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Hello,Image Designer/Plastic Surgeon Ryutaro Natsumeis

 

Acne scars are more than just skin imperfections; they significantly impact interpersonal relationships and self-esteem.

Redness or crater-like indentations can easily give the impression of looking unhealthy, and there are limits to how well makeup can conceal them.
What I prioritize is not merely achieving beautiful skin, but how a person is perceived and the impression they make on others. Acne scar treatment is precisely the first step in shaping that impression.

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3 Types of Acne Scars

Ice pick type:It indents sharply in a V-shape, as if pierced by an ice pick. The indentation is deep.

Cause: Inflammation from acne deforms the pores, causing them to remain open and scar.

Boxcar type:The edges are angular and form square, vertical indentations. The indentations themselves are surprisingly shallow. This is the most common type.

Cause: During inflammation, wound healing did not proceed correctly, resulting in a defect and depression in that area.

Rolling type:It indents smoothly and circularly, as if pressed by a finger. Similar indentations cluster around it, making the surface appear wavy.

Cause: Deep inflammation occurred, causing scarring of the dermis and subcutaneous tissue, which pulled the epidermis downward, resulting in a depression.

 

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Treatment Methods by Type

Ice pick therapy:

In some cases, the indentation extends deeper than the dermis into the subcutaneous fat layer, making it difficult for needles like Potenza to reach and posing a challenge for treatment.

If there are only a few: Remove and suture.

When there are many options: TCA cross, Potenza, Dermapen, Picofractional, Juvellook, Tri-Fill, etc.

 

Boxcar-type treatment:

Peeling, Dermapen, Potenza, Pico Fractional Laser, Tri-Fill, and Juvellook are effective.

When the edges of the rim are sharply defined, the sharpness often remains, making it difficult to notice any improvement in the indentation.

In such cases, we improve the appearance by smoothing out the edges with a CO2 laser while lifting the skin from beneath using subcision.

 

Rolling-type treatment:

Subcision and Tri-Fill Pro are effective for cutting the scar tissue pulling the skin downward.

 

Subcision is

The scar tissue is cut by pulling the skin downward with a special needle.

Releasing the pulling force will flatten the acne scar area.

When fat atrophy causes volume loss, injecting hyaluronic acid into the affected area lifts and adds volume while preventing re-adhesion.

Pain, Downtime: Since it's performed under local anesthesia, there is almost no pain. Bruising and swelling may occur for about 3 days.

We recommend a total of two treatments, spaced two months apart.

 

What is Triphil Pro?

 

 

Carbon dioxide is injected beneath the indentation, and a chemical solution is then injected into that space to lift the indentation.

Pain and downtime: Surface anesthesia or nerve block anesthesia minimizes discomfort to a slight prickling sensation. Redness typically subsides within 2 to 3 days.

 

Distinguishing Between Tri-Fill Pro and Subcision

Rigid box car type, shallow rolling type → Tri-Fill Pro

Deep rolling type → Subcision

We recommend using them in this way.

 

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Summary

Acne scars often involve a combination of three types.

It is crucial to accurately determine which type of combination is present and devise a treatment strategy tailored to each one.

Instead of continuing the same treatment blindly, we propose combination therapy.

Please feel free to contact us anytime.

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Reservations can be made here.

Complete your reservation in 60 seconds ▶︎

https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15

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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