I had two surgeries with the doctor totaling about 12,000USD, and I regret having gotten any surgery (as it really hurt my facial harmony). The worse recommendation he performed was masseter reduction which for most males lowers their looks as one needs wider gonial angles and well-developed masseters for good facial width and dimension. Additionally the original genioplasty was crooked and the tissue looked mushy. So eventually I got a revision with the doctor again, and while he made the chin more symmetrical and more normal looking, I got the chin reduced which I only wanted like 1mm reduced and that was a big mkstake, as it got reduced in vertical and horizontal dimensions and made my face look fat and without angularity. I just wanted to get close to my pre-op which the doctor stated we can get close and we didn’t. At first it looked decent because of the swelling but then I realized it didn’t look as expected. I wish I never got the surgery, and it was the beginning of a surgical nightmare that really hurt my self-esteem and life path. I used to be called handsome regularly before, and the surgery made me ugly which I have to accept now. I just don’t think the doctor had good aesthetic vision for me and I came out worse looking. Updated on 22 Sep 2023: My face after all this was left asymmetric, different face shape that looks feminine as my masseters and gonial angles were resected creating a narrow face that lack angularity and width and of symmetry, additionally loose skin on mandible from lack of bony support. I used to feel confident, now I don’t and it all started with Dr Takahashi’s surgical procedures that changed my sense of self. If you are male, I would be careful with additional procedures he last minute recommends that are used for facial feminization, leaving the face looking feminine and lacking masculinity and harmony.