Dermatology, Internal Medicine, Allergology, Cosmetic Dermatology, Cosmetic Internal Medicine

小じわ

Recommended for those who:

  • Do not see improvement in dryness even with moisturising
  • Have chronic skin inflammation and do not see improvement in dryness
  • Want smoother texture, firmness, and radiance
  • Are concerned about neck wrinkles.
  • Are concerned about wrinkles on the neck, décolletage, and backs of the hands

What is Volite?

Volite is a hyaluronic acid treatment for improving skin quality that has been approved by the Ministry of Health, Labour and Welfare. Unlike conventional hyaluronic acid used to improve wrinkles or add volume, it is very soft and blends easily into the skin. By injecting it into the dermis to subcutaneous layer, it increases the skin’s moisture content and provides firmness, elasticity, and hydration. Because the injected Volite is slowly absorbed within the skin, the treatment effects last for approximately 9 months.
As dryness progresses, the skin’s barrier function declines, making inflammation more likely even from minor irritation, and skin troubles become more noticeable. Furthermore, due to chronic inflammation, the barrier function is slow to improve, so the skin cannot retain moisture and dryness does not improve. Treatment with Volite effectively increases the skin’s moisture content, breaking this vicious cycle, normalising the skin’s barrier function, and leading to fundamental improvement of chronic skin concerns.
Volite is also effective for fine lines and is well suited to improving horizontal neck lines.

Volite injection areas
Illustration

Treatment details

Treatment interval Once every 6 to 9 months
For the initial treatment, an additional session 1 month later can enhance the perceived results.
Treatment time Topical anaesthetic: 30 minutes + procedure: 15 minutes
Anaesthesia Topical anaesthesia; block injection upon request
Downtime After the procedure, swelling or unevenness may occur, but it usually settles within 1 week.
Bruising may occur. While this varies by individual, it generally settles within about 1 to 3 weeks.
Makeup From the next day
Follow-up visits None in particular
Face washing / shower / bathing No restrictions
Medication None in particular
Post-treatment notes None in particular
Contraindications * Those with abnormalities in wound healing, coagulation, or immune function, or those prone to keloids
* Those who are pregnant or breastfeeding.

This is a revolutionary peeling treatment that strongly promotes collagen production in the dermis without exfoliating the skin surface.
It is also known as a “Collagen Peel” because it increases dermal collagen to improve firmness and elasticity.

Recommended for those who:

  • Loss of skin elasticity
  • Desire for firmness and radiance
  • Concerned about skin dullness
  • Concerned about acne or acne scars
  • Concerned about pores
  • Concerned about stretch marks

What is Massage Peel?

Massage Peel uses an Italian-made peeling agent called PRX-T33®, which contains 33% TCA (trichloroacetic acid), low-concentration hydrogen peroxide, and kojic acid, which has a high whitening effect.

TCA (Trichloroacetic Acid) is a chemical peeling agent with a long history and provides high skin-beautifying effects by acting deep within the skin. However, because it has a strong exfoliating effect on the epidermis and carries a high risk of post-treatment pain, downtime, and post-inflammatory hyperpigmentation, it has been used for partial treatments in Japan but not as a general skin-beautifying treatment.

Massage Peel is a revolutionary peeling treatment that combines TCA (trichloroacetic acid) with hydrogen peroxide to strongly stimulate collagen production in the dermis and restore lost firmness and elasticity without exfoliating the surface. Furthermore, it contains kojic acid, which suppresses the activity of tyrosinase—the cause of spots and dullness—so improvements in whitening and post-inflammatory hyperpigmentation can also be expected.

Additionally, the synergistic effect of combining it with Dermapen 4 brings you closer to smoother, more beautiful “velvet skin.”
Click here for more about “Velvet Skin”

Three Key Ingredients in Massage Peel

33% TCA (Trichloroacetic Acid)

TCA (trichloroacetic acid) acts deep within the skin to promote the proliferation of keratinocytes and fibroblasts, accelerate skin turnover, and restore the barrier function (biorevitalization).
By incorporating hydrogen peroxide, excessive reactions on the skin surface are suppressed, allowing for the stimulation of collagen production in the dermis without exfoliating the skin surface, resulting in firm, elastic, and youthful skin.

