Q1 How does the face become slimming?
The muscles used for making facial expressions are known as mimetic
muscles. These muscles are found only on the face and neck but
yet they are rather difficult to be trained. The skin on the surface
of the unused muscles will lose to the force of gravity and sag
down once the strength of muscles weaken and looks like a "chubby
face". Majority of the facial muscles are made up of orbicular
muscles of the mouth which form the lips. A strengthened mimetic
muscle will overcome the force of gravity and gives tension to
the skin thus make the face look smaller.
Q2 How does the bad breath disappear?
The force to close the mouth will be strengthened through lip
muscle training. As a result, one will not sleep with the mouth
opened and change to breathe through the nose. Different from
mouth-breathing, inflammation of the mucous membrane will not
occur in the case of nose-breathing when the inspired air is warmed
by the moisture and passed through the upper respiratory tract
inside the nasal membrane. Mouth-breathing during sleep will result
in chronic inflammations. Bacteria will deposit and breed in its
surrounding, giving out putrid gas. This is the cause for bad
breath. You can say that bad breath which is produced even after
brushing teeth thoroughly mainly comes from the throat.
Q3 Why is mouth-breathing bad for you?
Through mouth-breathing, the direct and dry cool air will result
in inflammations in the oral membrane and throat. If the dryness
in the mouth continues, the saliva cannot achieve its function,
it not only causes gum inflammation, but also easily leads to
mouth ulcer and cavity. With mouth-breathing, the nasal membrane
which expels large amount of leachate is also not able to function
normally causing nose blockage.
Q4 Why is snoring
Apnea during sleep can be exemplified as the state of one's neck
being strangled when sleeping. Inability to breathe leads to insufficient
oxygen. Shortage of oxygen will burden the heart, causing various
lifestyle related disease such as irregular heartbeat and increase
in viscosity of blood and stroke.
Q5 What is the relationship
between mouth-breathing and sleep apnea?
Dry cool air will directly contact the throat during mouth-breathing
causing inflammation of throat membrane and tylosis, leading to
narrowing of upper respiratory tract. At the same time, the upper
respiratory tract will be closed causing anaerosis to occur as
base of the tongue easily subsides towards the throat when mouth
Q6 What is the relationship between snoring and mouth-breathing?
Mouth-breathing refers to breathing through mouth without using
the nose. We can say that snoring is a type of mouth-breathing.
Let's imagine that snoring is like the strong building wind passing
through the narrowed respiratory tract during breathing. Although
not as many women snore as men, many are seen sleeping with mouth-breathing.
Snoring frequently occurs when a person is tired or has taken
medicine that relaxes muscles such as sleeping pills.
Q7 How will Sleep
apnea OSAS disappear?
Many do not have anaerosis even though they are fat. This is because
of moderate tension of lips remains during sleep. With lip muscle
training, the base of lips will not subside into the upper respiratory
tract stopping the respiration as the lips will be kept moderately
tensed and tips of the tongue rose to the front during sleep.
Q8 What is the relationship
between Eczema and mouth-breathing?
The cause for atopy is the chronic inflammation of the throat
due to mouth-breathing. Chronic infection of the tonsil caused
by sensitization of bacteria by the lymph cells formed by the
throat tonsils is the cause. Atopic skin inflammation will disappear
if one does not suffer from throat inflammation for 3 months by
using nasal breathing. Likewise, the symptoms for hand and foot
disease with pus-filled spots on the hand and feet which is said
to be caused by chronic tonsil infection also disappear through
the similar process.
Q9 Is it true that
the Cerebral Blood Flow (CBF) in brain improves?
If we look inside the head using a near infrared rays (a machine
known as Light Topography manufactured by Hitachi Medical) during
the state of lip muscle training, at one glance we will admit
that the blood circulation has increased distinctly on the right
frontal lobes. However, the same experiment has denied any changes
to the brain's blood flow even when one chews a gum. Apparently,
it is necessary for one to move his lips substantially by talking
or lip muscle training in order to prevent becoming senile.
