SKIN PORES/SCAR CARE
Skin Pores Care
Laser Treatment Dermapen4 Microneedling
Glycylglycine Electrophoresis Massage
APPS Higly Permeable Electrophoresis Massage Chemical Peeling
Botox/Dysport Injection Anti-Androgen Medication Oral Vitamins
Pores/Acne Scar Care Set
Scar Repair
Laser Treatment Incision Method Keloid/ Hypertrophic Scar Treatment
Skin Pores Care
Laser Treatment
The latest Picosure Laser is the best remedy for dilated skin pores.
PicoSure treatment before/after
downtime: redness subsides within 1d., treatment once in 3 wks., at least 3x, better around 6 sessions
A no-downtime procedure for skin pores treatment can only be achieved by Picosure's Focus Lens'Fractional technique. Redness from CO2 or Erbium lasers usually lasts for 1-2 weeks but Picosure's redness goes away on the same day as treatment day
.
before Tx soon after 3h later 24h later
Focus Lens fractional ４sessions before/after
downtime: redness subsides within 1d., treatment once in 3 wks., at least 3x, better around 6 sessions
Pores care and acne scar care are done together with the same treatment. Similar mechanisms apply to the both issues, which are the remodeling of the skin structure and improvement of skin elasticity.
Focus Lens fractional４sessions before/after
downtime: redness subsides within 1d., treatment once in 3 wks., at least 3x, better around 6 sessions
Pigment Problems Care：Click this for details
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.
Glycylglycine Electrophoresis(Iontophoresis) Massage
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
Besides easing wrinkle lines, Botox and Dysport has also has
the function of suppressing sebum secretion into skin pores,
making pores less noticeable. This is the reason why some notice
good skin texture after doing Botox for expression wrinkle lines.
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 about 6 months.
The following is the menu:
PicoSure treatment before/after
downtime: redness subsides within 1d., treatment once in 3 wks., at least 3x, better around 6 sessions
A no-downtime procedure for skin pores treatment can only be achieved by Picosure's Focus Lens'Fractional technique. Redness from CO2 or Erbium lasers usually lasts for 1-2 weeks but Picosure's redness goes away on the same day as treatment day
.
before Tx soon after 3h later 24h later
Focus Lens fractional ４sessions before/after
downtime: redness subsides within 1d., treatment once in 3 wks., at least 3x, better around 6 sessions
Pores care and acne scar care are done together with the same treatment. Similar mechanisms apply to the both issues, which are the remodeling of the skin structure and improvement of skin elasticity.
Focus Lens fractional４sessions before/after
downtime: redness subsides within 1d., treatment once in 3 wks., at least 3x, better around 6 sessions
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) |
What isPicosecond Laser
Pigment Problems Care：Click this for details
Acne/Acne Scars Care:Click this for details
Skin Rejuvenation Care：Click this for details
Tattoo Removal：Click This for details
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 | |
Glycylglycine Electrophoresis(Iontophoresis) Massage
As a combination therapy to the laser treatment mentioned above, applying
glycylglycine through electrophoresis massage makes a perfect pores care technique by treating pores with the latest and most effective topical care available.
Glycylglycine is a peptide linked by amino acid called glycine, and this
substance is capable of repairing abnormal keratinizing called keratonosis which is the cause of enlarged pore opening. When glycylglycine is applied
to the opening, it normalizes the keratin layer and contracts the pore
hole into unnoticeable size.
1－2week-interval electrophoressis treatment is the ideal pace to let the substance penetrate into the pores richly. But if busy schedule does not allow, a home-care lotion is also available.
Glycylglycine solution is already effective from １to ５％ concentration. Over-concentrated lotion might cause unwanted adverse effect such as breakouts and other skin irritation.。
To enhance effectiveness of glycylglycine, cleaning first the pores with chemical peeling is also recommendable.
Chemical Peeling
Glycylglycine is a peptide linked by amino acid called glycine, and this
substance is capable of repairing abnormal keratinizing called keratonosis which is the cause of enlarged pore opening. When glycylglycine is applied
to the opening, it normalizes the keratin layer and contracts the pore
hole into unnoticeable size.1－2week-interval electrophoressis treatment is the ideal pace to let the substance penetrate into the pores richly. But if busy schedule does not allow, a home-care lotion is also available.
