南国の美容クリニック

　　　Japanese-health-insurance-covered and noncovered cares are available. Combination of both is prohibited by the Japanese law.

　Japanese Insurance Covered Care

　　・topical and oral antibiotics――to kill acne bacteria or to inhibit growth
　　・vitamin B2 and B6――　to prevent excessive sebum secretion
　　　　　　　　　　　These are the main acne cares available under the insurance coverage.

　Insurance-Noncovered Acne Care

　　　　　・PicoSure's Focus Lens' fractional ―ーkills acne bacteria, lessens redness,
　　　　　　　　　　　　　　　　　　　reduce sebum secretion





Focus handpiece



Focus Lens fractional 4 treatments before/after

downtime: redness subsides within 1 d.,done 1/3wks., at least 3x up to 6x



　　　Picosure' Focus Lens' fractional treatment shows no downtime but still effective. If redness is noticed, it subsides 3-4 hours later. Focus Lens' fractional's one more advantage is its capability of treating acne scars. Same as skin pores treatment, it remodels skin structure and improves skin elasticity. That means you can treat your acne scars also while treating your active acne redness at the same time



Focus Lens fractional 6 treatments before/after

downtime: redness subsides within 1 d., done 1/3wks., at least 3x, better 6 or more times



　　　　Pricing　

		1Tx. (with tax)	3Tx. set(with tax)	5Tx. set(with tax)
PicoSure	fractional full face	\50000(55000)	\137500(\151250)	\225000(\247500)
	both cheek	\40000(\44000)	\110000(\121000)	\180000(\198000)
	nose area	\20000(\22000)	\55000(\60500)	\90000(\99000)
	neck	\40000(\44000)	\110000(\121000)	\180000(\198000)
	upper chest	\50000(\55000)	\137500(\151250)	\225000(\247500)
	others5×5cm	\20000(\22000)	\55000(\60500)	\90000(\99000)
	toning+frac full face	\70000(\77000)	\192500(\211750)	\315000(\346500)
	both cheeks	\60000(\66000)	\165000(\181500)	\270000(\297000)
	nose	\25000(\27500)	\68750(\75625)	\112500(\123750)
	neck	\60000(\66000)	\165000(\181500)	\270000(\297000)
	upper chest	\70000(\77000)	\192500(\211750)	\315000(\346500)
	others5×5cm	\25000(\27500)	\68750(\75625)	\112500(\112500)

　　　　　・Chemical Peeling――　to remove pores clog and reduce sebuｍ
　　　　　　　　Much better effect if done by conjunction treatment with PicoSure Focus Fractional.

　　Extreme chemical peel is performed with TCA(Trichloroacetic Acid) , which was once a trend when it came out more than 20 years ago, but kind of avoided afterwards due to its noticeable peeling process and sometimes obvious side effects which cause longer downtime. However, it revives its popularity lately by the advent of its newer type.

　　PRX-T33 is the newest type of TCA peeling


　　Traditional TCA peel done in 20-30% usually creates strong frosting(white scaling) of skin surface which becomes scabs that peel off in a period of 1-2 weeks. Beside of this long healing period, effect is not that satisfactory, and above this, unwanted burns, scars, or long-lasting discoloration might occur.

　　PRX-T33 contains 33％ of TCA, but it does not show some obvious frosting or scaling compared to the traditional one. Since it does not show severe frosting, it can be applied to the skin with a long 10-minute massage, inorder to let it penetrate deeper into the dermis to see more effect at the deeper layer. This is why it is called a massage peel.

　　Even with its 33％TCA content, hydrogen peroxide(H2O2) in the solution controls frosting of the skin surface, allowing the procedure to penetrate the substance into the deeper skin layer to enable the dermis to reproduce more collagen fibers, resulting in a firmer skin texture and improvement of acne, pores, and acne scars. Kojic acid is also present in it, to aid brightening of the treated skin area.

　　　　PRX-T33 peel is not advisable to following individuals who are or have:　
　　・pregnant or pregnancy possibility
　　・breastfeeding
　　・TCA and kojic acid hypersensitivity
　　・skin irritation(besides acne) on treatment site

Acne Care Set

　　　　This set is a total acne care done with the combination of the services stated above. 1 session in every 2-3 weeks until healing process is observed within 3 sessions. 4th thru 6th session will be once a month. The total treatment might take for as long as 6 months.Treatments from outside and inside subside not only the acne inflammation but also good for reducing skin redness and also prevention of another break out.

acne care set before/after

downtime: every session shows redness that lasts 1to few days, starts showing effect after 2 or 3 sessions



　The menu goes as follows:

chemical peeling(PRX-T33 or AHA)	6times
ion&ultarsonic massage	6times
antibiotics	3mos.
vitamin B2	3mos.
vitamin B6	3mos.
skin peel soap	3mos.
high perm. vit. C&E lotion	2bottles
peel lotion	3bottles
tretinoin	１tube
laser	Pico Focus 3times
	Picotoning 2times
	Pico Zoom spot multiple
	vascular laser multiple times

　　

　　　Pricing　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　

		without tax	with tax
Acne Care Set	full face	\100000	\110000
	both cheeks	\90000	\99000
	nose	\50000	\55000
	chest	\180000	\198000
	back	\180000	\198000
	buttocks	\140000	\154000
	others10×10cm	\70000	\77000

　　　　PicoSure
　　 　To enhance bumpy acne scars is also an advantage PicoSure can give. Focus Lens' Fractional component can do this. The LIOB(Laser Induced Optical Breakdown) produced by this treatment inside the dermis activates remodeling and tightening of the skin . Acne scars are smoothened by not causing that much downtime.