Q10 Is it true that one becomes cleverer if the mouth-breathing
One cannot breathe easily when he has mouth-breathing as the throat
will become swollen. If one does not have a sound sleep, it will
affect him in the day. There are tendencies such as irritability
(restlessness) as well as excessive drinking as eating in order
to overcome sleepiness. Insufficient sleep will result in inability
Q11 Is it true that one is less likely to get tooth cavity
if the mouth-breathing is cured?
Saliva has the general antiseptic, cleansing and moisturizing
functions which is beyond what we thought. However, with mouth-breathing,
the saliva in the mouth becomes dried and the saliva cannot perform
its function fully. As a result, persons who have mouth-breathing
are likely to have cavity in between teeth, surface of back tooth
for biting as well as the neck of the teeth. The front teeth is
seen with light brown colour.
Q12 Is it true that mouth-breathing will lead to uneven teeth?
It is said that persons with mouth-breathing has weaker strength
to close his lips compared to a normal person. Regular teeth is
kept by the counter force between orbicular muscle of the mouth
and cheek muscles pushing inwards and tongues pushing the teeth
outwards. However, the teeth will become uneven if the inward
force of orbicular and cheek muscles is weak. The correction doctor
dislikes persons with bad tongues and weak lips. This is because
even if the correction is completed after many years, the teeth
alignment can easily be destroyed if the balance between both
is not well. Recently, more doctors are adopting the "Lip
Trainer Patakara®" therapy.
Q13 Is it true that acne can be cured through lip-stretching?
Everyone dislikes having acne as metabolic decomposition products
accumulate in the skin due to inactive metabolism of the facial
skin. Through lip-stretching, we can activate the mimetic muscles
by stimulating it. When muscles are activated, the skin structure
beyond it also becomes active and thus breakouts such as acne
are less likely to happen.
Q14 Is it true that
Temporomandibular Arthrosis can be cured through Lip-training?
Temporomandibular Arthrosis is originally a disease of the joints
of the jaws. Fundamentally, the correct way of treating it by
dentist is to cure by alignment and templates. However, the imbalance
of the right and left muscles are doubted if it cannot be cured
in this way. It is said that lip-stretching is one of the effective
ways to correct the distorted left and right forces of the mimetic
Q15 Why is Lip-stretching good for the teeth alignment?
Persons with bad teeth alignment have their tips of the tongues
either placed behind the bottom front teeth or between the top
and bottom rows of teeth. Both cases will affect the teeth alignment
adversely. The tip of the tongue will fit nicely on the roof of
the mouth behind the front teeth if the force to close lips becomes
stronger. This will not destroy the teeth alignment. That is the
reason why we often see elderly women with weak strength to close
her lips having buckteeth.
Q16 Why is Lip training
effective for Facial Nerve paralysis (Bell's palsy)?
The function of our facial mimetic muscles are controlled by the
facial nerves. The muscles cannot move if the nerves are paralysed.
However, appropriate stimulation given to the paralysed muscles
can revive the nerve functions although it takes time. The nerves
are re-activated by giving stimulations to the muscles. The function
of the nerve will also make the muscles function better resulting
in a good cycle. As majority of the mimetic muscles gather around
the orbicular muscles which form the shape of the lips, most mimetic
muscles are stimulated at the same time when this area is stimulated.
exercise - effective all the he Elderly
Dentistry PhD: Dr Yoshiaki Akihiro
Reasons of effect for each symptom by using "Lip Trainer
Patakara®" are explained as below.
1. Complaint towards sore throat
The mimetic muscle surrounding the lips and the cheek muscle forming
the orbicular muscles and its inner part do not function adequately
as age increases. Hence, it is possible to get sore throat caused
by inflammation due to dryness of the throat and mouth if one
sleeps with the mouth opened.
Cheek muscle stretching with the use of "Lip Trainer Patakara®"
can help to close the mouth during sleep as excessive tension
in the orbicular muscle can be kept during sleep.