Low-Concentration Hydrogen Peroxide

Low-concentration hydrogen peroxide quickly penetrates tissues and protects the epidermis from TCA (trichloroacetic acid). It also enhances the collagen-producing effects of TCA in the dermis and promotes wound healing by improving blood flow.

5% Kojic Acid

Kojic acid suppresses the activation of tyrosinase, the enzyme that produces melanin responsible for spots and dullness. Therefore, it is effective for spots, dullness, melasma, acne scars, and hyperpigmentation.

Case photos

Facial Massage Peel

Hand Massage Peel

Home Care to Enhance Massage Peel Effects

<WiQo Fluido Levigante 30ml>

Contains 8% glycolic acid in a well-balanced formula for the skin.
Despite its low pH of approximately 3, it can be used without experiencing a burning sensation. After a Massage Peel, keeping the skin in a low pH (acidic) state promotes the skin’s regeneration process, making it possible to sustain collagen production for a long period.

<WiQo Nourishing Moisturizing Cream>

A cream with high moisturizing power. It works to restore the hydrolipidic film of skin that has lost firmness or has been affected by aging and external factors (cold, wind, UV rays, etc.). By restoring the hydrolipidic film after a Massage Peel, it repairs the natural skin barrier and prevents the evaporation of moisture from the skin, which can cause issues. It contains shea butter to soothe and protect the skin.

Treatment details

Treatment Interval Once every 2 to 4 weeks; 4 to 5 sessions constitute one course.
Treatment Time 15 minutes for the procedure
Anesthesia None
Downtime Slight redness, a tingling sensation, mild peeling, scabbing, or hyperpigmentation may occur.
Makeup No specific restrictions
Follow-up visits None in particular
Face Washing, Showering, Bathing No specific restrictions
Medication None in particular. Use in conjunction with WiQo home care is recommended.
Recommended Combined Treatments Dermapen 4, Ionophoresis, High-dose Vitamin C Drip
Precautions for the Procedure
  • ・Individuals with dermatitis or severe sunburn
  • ・Individuals with seborrheic dermatitis or herpes
    The procedure cannot be performed on those with allergies to TCA or kojic acid.
  • ・The procedure cannot be performed during pregnancy or while breastfeeding.
  • ・Please refrain from using peeling agents or medications with exfoliating effects, such as RAC (retinoic acid) or Differin Gel, for 1 to 2 weeks before and after the procedure.
  • ・Since the skin becomes delicate after the procedure, please avoid friction and UV rays, and ensure thorough moisturizing.
Applicable Areas Face, neck, décolletage, hands, stretch marks, etc.

Long-Pulse YAG Laser

Our clinic’s long-pulse Nd:YAG laser treatment device uses the U.S. FDA-approved Xeo by Cutera.
This single machine can address various skin and nail concerns.
[Genesis] applies mild thermal stimulation to the upper dermis to activate collagen production. It restores firmness from within, tightens the skin, and is effective for improving surface texture and pores.
Additionally, because the [Genesis] laser light reacts to red pigments, it is used to treat facial redness and keloids.
Furthermore, it is a versatile multi-functional device that can perform nail fungus treatment (known as [Laser Renail]) using the laser’s bactericidal effect, as well as [Vascular Laser] treatment, which acts directly on hemoglobin (the red pigment in red blood cells) to destroy blood vessels.

Recommended for those who:

  • Concerned about fine lines
  • Makeup doesn’t apply as well as it used to with age
  • Want to improve enlarged pores or sagging skin
  • Concerned about skin dullness
  • Suffering from facial redness
  • Concerned about acne scars
  • Want to improve dark circles under the eyes
  • Want to refine skin texture
  • Want firm, glowing skin

Genesis

Laser peeling that targets the lower epidermis to the upper dermis

  • ・Reduction of enlarged pores and blackheads
  • ・Improvement of skin quality, including fine lines and redness from acne/acne scars
  • ・Improvement of telangiectasia (visible capillaries), facial redness, and blue-toned dark circles
  • ・Skin tightening effect on the epidermis

What is Genesis?

