2026.09.01
Acne cratering treatment treated by Dr. Hayama, Dermatologist ✨.
01MONITOR
Call for Case Study Participants (Exclusively for Dr. Hayama)
Dr. Hayama, BIANCA Dermatology Specialist, is in charge❣️
Customization
Acne and Acne Scarring Treatment
Board Certified Dermatologist, Japanese Dermatological Association Dr. Hayama｜Acne and Acne Scarring Treatment Call for Case Study Participants
We carefully examine skin concerns such as acne, pitted scars, redness, and uneven skin texture, and propose customized treatment plans tailored to each individual’s skin condition. ✨
We’ll assess your skin condition from a specialist’s perspective and work with you to determine the best treatment plan.
For a Limited Time Exclusive to Dr. Aya Hayama
02RESERVE
Treatment combinations includeWe'll decide during the exam.
The doctor will determine which treatment is appropriate after assessing your skin condition and discussing your goals.
Whether a patient is a good candidate for the monitor is also determined during the examination.
If you're unsure what to do, we'd be happy to provide you with information about our counseling services.
03CASES
Acne and Acne ScarsTreatment Cases
TrifilProCase Study
One month after the first treatment session| Treatment Name | TrifilPro |
|---|---|
| Treatment Details | Rejuvenation Shot＋substitution shot（NEAUVIA Hydro Deluxe） |
| Number of treatments | 1 time |
| Duration of Treatment | One treatment session. Follow-up one month after the treatment |
| Cost | 127,100 yen (tax included) / Anesthesia fee: 3,630 yen (separate charge) |
| Downtime | The redness and swelling will subside in about 2 to 5 days. |
| Risk | Swelling, redness, internal bleeding, pain, discomfort, etc. |
| Type of Medical Care | Private Medical Care (Not Covered by Insurance) |
The case photos are for illustrative purposes only and do not guarantee treatment results.
04CONCERNS
For people like thisRecommended
- ✔︎ Acne and scars keep coming back
- ✔︎ Uneven skin texture and redness make makeup application difficult
- ✔︎ Struggling to find the right treatment for me
- ✔︎ I want to carefully improve my condition under the care of a trustworthy doctor.
- New red and white pimples are appearing.
- Redness remains even after the acne inflammation has subsided
- Dark-colored pigmentation remains after the inflammation has subsided.
- I'm concerned about indentations such as ice-pick-type, boxcar-type, and rolling-type indentations
- I'd like to consult with someone about treatment options that suit my skin condition.
We'll tailor a combination of treatments and skincare routines based on the condition of your skin.
※We may also recommend combining oral and topical medications.
The decision regarding treatment eligibility and participation in the monitoring program is made by a physician following a medical examination.
05ABOUT
Even with the same unevenness,The causes are different.
The underlying processes in the skin differ between acne and acne scars.
During your consultation, we’ll assess your skin condition and develop a personalized plan that combines treatments, skincare, and oral and topical medications based on your specific concerns.
The Difference Between Acne and Acne Scars
Acne is a skin condition in which pores become clogged due to sebum secretion, leading to inflammation.
Scarring can also occur if pores remain clogged for a long time.
| What Remains | Status |
|---|---|
| Dent | Craters (acne scars). Icepick-type / Boxcar-type / Rolling-type |
| Excitement | Keloid / Hypertrophic Scar |
| 色 | Post-inflammatory Redness / Post-inflammatory Hyperpigmentation |
Three Types of Craters
Ice pick type
It is a small, deep indentation. The opening is narrow, and it extends deep into the surface.
Boxcar type
The bottom and sides are scarred. It is a square indentation with a distinct edge.
Rolling type
The tissue at the bottom is being pulled. It appears as a gentle, wavy indentation.
How Craters Form
A crater is not a hole caused by the skin's surface being scraped away.
When acne inflammation persists, hard tissue forms beneath the skin. This tissue pulls the skin's surface downward, resulting in indentations.
Things to Check During a Medical Examination
- Will new acne breakouts occur?
- Is the redness just starting, or has it been going on for a while?
