{"id":642,"date":"2026-07-02T21:54:15","date_gmt":"2026-07-02T12:54:15","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=642"},"modified":"2026-07-04T14:22:58","modified_gmt":"2026-07-04T05:22:58","slug":"scar-revision-surgery-tokyo-options-cost","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/scar-revision-surgery-tokyo-options-cost\/","title":{"rendered":"Scar Revision Surgery Tokyo: Options, Results &#038; Cost"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Is scar revision surgery painful?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Most outpatient procedures are performed under local anaesthesia, meaning the area is completely numb during treatment. Patients typically experience some soreness and tenderness in the days following surgery, which is managed with standard over-the-counter pain relief. Significant pain after the immediate postoperative period is uncommon and should be reported to the clinic promptly.\"}}, {\"@type\": \"Question\", \"name\": \"How many treatment sessions will I need?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"This depends entirely on the type and severity of the scar and the treatment approach chosen. A single surgical excision may be sufficient for a straightforward widened scar, while atrophic acne scars treated with fractional laser typically require a series of three to six sessions spaced four to eight weeks apart. Your surgeon will outline a realistic treatment plan during the initial consultation.\"}}, {\"@type\": \"Question\", \"name\": \"Can I have scar revision if I am not a Japanese resident?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. The clinic welcomes international patients, including medical tourists and expatriates, and consultations can be conducted in English. It is advisable to plan your visit with adequate time for follow-up appointments, particularly if surgical suture removal or postoperative assessment is required within two weeks of the procedure. The team can advise on scheduling during your consultation.\"}}, {\"@type\": \"Question\", \"name\": \"Will my scar revision be covered by health insurance in Japan?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Cosmetic scar revision \u2014 performed solely to improve appearance \u2014 is not covered by Japanese national health insurance. However, scar treatment aimed at restoring function (for example, releasing a contracture that limits movement) may qualify for partial insurance coverage. The clinic team will assess your individual situation during the consultation and advise accordingly.\"}}, {\"@type\": \"Question\", \"name\": \"How long do results last?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Surgical scar revision produces a new scar that, with appropriate aftercare, should remain stable long-term. Non-surgical treatments such as laser resurfacing may require periodic maintenance sessions as the skin continues to age. The longevity of results from injectable fillers used to fill depressed scars is temporary \u2014 typically six to eighteen months \u2014 and repeat treatments are needed to maintain the effect.\"}}]}<\/script><b><\/b><\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Looking for Scar Revision Surgery in Tokyo?<\/b><\/span><\/h2>\n<p class=\"p1\">If you are searching for <span class=\"s1\"><b>scar revision surgery in Tokyo<\/b><\/span>, you are certainly not alone.<\/p>\n<p class=\"p1\">Visible scars can affect both appearance and confidence. Some scars cause only cosmetic concerns. Others create discomfort, itching, tightness, or even functional limitations.<\/p>\n<p class=\"p1\">Fortunately, modern plastic surgery offers many effective solutions.<\/p>\n<p class=\"p1\">Today, scar treatment goes far beyond simply cutting out a scar. Plastic surgeons can combine surgical revision with laser therapy, RF microneedling, steroid injections, fillers, and advanced wound management techniques to significantly improve scar appearance and function.<\/p>\n<p class=\"p3\">At <span class=\"s1\"><b>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/b><\/span>, we regularly treat international patients seeking scar revision after:<\/p>\n<ul>\n<li>Surgery<\/li>\n<li>Accidents<\/li>\n<li>Burns<\/li>\n<li>Acne<\/li>\n<li>Traumatic injuries<\/li>\n<li>Previous cosmetic procedures<\/li>\n<\/ul>\n<p class=\"p1\">Every scar behaves differently.<\/p>\n<p class=\"p1\">Therefore, successful treatment begins with an individualized assessment rather than a one-size-fits-all approach.<\/p>\n<p class=\"p3\">In this guide, you will learn:<\/p>\n<ul>\n<li>What scar revision surgery involves<\/li>\n<li>Which scars respond best to treatment<\/li>\n<li>Surgical and non-surgical scar revision options<\/li>\n<li>Recovery expectations<\/li>\n<li>Scar revision costs in Tokyo<\/li>\n<li>Common misconceptions about scar treatment<\/li>\n<\/ul>\n<hr \/>\n<h1><span class=\"s1\"><b>What Is Scar Revision Surgery?<\/b><\/span><\/h1>\n<p class=\"p1\">Scar revision surgery refers to procedures designed to improve the appearance, texture, position, or function of a scar.<\/p>\n<p class=\"p1\">Importantly, no treatment can completely erase a scar.<\/p>\n<p class=\"p3\">However, modern techniques can often make a scar:<\/p>\n<ul>\n<li>Flatter<\/li>\n<li>Softer<\/li>\n<li>Less noticeable<\/li>\n<li>Better aligned with natural skin lines<\/li>\n<li>Less symptomatic<\/li>\n<\/ul>\n<p class=\"p1\">The goal is improvement rather than complete removal.<\/p>\n<p class=\"p6\">Consequently, realistic expectations are essential before treatment begins.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Why Do Scars Form?<\/b><\/span><\/h1>\n<p class=\"p1\">Scars develop as part of the body\u2019s natural wound-healing process.<\/p>\n<p class=\"p1\">Whenever the skin experiences injury, the body produces collagen to repair the damaged tissue.<\/p>\n<p class=\"p1\">Although this response is necessary, the repaired tissue rarely matches normal skin perfectly.<\/p>\n<p class=\"p3\">Several factors influence scar quality:<\/p>\n<ul>\n<li>Genetics<\/li>\n<li>Skin type<\/li>\n<li>Wound location<\/li>\n<li>Infection<\/li>\n<li>Inflammation<\/li>\n<li>Mechanical tension<\/li>\n<li>Sun exposure<\/li>\n<li>Age<\/li>\n<\/ul>\n<p class=\"p6\">Because each factor affects healing differently, two patients with identical injuries may develop completely different scars.