ピコトーニング

picotoning

PICO TONING

Low-power laser irradiation in picoseconds!
Decomposes melanin pigment while minimizing skin damage

  • Low-power laser treatment designed to minimize skin stress and downtime
  • A treatment that addresses pigmentation concerns such as dark spots and dullness while also improving skin texture
  • Laser treatments that previously carried a risk of worsening melasma can now be applied.
堀田 和亮
Supervising Physician
board chairman Kazuaki Hotta

Guided by the philosophy of "Japanese-quality aesthetic medicine recognized worldwide," we oversee specialized doctor teams across plastic surgery, aesthetic dermatology, aesthetic internal medicine, aesthetic gynecology, regenerative medicine, and permanent makeup. Beyond the clinic, we serve as leaders in roles such as Representative Director of Creation Labo, Producer of Cutting Edge, and Director of the Japan Society of Aesthetic Internal Medicine. Our goal is to deliver not just satisfaction, but profound delight. A game changer in the aesthetic medicine field, proposing Lifestyle Beauty that transcends the boundaries of traditional cosmetic treatments.

Unique Initiatives at BIANCA CLINIC

A physician with solid knowledge and extensive experience in spot treatment
Propose appropriate treatment

Spots can appear anywhere—on the face, neck, arms, or the backs of hands. While they may seem similar at first glance, several types of spots exist. Misidentifying the type of spot or choosing the wrong treatment method can actually worsen the condition, making accurate diagnosis and selecting the appropriate treatment crucial. At BIANCA CLINIC, consultations are conducted by experienced physicians with solid knowledge and extensive expertise. Furthermore, only staff who have passed rigorous training spanning several months are authorized to perform laser treatments. We tailor laser output and application to each individual patient, providing customized treatment.

At BIANCA CLINIC, we perform skin analysis using the VISIA® skin imaging system during consultations to recommend spot treatments tailored to your concerns and skin type. We can also customize your plan with other treatments or oral medications based on your skin condition, addressing your concerns from multiple angles. We will propose a treatment plan suited to your needs and budget, so if you're troubled by spots, please entrust BIANCA CLINIC with your care.

Case Presentation

CASES
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Top: Before treatment Bottom: After one Pico Spot treatment + twenty Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face Treatment: ¥98,000
Pico Toning ¥14,800 per session
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Left: Before treatment Right: After 1 Pico Spot treatment + 15 Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face Treatment: ¥98,000
Pico Toning ¥14,800 per session
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Top: Before treatment Bottom: After one Pico Spot treatment + twenty Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face Treatment: ¥98,000
Pico Toning ¥14,800 per session
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Top: Before treatment Bottom: After 1 Pico Spot treatment + 5 Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face Treatment: ¥98,000
Pico Toning ¥14,800 per session
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Right: Before treatment Left: After one Pico Spot treatment + five Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face Treatment: ¥98,000
Pico Toning ¥14,800 per session
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Top: Before treatment Bottom: After 1 Pico Spot treatment + 5 Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face Treatment: ¥98,000
Pico Toning ¥14,800 per session
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Left: Before treatment Right: After one Pico Spot treatment + three Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face Treatment: ¥98,000
Pico Toning ¥14,800 per session
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Left: Before treatment Right: After 1 Pico Spot treatment + 15 Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face: ¥98,000 Pico Toning: ¥14,800 per session
ピコトーニング(Pico Toning)

Pico Toning

Treatment Period and Number of Sessions
Top: Before treatment Bottom: After 1 Pico Spot treatment + 10 Pico Toning treatments
Side Effects and Risks
Darkening of spots for about one week, depigmentation, hyperpigmentation, blister formation, etc.
Cost
Pico Spot Full Face Treatment: ¥98,000
Pico Toning ¥14,800 per session
To Case List
WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation

Downtime

DOWNTIME
Redness may occur for several hours after the procedure. Depending on individual differences, there is a risk of developing hypopigmentation, hyperpigmentation, or blister formation.
ピコトーニング
Immediately after surgery
ピコトーニング
Postoperative Day 2

Recommended for people like this

RECOMMENDED FOR:
Struggling with dark spots and freckles
I'm concerned about liver spots.
I want to brighten my skin tone.
I want to improve my uneven skin tone.
Struggling with enlarged pores and acne scars
I'm concerned about fine lines.
WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation

Features

CHARACTERISTICS

What is Pico Toning?