- Crater Shape and Depth
- Degree of Fibrosis
We examine the skin in person to determine which layer to treat and how to proceed.
The number of treatment sessions you will receive as part of the trial program ranges from approximately one to three, depending on your symptoms.
PicoFocus（Pico-Fractional) is also effective in improving uneven acne scars that resemble craters.
Lara SecretThis is a body-only peel for the "back and genital area." It is not included in this trial program.
06OPTIONS
Depending on your skin condition andPurpose of TreatmentI'll choose based on that
This does not indicate the scope of coverage for the case study discount.
Click here for details on acne and acne scar treatment
Explanation of Each Treatment
TrifilPro
- What to Do
- Carbon dioxide is injected through an ultra-fine needle. The pressure from the gas breaks up the adhesions and delivers the medication into the resulting space.
- Suitable Types
- Ice-pick type, boxcar type, rolling type
- Recommended Frequency
- The number of sessions will be determined during the consultation.
- Downtime
- Redness and swelling may last for 2 to 5 days.
Subdivision
- What to Do
- A needle or cannula is inserted beneath the skin to cut through the hardened fibrous tissue in a transverse direction.
- Suitable Types
- Ice-pick type, boxcar type, rolling type
- Recommended Frequency
- The recommended number of sessions is 3 to 6, approximately every 4 weeks.
- Downtime
- Swelling and bruising may last for a few days.
TCA Cross
- What to Do
- Apply high-concentration trichloroacetic acid to each deep crater one by one.
- Suitable Types
- Ice-pick type, boxcar type, rolling type
- Recommended Frequency
- The number of sessions will be determined during the consultation.
- Downtime
- A scab will form at the treatment site for about a week.
potenza
- What to Do
- An ultra-fine needle is inserted, and high-frequency energy is applied through the needle tip. Depending on the tip used, this procedure may be combined with the delivery of medication.
- Suitable Types
- Boxcar type, rolling type
- Recommended Frequency
- Treatments are scheduled once every 4 weeks.
- Downtime
- Redness may last for 1 to 2 days, and a sensation of heat may last for 3 to 4 days.
PicoFocus（Pico-Fractional）
- What to Do
- A high-density laser is applied in a dotted pattern to create tiny cavities just beneath the epidermis.
- Suitable Types
- Indented acne scars
- Recommended Frequency
- The treatment intervals are 4 weeks, and the number of sessions ranges from 5 to 10.
- Downtime
- Mild redness or flushing may occur.
DermapenSystem (Velvet Skin）
- What to Do
- Dermapen 4Using an ultra-fine needle, very small holes are made in the skin. There are also treatment options that combine different medications.
- Suitable Types
- Boxcar type, rolling type
- Recommended Frequency
- The recommended frequency is about once a month, for a total of 3 to 5 times.
- Downtime
- Downtime is 2 to 3 days.
HydraFacial
- What to Do
- Using water flow and suction, it washes away dead skin cells, sebum, and impurities from the pores while delivering moisturizing ingredients to the skin.
- Suitable Types
- This is considered in cases where new acne is developing.
- Recommended Frequency
- About 30 minutes. The general guideline is 5 to 10 sessions, once every 2 to 4 weeks.
- Downtime
- Redness and a stinging sensation may last for several hours.
Various Peels
- What to Do
- This treatment uses a chemical solution to remove dead skin cells from the skin's surface and promote skin renewal.
- Suitable Types
- It is being studied in relation to new acne and post-inflammatory hyperpigmentation.
- Recommended Frequency
- The number of doses and the dosing intervals vary depending on the medication. These will be determined during your appointment.
picotoning
- What to Do
- This treatment involves applying low-power laser energy in picosecond pulses to gradually break down melanin pigment and promote its elimination.
- Suitable Types
- It will be reviewed while the color remains visible.
- Recommended Frequency
- 15 to 20 minutes. The general guideline is 10 to 20 sessions every 2 to 4 weeks.
- Downtime
- Redness may occur for a few hours after the treatment.
picot
- What to Do
- The picosecond laser is directed at the pigment in a series of small spots.