Glycylglycine solution is already effective from １to ５％ concentration. Over-concentrated lotion might cause unwanted adverse effect such as breakouts and other skin irritation.。
To enhance effectiveness of glycylglycine, cleaning first the pores with chemical peeling is also recommendable.
APPS (Vitamin C Derivative) Electrophoresis Massage
Another pore ally is the APPS lotion, a solution of a vitamin C derivative. Vitamin C is usually a water-soluble substance, a factor that makes it
hard to penetrate through oily skin pore. But APPS is capable of blending with water and also oil, making it possible to easily enter into skin pores, and also it has the ability to suppress sebum(skin oil) secretion.
Using electrophoresis massage makes it possible to penetrate APPS more into skin, not only for pores remedy but also for brightening and antiaging care.
Using electrophoresis massage makes it possible to penetrate APPS more into skin, not only for pores remedy but also for brightening and antiaging care.
Chemical Peeling
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
Milder chemical peel is also available.
AHA（alpha hydroxy acid) is mainly used in this mild peeling treatment. It is a combination of glycolic acid and lactic acid, in concentrations of 5 to 40%. Should be done once in 2-3 weeks as an outpatient treatment.
These acids melt and peel off keratin on the upper epidermis, stimulating a faster turnover of dermis cells and high production of fibers in the dermis, the process that creates tightened younger skin and cleaner pores.
AHA peel is not advisable to be used to following cases who are or have:
・pregnant or pregnancy possibility
・breastfeeding
・glycolic acid or lactic acid hypersensitivity
・skin irritation(besides acne)on treatment site
A for-home-use tretinoin gel is also available. Convenient if the frequent trips to the clinic are not the choice.
Pricing
AHA（alpha hydroxy acid) is mainly used in this mild peeling treatment. It is a combination of glycolic acid and lactic acid, in concentrations of 5 to 40%. Should be done once in 2-3 weeks as an outpatient treatment.
These acids melt and peel off keratin on the upper epidermis, stimulating a faster turnover of dermis cells and high production of fibers in the dermis, the process that creates tightened younger skin and cleaner pores.
AHA peel is not advisable to be used to following cases who are or have:
・pregnant or pregnancy possibility
・breastfeeding
・glycolic acid or lactic acid hypersensitivity
・skin irritation(besides acne)on treatment site
A for-home-use tretinoin gel is also available. Convenient if the frequent trips to the clinic are not the choice.
Pricing
| without tax | with tax | ||
| PRX-T33 | TCA33% full face | \10000 | \11000 |
| both cheeks | \7500 | \8250 | |
| neck | \10000 | \11000 | |
| upper chest | \20000 | \22000 | |
| others 10×10cm | \7500 | \8250 | |
| PRX-T33+Dermapen | full face | \30000 | \33000 |
| PRX+Derma+PicoFocus | full face | \80000 | \88000 |
| AHA Chemical Peel | full face | \7000 | \7700 |
| both cheeks | \5000 | \5500 | |
| neck | \7000 | \7700 | |
| upper chest | \12000 | \13200 | |
| others 10×10cm | \5000 | \5500 | |
| Tretinoin | 0.05% 5g | \8000 | \8800 |
| 0.1% 5g | \10000 | \11000 | |
| 0.2% 5g | \12000 | \13200 | |
| 0.4% 5g | \14000 | \15400 |
Botox/ Dysport Injection
Besides easing wrinkle lines, Botox and Dysport has also has the function of suppressing sebum secretion into skin pores,
making pores less noticeable. This is the reason why some notice
good skin texture after doing Botox for expression wrinkle lines.
Vitamins Oral
Vitamins C, B2, and B6 have important roles in skin cell metabolism. These vitamins are necessary
in producing energy needed for the cell activity.
