{"id":10075,"date":"2026-08-10T17:33:59","date_gmt":"2026-08-10T08:33:59","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=10075"},"modified":"2026-08-10T17:34:00","modified_gmt":"2026-08-10T08:34:00","slug":"acne-treatment-tokyo-dermatologist-3","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/acne-treatment-tokyo-dermatologist-3\/","title":{"rendered":"Acne Treatment at Tokyo Dermatologist: What to Expect"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Can I get acne treatment covered by Japanese national health insurance?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Prescription medications for acne \u2014 such as topical antibiotics, retinoids, and in some cases oral antibiotics \u2014 can be covered by Japanese national health insurance when prescribed at an insurance-registered clinic. Cosmetic procedures such as laser, peels, and microneedling are always self-pay. Our sister clinic, Kojimachi Dermatology &amp; Plastic Surgery Clinic in Ichigaya, handles insurance-covered dermatology in Japanese. English-speaking patients seeking cosmetic acne treatment should book at BIOTOPE CLINIC.\"}}, {\"@type\": \"Question\", \"name\": \"How many sessions will I need for acne scarring?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"The number of sessions depends on the depth and type of scarring, your skin tone, and the treatment modality used. Most patients undergoing CO2 fractional laser or Dermapen for acne scars see progressive improvement over two to four sessions spaced four to six weeks apart. A realistic timeline for visible improvement is typically three to six months. Your physician will provide a more personalised estimate at consultation.\"}}, {\"@type\": \"Question\", \"name\": \"Is isotretinoin (Roaccutane) available in Tokyo?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes, isotretinoin is available in Japan and can be prescribed by a dermatologist or physician. It requires regular blood monitoring and is prescribed under specific clinical criteria. If you are considering isotretinoin, discuss your full medical history \u2014 including any medications you are currently taking \u2014 at your consultation, as there are important contraindications, particularly regarding pregnancy.\"}}, {\"@type\": \"Question\", \"name\": \"Will acne treatments work on darker skin tones?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Many treatments are safe and effective for patients with darker skin tones (Fitzpatrick types III\u2013VI), but treatment parameters must be adjusted carefully to minimise the risk of post-inflammatory hyperpigmentation. Dermapen microneedling and certain peel formulations are generally considered lower-risk options for darker skin. Always inform your physician of your skin tone and any history of hyperpigmentation before starting any laser or resurfacing treatment.\"}}, {\"@type\": \"Question\", \"name\": \"How soon before an event can I have a peel or laser treatment?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"For chemical peels, allow at least 7\u201310 days before any important event to allow for redness and peeling to resolve. For CO2 fractional laser, a minimum of two weeks is advisable, and ideally four. Milder treatments such as Dermapen or pico laser for pigmentation carry less downtime \u2014 one to three days \u2014 but results are also more gradual. Planning a course well in advance of a target date is always recommended.\"}}]}<\/script><\/p>\n<h2>Acne Treatment at a Tokyo Dermatologist: What to Expect<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Acne Treatment at a Tokyo Dermatologist: What to Expect\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_4586740_1785971807.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Acne Treatment at a Tokyo Dermatologist: What to Expect\" \/><\/figure>\n<p><em><strong>Dealing with acne<\/strong><\/em> in a country where you don&#8217;t speak the language can feel overwhelming \u2014 and finding a clinic that can explain your options <strong>clearly in English<\/strong> adds another layer of stress. Whether you&#8217;re an expatriate, a long-term resident, or visiting Tokyo for treatment, understanding what a dermatology or cosmetic clinic visit actually looks like is an important first step.<\/p>\n<p>This guide explains the main acne treatments available in Tokyo, what the consultation process involves, realistic costs, and how to decide which approach may suit your skin. It also covers treatments for acne scarring, which many patients wish they had addressed sooner.