seeking a more natural result.
How much can liposuction really change?
Check Dr. Nagura's case photos

3. Removing Shadows for a Naturally Youthful Look

POINT 01

Eliminate shadows around the mouth to achieve natural rejuvenation

Eliminate shadows around the mouth to achieve natural rejuvenation
One of the major factors in downward mouth corners is "shadows."

For example, dark shadows around the mouth can give the impression of a drooping mouth even without sagging.
A method to reduce these shadows is a treatment that appropriately removes fat.

In particular, jowl fat liposuction can eliminate excess fat around the mouth, removing the shadow and lifting the corners naturally.
Dr. Nagura has an overwhelming record as the national No.1 for jowl fat removal surgeries for 7 consecutive years.
If you’re concerned about jowl fat
Book a consultation now

4. Benefits and Risks of the Procedure

POINT 01

Key points of jowl fat removal

【Benefits】
・Natural results
・Brighter appearance around the mouth
・Relatively short downtime (most bruising disappears within 1-2 weeks)

【Risks】
・Limited applicability for some patients
・May require combining with other procedures

5. Safe Treatments by an Aesthetic Surgeon Specialist

POINT 01

Trustworthy treatment by Dr. Nagura

Dr. Nagura has 15 years of experience in aesthetic surgery, is a certified regenerative medicine specialist, and boasts the largest number of cases in Japan. He has also presented at many domestic and international conferences.

Furthermore, many surgeons are reluctant to operate on their own family members, but Dr. Nagura has performed surgery on his own mother as well as staff members, demonstrating his trust and exceptional skill. He is also trusted by many doctors as a technical instructor.

Dr. Nagura’s treatments are not just about lifting the corners of the mouth; he recommends "appropriate methods based on the cause." He will only suggest treatments that truly promise results and will communicate clearly if a procedure is unnecessary. This approach is one of the reasons why so many patients choose him.

6. Conclusion

POINT 01

Choosing the best treatment and doctor

Choosing the best treatment and doctor
By understanding the causes of downward mouth corners and receiving appropriate treatment, you can achieve a natural and youthful-looking mouth.
If you're unsure about which procedure to choose, feel free to consult with Dr. Nagura, who has abundant experience in fat removal and lift-up procedures.
Log in to MySBC!
Book a consultation with Dr. Nagura

Liposuction FAQ

QUESTION 01

Is it better to have liposuction and thread lift at the same time?

Dr. Nagura of Akihabara Clinic, a leading liposuction doctor, recommends the combination of liposuction and thread lift.

The benefits of doing treatments at the same time are 〇〇!
The video explains it in detail, so please check it out.

QUESTION 02

Any internal bleeding or swelling?

・Internal bleeding takes about 1 week to 10 days
・Swelling lasts for about 1 to 2 weeks
And it often heals. Downtime varies greatly from person to person, so it may be shorter or longer than the above.

In order for our customers to undergo surgery with as much peace of mind as possible, we have posted many realistic downtime periods on Youtube.
Please check it out!

QUESTION 03

Is there any pain?

Pain is an area where technical ability has a great influence.
Dr. Nagura performs liposuction with a high level of skill, so during the downtime you will experience mild pain similar to muscle pain.

We also provide painkillers, so if you are concerned about pain, we recommend that you take them.

QUESTION 04

How long does it take to finish?

It will take six months to a year to complete the procedure after liposuction.
Many people may be worried because the period will be different from the downtime period, but Dr. Nagura has produced solid results, so please wait with confidence.

QUESTION 05

How to care for contractures?

Contractures (hardness of wounds) can be healed quickly by improving blood flow, so massage can help contractures heal quickly.
Massage is not recommended for those who absolutely do not want their skin to sag after surgery.
Instead, Dr. Nagura recommends ``neck stretches.''

QUESTION 06

What if you received liposuction at another hospital but were not satisfied?

There may also be some fat left behind.
In addition, there may be muscular or skeletal causes that cannot be cured with liposuction.

Dr. Nagura is a doctor who specializes in corrections, and is able to accurately determine the cause of dissatisfaction and make recommendations.
We have also posted the details of the modifications on YouTube, so please check it out.

If you are worried about correction, please consult Dr. Nagura, a famous facial liposuction doctor.
Many liposuction correction surgeries! Akihabara clinic, Dr. Nagura!
Book a consultation

MENUメニュー

For those who want to keep their face line neat!

Facial liposuction [Aquicell liposuction/rooted VASER liposuction]

*All prices include tax. Separate anesthesia fees may be charged depending on the procedure.

〈セット内容〉

⚫︎Regular price (monitor price in parentheses)
Aquicell liposuction (cheeks) 330,000 yen (198,000 yen)
Aquicell Liposuction (cheeks + under chin + under gills) 513,600 yen (308,160 yen)
Uprooted VASER liposuction (cheeks) 220,000 yen (132,000 yen)
Uprooted VASER liposuction (cheeks + under chin) 342,200 yen (205,320 yen)
Mailer fat 220,000 yen (154,000 yen)
Buccal fat 195,100 yen (136,570 yen)

Book a consultation

Combined with liposuction to create the smallest face possible! thread lift

Primalift, VOV lift, Secret lift, Tess lift

*All prices include tax. Separate anesthesia fees may be charged depending on the procedure.