- Suitable Types
- It will be reviewed while the color remains visible.
- Recommended Frequency
- If you need to undergo another treatment, wait at least 3 to 6 months before doing so.
- Downtime
- The color of the treated area may temporarily darken for a few days.
Combination Constraints
Even when combining multiple treatments, it is not always possible to perform them all on the same day.
SubdivisionTherefore, treatments involving needles, heat, or thread lifts should not be performed on the same day.
07DOCTOR
Attending PhysicianAiya Hayama
Dr. Aya Hayama (Board-Certified Dermatologist)
I am a board-certified dermatologist who has gained extensive clinical experience at a university hospital, treating a wide range of skin concerns—from birthmarks and pigmentation in both children and adults to refractory skin diseases and cosmetic dermatology procedures.
We'll assess the condition of your skin and clearly explain your treatment options.
- Board Certified Dermatologist, Japanese Dermatological Association
- Clinical Training Supervisor / Designated Physician for Intractable Diseases
- Member of the Japanese Society of Cosmetic Dermatology, the Japanese Society of Cosmetic Science, and other organizations
Click here for full profile details
I am a full-time physician at BIANCA.
Treatment Process
We monitor new breakouts, inflammation, redness, and scarring as the condition progresses.
Topical medications, skincare, peels,Subdivision、TrifilPro、potenzaBased on these factors, we will determine the appropriate treatment method depending on the symptoms.
We’ll determine which to treat first—redness, new acne, or acne scars—and decide on the order and number of treatments.
career
- 2008Graduated from Nihon University School of Medicine, School of Medicine
- 2008Initial Clinical Resident, Tokyo Women's Medical University Hospital
- 2010Department of Dermatology, Tokyo Women's Medical University Hospital
- 2012Department of Dermatology, St. Mary's Hospital
- 2013Department of Dermatology, Tokyo Women's Medical University Hospital
- 2015Appointed Assistant Professor at Tokyo Women's Medical University Hospital
- 2017Contract physician, Tokyo Women's Medical University Hospital
- 2017Tokyo Dermatology, Dermatologic Surgery, Cosmetic Dermatology Supervisor
- 2019Director, Kichijoji Manami Skin Clinic
- Year 2023Yaesu Plastic Surgery Cosmetic Dermatology (part-time concurrent position)
- Year 2025Joined BIANCA
Affiliated Academic Societies
- The Japanese Dermatological Association
- The Japanese Society of Aesthetic Dermatology
- Japanese Society of Aesthetic Medicine
- The Japanese Society of Cutaneous Immunology and Allergy
- Japanese Society for Laser Medicine
- The Japanese Society of Cosmetic Chemistry
Qualifications Eligible for Advertising
Board Certified Dermatologist, Japanese Dermatological Association
Participating Clinics
*Skin treatments (treatments using equipment such as peels and lasers) are available only at the Ginza clinic.
08FLOW
How to Make a Reservation
Reservation Procedure
Please make your reservation using the online booking button below.
- Select BIANCA GINZA or OMOTESANDO
- Select "First Visit" or "Follow-up Visit"
- Select “Inquiries About Campaigns/Testing Programs”
- Select “Customized Acne and Acne Scarring Treatment Trial”
- Select Dr. Hayama
- Select your preferred date and time
- Enter Customer Information
- Reservation Complete
If you are not yet a registered member, you must complete the new member registration (enter your customer information).
If you are already a registered member, please enter your registered email address and password.
About Treatment Dates
For skin treatments, we see customers in the order in which they booked their appointments.
*Only if there is an available appointment slot on the day of the consultation, it is also possible to show up after the consultation.
09RISK
For each treatmentDifferent Risks
Downtime: redness, swelling, internal bleeding, pressure ulcers,
Layer 1: Treatments that Target the Stratum Corneum and Pores
HydraFacial
- Redness, stinging. These symptoms may last for several hours.
- Temporary dryness, worsening of acne. These symptoms may last for a few days.
Various Peels
The reaction varies depending on the formulation.