2. Meals become tastier
It is believed that the stimulation of the dominating muscles
of the facial nerve using "Lip Trainer Patakara®"
has the rehabilitation effect towards chorda tympani*, the anterior
branch of the facial nerve and its positive effects will make
the meals becoming tastier.
* Passing through middle year (passing through the ambomalleal,
merging with the rigeminal nerve towards the tongue) which is
the remnant of the 1st branchial cleft (spiracle), besides controlling
2/3 senses of taste at the front tongue, it also has secretory
control over salivary gland (submaxillary, sublingual gland and
glandula lingualis anterior). As a result, the amount of saliva
increases because the flow of the excreted saliva itself becomes
better as glands of the duct excreted from salivary gland expands
at the same time. As one cannot taste well when he is thirsty,
chorda tympani is useful to pick up double tastes by stimulating
the secretion of saliva essential in taking up the taste components.
3. Saliva are secreted more easily (the mouth becomes less
We know well that more saliva are excreted as a conditional reflex
when foreign body enters the mouth or when new set of false teeth
is being put on. Lip stretching using "Lip Trainer Patakara®"
calls for this effect.
4. The "Choke" during eating disappears
The strengthening of orbicular muscles through stretching also
strengthens the muscular force of the cheek muscles forming inner
part of the orbicular muscles. The cheek muscles have the function
of linking with cephalopharyngeus muscles through the pterygomandibular
raphe and thus cephalopharyngeus muscles will coordinate with
the middle and inferior constrictor muscle of pharynx to send
the food smoothly down the esophagus.
It is said that the glottis functions as the final barrier in
the pharyngeal region to ensure smooth passage for the swallowed
food to pass through the esophagus. If the glottis cannot perform
its function of opening and closing properly, part of the food
flowing down may enter the respiratory tract, causing aspiration
pneumonia. Moreover, it is often claimed that by improving the
function of fornix of the pharynx, the phlegm (actually instead
of being phlegm, it is thought as a throat discharge) inside the
stroke patients' throat will be cleared more easily.
5. It is effective
in the rehabilitation for those with difficulty in eating and
swallowing due to the after effect of cerebrovascular disorder
6. It is effective in the rehabilitation for those with articulation
(pronounciation) disorder due to the after effect of cerebrovascular
Our tongue touches the side of the palate of the upper jaw's front
teeth when we close our lips. This motion exists on the healthy
side which is not affected by the stroke. The motion helps to
achieve the pulling action of the paralysed side of the tongue
by the healthy half towards the front without special effort.
The strengthening of the orbicular muscles are linked to the strengthening
of this pulling action.
7. The tongue does not thrust when
Our tongue touches the side of the palate of the upper jaw's front
teeth when we close our lips. Through this movement, we can achieve
the pulling action towards the front without special effort. The
strengthening of orbicular muscle is related to the strengthening
of this pulling action and articulation becomes easier. The strengthening
of the cheek muscle which runs across the inner part of buccal
mucous membrane also becomes easier. We can say that the common
complain among the aged with declined cheek muscle activity about
biting the cheek membrane when eating and talking also comes from
the weakening of cheek muscle activities (reflex action).
8. It is effective in the rehabilitation of paralysis of facial
nerve or similar illness
Majority of the facial expression muscles (below eye from collar
bone to the neck muscle on top) are converged at the orbicular
muscles which form the lips. Pressurizing the orbicular muscles
will have the same effect as pressurizing majority of the mimetic
muscles. We can expect the re-activation of facial nerves by conducting
appropriate repeated pressurized stimulation regularly everyday.
(We can usually notice changes after passing about 5 weeks)
9. It is effective towards people who drool due to after-effect
of cerebrovascular disorder
If the mouth is closed firmly, appropriate tension can be
kept by the orbicular muscle at all times and thus drooling will
10. Movement of the
tongue become smoother when talking
Talking is done through the balancing and coordination between
muscular tissues of the lips and tongue. Training of the tongue
alone is not sufficient just because the tongues are tied. However,
lip training using "Lip Trainer Patakara®" will
help to bring about the movement of tongue muscles and thus prevent
and protect against tongues being tied when talking.