PicoSure Focus Fractional 4 Tx before/after

downtime: redness subsides within 1 d., done 1/3wks., at least 3x, better 6 or more times


　　　　Everyone might have different levels of reaction, but with a few treatments in a 4-5-week interval can give you a good result. Face washing and make-ups are okay soon afterwards. Focus Lens fractional also treats your active acne while treating the old scars around.



PicoSure Focus Fractional 4 Tx before/after

downtime: redness subsides within 1 d., done 1/3wks., at least 3x, better 6 or more times




　　　　The pain during treatment might be concern. A little more than a rubber band snapping might be felt but since an outstanding cooling device is available it is just more tolerable than any other devices.

　　　　Here is the actual treatment scene(tube at lower left is the cooling)：

　Pricing(refer to Acne Care above)

　　　　　Dermapen4 Microneedling

　　Dermapen4 is the 4th version of the brand that provides microneedling treatment from the skin surface down to the subcutaneous(subskin) level, about 0.2〜3mm in depth, by creating micro injuries or micro holes. As the result, these injuries encourage the body's innate ability to repair itself, by activating its production of tissue fibers such as collagen and elastin, the process which improves skin texture and scars.




　　　The newest version, Dermapen4, has a disposable cartridge on its tip which contains 16 micro needles that vibrate in the scope of 60 to 120times/sec, which is categorized into 5 levels, while also possibly setting the desired depth of their skin penetration.



　　Microneedling 0.5 to 2ｍｍ depth covers the skin surface down to the dermis level, promoting fiber regeneration of this level, as a remedy to improve pore texture/wrinkles/ sags/ acne / acne scars. Once every ２to４weeks, ３to５sessions is the regular one treatment set.


microneedling before/after

downtime: redness subsides within days or 1 week




　　　Micro bleeding and redness might be observed on micro needle points of the skin, but may fade or subside around a day or two, which enables one to resume face washing and make-uping. Numbing anesthetic creme is applied around 20 to 30 minutes beforehand to minimize uncomfortable pain into itchy one.

　　2~3ｍｍ depth microneedling reaches the subcutaneous(subskin) level, which is used for improvement of acne scars/ wound scar/ stretchmark. In this treatment, bleeding and bruises might become obvious which need around a-week time to subside. Treatment every 6 to 8 weeks is necessary.

　　Furthermore, Dermapen is also an efficient device to help medication penetrate inside skin layer more efffectively than regular applying or by sonic/electric massage which are popular settings in cosmetic skin treatment. PRX-T33（TCA peeling）/ hyaluronic acid serum/ brightening solutions/ growth factor solutions/ stem cell exosome solutions(for antiaging) are examples of substances that can be introduced by microneedling.

Pricing　　　　　　　　　　　　　　　　　　　　　　　　　　　　　

		without tax	with tax
Dermapen4 Microneedling	full face	\20000	\22000
	both cheeks	\15000	\16500
	neck	\20000	\22000
	upper chest	\40000	\44000
	others10×10cm	\15000	\16500

　　　　　Chemical Peeling

　　Chemical Peeling is also a big help in improving acne scars. For details, refer to Chemical Peelingon the Acne Care section above.

　　Acne Scars / Skin Pores Care

　　　　　This set is a total care of acne scars and skin pores. By caring for acne scars, treatment for pores improvement is simultaneously done. A combination of laser treatment mentioned above and other skin rejuvenation products is the key for better skin texture.

　　　　　　Laser treatment includes PicoSure Focus fractional, Picotoning, and also vascular laser to reduce redness from acne scars. To see better reaction from these devices, chemical peeling is performed beforehand, then electrophoresis/ultrasonis massage to induce permeation of the vitamins into the skin. Home treatment goods such as vitamin A & E lotion and gel, if necessary additional peeling treatment with tretinoin at home is recommended. Vitamin B2 and B6 are good also for fat metabolism, reducing sebum secretion to pores.

　　　　　　 Treatment is done once a month for at least 5 sessions and may take for about 6 months.

　　　　　　The menu :

chemical peeling(PRX-T33)	6times
ion/ultrasonic massage	6times
vitamin B2	3mos.
vitamin B6	3mos.
skin peel soap	3mos.
high perm. vita C&E lotion	2bot.
peel lotion	3bot.
tretinoin	2tubes
laser treatment	pico Focus fractional 5times
	picotoning 4times
	pico Zoom spot multiple
	vascular laser multiple

　Pricing 　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　

		without tax	with tax
Skin Pores/Acne Scar Care Set	full face	\170000	\187000
	both cheeks	\140000	\154000
	nose	\80000	\88000
	others10×10cm	\100000	\110000

What is Picosecond Laser