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2026.08.01

What Is Tri-Fil Pro? An Easy-to-Understand Explanation of Its Expected Effects, Benefits, and Drawbacks

葉山 愛弥
Supervising Physician
Board Certified Dermatologist, Japanese Dermatological Association Aiya Hayama

As an Assistant Professor, Associate Ward Director, and Chief of Dermatopathology at the university hospital dermatology department, I deepened my expertise through academic presentations and paper publications both domestically and internationally. I have handled a wide range of treatments, from birthmark therapy in children to adult pigmentation concerns, utilizing various lasers and injection therapies, while also contributing to community healthcare. Through encountering numerous cases, I strongly felt the potential and necessity of aesthetic medicine, resolving to pursue further expertise. Building upon my solid dermatological knowledge and meticulous diagnostic skills, I value treatments that gently support each individual's skin while bringing out its inherent beauty.

トライフィルプロとは?効果や特徴をBIANCA CLINICが解説

 

 

Tri-Fil Pro is a procedure that uses ultra-fine needles to deliver carbon dioxide and active ingredients into the skin, aiming to rebuild the skin while breaking down scar adhesions.
 

Trifill PRO combines carbon dioxide-assisted micro-subsidence with the injection of medication. Some of you may be wondering, “How does it work on acne scars?” or “Does it hurt?”

 

At BIANCA CLINIC, we evaluate your skin condition and the shape of your acne scars before determining the appropriate treatment method and medications. In this article, a doctor will explain the mechanism, effects, benefits, and precautions in an easy-to-understand manner.

What kind of treatment is Tri-Fil Pro?

Tri-Fil Pro is a microsubcision procedure that uses carbon dioxide to separate fibrotic tissue and deliver medication into the resulting space.

How Carbon Dioxide Gas Addresses Scar Adhesions

If acne inflammation persists, hard scar tissue may form beneath the skin. When this tissue pulls the skin downward, crater-like indentations appear on the surface.

 

トライフィルプロの仕組みの解説図

 

Subcision is a treatment that involves horizontally severing the fibrotic tissue causing the indentation. With Tri-Fil Pro, carbon dioxide gas is injected through an ultra-fine needle, and the pressure of the gas is used to detach the adhered tissue. By delivering medication into the resulting space, the procedure aims to promote tissue remodeling in the scarred area.

 

In particular, rolling-type craters—where the skin slopes gently downward—are the type for which a subsection approach is considered. However, since craters come in various shapes and depths, Tri-Fill Pro alone cannot correct all types of indentations.

Skin Rejuvenation Treatments Using Rejuvenation Shots

Tri-Fil Pro features the “Rejuvenation Shot,” which injects the solution into the skin. This mode uses a mechanism that combines suction with injection to deliver the solution evenly to the targeted area.

 

While it depends on the specific treatment selected, the approach may address skin firmness, elasticity, enlarged pores, fine lines, and dryness. It can also be performed as a skin-rejuvenation treatment that delivers the active ingredients not only to pitted areas but also to a wide area of the face and neck.

 

Each skincare product has its own ingredients and characteristics. It’s important to choose a product based on your current skin condition and the results you’re hoping to achieve, rather than simply because it’s a “well-known” product.

Bianca Clinic’s Commitment to Accurately Assessing Skin Condition

When treating acne scars, it is necessary to assess the shape and depth of the indentations, as well as the degree of fibrosis. This is because the unevenness on the skin’s surface is not necessarily caused by a single factor.

 

At Bianca Clinic, a doctor will examine your skin condition and determine whether subsision shots are necessary and which medication to use. Subsision shots are administered by a doctor, while rejuvenation shots are administered by a nurse; we provide separate information on each procedure.

 

If you’d like to learn more about the treatment’s features and the current products used, please visit the Tri-Fill Pro treatment page. The treatment page also features a video demonstrating the Tri-Fill Pro procedure.

 

Detailed Information on the Tri-Fil Pro Treatment

What kind of results can I expect from Tryfil Pro?

With Tri-Fil Pro, you can expect improvements in acne scars, enlarged pores, and skin firmness and elasticity.

 

The main changes you can expect are as follows.

  • Improving Pitted Scars Caused by Acne

  • Smooths out enlarged pores and uneven skin texture

  • Restores skin firmness and elasticity

  • Treating Fine Lines and Improving Skin Texture

Pitted Scars from Acne

Carbon dioxide is used to separate adhesions in scar tissue, making it easier to lift the indentations from the inside. Additionally, by injecting medication to promote tissue regeneration, the procedure aims to make the pitted scars less noticeable.