11. Balance between left & right muscles of the mouth,
denture-fit and thus easier to chew food.
Denture-fit by achieving balance between left and right cheek
muscle strength, in other words, the dentures do not move inside
the mouth and one can take his meal comfortably. (The same denture
will become easier to chew)
12. Less frequency to go to toilet during sleep at night
The obstructed breathing during sleep makes it difficult to manage
the airway, as if one uses his hand to hold the throat in sleep.
This will lead to lack of oxygen and is the cause for irregular
heartbeat and inability to get into deep sleep.
The urine will then accumulate as same metabolic activity continues
as when one is awake, the person will wake up from his light sleep
and feels like going to the toilet. By stretching with "Lip
Trainer Patakara®", the base of the tongue will not subside
into the airway when one sleeps facing up and thus airway can
be kept. The visit to toilet will become less frequent at night
as the metabolic activity slows down, one gets into sound sleep
due to sufficient intake of oxygen.
13. Effective towards Obstructive Sleep Apnea Syndrome OSAS
caused by the base of the tongue subsiding towards the airway
When one sleeps facing up, his base of the tongue is likely to
subside among people with weak strength to close his lips due
to aging and one becomes easier to get the Obstructive Sleep Apnea
The symptoms of Obstructive Sleep Apnea Syndrome are as follows.
- Breathing stops during sleep
- Waking up to go toilet many times
- Headache during sleep or after waking up
- Does not feel like having a good night sleep after waking
- Mouth feels sticky, smells bad breath and feeling of phlegm
after waking up everyday
- Frequent gum bleeding and cavities despite numerous brushing
- High blood pressure cannot be lowered despite long-term dosage
of blood pressure drugs
- Heavy thumping in the chest and irregular heartbeat as diagnosed
- Sleepiness despite having plenty of sleep. Falls asleep quickly
when riding on trains or cars and while watching TV in the afternoon.
Sometimes falls asleep in meeting, when talking or reading newspaper.
- Diagnosed by doctor as diabetic despite not taking sweet (sugared)
- Told to have heart disease
- Had a mild stroke previously
14. Becomes less likely to get mouth inflammation
The mouth becomes dry when one has mouth-breathing or snores.
As a result, the membranes inside the mouth become inflamed and
one gets mouth ulcers more easily. It is necessary not to sleep
with the mouth open for the purpose of preventing mouth ulcers.
15. Less likely to have gum inflammation, periodontal infection
The dryness in the mouth leads to inflammations of the mouth membrane
which easily result in gum inflammation, periodontal infection
and cavity. Those who still get gum bleeding and cavities despite
frequent brushing should suspect mouth-breathing in sleep. All
these symptoms can be improved by nose-breathing in sleep with
the help of "Lip Trainer Patakara®".
16. Less likely to have skin disease
The throat membrane will become inflamed just like the mouth if
one has mouth-breathing or snoring.
The Waldeyer's lymphatic ring in the throat prevents the intrusion
of germs from outside into the body. However, dryness will cause
chronic inflammation and lose its defense function. The germs
will reversely enter the lymph cells and travels to the whole
body through the blood, causing unknown skin diseases such as
dry and itchy skin (chronic tonsil focal infection). With the
training using "Lip Trainer Patakara®", one will
be able to sleep with the mouth closed and it will be improved
17. The mouth and expression will become younger
The changes in look is a representation of age increase. Mimetic
muscle is a muscle tissue which is not being used consciously
and thus the changes in age are reflected significantly on the
facial expressions which are then being noticed by others. Most
of the mimetic muscles are closely related to the orbicular muscles
which form the mouth. Therefore, by giving pressure to the orbicular
muscles will call for the same results as stimulating most of
the mimetic muscles, thus promoting metabolism and makes a person
Changes in looks not only satisfy the person himself, it also
brings about numerous advantage of being happy for being praised
18. Radical treatment
It is confirmed through the topographic device using near infrared
rays that the blood flow in the frontal lobe of the brain improves
instantly when the lips (mimetic muscle) are stimulated.