Pico Toning is a treatment that reduces melanin pigment using shockwaves from a low-power laser, making spots, freckles, melasma, and dullness less noticeable. Pico Toning has a high melanin absorption rate and readily reacts with melanin pigment, enabling it to break down even small pigment particles that conventional lasers couldn't fully destroy. This allows it to target small spots that previous laser treatments couldn't completely remove.

 

Pico Toning gradually breaks down and expels melanin pigment with each treatment session. A key feature is that you can experience results with fewer sessions than conventional lasers. Furthermore, this laser treatment can be used not only for facial spots and freckles, but also for darkened areolas and nipples.

ピコトーニングとは

It can also address melasma, which was difficult to remove with conventional laser treatments.

Melasma refers to light brown pigmented patches that appear on both cheeks, under the nose, and on the chin. It is characterized by indistinct borders and symmetrical appearance on both sides, commonly seen in women in their 30s and 40s and older. While high-power laser treatment, which concentrates intense light on melanin pigment to destroy it, is the mainstream method for general age spots, it is contraindicated for melasma. This is because melasma is sensitive to stimulation. If the melanocytes in melasma are stimulated by strong lasers, melanin production may become more active, potentially worsening the condition.

 

Pico Toning is a treatment that addresses these risks. By uniformly applying low-power laser energy over a broad area, it aims to remove melasma without stimulating melanocytes. As a groundbreaking non-oral approach to treating melasma, it has garnered significant attention within the aesthetic medicine industry.

従来のレーザー治療では除去が難しかった肝斑にもアプローチ可能

Short exposure time minimizes heat damage to the skin

The “pico” in pico laser refers to a unit of time meaning one trillionth of a second. Pico toning is a treatment that delivers energy pulses at this picosecond level, achieving an instantaneous pulse duration 1,000 times faster than the previously fastest nanosecond lasers. Because the treatment time is extremely short, it causes minimal pain and can often be performed without anesthesia. Furthermore, it specifically targets and breaks down only the melanin pigment using shock waves, minimizing thermal damage to the surrounding skin. This minimal thermal damage reduces the likelihood of post-inflammatory hyperpigmentation and scabbing, resulting in virtually no downtime.

 

BIANCA CLINIC's Pico Toning utilizes the PICOSURE® laser from Cynosure, Inc., the leading manufacturer of medical lasers in the United States. PICOSURE® is FDA-cleared for a wide range of applications including pigmentation, wrinkles, and acne scars. If you are seeking pigmentation treatment with minimal downtime or wish to experience advanced pigmentation therapy, please feel free to consult with us.

短い照射時間で肌への熱ダメージが少ない

Benefits

MERIT

Achieve results with fewer treatments

Pico Toning can break down pigment particles more finely than conventional lasers. Because it reacts readily with melanin pigment, it aims to resolve skin concerns with fewer treatment sessions.

Short treatment times make it easy for busy people to receive care.

The typical treatment time for Pico Toning is just 15 to 20 minutes. Including finishing touches, the entire session takes about 30 minutes, making it quick enough for busy individuals to fit into their schedules.

Treatments designed to minimize skin stress and downtime

The low-output laser and extremely short exposure time minimize skin stress and virtually eliminate downtime. This allows you to resume your daily activities immediately.

Recommended Features

RECOMMENDED POINTS

Regarding the Appropriate Treatment Intervals and Number of Sessions for Pico Toning

Pico Toning uses low-output lasers, minimizing skin irritation. With each session, skin turnover is activated, allowing you to experience gentle yet noticeable results. While some individuals with skin texture concerns may see changes after just one session, most people notice pigment issues like dark spots and melasma gradually fading after approximately 10 to 20 sessions.

