It's the season for removing dark spots! Which treatment is best for your dark spots? We'll compare and explain each treatment.
Hello!
My name is Ayuri Yokoyama, a cosmetic surgeon and cosmetic dermatologist.

Introduction
When you want to remove age spots, there are a variety of cosmetic medical treatment options available.
From device treatments such as PicoSpot and Lumecca to oral, topical and intravenous medications.
Because there are so many options,
"Which one will ultimately work best?"
"I don't know which machine is right for me"
I'm sure many people are worried about this.
This time, based on my experience examining the skin of over 20,000 people, I will explain the characteristics, advantages and disadvantages of each treatment.
pico spot
·structure: Using a picosecond laser, the melanin pigment that causes spots is removed.Pinpoint destruction.
Adaptation: Senile lentigo (solar lentigo), freckles, ADM (acquired dermal melanocytosis), etc.
·merit : Completed in one treatmentThere is a possibility.
·Demerit : Risk of downtime and post-inflammatory hyperpigmentation (PIH)Yes. Post-irradiation care is important.
·guideline: Starting at several tens of thousands of yen per treatment. UV protection is essential to prevent PIH, and daily care is essential to prevent recurrence.
Lumecca (IPL)
·structure: A type of light therapy (IPL),Not only for blemishes but also for redness and poresapproach.
Adaptation: Widespread light spots, freckles, dullness, redness.
·merit : short down timeIt is possible to treat the entire skin.
·Demerit: It does not remove dark spots in one go. Not suitable for melasma and ADM.
·guideline: 3 to 5 times, each costing several tens of thousands of yen.
Oral medication (tranexamic acid, vitamins C and E, etc.)
·structure: Inhibits melanin production,antioxidant effectPrevents spots.
Adaptation: For preventing melasma and dark spots, and preventing recurrence after laser treatment.
·merit: It acts on the whole body and can be easily continued.
·Demerit: There is no immediate effect,Long-term use requiredRare risk of thrombosis (tranexamic acid).
·guideline: From several thousand yen per month.
Topical application (hydroquinone/tretinoin therapy)
·structure :
Hydroquinone → Inhibits melanin production
Tretinoin → Promotes cell turnover and eliminates existing melanin
Adaptation: Mild spots, melasma, maintenance and recurrence prevention after laser treatment.
·merit : Can be done at homeLaser not applicableAlso effective against melasma.
·Demerit : Downtime such as redness and peelingYes. Using it in your own way is dangerous.
·guideline: From several thousand yen per month.
Infusion (high-concentration vitamin C, glutathione, etc.)
·structure: Antioxidant effect and melanin production inhibition.
Adaptation: For improving dullness and fatigue all over the body.
·merit: Fast-acting nutritional supplement.Whitening purpose + health maintenanceeffect.
·Demerit: It is not possible to pinpoint and remove the stain itself.
·guideline: 5,000 to 15,000 yen per session.
Comparison Summary

Summary
・"I want to get rid of dark spots as quickly as possible" → Pico Spot
・"I want to improve my overall skin condition" → Lumecca
・"Melasma treatment" and "prevention" → oral and topical use
・“Health + Whitening” purpose → Intravenous drip
👉 What's important is"Combining treatments according to the type of stain and purpose".
At Bianca, we use a skin diagnostic machine to accurately diagnose your skin condition.
We offer a custom-made treatment plan tailored to each individual.
If you are interested, please come in for a consultation. We also welcome those who just want a consultation.
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【profile】
Cosmetic surgeon/cosmetic dermatologist Dr. Ayuori Yokoyama
Japan's leading beauty, health and regenerative medicine clinic | BIANCA CLINIC GINZA/OMOTESANDO
In his previous job, he was a cosmetic dermatologist and was involved in the establishment and opening of a clinic, serving as its director for three years.
He has treated the skin and faces of approximately 20,000 people and contributed to the development of the clinic.
In order to further expand her treatment area, she has now moved to BIANCA CLINIC, one of Japan's leading beauty, health and regenerative medicine clinics.
We offer not only cosmetic dermatology but also the latest cosmetic medical treatments for well-aging, including cosmetic surgery and cosmetic internal medicine.
[Career]
Graduated from Hiroshima University School of Medicine in 2020
2020: Worked at JCHO Tokyo Shinjuku Medical Center and affiliated hospitals (National Center for Global Health and Medicine Hospital, Tokyo Yamate Medical Center)
2022: Joined ELM Medical Corporation and served as director of Azabu Clinic
Joined BIANCA in 2025
[Affiliated academic societies/qualifications]
Japanese Society of Aesthetic Dermatology
Japanese Society of Anti-Aging Medicine
Industrial physician qualification
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