〈セット内容〉

⚫︎Regular price (monitor price in parentheses)
Primalift 2 bottles 19,200 yen (16,320 yen)
2 VOV lifts 36,800 yen (31,280 yen)
2 secret lifts 48,800 yen (41,440 yen)
2 Tes lifts 59,200 yen (54,400 yen)

Book a consultation

Dr. Nagura is now recruiting monitors for nasolabial fold treatment!

By providing photos, you can receive nasolabial fold treatment at a discounted price. We will work closely with each individual to understand their concerns and offer the most suitable treatment. Let's improve those nasolabial folds and achieve a natural, youthful appearance!

*Please note that you will need to visit the clinic after the procedure for photo-taking.
*Depending on your request and suitability, you may not be eligible for this monitor treatment. Thank you for your understanding in advance.
Apply for monitor treatment. See Dr. Nagura's case photos

BEFORE AFTER施術前と施術後の変化

  • 施術前

    施術後

  • 施術前

    施術後

  • 施術前

    施術後

  • 施術前

    施術後

  • 施術前

    施術後

  • 施術前

    施術後

MOVIE動画

特集一覧に戻る

POPULAR秋葉原院の人気の特集を見る

CLINICクリニック案内

CLINIC クリニック案内

  • モニター募集
  • 駅チカ
0120-955-822 道案内はこちら
所在地 東京都千代田区外神田3丁目12-8 住友不動産秋葉原ビル10階
診療時間 AM9:00～PM6:00
※年中無休・予約制
アクセス 【JR秋葉原駅 電気街改札】改札より徒歩3分
【東京メトロ日比谷線 秋葉原駅 ３番出口】改札より徒歩10分
【つくばエキスプレス 秋葉原駅 A2番出口】改札より徒歩8分
【東京メトロ銀座線 末広町駅 1番/3番出口】改札より徒歩5分

※大きなビルのため、ビル1階から10階受付まで約5分ほどかかります。お時間に余裕を持ってお越しください。
※各駅からのアクセスは下記よりご確認頂けます。

秋葉原院では、脂肪吸引や糸リフトなどの小顔整形、脂肪注入によるEライン形成術などを得意としています。そのほか、二重整形、医療脱毛、美容皮膚科など、幅広い施術を取り扱っています。院長である名倉医師は、顔の脂肪吸引症例数が7年連続で全国No.1（2018～2024年）、糸リフト症例数は6年連続で全国No.1（2019～2024年）です。“整形シンデレラオーディション”ではグランプリを2度受賞しています。丁寧にお客様のお悩みをお伺いし、適切な施術をご提案いたします。
JR「秋葉原駅」より徒歩3分です♪ まずはお気軽に、お電話またはメールにてお問い合わせください。


私たちと一緒に働きませんか？ 私たちと一緒に働きませんか？

監修医師紹介

名倉 俊輔 医師
秋葉原院院長
名倉 俊輔 医師
プロフィールを見る
保有資格
美容外科専門医(JSAS)/再生医療認定医/日本癌治療学会会員/日本乳癌学会会員/アメリカ心臓協会ヘルスケアプロバイダー/ボトックス認定医/日本抗加齢医学会会員/日本救急医学会会員/サーマクール認定医/VASER脂肪吸引認定医/日本医師会認定 健康スポーツ医
経歴
2009年 日本大学医学部卒業
- 国立横浜医療センター（形成外科）勤務
2010年 横浜市立大学付属市民総合医療センター（形成外科）勤務
2011年 湘南美容クリニック 入職
2012年2月 湘南美容クリニック 川崎院院長
2012年9月 湘南美容クリニック　町田院院長
2016年4月 町田橋本総括院長
2017年9月 秋葉原院院長就任
2020年 エリア統括ドクター就任

SBCメディカルグループ クリニック一覧

北海道

東北地区

東京

関東

関東おすすめドクター

中部地区

関西地区

関西おすすめドクター

中国・四国地区

九州・沖縄地区

海外

オンラインクリニック クリニック一覧

リッツ美容外科 クリニック一覧

ゴリラクリニック クリニック一覧

リゼクリニック クリニック一覧

交通費支給制度 交通費支給制度

様々な科目の専門医・学会会員が
在籍しています

湘南美容クリニックは日本美容外科学会（JSAPS）専門医、日本美容外科学会正会員、日本形成外科学会専門医 、先進医療医師会 参与、日本再生医療学会 理事長補佐、国際美容外科学会（International Society of Aesthetic Plastic Surgery）Active Member、医学博士、厚生労働省認定臨床研修指導医、日本整形外科学会・専門医、日本麻酔科学会認定医、厚生労働省麻酔科標榜医、日本外科学会専門医・正会員、日本胸部外科学会正会員、日本頭蓋顎顔面外科学会会員、日本静脈学会会員医学博士、日本医師会認定産業医、日本抗加齢医学会会員、日本マイクロサージャリー学会会員、GID（性同一性障害）学会会員、日本脂肪吸引学会会員、美容皮膚科学会正会員、日本レーザー治療学会会員などの資格を保有した医師が在籍しております。

ドクター紹介はこちら
様々な科目の専門医・学会会員

当ページは医療広告ガイドラインを遵守し、医師監修のもと掲載しています

SBCメディカルグループでは、2018年6月1日に施行された医療広告ガイドラインを受け、ホームページ上からの体験談の削除を実施しました。また、症例写真を掲載する際には施術の説明、施術のリスク、施術の価格も表示させるようホームページを全面的に修正しております。当ホームページをご覧の患者様、お客様にはご迷惑、ご不便をおかけ致しますが、ご理解のほどよろしくお願い申し上げます。