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2025.08.19

What's the difference between Pico Toning, Pico Spot, and Pico Fractional?

夏目 隆太郎
Supervising Physician
Ryutaro Natsume

A dual-specialty doctor with a background in plastic surgery, bridging cosmetic surgery and ophthalmology. At the university hospital, he performed numerous high-difficulty cases, primarily focusing on eye and facial bone surgeries, cultivating precise techniques grounded in anatomy. He prioritizes achieving both aesthetic beauty and functional safety, offering customized treatments around the eyes that incorporate ophthalmological expertise. He actively utilizes not only incisional surgery but also non-invasive procedures like hyaluronic acid injections. By carefully assessing each individual's condition and unique appeal, he provides bespoke treatments that guide patients toward naturally harmonious, well-defined eyes.

Hello,Image Designer/Plastic Surgeon Ryutaro Natsumeis

 

Clear, translucent skin without dullness gives an elegant and sophisticated impression, regardless of gender.

(Top: Before treatment, Bottom: After treatment, Treatment details: 1 Pico Spot session + 15-20 Pico Toning pulses)

Personally, I believe that improving your overall appearance is more effectively achieved by first focusing on skin care rather than cosmetic surgery procedures.

In reality, though, surgical procedures involve downtime, so they're often scheduled when you have time available.

This time, we'll introduce the PicoSure pico laser, which offers minimal downtime,

Pico Spot, Pico Toning, Pico Fractional: We explain the features of each.

What exactly is a pico laser?

Laser light is applied to the skin in picosecond (one trillionth of a second) pulses.

The pulse duration is shorter than the nanosecond (one-billionth of a second) pulse duration of conventional Q-switched lasers, resulting in less damage to the skin.

Effects: Dark spots, freckles, dullness, enlarged pores, acne scars, melasma, etc.

 

◯Pico Spot

High-output light precisely targets stubborn dark spots, breaking down melanin pigment to improve their appearance.

It is also effective for flat moles, though 2-3 sessions may be required.

Downtime: Redness appears immediately after treatment. Scabs form starting 3 days later and naturally peel off within 1 week.

 

◯Pico Toning

Low-output irradiation across the entire face improves overall dullness.

While many laser treatments tend to darken melasma, Pico Toning is notably effective for treating it.

Liver spots are a condition where the cheeks and center of the forehead appear hazy and dull due to chronic inflammation. They worsen with sun exposure or skin irritation from rubbing, gradually becoming darker. Many people are unaware they have liver spots when they are faint. Be cautious when applying IPL treatment or PicoSpot to such individuals, as it can darken the pigmentation.

We recommend continuing this as maintenance approximately 10-20 times per month.

Downtime: Redness may appear immediately after treatment, but it subsides by the next day.

 

◯Pico Fractional

By creating tiny pinpoint holes in the skin, it stimulates collagen production, reducing enlarged pores and acne scars.

(Top: Before treatment, Bottom: After treatment, Treatment details: 5 sessions of Pico Fractional + 10 sessions of Pico Toning + 5 sessions of HydraFacial)

We recommend continuing this approximately 3 to 5 times per month.

Downtime: Redness may occur for approximately 2-3 days.

 

The pain is tolerable with anesthetic cream. It feels like being lightly snapped with a rubber band.

Summary

This time, we explained the features of Pico Spot, Pico Toning, and Pico Fractional.

Many patients are unaware they have melasma when the discoloration is faint.

We assess skin condition through visual examination and using the VISIA skin analysis system, providing personalized treatments for each individual.

Please feel free to contact us anytime.

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※There are various approaches to aesthetic medicine, and opinions and practices may differ among physicians. Please consider the information provided here as one reference only, and we hope you will choose medical care that suits you and meets your expectations.

We apologize if any unintended inaccuracies or misleading expressions were included. In such cases, we will make appropriate corrections or additions.

 

【Profile】

Plastic Surgeon Dr. Ryutaro Natsume

https://biancaclinic.jp/doctor/natsume/

Performed numerous facial surgeries, particularly focusing on the eye area and facial bones, in the field of plastic surgery.

Regarding treatments for the eye area, I believe that not only aesthetic appearance but also ophthalmic functionality is extremely important. To provide safer and more reliable treatments, I am currently deepening my expertise as an ophthalmologist.

We actively incorporate non-surgical procedures such as hyaluronic acid injections, in addition to treatments requiring surgical instruments.

From a multifaceted professional perspective encompassing cosmetic surgery, cosmetic dermatology, reconstructive surgery, and ophthalmology

BIANCA CLINIC, a leading Japanese clinic specializing in beauty and regenerative medicine, provides the latest aesthetic treatments.

【Career】

2020: Graduated from Tokyo Medical University Tokyo Metropolitan Saiseikai Central Hospital

2022 Jikei University Hospital Department of Plastic Surgery

2023 Department of Plastic Surgery Jikei University School of Medicine Kashiwa Hospital

2024 BIANCA CLINIC

【Professional Affiliations/Qualifications】

Japanese Society of Aesthetic Surgery (JSAS)

Full Member of the Japan Society of Plastic and Reconstructive Surgery

Full Member of the Japanese Society of Craniofacial Surgery

Full Member of the Japanese Ophthalmological Society

Full Member of the Japanese Society of Aesthetic Medicine

【SNS】

Instagram account 

 https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr

 

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