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Why Some Scars Become More Visible<\/b><\/span><\/h1>\n<p class=\"p1\">Many patients assume scar appearance depends only on surgical technique.<\/p>\n<p class=\"p1\">In reality, numerous biological factors influence the final result.<\/p>\n<p class=\"p1\">For example:<\/p>\n<p class=\"p1\">A scar located across a joint experiences continuous tension.<\/p>\n<p class=\"p1\">Consequently, it may widen over time.<\/p>\n<p class=\"p1\">Similarly, scars on the chest, shoulders, and upper back often become raised because these areas experience higher tension during healing.<\/p>\n<p class=\"p6\">Understanding these factors helps surgeons select the most appropriate treatment strategy.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Types of Scars<\/b><\/span><\/h1>\n<p class=\"p1\">Before treatment can begin, the scar must be accurately classified.<\/p>\n<p class=\"p6\">Different scars require different approaches.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Hypertrophic Scars<\/b><\/span><\/h1>\n<p class=\"p1\">Hypertrophic scars are raised, thickened scars that remain within the boundaries of the original wound.<\/p>\n<p class=\"p3\">Common characteristics include:<\/p>\n<ul>\n<li>Redness<\/li>\n<li>Firm texture<\/li>\n<li>Itching<\/li>\n<li>Tenderness<\/li>\n<\/ul>\n<p class=\"p1\">Fortunately, hypertrophic scars often improve over time.<\/p>\n<p class=\"p1\">However, treatment can accelerate improvement significantly.<\/p>\n<p class=\"p3\">Common treatments include:<\/p>\n<ul>\n<li>Steroid injections<\/li>\n<li>Silicone therapy<\/li>\n<li>Laser treatment<\/li>\n<li>Scar revision surgery<\/li>\n<\/ul>\n<hr \/>\n<h1><span class=\"s1\"><b>Keloid Scars<\/b><\/span><\/h1>\n<p class=\"p1\">Keloids behave differently.<\/p>\n<p class=\"p1\">Unlike hypertrophic scars, they continue growing beyond the original wound margins.<\/p>\n<p class=\"p3\">Keloids often appear on:<\/p>\n<ul>\n<li>Earlobes<\/li>\n<li>Chest<\/li>\n<li>Shoulders<\/li>\n<li>Jawline<\/li>\n<\/ul>\n<p class=\"p1\">Because keloids have high recurrence rates, treatment usually combines multiple approaches.<\/p>\n<p class=\"p3\">These may include:<\/p>\n<ul>\n<li>Surgical excision<\/li>\n<li>Steroid injection<\/li>\n<li>Pressure therapy<\/li>\n<li>Radiation therapy<\/li>\n<\/ul>\n<p class=\"p1\">Studies suggest recurrence rates may exceed 50% when surgery is performed alone.<\/p>\n<p class=\"p6\">Therefore, combination therapy remains the standard of care.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Atrophic Scars<\/b><\/span><\/h1>\n<p class=\"p1\">Atrophic scars appear depressed below the surrounding skin.<\/p>\n<p class=\"p1\">The most common example is acne scarring.<\/p>\n<p class=\"p1\">These scars develop when inflammation destroys collagen during healing.<\/p>\n<p class=\"p3\">Common forms include:<\/p>\n<ul>\n<li>Ice-pick scars<\/li>\n<li>Rolling scars<\/li>\n<li>Boxcar scars<\/li>\n<\/ul>\n<p class=\"p3\">Treatment often combines:<\/p>\n<ul>\n<li>Subcision<\/li>\n<li>RF Microneedling<\/li>\n<li>CO\u2082 Fractional Laser<\/li>\n<li>Dermapen<\/li>\n<li>Fillers<\/li>\n<\/ul>\n<p class=\"p6\">Because each subtype behaves differently, treatment plans are highly individualized.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Contracture Scars<\/b><\/span><\/h1>\n<p class=\"p1\">Contracture scars most commonly occur after burns.<\/p>\n<p class=\"p1\">Unlike purely cosmetic scars, these scars may restrict movement.<\/p>\n<p class=\"p3\">For example, contractures around the:<\/p>\n<ul>\n<li>Neck<\/li>\n<li>Elbow<\/li>\n<li>Shoulder<\/li>\n<li>Hand<\/li>\n<\/ul>\n<p class=\"p1\">can significantly impair daily function.<\/p>\n<p class=\"p1\">Consequently, surgical correction often focuses on restoring mobility as well as appearance.<\/p>\n<p class=\"p3\">Advanced techniques may include:<\/p>\n<ul>\n<li>Skin grafts<\/li>\n<li>Local flaps<\/li>\n<li>Z-plasty<\/li>\n<li>Tissue rearrangement<\/li>\n<\/ul>\n<hr \/>\n<h1><span class=\"s1\"><b>Widened Surgical Scars<\/b><\/span><\/h1>\n<p class=\"p1\">Some scars heal flat but become stretched over time.<\/p>\n<p class=\"p3\">These widened scars frequently occur after:<\/p>\n<ul>\n<li>Abdominal surgery<\/li>\n<li>Cesarean section<\/li>\n<li>Breast surgery<\/li>\n<li>Mole removal<\/li>\n<li>Cosmetic procedures<\/li>\n<\/ul>\n<p class=\"p1\">In these situations, scar revision surgery can often improve the appearance dramatically.<\/p>\n<p class=\"p6\">The surgeon removes the existing scar and re-closes the wound using meticulous layered techniques designed to reduce tension.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Why Early Evaluation Matters<\/b><\/span><\/h1>\n<p class=\"p1\">One of the biggest mistakes patients make is waiting several years before seeking treatment.<\/p>\n<p class=\"p1\">While some scars continue improving naturally, others benefit from early intervention.<\/p>\n<p class=\"p3\">For example:<\/p>\n<ul>\n<li>Steroid injections work best during active scar formation.<\/li>\n<li>Laser treatment often works best during scar maturation.<\/li>\n<li>Contractures should be addressed before significant functional limitation develops.<\/li>\n<\/ul>\n<p class=\"p6\">Therefore, an early consultation often improves long-term outcomes.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Dr. Karibe\u2019s Clinical Perspective<\/b><\/span><\/h1>\n<p class=\"p1\">One of the most common questions I hear is, \u201cShould I wait until the scar is completely mature before doing anything?\u201d<\/p>\n<p class=\"p1\">The answer depends on the scar type. While major surgical revision is often delayed until the scar has matured, many supportive treatments\u2014including steroid injections, silicone therapy, and selected laser treatments\u2014can begin much earlier. In fact, timely intervention frequently produces better results than waiting several years.<\/p>\n<p class=\"p6\">Another important point is that scar revision is rarely a single procedure. The best outcomes often come from combining several techniques over time. My goal is not simply to make a scar smaller, but to help it blend naturally with the surrounding skin while preserving function and maintaining a natural appearance.