{"id":638,"date":"2026-06-30T18:06:27","date_gmt":"2026-06-30T09:06:27","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=638"},"modified":"2026-07-04T14:23:19","modified_gmt":"2026-07-04T05:23:19","slug":"acne-scar-laser-treatment-tokyo-cost","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/acne-scar-laser-treatment-tokyo-cost\/","title":{"rendered":"Acne Scar Laser Treatment Tokyo: Cost &#038; Results"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"How many laser sessions will I need for acne scars?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"The number of sessions depends on the type and severity of your scars, your skin tone, and the device used. Most patients with moderate atrophic scarring require between three and five fractional CO2 sessions, spaced four to eight weeks apart. Milder scarring or post-acne pigmentation may respond in fewer sessions. A personalised treatment plan is prepared after the initial consultation.\"}}, {\"@type\": \"Question\", \"name\": \"Is the treatment painful?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Topical numbing cream is applied before each session to significantly reduce discomfort. Most patients describe the sensation during fractional CO2 as a warm, prickling feeling rather than sharp pain. Post-treatment, the skin may feel tender and tight for a few days, which is manageable with gentle skincare and over-the-counter pain relief if needed.\"}}, {\"@type\": \"Question\", \"name\": \"Can I have laser treatment if I have darker skin?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes, but device selection and energy parameters must be carefully adjusted to minimise the risk of post-inflammatory hyperpigmentation. Pico lasers and RF microneedling (such as Morpheus8) are often preferred for Fitzpatrick skin types IV\u2013VI as they carry a lower risk of surface pigmentation changes. A thorough skin assessment at the initial consultation is essential for patients with medium to dark skin tones.\"}}, {\"@type\": \"Question\", \"name\": \"How much downtime should I expect after fractional CO2 laser?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Most patients experience redness, mild swelling, and skin peeling for approximately three to seven days after a fractional CO2 session. The majority feel comfortable returning to desk-based or indoor work within five to seven days. Rigorous outdoor activity and unprotected sun exposure should be avoided for at least two weeks after treatment.\"}}, {\"@type\": \"Question\", \"name\": \"Are results permanent?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"The structural improvements achieved through laser-induced collagen remodelling are long-lasting, but the skin continues to age naturally, and new acne breakouts can create new scarring. Maintaining good sun protection and acne management following treatment helps preserve results. Periodic maintenance sessions may be beneficial for some patients.\"}}]}<\/script><\/p>\n<h2>Acne Scar Laser Treatment in Tokyo: What It Costs and What Results You Can Expect<\/h2>\n<p>Living with acne scars \u2014 whether they are deep pits, rolling indentations, or raised tissue \u2014 can affect confidence in ways that go far beyond skin deep. If you are an expatriate or visitor in Tokyo exploring professional treatment options, navigating the Japanese cosmetic dermatology landscape can feel overwhelming, particularly when clinic information is rarely available in English.<\/p>\n<p>This article explains how laser treatment for acne scars works, what realistic results look like, and what you can expect to pay at a reputable Tokyo clinic.<\/p>\n<p><strong>What you&#8217;ll learn in this article:<\/strong><\/p>\n<ul>\n<li>The main types of laser used to treat acne scars and how they work<\/li>\n<li>Realistic results backed by published clinical data<\/li>\n<li>Accurate cost ranges for acne scar laser treatment in Tokyo<\/li>\n<li>Recovery time and what to expect before, during, and after your session<\/li>\n<li>Who is a suitable candidate \u2014 and who should proceed with caution<\/li>\n<\/ul>\n<h2>What Are Acne Scars and Why Are They Difficult to Treat?