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2016/07/30
*コメカミのシミ ピコレーザーのスポット照射による治療 一例


今日は

コメカミのシミ

の話題です。    

 

 

 

 

モニター様は

50代中盤の方です。

 

 

『右のコメカミの

シミが気になる

 

とのことでした。

 

日光性、加齢性のシミが

右コメカミに目立っており、

 

ピコレーザーによるスポット照射

させていただきました。

 

 

施術後、38日目、

撮影にご来院下さいましたニコニコ

 

 

↓施術前↓

↓施術後38日↓

 

下の写真の

白丸の部分のシミに

ピコレーザーを

照射させていただきました。

 

↓施術直後↓

レーザー照射した部分が

白くなっていますが、

これがかさぶたに

変わっていき、

いずれ剥がれ落ちます。

 

この方も

『かさぶたは

 2週間くらいで取れた』

とおっしゃっていました。

 

ピンポイントのシミは

コメカミ部分は良くなりました。

 

 

ですが、中には

 

① 反応が悪く、

シミが消えない

 

② 薄くはなったが

まだ残っている

 

③ 一旦綺麗になったけど、

また濃くなってきた

 

などがあり得ます。

 

 

③については

炎症後色素沈着

という現象が

関与していることが多いです。

 

 

これは

レーザー治療に限らず、

たとえば

火傷やすりむき傷や

ニキビ炎症後なども

同様のことが起こり得ます。

 

従来のQスイッチYAGレーザーや

Qスイッチルビーレーザーでは

熱衝撃が強かったのですが、

 

弊院のピコレーザーでは、

Qスイッチレーザーよりも

1000分の1レベルで

発振していますので、

とても熱衝撃が少なく、

炎症後色素沈着のリスクも

非常に抑えられていますウインククローバー

 

 

お顔全体、とくに

チークのくすみなどは

ピコレーザートーニング、

あるいは

ピコフラクショナルレーザー

を行っていただくと

尚良いと思います。

 

 

ご参考になりましたら幸いです。

 

 

▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions
Pico Spot Laser (targeted treatment for well-defined pigmentation lesions)

  • ≤ 10 dot-like spots: ¥28,000 (tax included)
  • ≤ 20 dot-like spots: ¥38,000 (tax included)
  • ≤ 30 dot-like spots: ¥48,000 (tax included)
  • ≤ 40 dot-like spots: ¥58,000 (tax included)
  • ≤ 50 dot-like spots: ¥68,000 (tax included)
  • 51 dot-like spots ≤: Available upon consultation
Pico Spot Laser (targeted treatment for well-defined pigmentation lesions)

This is a high-intensity laser treatment designed to target well-defined, pinpoint pigmentation (age/dark spots) or birthmarks. The laser is applied in a spot-treatment manner, creating small scabs that naturally fall off as part of the healing process. The treatment also involves the phagocytic activity of immune cells, so we recommend evaluating the results over the course of several months.

Pico Spot Laser (targeted treatment for well-defined pigmentation lesions)

  • Scabbing: Scabs may form on the treated areas, and the pigmentation may temporarily appear darker. These are signs of a normal and favorable healing process. Please do not forcibly remove the scabs; instead, allow them to fall off naturally with gentle facial cleansing.
  • Redness, Warmth, Itching, Swelling: Mild redness or warmth may occur following the treatment. These symptoms usually subside within a day, or a few days at most. In rare cases, swelling may be more noticeable. If you are concerned, please schedule a follow-up consultation.
  • Post-Inflammatory Hyperpigmentation (PIH): In some cases, pigmentation may become darker within a month after treatment. In rare cases, this darkening may exceed the original pigmentation. Multiple sessions of Pico laser toning (at additional fee) are often effective in improving this condition.
  • Hypopigmentation (White Spots): Rarely, hypopigmentation may occur. Please note that treatment for white spots can be difficult.
  • Treatment Response: In rare cases, the treatment may not respond as expected. Please note that no refunds will be provided in such cases. The number of sessions required and the degree of improvement may vary between individuals.
Pico Spot Laser (targeted treatment for well-defined pigmentation lesions)

  • Ointment: For pigmented spots larger than a few millimeters, please keep the treated area covered with tape for approximately ten days to two weeks after the procedure. The tape does not need to be replaced daily; please only replace it if it comes off. Please apply a thin layer of the prescribed ointment to the treated area; directly on small spots, and over the tape for larger spots that are covered. Keep the treated area consistently moisturized with the ointment, and continue application until the new skin has fully re-epithelialized.
  • Medications: Post-laser oral and topical medications are essential. The following are typically prescribed to enhance treatment outcomes and support recovery.
    ●Hythiol (L-cysteine)
    Works with vitamin C to inhibit tyrosinase, an enzyme involved in melanin synthesis, thereby helping to prevent pigmentation and promote the removal of existing melanin.
    ●Cinal (Vitamin C + Pantothenic acid)
    Provides antioxidant effects that help suppress melanin synthesis.
    ●Tranexamic acid
    Suppresses plasmin, a melanocyte-activating factor involved in melanin synthesis. As it is also a hemostatic agent, it should not be used by individuals with a history of thrombotic disorders or those taking oral contraceptives. Use for three consecutive months, followed by a break of at least one month. Discontinue if you experience side effects such as abdominal discomfort, swelling, stiff shoulders, or irregular menstruation.
    ●Hydroquinone cream
    Begin using this cream approximately two weeks after scabbing has fallen off and the new skin is fully epithelialized and dry. Apply a thin layer at night using a cotton swab, directly to the targeted area. If you experience significant redness or itching, stop using the cream and consult us.
  • UV Protection: Please be sure to take sufficient measures against UV exposure by using sunscreen and products such as U•Vlock.
  • Post-Inflammatory Hyperpigmentation (PIH): If PIH occurs, hydroquinone cream may be used. However, do not apply it to the laser-treated area for 3 to 4 weeks after the procedure. When you begin using the cream, apply a thin layer precisely to the treated area using a cotton swab or similar tool after washing your face at night. Discontinue use if you experience severe redness, itching, or other irritation.
  • Additional Laser Treatment: Please allow at least two months between sessions for additional laser treatment of pigmentation or birthmarks.
  • Skincare Products: Please refrain from using skincare products or medications that contain ingredients such as hydroquinone or retinol, which may cause peeling or redness, during the course of laser treatment.
  • Other Concerns: If you have any questions or notice anything unusual, please do not hesitate to contact us.

 

 

 

 




Note: Our clinic provides only private (self-paid) medical services. Some treatments include unapproved pharmaceuticals and medical devices. Pharmaceuticals and medical devices used in treatments may be procured through personal importation under the discretion of our clinic’s physicians.





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