- lala peel Temporary redness, slight peeling, dryness, stinging, itching, or a feeling of discomfort
- professional appeal Redness, peeling, dryness
- Bio Peel（Milan Repeal) Stinging, dryness, peeling. Lasting from a few hours to several days
- massage peel Redness, dryness, peeling, scabs, pain, hyperpigmentation
Level 2: Laser Treatments
picotoning
- Redness lasting a few hours after the procedure
- Dark spots appear for about a week
- Loss of pigment, hyperpigmentation, blistering, mild hives, stinging, breakouts
picot
- Redness lasting a few hours after the procedure
- For a few days, the color of the treated area may temporarily darken.
- The thin scab will fall off in about one to two weeks.
- Swelling, bruising, pain, discomfort, redness, depigmentation, hyperpigmentation, blistering, post-inflammatory hyperpigmentation, rebound hyperpigmentation
PicoFocus（Pico-Fractional）
- Redness, mild swelling, blisters
- Mild redness, flushing, and itching
- If the output is high, it may take more than three days for the redness and flushing to subside.
Layer 3: Treatment Using Ultra-Fine Needles
Dermapen系
- Dermapen Minor bleeding and slight peeling for about a week
- Velvet Skin Redness, stinging, tingling, and peeling. Downtime is 2 to 3 days.
potenza
- Redness lasts 1 to 2 days; a sensation of heat lasts 3 to 4 days
- Infection, hyperpigmentation, erythema, folliculitis
- Transient folliculitis may occur as a result of heat exposure.
Layer 4: Procedure to Release Adhesions Inside the Skin
TrifilPro
- Swelling Immediately After the Procedure
- Redness and swelling last 2 to 5 days
- Bruising, pain, discomfort, infection, impaired blood flow, unevenness
Subdivision
- Swelling and bruising for a few days
- Redness, swelling, edema, bruising, hives, puffiness, pain
Layer 5: Treatment that applies medication in small, localized spots
TCA Cross
- The treated area will form a scab for about a week.
- Pigmentation may last from one to three months.
- Redness, hyperpigmentation, scabs, scars
- You may feel like your pores have gotten worse.
Unapproved Drugs・Regarding Unapproved Medical Devices
These are the precautions listed on the detailed treatment pages for each treatment.
HydraFacial
Treatment Details:HydraFacial(HydraFacial®)
Treatment duration and frequency guidelines: Approximately 5 to 10 sessions every 2 to 4 weeks Acne treatment results typically appear within 4 to 12 months *Results may vary depending on individual condition.
Risks and Side Effects: Roaccutane: Redness, stinging, etc. Dryness, liver dysfunction, joint pain, muscle pain, headache, etc.
Important Notes Regarding Unapproved Devices
- This treatment may involve the use of unapproved medical devices that have not received regulatory approval in Japan.
- The medical devices used in our treatments are imported through the personal import process based on a physician’s judgment. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Medicines and Other Products to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there may be no other domestically approved medical devices with the same performance characteristics.
- Information on Safety and Other Matters in Other Countries
- "Hydrafacial®" has been approved by the U.S. Food and Drug Administration (FDA) and bears the European CE mark.
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event that serious side effects occur, you may not be eligible for the national compensation program (Pharmaceutical Side Effect Victim Relief Program).
lala peel
Treatment Details:lala peel
Treatment time: Approximately 30 minutes* *May vary depending on consultation and treatment details
Recommended number of sessions: 5–10 sessions per course* (Subject to adjustment based on skin condition)
Estimated treatment period: 2 weeks to 1 month *Treatment available at a minimum frequency of once per week
Side effects and risks: Temporary redness, dryness, stinging, itching, or discomfort.
Regarding the equipment used:
- lala peelTreatment for this condition involves procedures using drugs or medical devices that are not approved in Japan.
- The pharmaceuticals and medical devices used for treatment are imported individually from MD Skin Solutions based on the judgment of our clinic’s physicians.
- There are no other domestically approved drugs with the same active ingredient or efficacy.
- Information on Safety and Other Matters in Other Countries
- It has obtained European CE certification.
professional appeal
Treatment Details:professional appeal
Recommended treatment period and frequency: Once every 4 weeks, approximately 5 sessions per course *May vary depending on individual condition.