<\/h2>\n<p>Acne scars form when inflammation from a pimple or cyst damages the underlying dermis \u2014 the deeper layer of skin responsible for structural support. Depending on whether the healing process produces too little or too much collagen, the result is either an atrophic scar (a sunken indentation) or a hypertrophic\/keloid scar (raised tissue). Atrophic scars, which include ice-pick, boxcar, and rolling subtypes, are the most common type seen in clinical practice.<\/p>\n<p>Because scarring involves structural changes below the skin surface, topical creams and skincare products address only surface texture at best. Laser treatment works at a deeper level, targeting the dermis directly to stimulate collagen remodelling and resurface the overlying skin. No single treatment modality eliminates all scar types, which is why a thorough assessment before treatment is essential.<\/p>\n<h2>How Laser Treatment for Acne Scars Works<\/h2>\n<h3>CO2 Fractional Laser<\/h3>\n<p>The CO2 fractional laser (carbon dioxide laser) is widely regarded as one of the most established devices for atrophic acne scars. It works by delivering thousands of microscopic columns of laser energy into the skin, creating controlled zones of thermal injury while leaving surrounding tissue intact.<\/p>\n<p>This triggers the body&#8217;s natural wound-healing response, stimulating new collagen production and gradually filling in depressed scars. Because only a fraction of the skin is treated at one time, healing is significantly faster than with older, fully ablative (full-surface) CO2 lasers.<\/p>\n<p>Studies suggest that fractional CO2 laser treatment can produce measurable improvement in acne scar severity. A clinical trial published in the <em>Journal of Cosmetic and Laser Therapy<\/em> reported an average improvement of approximately 50\u201375% in atrophic scar appearance following a series of fractional CO2 sessions, with patient satisfaction rates above 70%. Multiple sessions are typically required to achieve optimal results.<\/p>\n<h3>Pico Laser (PicoWay)<\/h3>\n<p>Picosecond lasers such as the PicoWay deliver ultra-short pulses of energy \u2014 measured in trillionths of a second \u2014 that create a photoacoustic (pressure-wave) effect within the skin. This stimulates collagen and elastin without the degree of surface ablation associated with CO2 lasers, making it a suitable option for patients concerned about post-inflammatory hyperpigmentation (PIH) \u2014 a particular consideration for medium and darker skin tones. Pico lasers are often used in combination with fractional CO2 treatment or as a standalone option for milder scarring and post-acne pigmentation.<\/p>\n<p>At our clinic in Ichigaya, Tokyo, we frequently see patients who have mixed scarring \u2014 both textural indentations and residual pigmentation \u2014 and for these individuals, a combination approach using both fractional CO2 and pico laser technology may be recommended following an individual assessment.<\/p>\n<h3>RF Microneedling (Morpheus8)<\/h3>\n<p>While not strictly a laser, radiofrequency (RF) microneedling devices such as Morpheus8 are frequently used alongside or instead of laser treatment for acne scars.<\/p>\n<p>Morpheus8 combines fine needles with RF energy delivered directly into the dermis, achieving remodelling at controlled depths with minimal risk to the surface layer \u2014 an advantage for patients with darker skin phototypes. This is a treatment available at our Ichigaya clinic; feel free to ask about it during a consultation.<\/p>\n<h2>Expected Results: What Clinical Evidence and Clinical Experience Show<\/h2>\n<p>Results from acne scar laser treatment vary depending on scar type, depth, skin tone, and the number of sessions completed. Clinical reports indicate that rolling and boxcar scars tend to respond more favourably to fractional resurfacing than deep, narrow ice-pick scars, which may additionally benefit from procedures such as punch excision or subcision (manual release of scar tethering) before laser treatment.<\/p>\n<p>Patients should expect gradual improvement rather than an immediate transformation. Collagen remodelling is a biological process that continues for three to six months after each laser session. Most clinical protocols for moderate-to-severe acne scarring involve three to five fractional CO2 sessions spaced four to eight weeks apart, though the exact plan depends on the individual assessment. Visible improvement is typically noticeable after the first or second session, with progressive enhancement thereafter.