Enlarged pores and uneven skin texture

There are several causes of enlarged pores, including excess sebum, dryness, sagging skin, and acne scars. Tri-Fil Pro addresses pores caused by scar adhesion or skin texture by combining carbon dioxide and medicated solutions. However, since different treatments may be more suitable depending on the cause, it is important to make the appropriate choice based on a diagnosis.

Firmness, elasticity, and fine lines

トライフィルプロの肌育効果について解説する図

 

With the Rejuvenation Shot, we select the appropriate medication based on your skin concerns and deliver it directly into the skin. Depending on the ingredients in the medication, it is expected to improve hydration, firmness, elasticity, and reduce fine lines.

 

In cosmetic medicine, we do not recommend choosing a treatment based solely on the names of skin concerns, such as “craters,” “pores,” or “fine lines.” Even symptoms that look similar can have different causes, so it is important to examine the skin in person during a consultation to determine which layer to target and how to address it.

What are the pros and cons of Tri-Fil Pro?

While Tri-Fil Pro allows for simultaneous scar excision and drug injection, there are risks such as redness, swelling, and pain, and the effectiveness may vary from person to person.

Benefits of Tri-Fil Pro

  • It can address the adhesions that cause craters from the inside.

  • Allows the drug to be delivered directly to the separated space

  • You can choose a product based on your specific skin concerns.

  • It may reduce downtime compared to conventional subsidence.

 

A key feature of Tri-Fil Pro is its ability to perform carbon dioxide exfoliation and chemical injection in a single treatment session. It targets not only the skin’s surface but also the scar tissue causing indentations from the inside out.

 

Because Tri-Fil Pro uses carbon dioxide, it may help minimize side effects such as bleeding and swelling. However, this does not mean that post-treatment reactions will not occur.

 

In addition, Bianca Clinic offers a variety of treatments, which are selected based on the patient’s skin condition and preferences. Another key feature is the ability to combine targeted treatments for acne scars with skin rejuvenation treatments that deliver active ingredients to larger areas.

Disadvantages of Tri-Fil Pro

  • Redness, swelling, and bruising may occur.

  • There is pain from the needle prick or a strange sensation caused by carbon dioxide

  • Depending on the type of crater, the treatment may not be very effective.

 

After the procedure, you may experience temporary redness, swelling, bruising, pain, or discomfort. While the extent of redness and swelling varies from person to person, these symptoms usually subside within about 2 to 5 days.

 

While some people notice a difference after just one session, depending on the condition of your skin, you may want to consider multiple treatments. Additionally, there are some types of acne scars—such as narrow, deep “ice-pick” scars—where subsection alone may not produce noticeable results. Rather than limiting ourselves to a single treatment method, we consider and recommend combining it with other procedures as needed.

Frequently Asked Questions

We answer common questions you may have when considering Tryfil Pro, such as treatment duration, pain levels, and pricing.

 

葉山先生の患者へのカウンセリングの様子

Q. I’d like to know the specific steps involved in the treatment.

A. After a consultation with a doctor, anesthesia is administered as needed. Next, carbon dioxide and the medication are injected sequentially, and the condition of the skin is checked following the procedure.

Q. How long does each treatment take?

A. The procedure typically takes about 20 minutes, though this may vary depending on the treatment area. Please note that this time does not include the waiting time for the consultation, cleansing, or anesthesia, so please allow plenty of time when you come in.

Q. Please tell me about any pain I might experience during the treatment.

A. You may feel a slight sting from the needle or a sensation of pressure or discomfort as the carbon dioxide is administered. The level of pain varies from person to person; if you are concerned, please consult with us about options such as anesthetic cream or nitrous oxide anesthesia.

Q. Please tell me about any possible side effects and precautions.

A. Redness, swelling, and other reactions may occur. If you are currently using any topical medications or highly irritating skincare products, please inform your doctor before the procedure.

Q. Could you tell me the approximate cost per treatment?

A. It depends on what you choose and how many times you use the service. For detailed pricing,Treatments PageorSchedule of ChargesPlease check the following.

If you want to take a fresh look at your acne scars “from the inside out,” start by assessing your skin’s condition

Tri-Fil Pro is a treatment that uses carbon dioxide to loosen scar adhesions and deliver medication, thereby addressing acne scars, pitted scars, pores, and overall skin texture. While it combines the loosening of adhesions with the injection of medication, there is a possibility of redness, swelling, or pain, and the results may vary from person to person.

 

Since the most suitable treatment varies depending on the shape and depth of the scars, a thorough consultation is essential. At BIANCA CLINIC, we evaluate your skin condition to determine the best treatment method and products. If you’re concerned about acne scars or uneven skin texture, please schedule a consultation to discuss your options.

 

Tri-Fil Pro Treatment Page

Counseling Appointment Page

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