Risks and Side Effects: Redness, peeling, dryness, etc.
Important Notes Regarding Unapproved Medicines
- This treatment may involve the use of unapproved drugs that have not received regulatory approval in Japan.
- The pharmaceuticals used in our treatments are imported through the personal import process under a doctor’s supervision. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Pharmaceuticals and Other Products to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there may be no other domestically approved pharmaceuticals containing the same active ingredient.
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event of a serious side effect, you may not be eligible for coverage under the national drug adverse reaction relief program.
Bio Peel（Milan Repeal）
[Treatment Details]Bio Peel（Milan Repeal）
【Recommended Treatment Period and Frequency】Approximately 5 sessions, once every 4 weeks ※May vary depending on individual condition.
【Risks and Side Effects】Redness, dryness, peeling, scabbing, pain, hyperpigmentation, etc.
【Important Notes Regarding Unapproved Medicines】
- This treatment may involve the use of unapproved drugs that have not received regulatory approval in Japan.
- The pharmaceuticals used in our treatments are imported through the personal import process under a doctor’s supervision. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Pharmaceuticals and Other Products to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there may be no other domestically approved pharmaceuticals containing the same active ingredient.
- Information on Safety and Other Matters in Other Countries
- 「Bio Peel" has obtained the European CE mark.
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event of a serious side effect, you may not be eligible for coverage under the national drug adverse reaction relief program.
massage peel
[Treatment Details]massage peel
Recommended Treatment Frequency and Duration: Approximately once every 1 to 2 weeks ※May vary depending on your condition.
【Risks and Side Effects】Redness, dryness, peeling, scabbing, pain, hyperpigmentation, etc.
【Important Notes Regarding Unapproved Medicines】
- This treatment may involve the use of unapproved drugs that have not received regulatory approval in Japan.
- The pharmaceuticals used in our treatments are imported through the personal import process under a doctor’s supervision. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Pharmaceuticals and Other Products to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there may be no other domestically approved pharmaceuticals containing the same active ingredient.
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event of a serious side effect, you may not be eligible for coverage under the national drug adverse reaction relief program.
Velvet Skin（Dermapen 4due toPRX-T33®(Treatments that incorporate this method)
Treatment Details:Velvet Skin（Dermapen 4due toPRX-T33®(Treatments that incorporate this method)
Recommended treatment period and frequency: Approximately 3 to 5 sessions per month *May vary depending on individual condition.
Risks and side effects: Redness, stinging, peeling, etc.
Important Notes Regarding Unapproved Devices and Pharmaceuticals
- This treatment may involve the use of medical devices and pharmaceuticals that have not been approved by the Japanese regulatory authorities.
- The pharmaceuticals and medical devices used in our treatments are imported through the personal import process based on a physician’s judgment. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Pharmaceuticals and Other Items to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there may be no other domestically approved drugs or medical devices with the same ingredients or performance characteristics.
- Information on Safety and Other Matters in Other Countries
- Dermapen 4It has been approved by the U.S. FDA (Food and Drug Administration) as a microneedling device intended to improve facial acne scars. (Approval Number: K221070)
- 「PRX‑T33®" has obtained the European CE Mark, Class I.
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event of a serious side effect, you may not be eligible for coverage under the national drug adverse reaction relief program.
potenza
Treatment Details:potenza(POTENZA™)
Recommended treatment period and frequency: Multiple sessions approximately every 4 weeks *May vary depending on individual condition.
Risks and Side Effects: Infection, hyperpigmentation, erythema, folliculitis, etc.
Important Notes Regarding Unapproved Devices
- This treatment may involve the use of unapproved medical devices that have not received regulatory approval in Japan.
- The medical devices used in our treatments are imported through the personal import process based on a physician’s judgment. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Medicines and Other Products to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there may be no other domestically approved medical devices with the same performance characteristics.
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event that serious side effects occur, you may not be eligible for the national compensation program (Pharmaceutical Side Effect Victim Relief Program).
