Reading Time: <1 minuteIt has been 38 years since I joined the Japanese Society of Aesthetic Plastic Surgery and 34 years since I started working as a cosmetic surgeon. I became a JSAS certified specialist at the age of 33, the youngest in Japan at the time.Specialist System | JSAS Currently, there are two academic societies with the same name in Japan. JSAPS is composed mainly of plastic surgeons. JSAS is composed mainly of private practitioners. There are two academic societies that have certified specialists. I don't know which is better, but I have to say that the level of certification by JSAS is low these days. It seems that the technology and the skills of the specialist are not in sync. Plastic surgeons have basic plastic surgery skills and knowledge, as well as basic clinical experience, so I think the overall level is high. However, unfortunately, there are some JSAS specialists who have only trained and practiced cosmetic surgery at major cosmetic surgery clinics. In just six months, the director's annual income increased from 30 million yen to 200 million yen. Inexperienced doctors are suddenly treated well. If there was a decent training system, they would never be able to earn such a high income. I wonder whether legitimate cosmetic medical care is being performed at cosmetic surgery clinics that pursue profits. Our clinic also receives many consultations about cosmetic surgery scars and problems, but most of them are the result of the doctor's lack of skills or procedures performed with profit as the priority. Philtrum shortening surgery became popular a while ago, but many patients suffer from the aftereffects and scars. Honestly, I think it is an impossible surgery. The reasons are: Scars will definitely remain (even if the doctor has a high level of skill); Scars can form as the mouth moves, and tension can be applied to the wound, making it wider and more noticeable; The effect is likely to wear off; As a result, patients end up paying high surgery costs and suffering for the rest of their lives with ugly scars... At our clinic, we perform skin regeneration treatment to improve scars from philtrum shortening surgery so that they are less noticeable. Please feel free to contact us.