<\/p>\n<p class=\"p1\">\n<h1><\/h1>\n<h1><span class=\"s1\"><b>Scar Revision Treatment Options in Tokyo<\/b><\/span><\/h1>\n<p class=\"p1\">Modern scar treatment is highly individualized.<\/p>\n<p class=\"p1\">There is no single treatment that works for every scar.<\/p>\n<p class=\"p2\">Instead, plastic surgeons select the most appropriate approach based on:<\/p>\n<ul>\n<li>Scar type<\/li>\n<li>Scar location<\/li>\n<li>Scar age<\/li>\n<li>Skin type<\/li>\n<li>Previous treatments<\/li>\n<li>Functional symptoms<\/li>\n<\/ul>\n<p class=\"p4\">Consequently, successful scar revision often combines multiple techniques rather than relying on a single procedure.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Surgical Scar Revision<\/b><\/span><\/h1>\n<p class=\"p1\">For many widened, distorted, or poorly positioned scars, surgery remains the most effective treatment.<\/p>\n<p class=\"p1\">The principle is simple.<\/p>\n<p class=\"p1\">The surgeon removes the existing scar and creates a new wound closure under optimal conditions.<\/p>\n<p class=\"p2\">This allows:<\/p>\n<ul>\n<li>Better alignment<\/li>\n<li>Reduced tension<\/li>\n<li>Improved contour<\/li>\n<li>Less visible scarring<\/li>\n<\/ul>\n<p class=\"p4\">Although a new scar inevitably forms, the revised scar is often significantly less noticeable.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Who Benefits Most?<\/b><\/span><\/h2>\n<p class=\"p2\">Surgical scar revision is particularly effective for:<\/p>\n<ul>\n<li>Wide scars<\/li>\n<li>Stretched scars<\/li>\n<li>Irregular scars<\/li>\n<li>Misaligned scars<\/li>\n<li>Traumatic scars<\/li>\n<li>Poorly healed surgical scars<\/li>\n<\/ul>\n<p class=\"p4\">Patients often see the greatest improvement when the scar has fully matured before revision.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Z-Plasty<\/b><\/span><\/h1>\n<p class=\"p1\">Z-plasty is one of the most important techniques in reconstructive scar surgery.<\/p>\n<p class=\"p1\">Rather than simply removing a scar, the surgeon rearranges adjacent skin using carefully designed triangular flaps.<\/p>\n<p class=\"p2\">This technique can:<\/p>\n<ul>\n<li>Lengthen contracted tissue<\/li>\n<li>Reorient scars<\/li>\n<li>Improve mobility<\/li>\n<li>Reduce tension<\/li>\n<\/ul>\n<p class=\"p2\">Consequently, Z-plasty is frequently used for:<\/p>\n<ul>\n<li>Burn contractures<\/li>\n<li>Joint contractures<\/li>\n<li>Facial scars<\/li>\n<li>Neck scars<\/li>\n<\/ul>\n<hr \/>\n<h2><span class=\"s1\"><b>Advantages of Z-Plasty<\/b><\/span><\/h2>\n<p class=\"p2\">Benefits include:<\/p>\n<ul>\n<li>Improved function<\/li>\n<li>Better camouflage<\/li>\n<li>Reduced scar tension<\/li>\n<li>Greater mobility<\/li>\n<\/ul>\n<p class=\"p4\">For contracture scars, functional improvement is often just as important as cosmetic improvement.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>W-Plasty<\/b><\/span><\/h1>\n<p class=\"p1\">W-plasty serves a different purpose.<\/p>\n<p class=\"p1\">Instead of lengthening tissue, it breaks up a straight scar into multiple small segments.<\/p>\n<p class=\"p1\">As a result, the scar becomes less visible because it reflects light less predictably.<\/p>\n<p class=\"p2\">This technique is particularly useful for:<\/p>\n<ul>\n<li>Facial scars<\/li>\n<li>Forehead scars<\/li>\n<li>Cheek scars<\/li>\n<li>Linear traumatic scars<\/li>\n<\/ul>\n<p class=\"p4\">Patients often appreciate the more natural appearance that W-plasty can create.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>CO\u2082 Fractional Laser for Scar Revision<\/b><\/span><\/h1>\n<p class=\"p1\">Not every scar requires surgery.<\/p>\n<p class=\"p1\">For many acne scars and surface irregularities, <span class=\"s1\"><b>CO\u2082 fractional laser<\/b><\/span> provides excellent improvement with less downtime than surgical revision.<\/p>\n<p class=\"p1\">This treatment works by creating thousands of microscopic treatment zones within the skin.<\/p>\n<p class=\"p1\">Consequently, the body produces new collagen during healing.<\/p>\n<p class=\"p2\">Over time, scars become:<\/p>\n<ul>\n<li>Shallower<\/li>\n<li>Softer<\/li>\n<li>Smoother<\/li>\n<li>Less noticeable<\/li>\n<\/ul>\n<hr \/>\n<h2><span class=\"s1\"><b>Scientific Evidence<\/b><\/span><\/h2>\n<p class=\"p1\">Fractional CO\u2082 laser remains one of the most extensively studied scar treatments.<\/p>\n<p class=\"p2\">Clinical studies consistently demonstrate improvement in:<\/p>\n<ul>\n<li>Acne scars<\/li>\n<li>Surgical scars<\/li>\n<li>Traumatic scars<\/li>\n<li>Surface irregularities<\/li>\n<\/ul>\n<p class=\"p4\">Most patients undergo <span class=\"s1\"><b>three to five sessions<\/b><\/span> for optimal results.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Best Candidates<\/b><\/span><\/h2>\n<p class=\"p2\">CO\u2082 laser works particularly well for:<\/p>\n<ul>\n<li>Boxcar acne scars<\/li>\n<li>Surgical scars<\/li>\n<li>Mild hypertrophic scars<\/li>\n<li>Skin texture irregularities<\/li>\n<\/ul>\n<p class=\"p4\">However, darker skin types require careful treatment planning to minimize pigmentation risk.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>RF Microneedling (Morpheus8 \/ POTENZA)<\/b><\/span><\/h1>\n<p class=\"p1\">RF microneedling has become increasingly popular in scar treatment.<\/p>\n<p class=\"p1\">Unlike ablative lasers, RF devices deliver heat beneath the skin while preserving much of the surface.<\/p>\n<p class=\"p4\">Therefore, recovery is generally faster.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>How RF Microneedling Works<\/b><\/span><\/h2>\n<p class=\"p1\">Tiny needles penetrate the skin.<\/p>\n<p class=\"p1\">Radiofrequency energy is then delivered into the deeper dermis.<\/p>\n<p class=\"p2\">This process stimulates:<\/p>\n<ul>\n<li>Collagen production<\/li>\n<li>Elastin formation<\/li>\n<li>Scar remodeling<\/li>\n<li>Skin tightening<\/li>\n<\/ul>\n<p class=\"p4\">Improvement develops gradually over several months.