TrifilPro
[Treatment Details]TrifilPro
【Treatment Frequency and Duration】 Approximately once a month for 3 sessions ※May vary depending on skin condition.
【Risks and Side Effects】Swelling, redness, bruising, pain, discomfort, etc.
【Important Notes Regarding Unapproved Devices and Pharmaceuticals】
- This treatment involves the use of drugs that are not approved in Japan or treatments that differ from their approved indications.
- Medications and medical devices used for treatment are imported through the personal import process based on the judgment of our clinic’s physicians.
- Please refer to the information below regarding medications and other products to be aware of when importing them for personal use.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there are no other domestically approved pharmaceuticals or medical devices with the same active ingredients or performance characteristics.
- Information on Safety and Other Matters in Other Countries
- TrifilProIt has been approved by the MFDS (Ministry of Food and Drug Safety of South Korea).
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event that serious side effects occur, you will not be eligible for the national drug adverse reaction relief program.
Subdivision
Treatment Details:Subdivision
Treatment period and number of sessions: Approximately 3 to 6 sessions every 4 weeks. *May vary depending on individual condition.
Risks and Side Effects: Bruising, swelling, redness, pain, etc.
Important Notes Regarding Unapproved Devices and Pharmaceuticals
- Medications to be used: "Juvederm Vista® Volite XC" has received regulatory approval from the Ministry of Health, Labor and Welfare [for the purpose of correcting superficial indentations such as fine lines on the face and neck and improving skin condition (moisture retention, elasticity, etc.)] (Approval No.: 30200BZX00389000).
- However, there may be cases where the product is used for purposes or on body parts other than those approved.
- The pharmaceuticals and medical devices used in our treatments are imported through the personal import process based on a physician’s judgment. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Pharmaceuticals and Other Items to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - There may be no other domestically approved drugs or medical devices with the same ingredients or performance characteristics.
- Information on Safety and Other Matters in Other Countries
- 「Juvederm Vista® Volite XC" has been approved by the U.S. FDA (U.S. Food and Drug Administration).
- In the unlikely event of a serious side effect, you may not be eligible for coverage under the national drug adverse reaction relief program.
TCA Cross
Treatment Details:TCA Cross(Crater Treatment)
Recommended treatment period and frequency: Approximately 3 to 5 sessions every 3 to 4 weeks *May vary depending on individual condition.
Risks and side effects: Redness, hyperpigmentation, scabs, etc.
Important Notes Regarding Unapproved Medicines
- This treatment may involve the use of unapproved drugs that have not received regulatory approval in Japan.
- The pharmaceuticals used in our treatments are imported through the personal import process under a doctor’s supervision. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Pharmaceuticals and Other Products to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there may be no other domestically approved pharmaceuticals containing the same active ingredient.
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event of a serious side effect, you may not be eligible for coverage under the national drug adverse reaction relief program.
新TCA Cross
Treatment Details: NewTCA Cross(Crater Treatment)
Recommended treatment period and frequency: Approximately 3 to 5 sessions every 3 to 4 weeks *May vary depending on individual condition.
Risks and side effects: Redness, hyperpigmentation, scabs, etc.
Important Notes Regarding Unapproved Medicines
- This treatment may involve the use of unapproved drugs that have not received regulatory approval in Japan.
- The pharmaceuticals used in our treatments are imported through the personal import process under a doctor’s supervision. For details, please refer to the Ministry of Health, Labor and Welfare’s “Information on Pharmaceuticals and Other Products to Be Aware of Regarding Personal Imports.”
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there may be no other domestically approved pharmaceuticals containing the same active ingredient.
- It is possible that serious risks or side effects have not yet been identified.
- In the unlikely event of a serious side effect, you may not be eligible for coverage under the national drug adverse reaction relief program.
picot
Treatment Details:picot(Application of a medical picosecond laser)
Estimated treatment period and number of sessions: Typically once per session
Side Effects and Risks: Redness, depigmentation, hyperpigmentation, blister formation, etc.
