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Pico Spot Laser

DescriptionA Cynosure PicoSure laser treatment for clearly outlined spots such as senile lentigines and freckles, as well as birthmarks.
RisksScabbing, redness, hyperpigmentation, white spots, etc.
Price≤ 10 dot-like spots: ¥28,000

Recommended for People Who:

  • Want to remove dark spots (pigmentation).
  • Want to get rid of bruises or birthmarks.
  • Prefer non-surgical treatments and want to avoid scars.

Before & After Photos

▼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.

▼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.

What Is Pico Spot Laser?

Pico Laser Spot Treatment uses the PicoSure® laser system by Cynosure to deliver targeted laser energy to well-defined dark spots and pigmented lesions such as sunspots or birthmarks. This is a powerful, high-precision treatment that works by creating micro-crusting (scabs) on the treated areas, which then fall off as the skin heals, resulting in clearer skin.

While noticeable results may be seen after just one session, in cases where melasma overlaps with other pigmentation, we may recommend addressing the melasma first. This may involve topical treatments (such as the University of Tokyo-style tretinoin therapy), avoiding friction during cleansing, and making lifestyle adjustments to reduce melasma before proceeding with spot laser treatment.

Because immune cells also play a role in clearing the pigment after treatment, it’s important to monitor the results over the course of several months rather than expecting immediate final results.

Features of Pico Spot Laser Treatment

  • Non-surgical: No scalpels or incisions involved.
  • No scarring: The treatment does not leave surgical wounds or scars.

Case Blog

Treatment Details

Procedure TimeVaries depending on the size of the treatment area. Please contact us for more information.
PainSome discomfort may occur as a result of the laser’s impact, but it generally resolves naturally.
SwellingSwelling may occur as a result of the laser’s impact, but it generally resolves naturally.
BruisingBruising may occur as a result of the laser’s impact, but it generally resolves naturally.
RednessRedness may occur as a result of the laser’s impact, but it generally resolves naturally.
HyperpigmentationIn rare cases, the treated area may darken over the course of about a month. In extremely rare instances, the pigmentation may become darker than the original spot.
Follow-up VisitsNot necessary.
HospitalizationNot necessary.

Precautions

  • 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.
  • 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.
  • 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.
  • UV Protection: Please be sure to take sufficient measures against UV exposure by using sunscreen and products such as U•Vlock.
  • 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.

Price List (Tax Included)

Treatment NameDetails / AmountPriceNotes
Pico Spot Laser≤ 10 dot-like spots ¥28,000

Estimated sessions: 1 to 2 times (Please allow at least 2 months between additional treatments.)
*Same as above.

Dot-like spots refer to: ≤ 5 mm in long diameter
*Same as above.

≤ 20 dot-like spots ¥38,000
≤ 30 dot-like spots ¥48,000
≤ 40 dot-like spots ¥58,000
≤ 50 dot-like spots ¥68,000
51 dot-like spots ≤  Upon request
Tranexamic Acid ¥2,000

100 Tablets (25-day supply)

Cinal (Vitamin C Supplement / Ascorbic Acid) ¥2,000

100 Tablets (25-day supply)

Hythiol (L-Cysteine Supplement) ¥2,000

50 Tablets (25-day supply)

Juvela (Vitamin E Supplement / Tocopherol) ¥2,000

100 Tablets (25-day supply)

Hydroquinone Cream ¥2,200

4%: 5 g

Treatment May Be Declined in Certain Cases

We may not be able to perform the treatment in the following situations:
・If you have photosensitivity.
・If you have recent sunburn with lingering heat or inflammation.
・If you have a history of facial surgery, injections, topical treatments, or previous laser procedures, treatment may be postponed depending on the type and timing of those interventions.

FAQ

Does pico spot laser treatment hurt?
Pico spot laser is a strong laser treatment that forms scabs to remove dark spots, so it feels like being snapped with a rubber band during the procedure.

Will the treated area turn red after pico spot laser?
Yes, redness and scabbing will occur. Depending on the spot size:
・About 5-7 days for small spots (~1mm)
・1-1.5 weeks for medium spots (a few mm)
・Around 2 weeks for larger spots (1cm or more)
The scabs will naturally peel off during this period.

Is one session of pico spot laser treatment enough to remove dark spots?
Many patients notice a visible improvement after just one session of pico spot laser treatment. However, in some cases where the pigmentation is less responsive, a second session may be necessary, spaced at least two months apart. If the spot darkens due to post-inflammatory hyperpigmentation (PIH), or if the pigmentation is very light, we may recommend additional treatment such as pico laser toning for optimal results.


Can I have pico laser treatment while undergoing hair removal?
If you are receiving hair removal laser treatment, please wait about one month after the last hair removal session before undergoing pico laser treatment.

Can I put on makeup right after pico laser treatment?
Yes, makeup can be applied immediately after pico laser treatment.
What should I be careful about after pico laser treatment?
Your skin will be very sensitive after pico laser treatment, so avoid rubbing or irritating the skin. Please keep your skin well moisturized and take care to protect it from UV exposure.


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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