<\/p>\n<p><strong>What you&#8217;ll learn in this article:<\/strong><\/p>\n<ul>\n<li>The main types of acne and how Tokyo dermatologists typically assess them<\/li>\n<li>Medical and cosmetic treatment options \u2014 from prescriptions to laser and RF devices<\/li>\n<li>Realistic costs for acne and acne scar treatments in Tokyo<\/li>\n<li>What to expect before, during, and after your appointment<\/li>\n<li>Who is \u2014 and is not \u2014 a good candidate for each approach<\/li>\n<\/ul>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>Understanding Acne: What a Dermatologist Actually Looks For<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Understanding Acne: What a Dermatologist Actually Looks For\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_8589763_1785971808.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Understanding Acne: What a Dermatologist Actually Looks For\" \/><\/figure>\n<p>Acne (acne vulgaris) is a chronic inflammatory condition of the skin&#8217;s hair follicles and oil glands (sebaceous glands).<\/p>\n<p>It is not caused simply by poor hygiene, and it does not always respond to over-the-counter skincare \u2014 a common misconception addressed later in this article.<\/p>\n<p>A dermatologist will first classify your acne by type and severity before recommending any treatment. The main categories are:<\/p>\n<ul>\n<li><strong>Non-inflammatory acne:<\/strong> open comedones (blackheads) and closed comedones (whiteheads), caused by blocked pores without significant bacterial involvement<\/li>\n<li><strong>Inflammatory acne:<\/strong> papules (small, raised red spots), pustules (pus-filled spots), nodules, and cysts \u2014 all involve immune and bacterial activity within the follicle<\/li>\n<li><strong>Hormonal acne:<\/strong> typically appears along the lower face, chin, and jawline, and often fluctuates with the menstrual cycle or stress<\/li>\n<li><strong>Acne rosacea:<\/strong> a separate condition that can mimic acne but requires different treatment; your doctor will distinguish between the two<\/li>\n<\/ul>\n<p>Severity is usually graded on a clinical scale \u2014 mild, moderate, or severe \u2014 and this determines the treatment pathway. A dermatologist may also assess contributing factors such as diet, stress, hormonal status, and skincare habits.<\/p>\n<h2>Treatment Options: From Prescriptions to Cosmetic Procedures<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Treatment Options: From Prescriptions to Cosmetic Procedures\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_7446684_1785971809.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Treatment Options: From Prescriptions to Cosmetic Procedures\" \/><\/figure>\n<p>Tokyo clinics offer a broad range of treatments, and the appropriate plan depends on whether your acne is active, scarring, or both. In general, active acne is managed first before cosmetic scar treatments are introduced.<\/p>\n<h3>Prescription Medications<\/h3>\n<p>For mild to moderate acne, topical treatments are often the first line of care. These may include retinoids (vitamin A derivatives that regulate skin cell turnover), topical antibiotics such as clindamycin or erythromycin, and benzoyl peroxide preparations. In Japan, some of these require a physician&#8217;s prescription.<\/p>\n<p>For moderate to severe inflammatory acne, oral antibiotics \u2014 such as doxycycline or minocycline \u2014 are commonly prescribed for a defined course. These are available at dermatology clinics on an insurance-covered basis when clinically indicated. Hormonal therapy may also be discussed where relevant.<\/p>\n<p>Isotretinoin (the oral medication known widely under the brand name Roaccutane or Accutane) is available in Japan under strict prescribing guidelines and requires monitoring through regular blood tests. It is typically reserved for severe, treatment-resistant, or scarring acne. Studies suggest that a single course of isotretinoin achieves long-term remission in approximately 85% of patients, though individual responses vary considerably.<\/p>\n<h3>Chemical Peels<\/h3>\n<p>Salicylic acid peels are widely used for acne-prone skin. Salicylic acid is oil-soluble, which allows it to penetrate into blocked pores and help dissolve the debris that contributes to comedone formation. It also has mild anti-inflammatory properties. A course of peels is typically recommended rather than a single session.<\/p>\n<p>At <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai, salicylic acid peels are available at \u00a511,000\u2013\u00a5308,000 depending on the area and number of sessions. Massage peels (also known as Jessner-type or combination peels) designed for more active sebaceous activity are priced at \u00a517,600\u2013\u00a579,200.