Treatment Using Unapproved Medical Devices, Unapproved Pharmaceuticals, and Other Unapproved Products
- This treatment involves the use of drugs that are not approved in Japan or treatments that differ from their approved indications.
- Medications and medical devices used for treatment are imported through the personal import process based on the judgment of our clinic’s physicians. Please refer to the information below regarding medications and other items that require special attention when imported personally.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there are no other domestically approved pharmaceuticals or medical devices with the same active ingredients or performance characteristics.
- Information on Safety and Other Matters in Other Countries
- Developed by CynoSure, Inc. in the United StatesPicoSureIt has been approved by the FDA (U.S. Food and Drug Administration) for the removal of pigmented lesions such as age spots, freckles, and ADM, as well as for the improvement of fine lines and acne scars.
- In the unlikely event that serious side effects occur, you will not be eligible for the national drug adverse reaction relief program.
picotoning
Treatment Details:picotoning
Recommended treatment frequency and duration: Once every 2 to 4 weeks, for a total of approximately 10 to 20 sessions.
Side Effects and Risks: Redness, depigmentation, hyperpigmentation, blister formation, etc.
Treatment Using Unapproved Medical Devices, Unapproved Pharmaceuticals, and Other Unapproved Products
- This treatment involves the use of drugs that are not approved in Japan or treatments that differ from their approved indications.
- Medications and medical devices used for treatment are imported through the personal import process based on the judgment of our clinic’s physicians. Please refer to the information below regarding medications and other items that require special attention when imported personally.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - With the exception of products that have obtained regulatory approval, there are no other domestically approved pharmaceuticals or medical devices with the same active ingredients or performance characteristics.
- Information on Safety and Other Matters in Other Countries
- Developed by CynoSure, Inc. in the United StatesPicoSureIt has been approved by the FDA (U.S. Food and Drug Administration) for the removal of pigmented lesions such as age spots, freckles, and ADM, as well as for the improvement of fine lines and acne scars.
- Medical Device Approval Number: 30200BZX00153000
- In the unlikely event that serious side effects occur, you will not be eligible for the national drug adverse reaction relief program.
PicoFocus（Pico-Fractional）
Treatment Details:PicoFocus（Pico-Fractional）
Equipment Used:PicoSure
Recommended treatment frequency and duration: Approximately once a month for 5 to 10 courses *Individual results may vary
Side effects/risks: Redness, mild swelling, blisters, etc.
Treatment Using Unapproved Medical Devices, Unapproved Pharmaceuticals, and Other Unapproved Products
- This treatment involves the use of drugs that are not approved in Japan or treatments that differ from their approved indications.
- This treatment uses a medical device manufactured by CynoSure, Inc. in the United States that has not been approved for use.PicoSureDoctors import these products for personal use. Please refer to the information below regarding medications and other products to be cautious about when importing them personally.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html - Information on Safety and Other Matters in Other Countries
- Developed by CynoSure, Inc. in the United StatesPicoSureIt has been approved by the FDA (U.S. Food and Drug Administration) for the removal of pigmented lesions such as age spots, freckles, and ADM, as well as for the improvement of fine lines and acne scars.
- Medical Device Approval Number: 30200BZX00153000
- With the exception of products that have obtained regulatory approval, there are no other domestically approved pharmaceuticals or medical devices with the same active ingredients or performance characteristics.
- In the unlikely event that serious side effects occur, you will not be eligible for the national drug adverse reaction relief program.
10PRICE
Costs vary depending on the treatment and the number of sessionsIt will be decided
The actual cost depends on the treatment you choose and the number of sessions.
Examples of Treatment Menus
※All prices include tax.
HydraFacial(1 full-face treatment)
Usually 25,200 yen
17,640円
This treatment aims to remove excess sebum and dead skin cells, helping to refine skin where clogged pores are a concern.
Various Peels (Full Face, 1 Session)
Usually 18,900 yen
13,230円
In addition,potenza／TrifilPro／Subdivision/ All treatments for acne and acne scars—including TCA CROSS—are eligible for a discount.