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Advantages of RF Microneedling<\/b><\/span><\/h2>\n<p class=\"p2\">Benefits include:<\/p>\n<ul>\n<li>Short downtime<\/li>\n<li>Lower pigmentation risk<\/li>\n<li>Improved acne scars<\/li>\n<li>Reduced pore size<\/li>\n<li>Improved skin quality<\/li>\n<\/ul>\n<p class=\"p4\">Many patients with Asian skin prefer RF microneedling because it often carries a lower risk of post-inflammatory hyperpigmentation.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Subcision<\/b><\/span><\/h1>\n<p class=\"p1\">Subcision is one of the most underutilized scar treatments.<\/p>\n<p class=\"p4\">Yet for selected acne scars, it can be extremely effective.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>What Is Subcision?<\/b><\/span><\/h2>\n<p class=\"p1\">Many rolling acne scars are tethered downward by fibrous bands.<\/p>\n<p class=\"p1\">These bands pull the skin inward, creating depressions.<\/p>\n<p class=\"p1\">During subcision, the surgeon releases these bands using a specialized needle.<\/p>\n<p class=\"p2\">Once released:<\/p>\n<ul>\n<li>The skin rises<\/li>\n<li>New collagen forms<\/li>\n<li>Scar depth decreases<\/li>\n<\/ul>\n<p class=\"p4\">Consequently, rolling scars often improve dramatically.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Combining Subcision with Other Treatments<\/b><\/span><\/h2>\n<p class=\"p2\">Subcision frequently works best when combined with:<\/p>\n<ul>\n<li>RF Microneedling<\/li>\n<li>CO\u2082 Laser<\/li>\n<li>Fillers<\/li>\n<li>PRP<\/li>\n<\/ul>\n<p class=\"p4\">Combination therapy often produces superior results compared with any single treatment alone.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Hyaluronic Acid Fillers for Depressed Scars<\/b><\/span><\/h1>\n<p class=\"p1\">Some depressed scars respond well to filler treatment.<\/p>\n<p class=\"p1\">Rather than stimulating collagen, fillers immediately restore lost volume.<\/p>\n<p class=\"p2\">This approach is particularly useful for:<\/p>\n<ul>\n<li>Isolated atrophic scars<\/li>\n<li>Traumatic depressions<\/li>\n<li>Post-surgical contour defects<\/li>\n<\/ul>\n<p class=\"p1\">Results are visible immediately.<\/p>\n<p class=\"p4\">However, most fillers gradually dissolve and require maintenance treatment.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Step-by-Step: What Happens During Scar Revision?<\/b><\/span><\/h1>\n<p class=\"p1\">Many patients feel anxious because they do not know what to expect.<\/p>\n<p class=\"p4\">Fortunately, most scar revision procedures follow a predictable process.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Step 1: Consultation<\/b><\/span><\/h2>\n<p class=\"p2\">Your surgeon evaluates:<\/p>\n<ul>\n<li>Scar type<\/li>\n<li>Skin quality<\/li>\n<li>Scar maturity<\/li>\n<li>Medical history<\/li>\n<li>Treatment goals<\/li>\n<\/ul>\n<p class=\"p4\">Photographs are often taken for planning purposes.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Step 2: Treatment Planning<\/b><\/span><\/h2>\n<p class=\"p1\">Next, a personalized plan is developed.<\/p>\n<p class=\"p2\">This may include:<\/p>\n<ul>\n<li>Surgery<\/li>\n<li>Laser treatment<\/li>\n<li>RF Microneedling<\/li>\n<li>Steroid injections<\/li>\n<li>Combination therapy<\/li>\n<\/ul>\n<p class=\"p4\">The surgeon explains realistic expectations before treatment begins.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Step 3: Procedure<\/b><\/span><\/h2>\n<p class=\"p1\">Most scar revision procedures are performed under local anesthesia.<\/p>\n<p class=\"p1\">Consequently, patients remain comfortable throughout treatment.<\/p>\n<p class=\"p2\">Procedure duration varies from:<\/p>\n<ul>\n<li>15\u201330 minutes for small scars<\/li>\n<li>Several hours for more complex revisions<\/li>\n<\/ul>\n<hr \/>\n<h2><span class=\"s1\"><b>Step 4: Recovery<\/b><\/span><\/h2>\n<p class=\"p1\">After treatment, patients receive detailed aftercare instructions.<\/p>\n<p class=\"p2\">Follow-up visits ensure:<\/p>\n<ul>\n<li>Proper healing<\/li>\n<li>Scar monitoring<\/li>\n<li>Early management of any complications<\/li>\n<\/ul>\n<p class=\"p4\">Good aftercare is one of the most important predictors of a successful outcome.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Dr. Karibe\u2019s Clinical Perspective<\/b><\/span><\/h1>\n<p class=\"p1\">Many patients initially focus on the size of a scar. However, visibility is often more important than size. A longer scar that follows natural skin creases may be far less noticeable than a shorter scar that crosses facial aesthetic units or sits under excessive tension.<\/p>\n<p class=\"p4\">For this reason, scar revision surgery is not simply about making a scar smaller. It is about placing the scar in a more favorable position, improving contour, reducing tension, and helping it blend naturally into surrounding skin. The most successful outcomes often result from combining surgery with technologies such as fractional CO\u2082 laser or RF microneedling during later stages of healing.<\/p>\n<p class=\"p4\">\n<hr \/>\n<h1><span class=\"s1\"><b>What Results Can You Expect from Scar Revision Surgery?<\/b><\/span><\/h1>\n<p class=\"p1\">One of the most important questions patients ask is:<\/p>\n<p class=\"p5\"><b>\u201cWill my scar disappear completely?\u201d<\/b><\/p>\n<p class=\"p1\">The honest answer is no.<\/p>\n<p class=\"p1\">No scar revision procedure can completely erase a scar.<\/p>\n<p class=\"p1\">However, modern scar treatment can often produce dramatic improvement.<\/p>\n<p class=\"p2\">The goal is to make the scar:<\/p>\n<ul>\n<li>Less visible<\/li>\n<li>Flatter<\/li>\n<li>Softer<\/li>\n<li>Better aligned with natural skin folds<\/li>\n<li>Less symptomatic<\/li>\n<\/ul>\n<p class=\"p4\">For many patients, this level of improvement significantly increases confidence and quality of life.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>What Determines the Final Result?<\/b><\/span><\/h1>\n<p class=\"p1\">Several factors influence scar revision outcomes.<\/p>\n<p class=\"p2\">These include:<\/p>\n<ul>\n<li>Scar type<\/li>\n<li>Scar location<\/li>\n<li>Skin type<\/li>\n<li>Age<\/li>\n<li>Genetics<\/li>\n<li>Smoking status<\/li>\n<li>Sun exposure<\/li>\n<li>Compliance with aftercare<\/li>\n<\/ul>\n<p class=\"p1\">Consequently, results vary from person to person.<\/p>\n<p class=\"p4\">Two patients undergoing identical procedures may heal differently.