Especially B2 aand B6 improve fat metabolism. So to obtain good skin texture, oral and topical medications are prescribed in general skin care program and also in pores care
Especially B2 aand B6 improve fat metabolism. So to obtain good skin texture, oral and topical medications are prescribed in general skin care program and also in pores care
Pricing
| without tax | with tax | ||
| Chemical Peeling | full face | \7000 | \7700 |
| both cheeks | \4000 | \4400 | |
| nose | \3000 | \3300 | |
| others10×10cm | \5000 | \5500 | |
| Electrophoresis Massage | with glycylglycine | \7000 | \7700 |
| + ultrasonic massage | \8000 | \8800 | |
| with APPS | \6000 | \6600 | |
| + ultrasonic massage | \7000 | \7700 | |
| with glycylglycine&APPS | \8000 | \8800 | |
| + ultrasonic massage | \9000 | \9900 | |
| Glycylglycine | topical 60ml | \7000 | \7700 |
| +APPS 60ml | \8000 | \8800 | |
| Vitamin C&E | topical APPS+E 60ml | \7000 | \7700 |
| 30ml | \5000 | \5500 | |
| Vitamin C Gel | topical 30g | \3000 | \3300 |
| topical 60g | \6000 | \6600 | |
| Botulinum Toxin | Allergan's Botox5×5cm | \40000 | \44000 |
| Dysport5×5cm | \20000 | \22000 | |
| Vitamin C | 2 weeks | \2500 | \2750 |
| Vitamin B2 | 2 weeks | \2500 | \2750 |
| Vitamin B6 | 2 weeks | \2500 | \2750 |
Skin Pores/ Acne Scar Care Set
This set is a total care of skin pores and acne scars. By caring for skin pores, treatment for acne scar 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 about 6 months.
The following is the menu:
| chemical peeling(PRX-T33 or AHA) | 3times |
| Dermapen Microneedling | 3times |
| ion/ultrasonic massage | 6times |
| vitamin B2 | 3mos. |
| vitamin B6 | 3mos. |
| skin peel soap | 3mos. |
| glycylglycine+high perm. vita C(APPS) lotion | 3bot. |
| peel lotion | 2bot. |
| tretinoin | 2tubes |
| laser treatment | pico Focus fractional 5times |
| picotoning 4times | |
| pico Zoom spot multiple | |
| vascular laser multiple |
Pricing (10% tax not included)
| 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 PicosecondLaser
Scar Repair
Laser TreatmentA noticeable scar can be treated first with PicoSure's Focus Fractional technique to improve its bumpy appearance. If discoloration is an issue, Picotoning helps to lighten up its color, and if redness is present, vascular lesion laser is the choice to reduce the unwanted color.
However, if the scar shape and width is not improving that much with laser techniques, incision method might be the next option to do.
Incision Method
Incision method is the teatment of choice for scars that are noticeable with their bumpy structure and widened shape. Stitches are removed a week later, redness might last for weeks or months depending on the healing process which differs in each individual.
So cases who have keloid traits, or characteristics of bad hypergrowing scars, are not good candidates for incision method.
Keloid/Hypertrophic Scar Treatment
Hypertrophic scar usually shows a red tumor-like appearance occured as an allergic reaction to one's own skin. When its bulge shape and redness grow and swell severely, this scar situation is called keloid.
Keloid is more like a skin characteristic of that individual and sometimes hereditary. Not only from wounds but even with the smallest vaccine needle point or acne scars, keloid occurs. Sometimes it also happens from environmental factors such as easily-stretched knee/elbow skin, and lower leg/foot skin that is easily predisposed to continuous external stimulation.
Keloid and hypertrophic scar are usually dealt with steroid injection. 1 steroid injection treatment is performed per few months to minimize the allergic reaction to scars. If good result is observed after 1 treatment, few more additional sessions are advised inorder to lessen redness of scar. Overdoing it might sometimes cause a dent so careful observation is a must. Individuals who are pregnant, or have diabetes, hypertension, infection, and allergy to steroid, should be under careful observation upon administering this medication.
Pricing
| without tax | with tax | ||
| PicoSure Treatment | Focus Fractional 5×5ｃｍ | \20000 | \22000 |
| Picotoning | \10000 | \11000 | |
| Incision Method | wound up to 1cm | \25000 | \27500 |
| up to 3cm | \35000 | \38500 | |
| up to 4cm | \40000 | \44000 | |
| Keloid Treatment | Kenacort Injection within 3×3㎝2 | \3000 | \3300 |
Miyagi Cosmetic Surgery宮城美容外科クリニック
〒900-0016
沖縄県那覇市前島２－２－１（３F)
2-2-1-3F Maejima, Naha City
Okinawa, Japan 900-0016
TEL 098-860-9120
FAX 098-860-9176
※電話が混み合っている場合、ウェブやメールでの予約も受けております。オンライン予約はこちら
In case line is busy, please make reservations through our website or e-mail.
For online booking click here
e-mail info@miyagi-clinic.info
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