※Monitor prices apply only to treatments (excluding merchandise and medications)
Conditions for Eligibility for the Promotional Price
"Discounted rates vary depending on the applicable treatment and the terms of use for photos and videos (such as the extent to which your face is shown)."
- For a Limited Time
- Limited to one time per person
- This program is open to individuals who are willing to participate in photographing their treatment progress. A screening will be conducted during the consultation.
- Depending on the procedure, there may be additional charges for anesthesia and supplies.
- If you have received cosmetic treatment at another clinic within the past month, please inform us in advance.
Fees Not Included in the Listed Price
- Topical Anesthetic: 3,630 yen
- Nitrous Oxide Anesthesia: 6,050 yen
- Cost of medical supplies
- Medication Costs
11FAQ
Frequently Asked Questions Before Making a Reservation
Q1. Which treatment is right for me?
During the examination, we will assess the development of new acne, redness, hyperpigmentation, and the shape and depth of acne scars.
Based on that, we will consider a combination of procedures, skincare, and oral and topical medications. The physician will determine the treatment method and whether the patient is a suitable candidate for the clinical trial.
Q2. How many sessions will I need to attend?
The number of treatment sessions you will receive as part of the trial program is generally estimated to range from one to three, depending on your symptoms.
If the scarring is severe, additional sessions may be required.
Q3. Will the crater disappear completely?
This treatment is designed to make the indentation less noticeable. It does not guarantee that the indentation will disappear completely.
Results may vary from person to person depending on the shape and depth of the craters and the condition of the skin.
Depending on the treatment method—such as for narrow, deep ice-pick-shaped scars—it may be difficult to achieve noticeable results.
Q4. Will it hurt? Will anesthesia be used?
The level of pain or discomfort varies depending on the treatment.
TrifilProIn that case, you may experience pain from the insertion of a fine needle, as well as a sensation of pressure or discomfort when the carbon dioxide is injected.
SubdivisionNext, we will administer a subcutaneous anesthetic at the site where the needle will be inserted.
You can discuss your options for anesthetic cream or nitrous oxide anesthesia. Topical anesthesia costs 3,630 yen, and nitrous oxide anesthesia costs 6,050 yen.
Q5. Can I receive this treatment on the same day as other treatments?
We will determine during the consultation whether a combination of treatments can be performed on the same day.
SubdivisionTherefore, treatments involving needles, heat, or thread lifts should not be performed on the same day.
Q6. I’m using acne medication and retinol. Can I still get the treatment?
Please inform your doctor before your treatment if you are using any topical medications or highly irritating skincare products.
TrifilProSo, please stop using benzoyl peroxide for three days before and after the procedure, and retinol for one week before and after the procedure.
Q7. What are the requirements for case study participants?
This program is open to individuals who are willing to participate in photographing the progress of their treatment; applicants will be screened during the consultation.
Limited to one use per person. The discounted rate varies depending on the eligible treatments, the terms of use for photos and videos, and the extent to which your face is shown.
A doctor's examination will determine whether you are eligible for the study.
Q8. Can I make an appointment just for counseling? Is there a consultation fee?
You can make an appointment for counseling only. Dr. Hayama’s initial and follow-up consultation fees are free.
Depending on the service—such as the use of a skin analysis machine—additional fees may apply.
12CONTACT
First, during the examination...Check the status
The choice of treatment method and eligibility for the case monitoring program will be determined based on a physician's examination.
BIANCA CLINIC Ginza Branch
- Office Hours
- 10:00 a.m. to 7:00 p.m.
- Last Call
- First-time appointments at 5:00 p.m., follow-up appointments at 5:30 p.m.
- Location
- 12F ONE GINZA, 1-8-19 Ginza, Chuo-ku, Tokyo
- Closed
- non-scheduled holiday
BIANCA CLINIC Omotesando Clinic
- Office Hours
- 10:00 a.m. to 7:00 p.m.
- Last Call
- First-time appointments at 5:00 p.m., follow-up appointments at 5:30 p.m.
- Location
- Minami Aoyama 511 Building 2F, 5-11-10 Minami Aoyama, Minato-ku, Tokyo
- Closed
- non-scheduled holiday