<\/p>\n<h3>Laser and Energy-Based Treatments for Acne and Acne Scars<\/h3>\n<p>Once active acne is adequately controlled, or in cases where scarring is the primary concern, device-based treatments offer effective options.<\/p>\n<p><strong>CO2 Fractional Laser<\/strong> delivers microscopic columns of laser energy into the skin, stimulating collagen remodelling and improving the texture of atrophic (depressed) acne scars. Clinical reports indicate that fractional CO2 laser achieves clinically significant improvement in acne scar appearance in a majority of patients after two to four sessions, with continued remodelling occurring for up to six months post-treatment. At <strong>BIOTOPE CLINIC<\/strong>, CO2 fractional laser is priced at \u00a511,000\u2013\u00a566,000 per session depending on the area treated.<\/p>\n<p><strong>Pico laser (PicoWay)<\/strong> uses ultra-short laser pulses to target post-inflammatory hyperpigmentation (PIH) \u2014 the flat, dark marks that acne frequently leaves behind. This is a separate concern from scarring, and it responds well to picosecond laser technology. Pico laser treatment is priced at \u00a511,000\u2013\u00a598,000 at BIOTOPE CLINIC.<\/p>\n<p><strong>Dermapen (microneedling)<\/strong> uses fine needles to create controlled micro-injuries in the skin, stimulating collagen production without significant thermal heat. It is particularly suited to patients with darker skin tones (Fitzpatrick types III\u2013V, common among many Asian and mixed-heritage patients) because the risk of post-inflammatory pigmentation is lower than with some laser modalities. Dermapen is available at \u00a59,800\u2013\u00a5220,000 depending on the area and combination with additional serums or growth factors.<\/p>\n<p>In Dr. Karibe&#8217;s clinical experience at BIOTOPE CLINIC, many international patients arrive having already tried multiple over-the-counter products without success, and are often unaware that a combination approach \u2014 prescription medication to control active acne alongside a planned course of device treatments for scarring \u2014 typically produces more satisfying results than any single intervention alone.<\/p>\n<h2>Acne Treatment Costs in Tokyo: What to Budget<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Acne Treatment Costs in Tokyo: What to Budget\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_7446669_1785971810.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Acne Treatment Costs in Tokyo: What to Budget\" \/><\/figure>\n<p>Costs vary depending on whether treatments are covered by Japanese national health insurance (koken hoken) or are cosmetic (self-pay). Insurance-covered dermatology consultations and prescriptions are accessible at significantly reduced out-of-pocket cost, but the clinic must be operating under the insurance system.<\/p>\n<table style=\"border-collapse: collapse; width: 100%; margin: 20px 0; font-size: 0.95em; border: 1px solid #ccc;\">\n<thead>\n<tr>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Treatment<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Coverage<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Approximate Cost at BIOTOPE CLINIC<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Initial consultation<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Self-pay<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a55,500<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Salicylic acid peel<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Self-pay (cosmetic)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a511,000\u2013\u00a5308,000<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Massage peel<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Self-pay (cosmetic)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a517,600\u2013\u00a579,200<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">CO2 fractional laser (acne scars)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Self-pay (cosmetic)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a511,000\u2013\u00a566,000 per session<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Pico laser (PIH \/ pigmentation)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Self-pay (cosmetic)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a511,000\u2013\u00a598,000<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Dermapen (microneedling)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Self-pay (cosmetic)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a59,800\u2013\u00a5220,000<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Note: Insurance-covered dermatology (for prescription medications and medically indicated consultation) is handled at our sister clinic, <strong>Kojimachi Dermatology &amp; Plastic<\/strong> Surgery Clinic in Ichigaya, which operates in Japanese. All English-language consultations and cosmetic treatments are handled at <strong>BIOTOPE CLINIC<\/strong>.