 

Treatment frequency varies by clinic, but we recommend sessions every 2 to 4 weeks at our clinic. Waiting too long between treatments can make it difficult to notice results, while excessive treatments may increase the risk of hyperpigmentation or hypopigmentation. Therefore, receiving treatment at an appropriate pace is crucial. However, the optimal treatment interval varies depending on your skin condition. Please consult your physician directly for a detailed treatment plan.

Not only does it address pigmentation concerns, but it also improves skin texture by tightening pores and enhancing elasticity.

Pico Toning reacts to dark pigments and also targets sebum and comedones clogging pores. This action clears sebum blockages, tightens pores, and helps refine skin texture. Furthermore, the laser stimulation acts on fibroblasts in the dermis, supporting collagen production. This improves skin firmness and elasticity, addressing fine lines and sagging.

 

Pico Toning is a treatment that targets pigmentation concerns such as dark spots and melasma while also improving skin texture. Through consistent treatment, skin tone becomes more even, aiming for a youthful, translucent complexion.

About the Three Irradiation Modes Equipped on the Pico Laser

Pico lasers are medical laser devices considered effective for skin concerns such as age spots, melasma, and freckles. Pico Toning is one of the three irradiation modes available with pico lasers. In addition to Pico Toning, there are Pico Spot and Pico Fractional irradiation modes, each differing in their irradiation method and the specific skin concerns they address.

 

【Pico Spot】
A method that precisely targets skin concerns like dark spots and freckles with high-output laser energy. Powerful shockwaves finely shatter melanin pigment in the skin, effectively addressing deep dark spots, freckles, moles, and tattoos. Compared to the other two irradiation modes, its higher output allows for fewer treatment sessions while still aiming to remove dark spots and freckles.

 

【Pico Fractional】
A method that attaches a special lens to the tip of the pico laser, concentrating energy into pinpoint spots for irradiation. It creates microscopic cavities in the skin's dermis layer, aiming to improve skin quality through the skin's natural healing process. It can help remove fine wrinkles and enhance skin elasticity, while also addressing concerns like acne scars and skin texture irregularities.

 

At Bianca Clinic, we also offer combination treatments that pair Pico Toning with Pico Spot or Pico Fractional, tailored to your skin type and goals. If you wish to enhance the effectiveness of your spot treatment, minimize your treatment duration, or have not achieved desired results with conventional laser treatments, please consult with us. Our comprehensive treatments can deliver greater satisfaction.

Video

MOVIE
WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation

Treatment area

TREATMENT AREA

Full face, neck, décolletage, underarms, hands, upper back, lips, areola

Treatment Process

CONTENT OF TREATMENT

Face Wash & Cleansing

To thoroughly assess your skin condition, including spots and melasma, we ask that you cleanse and wash your face before your consultation. Cleansing and facial wash products are provided by our clinic.

洗顔・クレンジング

Physician's examination and counseling

We will listen carefully to your concerns and requests, examine your skin condition, and determine whether Pico Toning treatment is suitable for you. We will then provide a detailed explanation of the treatment process, potential side effects, and pricing. For those concerned about pain, we also offer anesthesia procedures; please consult with us beforehand.

医師の診察・カウンセリング

treatment

Once the treatment is ready, we will begin applying the laser to your desired area. Depending on the treatment area and your skin condition, the estimated treatment time is approximately 15 to 20 minutes.

施術

Aftercare

After assessing your skin condition, the procedure will be complete if no issues are found. The doctor will provide detailed instructions regarding post-procedure care, precautions, and aftercare.