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Results for Surgical Scar Revision<\/b><\/span><\/h1>\n<p class=\"p1\">Patients often notice immediate improvement in scar alignment after surgery.<\/p>\n<p class=\"p1\">However, the final result takes much longer to develop.<\/p>\n<p class=\"p1\">Scar maturation typically occurs over:<\/p>\n<p class=\"p5\"><b>6\u201318 months<\/b><\/p>\n<p class=\"p2\">During this period, the scar gradually becomes:<\/p>\n<ul>\n<li>Flatter<\/li>\n<li>Lighter<\/li>\n<li>Softer<\/li>\n<\/ul>\n<p class=\"p1\">Therefore, patience is essential.<\/p>\n<p class=\"p4\">The appearance seen during the first few weeks rarely reflects the final outcome.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Results for CO\u2082 Fractional Laser<\/b><\/span><\/h1>\n<p class=\"p1\">Laser treatment improves scars through collagen remodeling.<\/p>\n<p class=\"p1\">Unlike surgery, improvement develops gradually.<\/p>\n<p class=\"p1\">Patients typically notice:<\/p>\n<h3><span class=\"s1\"><b>First Month<\/b><\/span><\/h3>\n<ul>\n<li>Improved texture<\/li>\n<li>Smoother skin<\/li>\n<li>Reduced irregularity<\/li>\n<\/ul>\n<h3><span class=\"s1\"><b>Three Months<\/b><\/span><\/h3>\n<ul>\n<li>Improved scar depth<\/li>\n<li>Better skin quality<\/li>\n<li>More uniform appearance<\/li>\n<\/ul>\n<h3><span class=\"s1\"><b>Six Months<\/b><\/span><\/h3>\n<ul>\n<li>Continued collagen remodeling<\/li>\n<li>Further softening of scars<\/li>\n<\/ul>\n<p class=\"p4\">Because collagen production continues long after treatment, improvement often progresses for months.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Results for RF Microneedling<\/b><\/span><\/h1>\n<p class=\"p2\">RF microneedling generally produces:<\/p>\n<ul>\n<li>Gradual scar improvement<\/li>\n<li>Smaller pores<\/li>\n<li>Better skin texture<\/li>\n<li>Improved skin firmness<\/li>\n<\/ul>\n<p class=\"p4\">Although changes appear subtle initially, cumulative improvement becomes increasingly visible after multiple sessions.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Recovery After Scar Revision Surgery<\/b><\/span><\/h1>\n<p class=\"p1\">Recovery varies significantly depending on the treatment performed.<\/p>\n<p class=\"p4\">Fortunately, most procedures involve manageable downtime.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Surgical Scar Revision Recovery<\/b><\/span><\/h1>\n<p class=\"p2\">Immediately after surgery, patients may experience:<\/p>\n<ul>\n<li>Mild swelling<\/li>\n<li>Bruising<\/li>\n<li>Tightness<\/li>\n<li>Tenderness<\/li>\n<\/ul>\n<p class=\"p4\">These symptoms generally improve within several days.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Suture Removal<\/b><\/span><\/h2>\n<p class=\"p2\">Sutures are usually removed after:<\/p>\n<ul>\n<li>Face: 5\u20137 days<\/li>\n<li>Body: 10\u201314 days<\/li>\n<\/ul>\n<p class=\"p4\">Exact timing depends on wound location and tension.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Physical Activity<\/b><\/span><\/h2>\n<p class=\"p2\">Patients should avoid:<\/p>\n<ul>\n<li>Heavy exercise<\/li>\n<li>Weight lifting<\/li>\n<li>Stretching the treated area<\/li>\n<\/ul>\n<p class=\"p1\">for several weeks.<\/p>\n<p class=\"p4\">Reducing tension during healing helps minimize scar widening.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>CO\u2082 Fractional Laser Recovery<\/b><\/span><\/h1>\n<p class=\"p2\">Patients commonly experience:<\/p>\n<ul>\n<li>Redness<\/li>\n<li>Swelling<\/li>\n<li>Peeling<\/li>\n<li>Temporary crusting<\/li>\n<\/ul>\n<p class=\"p1\">Recovery usually requires:<\/p>\n<p class=\"p5\"><b>5\u201310 days<\/b><\/p>\n<p class=\"p4\">However, collagen remodeling continues for several months.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>RF Microneedling Recovery<\/b><\/span><\/h1>\n<p class=\"p1\">Recovery is generally shorter.<\/p>\n<p class=\"p2\">Most patients experience:<\/p>\n<ul>\n<li>Mild redness<\/li>\n<li>Slight swelling<\/li>\n<li>Temporary sensitivity<\/li>\n<\/ul>\n<p class=\"p1\">These symptoms typically resolve within:<\/p>\n<p class=\"p5\"><b>2\u20135 days<\/b><\/p>\n<p class=\"p4\">Therefore, RF microneedling remains popular among patients seeking minimal downtime.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>How to Optimize Scar Healing<\/b><\/span><\/h1>\n<p class=\"p1\">Aftercare plays a major role in the final result.<\/p>\n<p class=\"p1\">We commonly recommend:<\/p>\n<p class=\"p1\">&#x2714; Silicone gel or silicone sheets<\/p>\n<p class=\"p1\">&#x2714; Sun protection (SPF 50+)<\/p>\n<p class=\"p1\">&#x2714; Smoking cessation<\/p>\n<p class=\"p1\">&#x2714; Adequate protein intake<\/p>\n<p class=\"p1\">&#x2714; Regular follow-up appointments<\/p>\n<p class=\"p1\">&#x2714; Avoiding excessive tension on the scar<\/p>\n<p class=\"p4\">Patients who follow these recommendations often achieve superior outcomes.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Scar Revision Cost in Tokyo<\/b><\/span><\/h1>\n<p class=\"p2\">The cost of scar revision depends on:<\/p>\n<ul>\n<li>Scar size<\/li>\n<li>Scar location<\/li>\n<li>Treatment type<\/li>\n<li>Complexity<\/li>\n<li>Anesthesia requirements<\/li>\n<\/ul>\n<p class=\"p4\">At <span class=\"s1\"><b>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/b><\/span>, pricing varies according to individual needs.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Consultation Fees<\/b><\/span><\/h2>\n<table border=\"1\" width=\"100%\" cellspacing=\"0\" cellpadding=\"8\">\n<thead>\n<tr>\n<th>\n<p class=\"p1\"><b>Service<\/b><\/p>\n<\/th>\n<th>\n<p class=\"p1\"><b>Cost<\/b><\/p>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\n<p class=\"p1\">Initial Consultation<\/p>\n<\/td>\n<td>\n<p class=\"p1\">\u00a53,300<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p class=\"p1\">Surgical Consultation<\/p>\n<\/td>\n<td>\n<p class=\"p1\">\u00a52,200<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<h2><span class=\"s1\"><b>Laser Treatments<\/b><\/span><\/h2>\n<table border=\"1\" width=\"100%\" cellspacing=\"0\" cellpadding=\"8\">\n<thead>\n<tr>\n<th>\n<p class=\"p1\"><b>Treatment<\/b><\/p>\n<\/th>\n<th>\n<p class=\"p1\"><b>Cost<\/b><\/p>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\n<p class=\"p1\">CO\u2082 Fractional Laser<\/p>\n<\/td>\n<td>\n<p class=\"p1\">\u00a511,000\u2013\u00a566,000<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p class=\"p1\">RF Microneedling (POTENZA)<\/p>\n<\/td>\n<td>\n<p class=\"p1\">\u00a535,000\u2013\u00a549,800<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<h2><span class=\"s1\"><b>Injectable Treatments<\/b><\/span><\/h2>\n<table border=\"1\" width=\"100%\" cellspacing=\"0\" cellpadding=\"8\">\n<thead>\n<tr>\n<th>\n<p class=\"p1\"><b>Treatment<\/b><\/p>\n<\/th>\n<th>\n<p class=\"p1\"><b>Cost<\/b><\/p>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\n<p class=\"p1\">Hyaluronic Acid Filler<\/p>\n<\/td>\n<td>\n<p class=\"p1\">\u00a566,000\u2013\u00a588,000 per syringe<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<hr \/>\n<h2><span class=\"s1\"><b>Surgical Scar Revision<\/b><\/span><\/h2>\n<p class=\"p2\">Pricing is individualized because every scar differs.