<\/p>\n<p>For an accurate quote based on your individual skin assessment, we recommend booking a consultation.<\/p>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>What to Expect Before, During, and After Your Visit<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 What to Expect Before, During, and After Your Visit\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_4812654_1785971812.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 What to Expect Before, During, and After Your Visit\" \/><\/figure>\n<h3>Before Your Appointment<\/h3>\n<p>Ahead of your first visit, compile a brief history of your acne: how long you have had it, what products or medications you have tried, and any known triggers. If you are taking any prescription medications, bring a list. Avoid using strong exfoliants or retinoids for several days before any laser or peel treatment.<\/p>\n<h3>During the Consultation<\/h3>\n<p>Your dermatologist will examine your skin \u2014 ideally without heavy makeup \u2014 and may photograph the affected areas for clinical records. You will be asked about your skincare routine, diet, stress levels, and hormonal history where relevant. The physician will then explain the recommended treatment plan, the expected timeline, and realistic outcomes.<\/p>\n<p>At <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai, consultations with Dr. Karibe are conducted in English. Our English-speaking team handles all enquiries and can help prepare you for what to bring and expect before you arrive.<\/p>\n<h3>During Treatment<\/h3>\n<p>For peels, a solution is applied to the skin for a defined period, then neutralised or removed. There is typically a mild stinging or warming sensation. Laser sessions involve protective eyewear and a handpiece being moved across the treatment area; most patients describe the sensation as a snapping or pricking feeling. Topical numbing cream is commonly applied beforehand to improve comfort.<\/p>\n<h3>After Treatment and Downtime<\/h3>\n<p>Recovery varies by treatment type. Chemical peels may cause redness and superficial peeling for three to seven days. CO2 fractional laser typically involves more pronounced redness and skin flaking for five to ten days. Pico laser and Dermapen tend to involve milder, shorter downtime \u2014 usually one to three days of redness and mild swelling.<\/p>\n<p>Sun protection is non-negotiable after any skin treatment. Broad-spectrum SPF 50 sunscreen should be applied daily, and direct sun exposure minimised during the healing phase.<\/p>\n<h2>What People Often Get Wrong About Acne Treatment<\/h2>\n<p><strong>Misconception 1: Acne is caused by not washing your face enough.<\/strong> Acne is primarily an inflammatory and hormonal condition, not a hygiene problem. Over-cleansing or using harsh scrubs can actually strip the skin barrier, trigger excess oil production, and worsen breakouts. Gentle, non-comedogenic cleansing twice daily is generally sufficient.<\/p>\n<p><strong>Misconception 2: Cosmetic treatments alone will clear active acne.<\/strong> Laser, peels, and microneedling are highly effective tools \u2014 particularly for scarring and pigmentation \u2014 but they are not primary treatments for active inflammatory acne. Using devices on inflamed skin can risk spreading bacteria and triggering post-inflammatory hyperpigmentation. A good treatment plan sequences medical management of active acne first, followed by cosmetic procedures once the skin is more stable.<\/p>\n<h2>Who Is a Good Candidate?<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Who Is a Good Candidate\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_32260065_1785971814.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Who Is a Good Candidate\" \/><\/figure>\n<p>Most adults and older teenagers dealing with persistent acne \u2014 whether mild or severe \u2014 are appropriate candidates for some form of dermatological intervention. You may benefit from treatment if:<\/p>\n<ul>\n<li>Over-the-counter products have not produced satisfactory improvement after 8\u201312 weeks of consistent use<\/li>\n<li>Your acne is leaving scars, dark marks, or significantly affecting your skin texture<\/li>\n<li>You have hormonal or cystic acne that flares in cycles<\/li>\n<li>You are preparing for a significant event and want a structured, evidence-based skincare plan<\/li>\n<\/ul>\n<p>Certain individuals should approach some treatments with caution or wait for medical clearance:<\/p>\n<ul>\n<li>Pregnant or breastfeeding patients should avoid isotretinoin, most