<\/p>\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 laser energy settings must be adjusted not just for scar type but also for skin tone. Fitzpatrick skin type IV\u2013VI \u2014 common among patients of East Asian, South Asian, or mixed heritage \u2014 requires a more conservative approach to avoid post-inflammatory hyperpigmentation. At our clinic, we always perform a skin-type assessment at the initial consultation to determine the safest and most effective protocol for each individual. A combination of devices, scheduled appropriately, often produces better long-term results than a single aggressive session.<\/p>\n<\/blockquote>\n<h2>Acne Scar Laser Treatment Cost in Tokyo<\/h2>\n<p>The cost of acne scar laser treatment in Tokyo depends on the device used, the size and severity of the area being treated, and the number of sessions in your treatment plan. Below are the official price ranges at Kojimachi Dermatology &amp; Plastic Surgery Clinic for the most relevant treatments.<\/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;\">Price Range (per session)<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Primary Use for Acne Scars<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">CO2 Fractional Laser<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a511,000 \u2013 \u00a566,000<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Atrophic scars, skin resurfacing, enlarged pores<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">PicoWay Pico Laser<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a511,000 \u2013 \u00a598,000<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Post-acne pigmentation, mild textural scarring<\/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;\">\u00a59,800 \u2013 \u00a5220,000<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Textural improvement, collagen stimulation<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Morpheus8 (RF microneedling)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">See POTENZA: \u00a535,000 \u2013 \u00a549,800<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Deep dermal remodelling, suitable for darker skin tones<\/td>\n<\/tr>\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;\">\u00a53,300<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Skin assessment and treatment planning<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The wide price range for CO2 fractional laser (\u00a511,000\u2013\u00a566,000) reflects differences in treatment area size, energy settings, and whether the procedure targets a localised zone (such as cheeks only) or the full face. Pico laser pricing similarly varies by the number of passes and the scope of pigmentation being addressed. For patients requiring multiple sessions, some clinics offer package pricing \u2014 the clinic can provide a detailed breakdown at consultation.<\/p>\n<p>As a point of comparison, acne scar laser treatment at established dermatology and cosmetic surgery clinics in central Tokyo generally ranges from approximately \u00a515,000 to \u00a580,000 per session for fractional CO2, placing our clinic&#8217;s pricing within the standard market range for Chiyoda-ku and surrounding areas. <strong>For an accurate quote, we recommend booking a consultation.<\/strong><\/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 \/>Message us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin:0;line-height:1;\">\n<a href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&#038;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\" 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;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"18\" height=\"18\" fill=\"#fff\" aria-hidden=\"true\" style=\"flex-shrink:0;\"><path d=\"M19.365 9.863c.349 0 .63.285.63.631 0 .345-.281.63-.63.63H17.61v1.125h1.755c.349 0 .63.283.63.63 0 .344-.281.629-.63.629h-2.386c-.345 0-.627-.285-.627-.629V8.108c0-.345.282-.63.63-.63h2.386c.346 0 .627.285.627.63 0 .349-.281.63-.63.63H17.61v1.125h1.755zm-3.855 3.016c0 .27-.174.51-.432.596-.064.021-.133.031-.199.031-.211 0-.391-.09-.51-.25l-2.443-3.317v2.94c0 .344-.279.629-.631.629-.346 0-.626-.285-.626-.629V8.108c0-.27.173-.51.43-.595.06-.023.136-.033.194-.033.195 0 .375.104.495.254l2.462 3.33V8.108c0-.345.282-.63.63-.63.345 0 .63.285.63.63v4.771zm-5.741 0c0 .344-.282.629-.631.629-.345 0-.63-.285-.63-.629V8.108c0-.345.285-.63.63-.63.349 0 .631.285.631.63v4.771zm-2.466.629H4.917c-.345 0-.63-.285-.63-.629V8.108c0-.345.285-.63.63-.63.348 0 .63.285.63.63v4.141h1.756c.348 0 .629.283.629.63 0 .344-.282.629-.629.629M24 10.314C24 4.943 18.615.572 12 .572S0 4.943 0 10.314c0 4.811 4.27 8.842 10.035 9.608.391.082.923.258 1.058.59.12.301.079.766.038 1.08l-.164 1.02c-.045.301-.24 1.186 1.049.645 1.291-.539 6.916-4.078 9.436-6.975C23.176 14.393 24 12.458 24 10.314\"\/><\/svg>Book via LINE<\/a><br \/>\n<a href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\" 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;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"18\" height=\"18\" fill=\"#fff\" aria-hidden=\"true\" style=\"flex-shrink:0;\"><path d=\"M.057 24l1.687-6.163a11.867 11.867 0 0 1-1.587-5.946C.16 5.335 5.495 0 12.05 0a11.817 11.817 0 0 1 8.413 3.488 11.824 11.824 0 0 1 3.48 8.414c-.003 6.557-5.338 11.892-11.893 11.892a11.9 11.9 0 0 1-5.688-1.448L.057 24zm6.597-3.807c1.676.995 3.276 1.591 5.392 1.592 5.448 0 9.886-4.434 9.889-9.885.002-5.462-4.415-9.89-9.881-9.892-5.452 0-9.887 4.434-9.889 9.884a9.86 9.86 0 0 0 1.515 5.26l-.999 3.648 3.973-1.607zm11.387-5.464c-.074-.124-.272-.198-.57-.347-.297-.149-1.758-.868-2.031-.967-.272-.099-.47-.149-.669.149-.198.297-.768.967-.941 1.165-.173.198-.347.223-.644.074-.297-.149-1.255-.462-2.39-1.475-.883-.788-1.48-1.761-1.653-2.059-.173-.297-.018-.458.13-.606.134-.133.297-.347.446-.521.151-.172.2-.296.3-.495.099-.198.05-.371-.025-.52-.075-.149-.669-1.611-.916-2.206-.242-.579-.487-.5-.669-.51l-.57-.01c-.198 0-.52.074-.792.372-.272.297-1.04 1.016-1.04 2.479 0 1.462 1.065 2.875 1.213 3.074.149.198 2.095 3.2 5.076 4.487.709.306 1.263.489 1.694.626.712.226 1.36.194 1.872.118.571-.085 1.758-.719 2.006-1.413.248-.694.248-1.289.173-1.413z\"\/><\/svg>Message on WhatsApp<\/a>\n<\/p>\n<\/div>\n<h2>What to Expect: Before, During, and After Treatment<\/h2>\n<h3>Before Your Session<\/h3>\n<p>A thorough consultation is the essential first step. The treating physician will assess your scar types, skin tone (Fitzpatrick phototype), current skincare routine, and any history of keloid scarring or herpes simplex virus (cold sores), which can be reactivated by laser energy.<\/p>\n<p>Patients who are prone to cold sores are typically prescribed prophylactic antiviral medication before treatment. Sun exposure should be avoided for at least two to four weeks prior to laser resurfacing, and certain active skincare ingredients (such as retinoids) may need to be paused.<\/p>\n<h3>During the Procedure<\/h3>\n<p>A topical numbing cream (anaesthetic) is applied to the treatment area approximately 30\u201360 minutes before the laser session to minimise discomfort. The laser handpiece is moved systematically across the skin; patients typically describe the sensation as a warm prickling or snapping feeling. A full-face fractional CO2 session generally takes 20\u201340 minutes. The skin will appear red and may feel warm immediately after treatment, similar to moderate sunburn.<\/p>\n<h3>After Treatment and Recovery<\/h3>\n<p>Following fractional CO2 laser treatment, the skin typically remains red, swollen, and sensitive for three to five days. Fine crusting or peeling is common as the treated micro-zones shed and resurface. Most patients are comfortable returning to indoor work or social activities within five to seven days, though make-up cover may be needed during the initial healing phase.<\/p>\n<p>Sun protection is critical in the weeks following treatment, as newly resurfaced skin is particularly vulnerable to UV-induced hyperpigmentation.<\/p>\n<p>In our clinical experience at Kojimachi Dermatology &amp; Plastic Surgery Clinic, patients who follow aftercare instructions diligently \u2014 particularly consistent sunscreen use \u2014 tend to achieve more even and sustained results compared with those who resume unprotected sun exposure quickly after treatment.<\/p>\n<h2>Who Is a Good Candidate for Acne Scar Laser Treatment?