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Hello, I'm Ryutaro Natsume, an image designer and cosmetic surgeon.

 

Few people are aware they have melasma.

Some patients report that melasma was first pointed out to them during a consultation using the VISIA skin diagnostic device, which they had sought primarily for concerns about dark spots and skin dullness.

This time, we'll explain melasma treatment!

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What exactly is melasma?

Liver spots are,

Melasma refers to light brown pigmented patches that appear symmetrically on both cheeks, temples, and forehead, typically of equal size. Unlike clearly defined age spots (liver spots), melasma has blurred edges.

Chronic skin irritation, ultraviolet rays, and female hormone balance are considered causes.

Symptoms typically persist from the 30s to 40s through the late 50s, and may lessen or disappear after menopause.

 

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Liver Spot Treatment: Start with Skincare and Sun Protection！

◯Skincare

It may seem obvious, but surprisingly, many people see improvement simply by adhering to this.

The reason melasma is more common in women is that women tend to rub their skin more often.

The process of applying makeup and removing it, thorough cleansing morning and night—because their beauty consciousness is higher than men's, they tend to rub their faces more frequently.

Use a foaming cleanser, and a small amount—just enough to lightly cover your palm—is sufficient. Using too much means you'll have to rinse your face more thoroughly.

For makeup removal, we recommend milk or gel cleansers that cause minimal friction.

◯Light blocking

Ultraviolet rays cause free radicals to form, leading to skin inflammation and the activation of melanocytes, which worsens melasma.

We recommend using sunscreen as a makeup base and applying sunscreen spray every three hours.

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Suppress inflammation

◯ Oral Tranexamic Acid

Take the medication for at least three months.

Plasmin, which promotes the activation of melanocytes—pigment cells—and is involved in melanin production, suppresses the action of prostaglandins to reduce inflammation associated with melasma.

◯Mesona J

It is said to have 300 times the penetration effect of topical application and 70 times that of iontophoresis.

By introducing anti-inflammatory substances such as tranexamic acid and vitamin C derivatives into the skin, chronic inflammation is suppressed.

◯Pullreal

A formulation containing polynucleotides and mannitol that has an anti-inflammatory effect.

It is recommended to administer the product via subcutaneous injection, creating a small blister to introduce it into the skin.

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pigment discharge

◯picotoning

This treatment reduces melanin pigment using shock waves from a low-power laser, making spots, freckles, melasma, and dullness less noticeable.

◯Peeling

This treatment promotes epidermal turnover to expel unevenly distributed pigments and restore a clear complexion.

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Basement membrane reinforcement

This is a concept that has been gaining attention in recent years.

Disruption of the basal membrane deep within the epidermis can cause melanin to sink into the dermis, an even deeper layer.

Removing pigment located deep within the skin is not easy, which is why melasma treatment is considered difficult.

Potenza

The high-frequency (RF) energy emitted from the needle tip restores the basement membrane to its youthful, wavy state. This suppresses the abnormal condition where melanocytes—the root cause of melasma—continue to overproduce melanin. Simultaneously, the micro-injuries created by the needles stimulate skin turnover, promoting the expulsion of melasma for improvement.

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Summary

We treat melasma using multiple approaches in this manner.

Few people are aware they have melasma.

Many individuals troubled by dark spots also have melasma.

Applying strong energy treatments like Pico Spot to melasma can worsen 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