Genesis stimulates fibroblasts and promotes collagen production by delivering mild pulses of a long-pulse Nd:YAG laser.
This skin quality improvement treatment restores beauty by providing firmness from within to improve fine lines and refine skin texture (see diagram above).
Genesis also promotes skin turnover and acts as a laser peel to remove old dead skin cells, making it effective for improving enlarged pores, acne scars, and dullness.
Furthermore, since the Genesis laser wavelength reacts to hemoglobin (the red pigment in red blood cells), it is also effective in improving facial redness, telangiectasia, and keloids.
While you can feel the firmness and improved makeup application after just one session, more significant results are achieved with 5 to 10 repeated treatments.
This medical laser is approved by the U.S. FDA (the equivalent of Japan’s Ministry of Health, Labour and Welfare) and is a highly effective device with an excellent safety profile.

Features of Genesis

  • Acts directly on concerns with minimal damage to the surrounding skin.
  • Can be performed on patients with sensitive skin or atopic dermatitis.
  • Minimal pain and a comfortable treatment experience.
  • Suitable for all skin tones, including darker skin.

Treatment details

Treatment Interval While results vary by individual, we recommend 5 to 8 sessions at intervals of 2 to 4 weeks.
Treatment Time 20–30 minutes
Anesthesia None
Downtime None. Slight redness may occur immediately after the procedure.
Makeup Possible from the same day. Please use sunscreen and take UV protection measures. Ensure the skin is well-moisturized.
Face washing Allowed from the same day. Please avoid rubbing strongly.
Shower Allowed from the same day.
Bathing Allowed from the same day.
Follow-up Visits None required
Medication Steroid ointment (if redness or itching is severe)
Recommended combination treatments Chemical Peeling / Iontophoresis and Water Light Injection.
For those concerned about wrinkles, Hyaluronic Acid / Botox or High-concentration Salmon Injection (PDRN) are recommended.
Who should not receive treatment
  • ・Those with skin inflammation or a recent heavy sunburn.
  • ・Those who are pregnant or breastfeeding.
  • ・Those with metal implants in the face, such as gold threads.


Vascular Laser

Recommended for those who:

  • Facial telangiectasia
  • Senile hemangioma (Cherry angioma)
  • Spider veins
  • Post-acne redness

What is Vascular Laser?

Vascular Laser treatment uses a high-output long-pulse Nd:YAG laser with a wavelength of 1064 nm, which is easily absorbed by hemoglobin (the red pigment in blood), to thermally denature and treat fine vessels in the upper dermis.
A hemangioma is a vascular growth on the skin. They appear in various forms, such as birthmarks or visible vessel shapes, and vary in size and location.
This treatment improves small senile hemangiomas on the skin surface (common on the neck, body, and arms with age) and thread-like capillaries common in women from middle age onward by using heat from the long-pulse Nd:YAG laser that reacts to hemoglobin. For fine vessels, results can be seen in 1 to 2 sessions.
However, conditions like telangiectasia covering the entire cheek are difficult to treat in a single session and require multiple treatments.
Additionally, since blood vessels can regenerate, hemangiomas may reappear even after initial improvement.

Treatment details

Treatment Interval Once every 4 weeks
Treatment Time Varies depending on the area.
Anesthesia None
Downtime None specifically. Internal bleeding or scabbing may occur.
Makeup Possible from the following day
Face washing / shower / bathing No restrictions
Follow-up visits None in particular
Medication None in particular
Recommended combination treatments Genesis / Iontophoresis
Post-Treatment Precautions
  • ・Avoid irritation such as friction or UV rays after the procedure.
  • ・In rare cases, the treated area may become slightly indented.