<\/h2>\n<p>Ideal candidates are adults with stable atrophic acne scars (not active acne) and realistic expectations about gradual improvement. Good candidates have not had an active breakout in the treatment area within the preceding weeks, are not currently pregnant or breastfeeding, and do not have a history of keloid formation. Patients with darker Fitzpatrick skin types (IV\u2013VI) may still be treated, but benefit from a more conservative protocol or device selection \u2014 such as pico laser or RF microneedling \u2014 to minimise PIH risk.<\/p>\n<p>Patients who have used oral isotretinoin (a prescription medication for severe acne, also known by the brand name Accutane) are generally advised to wait at least six to twelve months after completing their course before undergoing ablative laser treatment, as isotretinoin can impair skin healing. This is an important point for patients who have recently finished a course of oral retinoid therapy.<\/p>\n<h3>Who Should Avoid or Postpone Treatment<\/h3>\n<ul>\n<li>Individuals with currently active acne or infected skin lesions in the treatment area<\/li>\n<li>Those with a history of hypertrophic or keloid scarring (requires specialist assessment)<\/li>\n<li>Pregnant or breastfeeding individuals<\/li>\n<li>Patients who have recently used oral isotretinoin (within the last 6\u201312 months)<\/li>\n<li>Those with uncontrolled autoimmune skin conditions affecting the treatment area<\/li>\n<li>Individuals with unrealistic expectations of complete scar elimination<\/li>\n<\/ul>\n<h2>Common Misconceptions About Acne Scar Laser Treatment<\/h2>\n<h3>Misconception 1: &#8220;One session will remove my scars completely.&#8221;<\/h3>\n<p>This is perhaps the most widespread misunderstanding about laser treatment for acne scars. Collagen remodelling is a biological process that unfolds gradually over months, not days.<\/p>\n<p>Clinical literature consistently shows that multiple sessions \u2014 typically three to five for moderate scarring \u2014 produce significantly better outcomes than a single high-intensity treatment. Overly aggressive single sessions also increase the risk of adverse effects, including prolonged redness, pigmentation changes, and in rare cases, scarring. A measured, staged approach is both safer and more effective.<\/p>\n<h3>Misconception 2: &#8220;Laser treatment works the same on all skin tones.&#8221;<\/h3>\n<p>This is clinically inaccurate and potentially harmful if overlooked. Melanin \u2014 the pigment that gives skin its colour \u2014 absorbs laser energy, meaning that patients with medium-to-dark skin tones face a higher risk of post-inflammatory hyperpigmentation (darkening) or, in rare cases, hypopigmentation (lightening) if inappropriate laser parameters are used. Experienced practitioners adjust energy settings, wavelengths, and treatment intervals according to the patient&#8217;s Fitzpatrick skin type. Patients of East Asian, South-East Asian, or mixed heritage \u2014 a common demographic among Tokyo expatriates \u2014 should specifically discuss skin tone assessment with their physician before any laser procedure.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<dl class=\"kj-faq\">\n<dt>Q. How many laser sessions will I need for acne scars?<\/dt>\n<dd>The number of sessions depends on the type and severity of your scars, your skin tone, and the device used. Most patients with moderate atrophic scarring require between three and five fractional CO2 sessions, spaced four to eight weeks apart. Milder scarring or post-acne pigmentation may respond in fewer sessions. A personalised treatment plan is prepared after the initial consultation.<\/dd>\n<dt>Q. Is the treatment painful?<\/dt>\n<dd>Topical numbing cream is applied before each session to significantly reduce discomfort. Most patients describe the sensation during fractional CO2 as a warm, prickling feeling rather than sharp pain. Post-treatment, the skin may feel tender and tight for a few days, which is manageable with gentle skincare and over-the-counter pain relief if needed.<\/dd>\n<dt>Q. Can I have laser treatment if I have darker skin?