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 societies with the same name in Japan. JSAPS is composed mainly of plastic surgeons, and JSAS is composed mainly of private practitioners. There are two societies with 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. Inexperienced doctors can earn between 30 million and 200 million yen in six months. If there was a proper training system, they would never be able to earn such a high income. I wonder whether cosmetic surgery clinics that pursue profits are actually providing legitimate cosmetic medical care. 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 was popular a while ago, but many patients suffer from the aftereffects and scars. Honestly, I think it is an impossible surgery. The reason is that scars will definitely remain (even if the doctor has a high level of skill), scarring will occur due to the movement of the mouth, and tension will be applied to the wound, making it wider and more noticeable, and if the effect is easily lost, you will end up paying a high surgical fee and suffering for the rest of your life with ugly scars... At our clinic, we perform skin regeneration treatment to improve the scars from philtrum shortening surgery so that they are less noticeable. Please feel free to contact us.