It is a well-known and familiar fact in the medical world that
dementia occurs when blood flow in the frontal lobe of the brain
decreased. However, there are no means and methods so far which
can increase the frontal lobe's blood flow. This problem can be
solved through the use of "Lip Trainer Patakara®".
The prevention and cure of dementia can be done by using "Lip
The brain of a newborn child is about 400g. It was reported that
the brain becomes twice the size between 800~1,000g at around
8~10 months when teeth starts to emerge. During this period, when
we look at the baby from the side, his facial expression increases
as he drinks milk from the mother's breast single-mindedly using
his tongue and lips (We can know very well when we look at the
face of baby during actual feeding that all the mimetic muscles
from the orbital region to bottom of the face have been used).
It is presumed that the stimulation of muscle tissue controlling
the facial nerves increases blood flow in the frontal lobe.
In this respect, many reports have shown that elderly in the
old folks' home who consume liquid food lazily during every meal
without making use of the muscle tissues controlling their facial
nerves start to show signs of dementia after 8~10 months due to
the decrease in their frontal lobe's blood flow.
Moreover, among the animals, only human beings can talk. Embryologically,
it is said that the brain of human beings start to develop (3
times of the human brain 4~5 million years ago) after they begin
to talk. Talking (articulation) requires complicated, high degree
of coordination among the orbicular, cheek and tongue muscles
and this is being controlled by the facial nerves.
To give another example, only humans are able to express complicated
feelings as a result of brain development among all the animals.
The muscles responsible for expression are fully controlled by
the facial nerves. We can understand that if this pipe does not
function properly, one becomes emotionless common in dementia
just like a "Noh" mask. This is because the frontal
lobe of the brain responsible for thinking and facial nerves are
most closely related.
The position of Obstructive Sleep Apnea Syndrome OSAS in our lifestyle
is said to be "Snoring at lifestyle signal Yellow (caution),
OSAS at lifestyle signal Red blinking (danger)".
OSAS is said to be linked to 1. High blood pressure, 2. Irregular
heartbeat, 3. Ischemic heart disease, 4. cerebrovascular disorder,
5. Diabetes, 6. Pulmonary hypertension, 7. Endocrine abnormality.
These are treated as lifestyle related disease and one of the
risk factors for these diseases lies in respiratory obstruction
In the experiment with dogs, it was discovered that when the
state of airway blockage during sleep continues for a while, the
blood pressure in the day rises just like the night within a few
weeks. It was observed that the blood pressure of the dog returns
to normal within a few weeks after this was stopped. The assumption
was formed that the main cause for essential hypertension is the
increased upper airway resistance during sleep.
The blood pressure increases in the day is believed to be caused
by chronic stress which came from efforts to overcome sleepiness
and maintain awakefullness. Furthermore, the increased intake
of caffeine and tobacco in order to get rid of excessive sleepiness
makes one falling into the vicious cycle of lifestyle diseases.
The term "Canned Coffee Syndrome" had even emerged to
reflect the abnormal feeding pattern such as over-consumption
of tonic drink, cola and canned coffee to distract oneself from
Incidentally, the term lifestyle disease was defined and created
at the Public Health Council as a term "Group of disease
linked to lifestyles such as dietary habit, exercise, rest, smoking,
alcohol drinking, etc, its symptoms and progression" for
primary prevention of diseases.
Meanwhile, obstructive sleep apnea was mentioned in the treatment
guideline (6th report by America joint commission on the prevention,
diagnosis, assessment and treatment for high blood pressure) for
high blood pressure in America in 1997. The likelihood for diseases
such as obesity high blood pressure, intractable high blood pressure
or nocturnal high blood pressure were mentioned. It has since
then aroused concerns whether these lifestyle diseases are linked
to the obstructive sleep apnea, the relationship between persons
with repeated snoring, apnea and lifestyle disease, as well as
snoring not only disturbs the surrounding, it is also an important
sign for the individual towards disease prevention.