chemical peels, and many laser treatments \u2014 discuss alternatives with your doctor<\/li>\n<li>Patients with active cold sores (herpes simplex) in the treatment area should postpone any laser or needling procedure until the outbreak has fully resolved<\/li>\n<li>Those with a history of keloid scarring should discuss risks with their physician before undertaking any resurfacing treatment<\/li>\n<li>Patients currently on photosensitising medications should inform their doctor before any laser or light-based treatment<\/li>\n<\/ul>\n<blockquote style=\"border-left: 4px solid #5a8a5a; padding: .75em 1.1em; margin: 1.8em 0; background: #f7fbf7; border-radius: 0 6px 6px 0; font-size: .93em;\">\n<p style=\"margin: 0 0 .45em; font-weight: bold; color: #3a6e3a;\">Dr. Karibe&#8217;s Note<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">Many of our international patients are surprised to find that acne care in Japan \u2014 particularly at cosmetic clinics \u2014 can be quite comprehensive, combining prescription-level medical management with advanced device treatments under one roof.<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">A common question I receive is whether a patient needs to see a separate GP before seeing us. In most cases, they do not \u2014 a single consultation at <strong>BIOTOPE CLINIC<\/strong> allows us to assess the full picture and propose an integrated plan.<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">If your acne has a suspected hormonal component, we will advise on whether additional investigations are appropriate before proceeding with any<strong> cosmetic procedure.<\/strong><\/p>\n<\/blockquote>\n<h2>Where to Get Acne Treatment in Tokyo (English-Speaking)<\/h2>\n<p>Within our clinic group, English-speaking consultations are handled at BIOTOPE CLINIC in Shirokanedai (Minato-ku, Tokyo) by Dr. Jun Karibe. Our sister clinic, Kojimachi Dermatology &amp; Plastic Surgery Clinic in Ichigaya (Chiyoda-ku), handles Japanese-language insurance dermatology as the group&#8217;s main office for medically covered treatment. Bookings and enquiries in English: LINE or WhatsApp.<\/p>\n<p>CO2 fractional laser for acne scarring, salicylic acid peels, pico laser for post-inflammatory pigmentation, and Dermapen microneedling are all treatments available at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai \u2014 feel free to ask about any of them during a consultation with Dr. Karibe.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<dl class=\"kj-faq\">\n<dt>Q. Can I get acne treatment covered by Japanese national health insurance?<\/dt>\n<dd>Prescription medications for acne \u2014 such as topical antibiotics, retinoids, and in some cases oral antibiotics \u2014 can be covered by Japanese national health insurance when prescribed at an insurance-registered clinic. Cosmetic procedures such as laser, peels, and microneedling are always self-pay. Our sister clinic, Kojimachi Dermatology &amp; Plastic Surgery Clinic in Ichigaya, handles insurance-covered dermatology in Japanese. English-speaking patients seeking cosmetic acne treatment should book at <strong>BIOTOPE CLINIC<\/strong>.<\/dd>\n<dd><\/dd>\n<dt>Q. How many sessions will I need for acne scarring?<\/dt>\n<dd>The number of sessions depends on the depth and type of scarring, your skin tone, and the treatment modality used. Most patients undergoing CO2 fractional laser or Dermapen for acne scars see progressive improvement over two to four sessions spaced four to six weeks apart. A realistic timeline for visible improvement is typically three to six months. Your physician will provide a more personalised estimate at consultation.<\/dd>\n<dd><\/dd>\n<dt>Q. Is<strong> isotretinoin (Roaccutane)<\/strong> available in Tokyo?<\/dt>\n<dd>Yes, isotretinoin is available in Japan and can be prescribed by a dermatologist or physician. It requires regular blood monitoring and is prescribed under specific clinical criteria. If you are considering isotretinoin, discuss your full medical history \u2014 including any medications you are currently taking \u2014 at your consultation, as there are important contraindications, particularly regarding pregnancy.<\/dd>\n<dd><\/dd>\n<dt>Q. Will acne treatments work on darker skin tones?<\/dt>\n<dd>Many treatments are safe and effective for patients with darker skin tones (Fitzpatrick types III\u2013VI), but treatment parameters must be adjusted carefully to minimise the risk of post-inflammatory hyperpigmentation. Dermapen microneedling and certain peel formulations are generally considered lower-risk options for darker skin. Always inform your physician of your skin tone and any history of hyperpigmentation before starting any laser or resurfacing treatment.