<\/dt>\n<dd>Yes, but device selection and energy parameters must be carefully adjusted to minimise the risk of post-inflammatory hyperpigmentation. Pico lasers and RF microneedling (such as Morpheus8) are often preferred for Fitzpatrick skin types IV\u2013VI as they carry a lower risk of surface pigmentation changes. A thorough skin assessment at the initial consultation is essential for patients with medium to dark skin tones.<\/dd>\n<dt>Q. How much downtime should I expect after fractional CO2 laser?<\/dt>\n<dd>Most patients experience redness, mild swelling, and skin peeling for approximately three to seven days after a fractional CO2 session. The majority feel comfortable returning to desk-based or indoor work within five to seven days. Rigorous outdoor activity and unprotected sun exposure should be avoided for at least two weeks after treatment.<\/dd>\n<dt>Q. Are results permanent?<\/dt>\n<dd>The structural improvements achieved through laser-induced collagen remodelling are long-lasting, but the skin continues to age naturally, and new acne breakouts can create new scarring. Maintaining good sun protection and acne management following treatment helps preserve results. Periodic maintenance sessions may be beneficial for some patients.<\/dd>\n<\/dl>\n<h2>Summary<\/h2>\n<p>Acne scar laser treatment \u2014 particularly with fractional CO2 and picosecond laser technology \u2014 is a well-established approach to improving the appearance of atrophic scars and post-acne pigmentation. Studies suggest meaningful clinical improvement is achievable for most patients with moderate scarring, provided treatment is appropriately personalised to scar type, skin tone, and individual healing capacity. In Tokyo, the cost of fractional CO2 laser treatment typically ranges from \u00a511,000 to \u00a566,000 per session at Kojimachi Dermatology &amp; Plastic Surgery Clinic, with pricing varying according to treatment scope.<\/p>\n<p>Key considerations for any prospective patient include: selecting a clinic with board-certified physician oversight, ensuring skin tone is properly assessed before treatment, committing to the recommended number of sessions, and following post-treatment sun protection diligently. Laser treatment is one component of a broader acne scar management strategy, and the best outcomes are typically achieved through a tailored combination approach.<\/p>\n<p>If you have questions about acne scar laser treatment in Tokyo, our team at BIOTOPE CLINIC or Kojimachi Dermatology &amp; Plastic Surgery Clinic in Minato-ku, Tokyo would be happy to help. We offer consultations in English.<\/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;\">\n<a href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&#038;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\" 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;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"18\" height=\"18\" fill=\"#fff\" aria-hidden=\"true\" style=\"flex-shrink:0;\"><path d=\"M19.365 9.863c.349 0 .63.285.63.631 0 .345-.281.63-.63.63H17.61v1.125h1.755c.349 0 .63.283.63.63 0 .344-.281.629-.63.629h-2.386c-.345 0-.627-.285-.627-.629V8.108c0-.345.282-.63.63-.63h2.386c.346 0 .627.285.627.63 0 .349-.281.63-.63.63H17.61v1.125h1.755zm-3.855 3.016c0 .27-.174.51-.432.596-.064.021-.133.031-.199.031-.211 0-.391-.09-.51-.25l-2.443-3.317v2.94c0 .344-.279.629-.631.629-.346 0-.626-.285-.626-.629V8.108c0-.27.173-.51.43-.595.06-.023.136-.033.194-.033.195 0 .375.104.495.254l2.462 3.33V8.108c0-.345.282-.63.63-.63.345 0 .63.285.63.63v4.771zm-5.741 0c0 .344-.282.629-.631.629-.345 0-.63-.285-.63-.629V8.108c0-.345.285-.63.63-.63.349 0 .631.285.631.63v4.771zm-2.466.629H4.917c-.345 0-.63-.285-.63-.629V8.108c0-.345.285-.63.63-.63.348 0 .63.285.63.63v4.141h1.756c.348 0 .629.283.629.63 0 .344-.282.629-.629.629M24 10.314C24 4.943 18.615.572 12 .572S0 4.943 0 10.314c0 4.811 4.27 8.842 10.035 9.608.391.082.923.258 1.058.59.12.301.079.766.038 1.08l-.164 1.02c-.045.301-.24 1.186 1.049.645 1.291-.539 6.916-4.078 9.436-6.975C23.176 14.393 24 12.458 24 10.314\"\/><\/svg>Book via LINE<\/a>\n<\/p>\n<p style=\"margin:0;line-height:1;\">\n<a href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\" 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;\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 24 24\" width=\"18\" height=\"18\" fill=\"#fff\" aria-hidden=\"true\" style=\"flex-shrink:0;\"><path d=\"M.057 24l1.687-6.163a11.867 