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2025.09.09
How to Treat Pores! Essential Concepts to Keep in Mind
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, I'm Ryutaro Natsume, an image designer and cosmetic surgeon.

Pore issues essential for achieving porcelain-like skin
Enlarged pores centered around the T-zone
Let me explain how to treat it!
Why do enlarged pores tend to occur in the T-zone in the first place?
The T-zone is an area that naturally produces more sebum.
Additionally, because there are hard bones and cartilage beneath the T-zone, the force that would normally push the pores open downward is instead directed horizontally, causing them to spread out.
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Step-by-Step Approach to Pore Treatment
Step 1: Start with facial hair removal
Of course, hair growth doesn't block pores.
First, let's do facial hair removal.
When laser hair removal is applied, the heat energy destroys the hair follicle, and the sebaceous gland also absorbs heat and shrinks.
Reduced sebum production leads to smaller pores.
Step 2: Clearing Clogged Pores
HydraFacial:Cleans pores and gently exfoliates to eliminate clogged pores.
Manuka Peel/Lala Peel:Removes excess dead skin cells to unclog pores.
Step 3: Sweat/Sebum Secretion Suppression
Apocrine sweat glands and sebum are secreted within hair follicles.
Excessive sebum production can cause enlarged pores and lead to clogged pores, which can trigger inflammation.
Micro BotoxBy injecting Botox in fine, shallow layers, it suppresses sweat and sebum secretion without weakening facial movement.
Mesona JApproximately 300 times more effective than regular application and about 70 times more effective than iontophoresis in delivering active ingredients into the skin.
Vitamin C derivatives and Vitamin A suppress sebum production.
Oral isotretinoin:Vitamin A derivatives provide a strong sweat/sebum secretion suppression effect.
Zeoskin Home Care:Developed by Dr. Obagi, the creator of ZeoSkin, based on the fundamental principle that "sebum is the enemy of the skin."
Step 4: Shrink Enlarged Pores
Having identified the factors that cause pores to open from within, we will now work to minimize pores that have already become enlarged.
Jubeluck:Poly-D,L-lactic acid (PDLLA) is injected to promote collagen production.
Potenza:Using a small needle to create multiple tiny holes in the skin, radiofrequency (RF) energy is emitted from the needle to stimulate collagen production and reduce pore size.
Using a drug delivery system to permeate medications such as Jubellook into the opened wound is more effective.
Pico Fractional:The pico laser creates tiny holes in the skin to stimulate collagen production and reduce pore size.
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As such, even with pore treatment, the approach varies depending on the stage of the condition.
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