<\/dd>\n<dd><\/dd>\n<dt>Q. How soon before an event can I have a peel or laser treatment?<\/dt>\n<dd>For chemical peels, allow at least 7\u201310 days before any important event to allow for redness and peeling to resolve. For CO2 fractional laser, a minimum of two weeks is advisable, and ideally four. Milder treatments such as Dermapen or pico laser for pigmentation carry less downtime \u2014 one to three days \u2014 but results are also more gradual. Planning a course well in advance of a target date is always recommended.<\/dd>\n<\/dl>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>Summary<\/h2>\n<p><strong>Acne is a complex,<\/strong> chronic condition that responds well to a structured, evidence-based approach \u2014 combining appropriate prescription management with cosmetic procedures where indicated. Tokyo offers a high standard of dermatological care, and English-speaking patients in particular now have access to well-qualified physicians who can explain options clearly and develop an individualised plan.<\/p>\n<p>Key takeaways from this guide:<\/p>\n<ul>\n<li>Active inflammatory acne is typically addressed with prescription topicals, oral antibiotics, or isotretinoin before cosmetic procedures are introduced<\/li>\n<li>Chemical peels and microneedling are effective for ongoing maintenance and mild scarring; CO2 fractional laser and pico laser address more established scarring and pigmentation<\/li>\n<li>Costs for cosmetic acne treatments in Tokyo range from approximately \u00a59,800 for an initial Dermapen session to \u00a566,000 for CO2 fractional laser, with multiple sessions usually recommended<\/li>\n<li>Treatment selection must account for skin tone, active vs. healed acne, and any medical contraindications<\/li>\n<\/ul>\n<p>If you have questions about acne treatment, English-speaking consultations are handled at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai (Minato-ku, Tokyo) by Dr. Karibe. Our sister clinic, <strong>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> in Ichigaya (Chiyoda-ku), handles Japanese-language insurance dermatology. English enquiries: LINE or WhatsApp.<\/p>\n<div class=\"kjmc-en-booking-box\" style=\"background: linear-gradient(135deg,#f1faf3 0%,#e6f3ea 100%); border-radius: 14px; padding: 32px 24px; margin: 36px 0 24px; border: 1px solid #c5dccd; text-align: center;\">\n<h3 style=\"margin: 0 0 8px; color: #3a6e3a; border: none; padding: 0; font-size: 1.3em;\">24\/7 Consultation &amp; Booking<\/h3>\n<div style=\"width: 48px; height: 2px; background: #3a6e3a; margin: 0 auto 22px;\"><\/div>\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 1.1em; font-weight: bold;\">Book a Consultation or Treatment<\/p>\n<p style=\"margin: 0 0 24px; color: #2c4a35; line-height: 1.75;\">Our English-speaking team responds via LINE or WhatsApp \u2014 usually the same day.<\/p>\n<p style=\"margin: 0 0 10px; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #06C755; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(6,199,85,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #25D366; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(37,211,102,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Zaenglein AL, Pathy AL, Schlosser BJ, et al. Guidelines of care for the management of acne vulgaris. Journal of the American Academy of Dermatology. 2016;74(5):945\u2013973.<\/li>\n<li>Goodman GJ. Postacne scarring: a review of its pathophysiology and treatment. Dermatologic Surgery. 2000;26(9):857\u2013871.<\/li>\n<li>Layton AM, Knaggs H, Taylor J, Cunliffe WJ. Isotretinoin for acne vulgaris \u2014 10 years later: a safe and successful treatment. British Journal of Dermatology. 1993;129(3):292\u2013296.<\/li>\n<li>Chapas AM, Brightman L, Sukal S, et al. Successful treatment of acneiform scarring with CO2 ablative fractional resurfacing. Lasers in Surgery and Medicine. 2008;40(6):381\u2013386.<\/li>\n<li>Fabbrocini G, Annunziata MC, D&#8217;Arco V, et al. Acne scars: pathogenesis, classification and treatment. Dermatology Research and Practice. 2010;2010:893080.<\/li>\n<\/ol>\n<h2>Related Articles<\/h2>\n<p>You may also find these articles useful.