11.867 0 0 1-1.587-5.946C.16 5.335 5.495 0 12.05 0a11.817 11.817 0 0 1 8.413 3.488 11.824 11.824 0 0 1 3.48 8.414c-.003 6.557-5.338 11.892-11.893 11.892a11.9 11.9 0 0 1-5.688-1.448L.057 24zm6.597-3.807c1.676.995 3.276 1.591 5.392 1.592 5.448 0 9.886-4.434 9.889-9.885.002-5.462-4.415-9.89-9.881-9.892-5.452 0-9.887 4.434-9.889 9.884a9.86 9.86 0 0 0 1.515 5.26l-.999 3.648 3.973-1.607zm11.387-5.464c-.074-.124-.272-.198-.57-.347-.297-.149-1.758-.868-2.031-.967-.272-.099-.47-.149-.669.149-.198.297-.768.967-.941 1.165-.173.198-.347.223-.644.074-.297-.149-1.255-.462-2.39-1.475-.883-.788-1.48-1.761-1.653-2.059-.173-.297-.018-.458.13-.606.134-.133.297-.347.446-.521.151-.172.2-.296.3-.495.099-.198.05-.371-.025-.52-.075-.149-.669-1.611-.916-2.206-.242-.579-.487-.5-.669-.51l-.57-.01c-.198 0-.52.074-.792.372-.272.297-1.04 1.016-1.04 2.479 0 1.462 1.065 2.875 1.213 3.074.149.198 2.095 3.2 5.076 4.487.709.306 1.263.489 1.694.626.712.226 1.36.194 1.872.118.571-.085 1.758-.719 2.006-1.413.248-.694.248-1.289.173-1.413z\"\/><\/svg>Message on WhatsApp<\/a>\n<\/p>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Alster TS, Tanzi EL, Lazarus M. The use of fractional laser photothermolysis for the treatment of atrophic scars. <em>Dermatologic Surgery<\/em>. 2007;33(3):295\u2013299.<\/li>\n<li>Chapas AM, Brightman L, Sukal S, et al. Successful treatment of acneiform scarring with CO2 ablative fractional resurfacing. <em>Lasers in Surgery and Medicine<\/em>. 2008;40(6):381\u2013386.<\/li>\n<li>Hedelund L, Moreau KE, Beyer DM, Nymann P, Haedersdal M. Fractional nonablative 1,540-nm laser resurfacing of atrophic acne scars: a randomized controlled trial with blinded response evaluation. <em>Lasers in Medical Science<\/em>. 2010;25(5):749\u2013754.<\/li>\n<li>Naouri M, Mazer JM. Picosecond laser for the treatment of acne scars: clinical and histological evaluation in a prospective cohort. <em>Journal of the European Academy of Dermatology and Venereology<\/em>. 2019;33(11):2149\u20132154.<\/li>\n<li>Alexiades M, Berube D. Randomized, blinded, 3-arm clinical trial assessing optimal temperature and duration for treatment with minimally invasive fractional radiofrequency. <em>Dermatologic Surgery<\/em>. 2015;41(5):623\u2013632.<\/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\/acne-scar-laser-treatment-tokyo\/\" target=\"_blank\" rel=\"noopener\">Acne Scar Laser Treatment Tokyo: Cost &amp; Results Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/acne-treatment-tokyo-dermatologist-guide\/\" target=\"_blank\" rel=\"noopener\">Acne Treatment at a Tokyo Dermatologist: What to Expect<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/dark-spot-removal-tokyo-laser-treatment\/\" target=\"_blank\" rel=\"noopener\">Dark Spot Removal Tokyo: Laser Treatment Options Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/morpheus8-rf-microneedling-tokyo-cost\/\" target=\"_blank\" rel=\"noopener\">Morpheus8 RF Microneedling Tokyo: Review and Cost Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-guide\/\" target=\"_blank\" rel=\"noopener\">English Speaking Dermatologist Tokyo: Complete 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":"Discover acne scar laser treatment options in Tokyo with detailed cost information and realistic results. Learn about CO2 and pico lasers, recovery time, and candidate suitability.","protected":false},"author":1,"featured_media":819,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,21],"tags":[176,177,178,137,105,88,80],"class_list":["post-638","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cosmetic-treatments","category-skin-dermatology","tag-laser-therapy","tag-skin-resurfacing","tag-cosmetic-treatment","tag-co2-laser","tag-picoway-laser","tag-acne-scar-treatment","tag-tokyo-dermatology"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/638","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/comments?post=638"}],"version-history":[{"count":4,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/638\/revisions"}],"predecessor-version":[{"id":762,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/638\/revisions\/762"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/819"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=638"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}