アフターケア

Schedule of Charges

PRICE LIST
Pico Toning Price List

Pico Toning

Part 1 time 5 times 10 times
Full face ¥17,930 ¥80,740 ¥143,440
¥11,880 ¥53,460 ¥95,040
Decolletage ¥30,030 ¥135,190 ¥240,240
¥9,460 ¥42,570 ¥75,680
back of the hand ¥9,460 ¥42,570 ¥75,680
Backless bra top ¥36,080 ¥162,360 ¥288,640
lips ¥6,050 ¥27,280 ¥48,400
areola ¥6,050 ¥27,280 ¥48,400

※Ginza Branch Only
B. Pack & Regenerating Whitening Cream with Moisturizing & Soothing Treatment

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation
CONCEPT
CONCEPT
Beyond the boundaries of aesthetic medicine,
Lifestyle Beautyis
proposed.

Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.

Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.

Recommended products for this concern

RECOMMENDED PRODUCTS

Frequently Asked Questions About Pico Toning

Q&A

When can I apply makeup after a Pico Toning treatment?

You may apply makeup starting the same day you receive your Pico Toning treatment.

Does Pico Toning cause redness or swelling after treatment?

For several days after your treatment, you may experience symptoms such as redness, mild swelling, or a stinging sensation. Depending on your skin condition, blisters or pimples may also appear, or the treated area may temporarily darken. However, these symptoms usually subside over time. If you notice any concerning symptoms after your procedure, please feel free to contact our clinic for an examination.

How much pain is there during a Pico Toning treatment?

Pico Toning uses a low-output laser, so you may feel a slight tingling sensation during treatment, but it is not unbearable. If you have any concerns, please consult with us.

When can I shower or bathe after a Pico Toning treatment?

Both showers and baths are available starting on the day of your stay.

Are there any precautions to take after Pico Toning?

After treatment, your skin may become dry, so be sure to moisturize thoroughly with toner and lotion. Also, sun exposure to the treated area may cause pigmentation, so adequate sun protection is essential. Additionally, activities that increase blood flow—such as strenuous exercise, saunas, and alcohol consumption—can prolong downtime, so please refrain from these on the day of your treatment.

Can I receive Pico Toning treatment even if I have a sunburn?

Individuals who have sunburned within 4 weeks prior to the treatment date cannot undergo Pico Toning. Sunburned skin reacts strongly to the laser, increasing the risk of hyperpigmentation and burns.

When can I start to see the effects of the pico laser?

While some individuals notice changes in their skin after just one pico laser treatment, greater results are expected with repeated sessions. We recommend undergoing treatment approximately once every 2 to 4 weeks, totaling about 10 to 20 sessions.

Is it okay to receive Pico Toning treatment multiple times?

There is no specific limit on the number of treatments. Pico Toning is a treatment where higher efficacy can be expected with repeated sessions. Even after your concerns improve, we recommend receiving regular treatments to maintain good skin condition. Our clinic offers 10-session and 20-session courses.
However, the appropriate treatment interval varies depending on individual skin conditions, so please consult with your physician regarding your treatment plan.

Is it true that Pico Toning results revert once treatment stops?

Even if you discontinue Pico Toning treatment midway, the skin condition in areas that showed improvement will not revert to its previous state. However, since Pico Toning does not destroy the melanocytes themselves—the cells that produce melanin pigment—new spots or freckles may appear due to lifestyle factors or aging. To prevent recurrence, thorough UV protection and consistent skincare are essential.

Treatment Details: Pico Toning
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 not approved in Japan or treatments that differ from their approved indications.
・Medicines and medical devices used for treatment are imported through personal import procedures under the judgment of our clinic's physicians. For information on medicines and other items requiring caution in personal import, please refer to the following.
 https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html 
・Except for products that have obtained pharmaceutical approval, there are no other domestically approved pharmaceuticals or medical devices with the same ingredients or performance.
・Information regarding safety and other matters in other countries
PicoSure, developed by Cynosure, Inc. in the United States, has received FDA (U.S. Food and Drug Administration) approval for the removal of pigmented lesions such as age spots, freckles, and ADM, as well as for the improvement of fine wrinkles and acne scars.
- Medical Device Approval Number: 30200BZX00153000
・In the unlikely event of serious side effects, this product is not covered by the national pharmaceutical adverse reaction victim relief system.

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation
アイコン RESERVATION