<\/p>\n<ul>\n<li><a href=\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-acne\/\" target=\"_blank\" rel=\"noopener\">English-Speaking Dermatologist Tokyo: Acne Treatment Options<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/acne-treatment-tokyo-dermatologist-2\/\" target=\"_blank\" rel=\"noopener\">Acne Treatment at Tokyo Dermatologist: What to Expect<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/sensitive-skin-care-tokyo-dermatologist-3\/\" target=\"_blank\" rel=\"noopener\">Sensitive Skin Care Tokyo: English-Speaking Dermatologist<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/melasma-treatment-tokyo-causes-solutions-2\/\" target=\"_blank\" rel=\"noopener\">Melasma Treatment Tokyo: Causes and Solutions<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/laser-skin-treatment-tokyo-clinic\/\" target=\"_blank\" rel=\"noopener\">Laser Skin Treatment Tokyo: English-Speaking Clinic Guide<\/a><\/li>\n<\/ul>\n<div style=\"margin: 2.5em 0 1em; padding: 1.5em; border: 1px solid #d5d5d5; border-radius: 10px; background: #fafafa; font-size: .9em;\">\n<p style=\"font-size: .72em; font-weight: bold; color: #888; margin: 0 0 1.2em; letter-spacing: .08em;\">SUPERVISED BY<\/p>\n<div style=\"display: flex; align-items: flex-start; gap: 1.2em; flex-wrap: wrap;\">\n<div style=\"flex-shrink: 0; text-align: center; min-width: 110px;\"><img decoding=\"async\" style=\"width: 100px; height: 100px; border-radius: 50%; object-fit: cover; object-position: top center; display: block; margin: 0 auto; border: 3px solid #e0e0e0;\" src=\"https:\/\/kojihifu.com\/hon\/wp-content\/uploads\/2022\/01\/photo-karibejun-400-3_re-300x300.jpg\" alt=\"Dr. Jun Karibe MD \u2014 Board-certified Plastic Surgeon, Director of Kojimachi Dermatology &amp; Plastic Surgery Clinic\" \/><\/p>\n<p style=\"margin: .6em 0 .1em; font-weight: bold; font-size: .95em; color: #222;\">Dr. Jun Karibe<\/p>\n<p style=\"margin: 0 0 .1em; font-size: .75em; color: #999;\">MD<\/p>\n<p style=\"margin: 0; font-size: .75em; color: #555; font-weight: bold;\">Director<\/p>\n<\/div>\n<div style=\"flex: 1; min-width: 200px;\">\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Education &amp; Career<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Juntendo University School of Medicine<\/div>\n<div>Department of Plastic Surgery, University of Tokyo Hospital<\/div>\n<div>Assistant Professor, Plastic &amp; Cosmetic Surgery, Saitama Medical University<\/div>\n<div>Assistant Professor &amp; Chief Resident, Yamanashi University Hospital<\/div>\n<div>2019: Founded Kojimachi Dermatology &amp; Plastic Surgery Clinic (Ichigaya, Tokyo)<\/div>\n<div>2021: Founded BIOTOPE CLINIC Shirokanedai (Minato-ku, Tokyo)<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Certifications<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Board-certified Plastic Surgeon \u2014 Japan Society of Plastic and Reconstructive Surgery<\/div>\n<div>Specialist \u2014 Japan Society of Anti-Aging Medicine<\/div>\n<div>Certified Industrial Physician \u2014 Japan Medical Association<\/div>\n<div>Allergan VST-certified Injector (Botox &amp; Hyaluronic Acid)<\/div>\n<\/div>\n<\/div>\n<div style=\"background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Awards<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Best Presentation Award \u2014 Dept. of Plastic Surgery, University of Tokyo (2016)<\/div>\n<div>Excellence Award \u2014 Japan Society of Plastic and Reconstructive Surgery (2018)<\/div>\n<div>Featured Presentation \u2014 ASPS Annual Scientific Meeting, USA (2018)<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-top: 1em; padding-top: .75em; border-top: 1px solid #e8e8e8; display: flex; flex-wrap: wrap; align-items: center; gap: .5em;\"><a style=\"display: inline-block; background: #e1306c; color: #fff; padding: .4em .9em; border-radius: 4px; text-decoration: none; font-size: .8em; font-weight: bold;\" href=\"https:\/\/www.instagram.com\/dr.jun_\/\" target=\"_blank\" rel=\"noopener noreferrer\">Instagram<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Complete guide to acne treatment in Tokyo. Learn about laser therapy, prescriptions, costs, and consultation process at English-speaking dermatology clinics.","protected":false},"author":4,"featured_media":10074,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[641,354,228,176,136,129,114],"class_list":["post-10075","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-dermatology","tag-cosmetic-clinic","tag-skincare","tag-english-speaking","tag-laser-therapy","tag-acne-treatment","tag-tokyo-dermatologist","tag-acne-scars"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/10075","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/comments?post=10075"}],"version-history":[{"count":1,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/10075\/revisions"}],"predecessor-version":[{"id":10243,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/10075\/revisions\/10243"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/10074"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=10075"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=10075"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=10075"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}