SELECT CLINIC Omotesando Director Yoshifumi Uehara: "Fat Dissolving Injections Will Never Beat Liposuction" - "Clinics Saying Injections Alone Are Enough Are Wrong!"?

The YouTube channel "Women Pursuing Beauty - Testimonial Taker x Specialist Podcast -", operated by "Kireirepo", a major media outlet for cosmetic medicine, is drawing attention for its "tell-all" remarks from a plastic surgeon specializing in small face and contouring.

"I believe the information that 'fat dissolving injections alone are enough' is incorrect."

This was stated frankly by Dr. Yoshifumi Uehara, Director of SELECT CLINIC Omotesando Main Branch. The host is Harutamu, a testimonial taker who has spent a total of 20 million yen on cosmetic surgery.

Dr. Uehara gave a direct answer to a viewer's simple question: "Is it true that 'injections alone are enough' as often seen on social media?"

"Honestly, it's a 'waste of money.'" The reason why a specialist questioned "small face with injections alone."

In response to a viewer's question, "I see on social media that fat dissolving injections alone are enough, but is it really okay not to have liposuction?", Dr. Uehara began by saying, "I also think fat dissolving injections are a 'waste of money.'" He then explained the reason:

"Unlike Botox injections, where 9 or 10 out of 10 people achieve similar changes, this is not that kind of injection.

There are individual differences in effectiveness, and it is basically used for 'specific areas.' If you have overall body fat, it is difficult to reduce it with dissolving injections alone."

If expectations are too high, the result is likely to be "it didn't change as much as I thought."

"Clinics that claim effectiveness are 'wrong.'" - A professional's line drawn: It cannot beat liposuction.

"No matter how effective it may be, fat dissolving injections will never surpass liposuction for anyone."

Dr. Uehara added, "If there are clinics that say 'dissolving injections alone are sufficiently effective,' I think that's a bit wrong."

Because it is a popular procedure for its ease of use, he repeatedly emphasized the importance of "not having excessive expectations and getting thorough counseling before receiving the treatment."

Is the theory of "future sagging" true? - The pitfall of "removing too much."

The next question was, "When I research small face liposuction, I often see opinions saying 'it's better to avoid it because it will cause sagging in the future.' In reality, does removing fat make you look older?" Dr. Uehara's answer differed slightly from the anxieties found online.

"For young people with a significant amount of fat, even if an appropriate amount is removed, they will not suddenly sag. As the treated area heals, collagen is produced, so there is actually a tightening effect."

However, he cautioned that if too much is removed from areas like the cheeks, it can lead to hollows, and "just like a deflated balloon shrinking, sagging can become more noticeable in such cases." The key, he said, is "the appropriate amount of suction."

"I became like 'Fan Lady'" - Host Harutamu reveals her facial mishap.

The discussion heated up from here. Harutamu, who has spent 20 million yen on plastic surgery, candidly confessed her experience.

"I had a very gaunt experience with small face liposuction. After that, I added hyaluronic acid, and then I ended up looking like 'Fan Lady.'" That's why she stresses, "You really need to be cautious with facial liposuction."

Removing too much is bad, and adding too much leads to unnatural results - a moment when the words of both the specialist and the testimonial taker resonated.

"Assessing personality is also important." Sagging care, and what the specialist repeatedly emphasized.

So, what about countermeasures for sagging itself?

Dr. Uehara stated, "The most common theory is that sagging is caused by the loosening of the SMAS fascia and ligaments," and suggested treatments that periodically tighten these areas as an option.

However, his stance of "not recommending a one-size-fits-all approach" remained unchanged.

"If someone who naturally has quite hollow cheeks continues to receive this treatment, their hollowness might be emphasized. There are now quite good treatments available using radiofrequency, so it's best to choose based on your own condition."

Finally, Dr. Uehara reiterated his consistent message: "It's important to assess your own personality – whether you are the type who seeks dramatic changes or prefers subtle changes," and "it is important to thoroughly align the opinions of the doctor and the patient during counseling."

<Video Information>

Channel Name: "Women Pursuing Beauty - Testimonial Taker x Specialist Podcast -"

Release Date: June 23, 2026

Relevant Episode: https://www.youtube.com/watch?v=IzAk1T57_3w

<Performer Profiles>

Yoshifumi Uehara (うえはら よしふみ)

Director, SELECT CLINIC Omotesando Main Branch / Director, ANEX. Graduated from Tokyo Medical University in 2011. After completing his residency at Yokohama旭中央総合病院, he gained experience in plastic surgery and cosmetic dermatology. He has served as director of multiple clinics and became director of SELECT CLINIC in 2019. He specializes in procedures that enhance the appearance of the face and contour, such as contouring, thread lifts, and liposuction.

Instagram: @dr.uehara

Harutamu

Former leader of "Black Diamond," a nationwide gal unit of approximately 500 members. She led the gal culture, working as the leader of a DJ group and the No. 1 model for the dark-skinned gal magazine "LOALO." Currently active as a businesswoman, representing VIRELIA Co., Ltd., planning and developing beauty products.

Instagram: @harutamu02

<Clinic Information>

SELECT CLINIC Omotesando 2F, VORT Omotesando maxim, 5-9-2 Minamiaoyama, Minato-ku, Tokyo 0120-980-328

SELECT CLINIC Shinjuku 3F, Takayama Land Kaikan, 3-5-3 Shinjuku, Shinjuku-ku, Tokyo 0120-367-100

SELECT CLINIC Ginza 2F, CURA GINZA, 5-12-6 Ginza, Chuo-ku, Tokyo 0120-836-200

SELECT CLINIC Osaka MEFULL Chayamachi 3F-4F, 5-8 Chayamachi, Kita-ku, Osaka 0120-939-023

<Business Hours> 10:00 - 20:00 (Last reception 19:00) Closed: New Year holidays

SELECT CLINIC Official Website: https://selectclinic.jp

<Distributor>

Company Name: XIAN, Inc.

Representative: Takashi Yabumoto, Representative Director

Location: 2F, Ceravie Gotanda Bldg., 2-13-6 Nishi-Gotanda, Shinagawa-ku, Tokyo 141-0031

Business Activities: Cosmetic medicine platform business, clinic support business

Company URL: https://xian.inc/

Operated Service "Kireirepo": https://kireireport.com/

*The comments published in this release are personal impressions and opinions of the performers on the YouTube program.