<\/p>\n<p class=\"p3\">Additional fees may include:<\/p>\n<table border=\"1\" width=\"100%\" cellspacing=\"0\" cellpadding=\"8\">\n<thead>\n<tr>\n<th>\n<p class=\"p1\"><b>Item<\/b><\/p>\n<\/th>\n<th>\n<p class=\"p1\"><b>Cost<\/b><\/p>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>\n<p class=\"p1\">Blood Testing<\/p>\n<\/td>\n<td>\n<p class=\"p1\">\u00a511,000<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p class=\"p1\">Local Anesthesia<\/p>\n<\/td>\n<td>\n<p class=\"p1\">\u00a52,200+<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p class=\"p1\">Sedation \/ Advanced Anesthesia<\/p>\n<\/td>\n<td>\n<p class=\"p1\">Up to \u00a577,000<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p1\">An exact quotation is provided during consultation.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Is Scar Revision Covered by Japanese Health Insurance?<\/b><\/span><\/h1>\n<p class=\"p1\">This depends on the purpose of treatment.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Cosmetic Scar Revision<\/b><\/span><\/h2>\n<p class=\"p3\">Generally:<\/p>\n<p class=\"p3\">&#x274c; Not covered<\/p>\n<p class=\"p4\">Examples include:<\/p>\n<ul>\n<li>Cosmetic scar improvement<\/li>\n<li>Acne scar treatment<\/li>\n<li>Appearance-focused scar revision<\/li>\n<\/ul>\n<hr \/>\n<h2><span class=\"s1\"><b>Functional Scar Revision<\/b><\/span><\/h2>\n<p class=\"p3\">In some situations:<\/p>\n<p class=\"p3\">&#x2705; Partial insurance coverage may apply.<\/p>\n<p class=\"p4\">Examples include:<\/p>\n<ul>\n<li>Burn contractures<\/li>\n<li>Restricted movement<\/li>\n<li>Functional impairment<\/li>\n<\/ul>\n<p class=\"p1\">During consultation, your surgeon can determine whether any portion of treatment may qualify.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Who Is a Good Candidate for Scar Revision?<\/b><\/span><\/h1>\n<p class=\"p4\">Ideal candidates include patients who:<\/p>\n<ul>\n<li>Have realistic expectations<\/li>\n<li>Are in good general health<\/li>\n<li>Have mature scars<\/li>\n<li>Experience cosmetic or functional concerns<\/li>\n<li>Do not smoke heavily<\/li>\n<\/ul>\n<p class=\"p1\">Most patients benefit from at least an evaluation, even if surgery is not ultimately recommended.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Who May Need to Delay Treatment?<\/b><\/span><\/h1>\n<p class=\"p4\">Treatment may need postponement in patients with:<\/p>\n<ul>\n<li>Active infection<\/li>\n<li>Poor wound healing<\/li>\n<li>Uncontrolled diabetes<\/li>\n<li>Active skin disease<\/li>\n<li>Pregnancy (for elective procedures)<\/li>\n<\/ul>\n<p class=\"p1\">Addressing these issues first improves safety and results.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Dr. Karibe\u2019s Clinical Perspective<\/b><\/span><\/h1>\n<p class=\"p3\">One of the most common misconceptions is that scar revision ends when the surgery is finished. In reality, the healing phase is just as important as the procedure itself.<\/p>\n<p class=\"p1\">Patients who follow scar management protocols\u2014including silicone therapy, sun protection, and regular follow-up\u2014often achieve significantly better results than those who focus only on the surgery itself. Scar revision should be viewed as a partnership between surgeon and patient. Together, we guide the scar through its maturation process and maximize the final outcome.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Common Misconceptions About Scar Revision Surgery<\/b><\/span><\/h1>\n<p class=\"p4\">Many patients arrive for consultation with expectations shaped by social media, online advertisements, or misinformation. While modern scar revision techniques can produce excellent improvement, understanding what scar treatment can realistically achieve is essential.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Misconception 1: \u201cScar Revision Surgery Removes a Scar Completely\u201d<\/b><\/span><\/h1>\n<p class=\"p1\">This is the most common misunderstanding.<\/p>\n<p class=\"p1\">No treatment can completely erase a scar.<\/p>\n<p class=\"p1\">Every scar revision procedure creates a new healing process, which means a new scar will form.<\/p>\n<p class=\"p2\">However, the new scar is often:<\/p>\n<ul>\n<li>Smaller<\/li>\n<li>Flatter<\/li>\n<li>Better positioned<\/li>\n<li>Less visible<\/li>\n<li>Less symptomatic<\/li>\n<\/ul>\n<p class=\"p1\">The goal is improvement, not complete elimination.<\/p>\n<p class=\"p4\">Fortunately, significant improvement is often achievable.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Misconception 2: \u201cI Should Wait Several Years Before Seeking Treatment\u201d<\/b><\/span><\/h1>\n<p class=\"p1\">Many patients believe they must wait indefinitely before consulting a specialist.<\/p>\n<p class=\"p1\">In reality, timing matters.<\/p>\n<p class=\"p1\">While major surgical revision often occurs after scar maturation, many supportive treatments work best earlier.<\/p>\n<p class=\"p2\">Examples include:<\/p>\n<ul>\n<li>Silicone therapy<\/li>\n<li>Steroid injections<\/li>\n<li>Laser therapy<\/li>\n<li>Scar massage<\/li>\n<li>Pressure therapy<\/li>\n<\/ul>\n<p class=\"p4\">Therefore, early assessment by a plastic surgeon frequently improves long-term outcomes.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Misconception 3: \u201cKeloids Can Be Removed with Surgery Alone\u201d<\/b><\/span><\/h1>\n<p class=\"p1\">Unfortunately, surgery alone is rarely the ideal treatment for keloids.<\/p>\n<p class=\"p1\">Clinical studies consistently demonstrate high recurrence rates after excision without adjunctive therapy.<\/p>\n<p class=\"p2\">Consequently, modern keloid treatment typically combines:<\/p>\n<ul>\n<li>Surgical excision<\/li>\n<li>Steroid injection<\/li>\n<li>Pressure therapy<\/li>\n<li>Radiation therapy<\/li>\n<li>Silicone management<\/li>\n<\/ul>\n<p class=\"p4\">Combination treatment dramatically improves success rates.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Misconception 4: \u201cOnly Surgical Treatment Works\u201d<\/b><\/span><\/h1>\n<p class=\"p1\">Not every scar requires surgery.<\/p>\n<p class=\"p1\">Many scars improve significantly with non-surgical treatment.<\/p>\n<p class=\"p2\">For example:<\/p>\n<ul>\n<li>CO\u2082 Fractional Laser<\/li>\n<li>RF Microneedling<\/li>\n<li>Steroid Injection<\/li>\n<li>Subcision<\/li>\n<li>Fillers<\/li>\n<\/ul>\n<p class=\"p1\">may provide excellent results without formal surgery.<\/p>\n<p class=\"p4\">A consultation helps determine which approach is most appropriate.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Frequently Asked Questions<\/b><\/span><\/h1>\n<h2><span class=\"s1\"><b>How long should I wait before scar revision surgery?<\/b><\/span><\/h2>\n<p class=\"p1\">In general, scars are considered mature after approximately:<\/p>\n<p class=\"p5\"><b>12\u201318 months<\/b><\/p>\n<p class=\"p1\">However, treatment timing varies according to scar type.<\/p>\n<p class=\"p1\">Some interventions begin much earlier.<\/p>\n<p class=\"p4\">Therefore, early consultation is recommended even if surgery is ultimately delayed.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Is scar revision painful?<\/b><\/span><\/h2>\n<p class=\"p1\">Most scar revision procedures are performed under local anesthesia.<\/p>\n<p class=\"p1\">Consequently, patients remain comfortable throughout treatment.<\/p>\n<p class=\"p1\">Afterward, mild soreness and tightness are normal.<\/p>\n<p class=\"p4\">These symptoms typically improve within several days.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>How many treatments will I need?<\/b><\/span><\/h2>\n<p class=\"p1\">The answer depends on the scar.<\/p>\n<p class=\"p1\">Some patients achieve their goals after one procedure.<\/p>\n<p class=\"p2\">Others benefit from a staged treatment plan involving:<\/p>\n<ul>\n<li>Surgery<\/li>\n<li>Laser treatment<\/li>\n<li>RF Microneedling<\/li>\n<li>Steroid injections<\/li>\n<\/ul>\n<p class=\"p4\">The most effective approach is highly individualized.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Can acne scars be treated surgically?<\/b><\/span><\/h2>\n<p class=\"p1\">Yes.<\/p>\n<p class=\"p2\">Certain acne scars respond extremely well to:<\/p>\n<ul>\n<li>Subcision<\/li>\n<li>Punch excision<\/li>\n<li>Scar excision<\/li>\n<\/ul>\n<p class=\"p2\">However, many acne scars improve more effectively through:<\/p>\n<ul>\n<li>CO\u2082 Fractional Laser<\/li>\n<li>RF Microneedling<\/li>\n<li>Combination therapy<\/li>\n<\/ul>\n<p class=\"p4\">Your surgeon will recommend the most suitable approach after evaluation.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Are scar treatments safe for Asian skin?<\/b><\/span><\/h2>\n<p class=\"p1\">Yes.<\/p>\n<p class=\"p1\">However, treatment parameters must be adjusted appropriately.<\/p>\n<p class=\"p2\">Asian skin has a higher tendency toward:<\/p>\n<ul>\n<li>Hyperpigmentation<\/li>\n<li>Keloid formation<\/li>\n<li>Hypertrophic scarring<\/li>\n<\/ul>\n<p class=\"p1\">Consequently, careful treatment planning is essential.<\/p>\n<p class=\"p4\">When performed by an experienced plastic surgeon, scar revision procedures are generally very safe.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Can tourists receive scar revision treatment in Tokyo?<\/b><\/span><\/h2>\n<p class=\"p1\">Absolutely.<\/p>\n<p class=\"p1\">Many international patients travel to Tokyo specifically for scar treatment.<\/p>\n<p class=\"p1\">Non-surgical treatments often fit easily within a short visit.<\/p>\n<p class=\"p2\">For surgical procedures, however, patients should allow sufficient time for:<\/p>\n<ul>\n<li>Follow-up appointments<\/li>\n<li>Suture removal<\/li>\n<li>Early wound monitoring<\/li>\n<\/ul>\n<p class=\"p4\">Your surgeon can help plan treatment around your travel schedule.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Why Choose BIOTOPE CLINIC\/Kojimachi Dermatology &amp; Plastic Surgery Clinic?<\/b><\/span><\/h1>\n<p class=\"p1\">Choosing the right surgeon is one of the most important decisions in scar treatment.<\/p>\n<p class=\"p1\">At <strong>BIOTOPE CLINIC<\/strong> or <span class=\"s1\"><b>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/b><\/span>, we combine reconstructive plastic surgery principles with advanced dermatologic technologies to provide individualized scar care for international patients.<\/p>\n<p class=\"p1\">Our clinic offers:<\/p>\n<h3><span class=\"s1\"><b>English-Speaking Consultations<\/b><\/span><\/h3>\n<p class=\"p1\">International patients can discuss concerns comfortably without language barriers.<\/p>\n<h3><span class=\"s1\"><b>Board-Certified Plastic Surgery Expertise<\/b><\/span><\/h3>\n<p class=\"p1\">Dr. Jun Karibe is a board-certified plastic surgeon experienced in both cosmetic and reconstructive scar management.<\/p>\n<h3><span class=\"s1\"><b>Comprehensive Treatment Options<\/b><\/span><\/h3>\n<p class=\"p2\">We offer:<\/p>\n<ul>\n<li>Surgical Scar Revision<\/li>\n<li>Z-Plasty<\/li>\n<li>W-Plasty<\/li>\n<li>CO\u2082 Fractional Laser<\/li>\n<li>RF Microneedling (POTENZA)<\/li>\n<li>Steroid Injection<\/li>\n<li>Subcision<\/li>\n<li>Hyaluronic Acid Fillers<\/li>\n<\/ul>\n<p class=\"p1\">This allows us to tailor treatment to each patient\u2019s needs.<\/p>\n<h3><span class=\"s1\"><b>Personalized Treatment Plans<\/b><\/span><\/h3>\n<p class=\"p1\">No two scars are identical.<\/p>\n<p class=\"p2\">Therefore, every treatment plan is customized based on:<\/p>\n<ul>\n<li>Scar type<\/li>\n<li>Location<\/li>\n<li>Skin type<\/li>\n<li>Functional concerns<\/li>\n<li>Aesthetic goals<\/li>\n<\/ul>\n<hr \/>\n<h1><span class=\"s1\"><b>Dr. Karibe\u2019s Final Advice<\/b><\/span><\/h1>\n<p class=\"p1\">One of the most important things I tell patients is that scar revision should not be judged by the first few weeks after treatment.<\/p>\n<p class=\"p1\">Healing continues for many months.<\/p>\n<p class=\"p1\">The scar you see at one month is often very different from the scar you see at one year.<\/p>\n<p class=\"p2\">Successful scar revision requires:<\/p>\n<ul>\n<li>Proper treatment selection<\/li>\n<li>Meticulous technique<\/li>\n<li>Consistent aftercare<\/li>\n<li>Patience<\/li>\n<\/ul>\n<p class=\"p1\">When these factors come together, improvement can be substantial.<\/p>\n<p class=\"p4\">Whether the concern is an old surgical scar, acne scarring, a traumatic injury, or a keloid, modern scar revision techniques offer more options than ever before.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Summary<\/b><\/span><\/h1>\n<p class=\"p2\">Scar revision surgery can significantly improve the appearance and function of many different types of scars, including:<\/p>\n<ul>\n<li>Surgical scars<\/li>\n<li>Traumatic scars<\/li>\n<li>Burn scars<\/li>\n<li>Keloids<\/li>\n<li>Hypertrophic scars<\/li>\n<li>Acne scars<\/li>\n<\/ul>\n<p class=\"p1\">Although no treatment can completely erase a scar, modern plastic surgery and dermatologic technologies can often make scars flatter, softer, less visible, and more comfortable.<\/p>\n<p class=\"p1\">Treatment options range from surgical scar revision and tissue rearrangement techniques such as Z-plasty to advanced non-surgical treatments including CO\u2082 fractional laser, RF microneedling, subcision, steroid injections, and fillers.<\/p>\n<p class=\"p1\">The most effective treatment depends on accurate diagnosis, realistic expectations, and an individualized treatment plan developed by an experienced plastic surgeon.<\/p>\n<p class=\"p1\">If you are looking for <span class=\"s1\"><b>Scar Revision Surgery in Tokyo<\/b><\/span>, our team at <strong>BIOTOPE CLINIC<\/strong> or <span class=\"s1\"><b>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/b><\/span>would be delighted to help you explore the safest and most effective options for your specific scar.<\/p>\n<p class=\"p4\"><strong>We proudly offer consultations in English for international patients.<\/strong><\/p>\n<p>Scar revision encompasses a spectrum of treatments \u2014 from surgical excision and geometric rearrangement techniques to fractional laser, RF microneedling, and injectable therapies \u2014 tailored to the specific characteristics of each individual scar. No treatment can eliminate a scar entirely, but a carefully planned, appropriately timed intervention can produce a meaningful and lasting improvement in appearance and, in some cases, function.<\/p>\n<p>At our clinic in Ichigaya, Tokyo, we frequently see patients who have been living with a scar for years \u2014 sometimes because they were unaware that effective treatment options exist, and sometimes because they had been told nothing could be done. With advances in both surgical technique and energy-based devices, the range of options available today is broader than ever. The key to a satisfactory outcome is an honest, thorough consultation with a board-certified plastic surgeon who can assess your scar objectively and set realistic expectations before treatment begins.<\/p>\n<p>If you have questions about scar revision surgery in Tokyo, our team at <strong>\u00a0BIOTOPE CLINIC<\/strong> or Kojimachi Dermatology &amp; Plastic Surgery Clinic in Ichigaya, 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>Gauglitz GG, Korting HC, Pavicic T, Ruzicka T, Jeschke MG. Hypertrophic scarring and keloids: pathomechanisms and current and emerging treatment strategies. <em>Molecular Medicine<\/em>. 2011.<\/li>\n<li>Mustoe TA, Cooter RD, Gold MH, et al. International clinical recommendations on scar management. <em>Plastic and Reconstructive Surgery<\/em>. 2002.<\/li>\n<li>Ogawa R. The most current algorithms for the treatment and prevention of hypertrophic scars and keloids: a 2020 update of the Japanese guidelines. <em>Plastic and Reconstructive Surgery<\/em>. 2022.<\/li>\n<li>Leventhal D, Furr M, Reiter D. Treatment of keloids and hypertrophic scars: a meta-analysis and review of the literature. <em>Archives of Facial Plastic Surgery<\/em>. 2006.<\/li>\n<li>Niessen FB, Spauwen PH, Schalkwijk J, Kon M. On the nature of hypertrophic scars and keloids: a review. <em>Plastic and Reconstructive Surgery<\/em>. 1999.<\/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-cost\/\" target=\"_blank\" rel=\"noopener\">Acne Scar Laser Treatment Tokyo: Cost &amp; Results<\/a><\/li>\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\/english-speaking-plastic-surgeon-tokyo\/\" target=\"_blank\" rel=\"noopener\">English Speaking Plastic Surgeon Tokyo: Complete 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<li><a href=\"https:\/\/kojihifu.com\/english\/skin-clinic-tokyo-foreigners-guide\/\" target=\"_blank\" rel=\"noopener\">Skin Clinic Tokyo for Foreigners: How to Find One<\/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":"Explore scar revision surgery options in Tokyo with realistic results and pricing. Learn surgical techniques, recovery, and candidacy for visible scars.","protected":false},"author":1,"featured_media":818,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,22],"tags":[179,180,181,175,114,123,26],"class_list":["post-642","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-dermatology","category-plastic-surgery-tokyo","tag-scar-revision-surgery","tag-surgical-scars","tag-keloid-removal","tag-dermatology","tag-acne-scars","tag-plastic-surgery","tag-tokyo-clinic"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/642","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=642"}],"version-history":[{"count":4,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/642\/revisions"}],"predecessor-version":[{"id":761,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/642\/revisions\/761"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/818"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=642"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=642"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=642"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}