{"id":8441,"date":"2026-07-15T15:57:35","date_gmt":"2026-07-15T06:57:35","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=8441"},"modified":"2026-07-15T15:57:37","modified_gmt":"2026-07-15T06:57:37","slug":"acne-treatment-tokyo-dermatologist","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/acne-treatment-tokyo-dermatologist\/","title":{"rendered":"Acne Treatment at Tokyo Dermatologist: What to Expect"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Can I receive acne treatment in English at a Tokyo dermatology clinic?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. Kojimachi Dermatology & Plastic Surgery Clinic in Ichigaya, Tokyo offers consultations in English. While English-language dermatology services are not universally available across Japan, several clinics in central Tokyo do accommodate English-speaking patients. It is always advisable to confirm language support before booking.\"}}, {\"@type\": \"Question\", \"name\": \"Is acne treatment covered by Japanese health insurance for visitors to Japan?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Health insurance coverage applies to individuals enrolled in Japan's national health insurance or a company health insurance scheme. Short-term visitors and tourists who are not enrolled in the Japanese insurance system will pay the full fee for all medical services, including prescription consultations and medications. Some international travel insurance policies may cover dermatology consultations \u2014 it is worth checking your policy in advance.\"}}, {\"@type\": \"Question\", \"name\": \"How many sessions are typically needed for acne scar treatment?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"The number of sessions depends on the depth and type of scarring, the treatment chosen, and individual skin response. As a general guide, CO2 fractional laser typically requires one to three sessions spaced four to six weeks apart, while microneedling with Dermapen often calls for three to six sessions. Your dermatologist will provide a more specific recommendation following a skin assessment.\"}}, {\"@type\": \"Question\", \"name\": \"Will acne treatment cause purging or make skin worse before it improves?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Certain topical treatments \u2014 particularly retinoids and some chemical exfoliants \u2014 can cause an initial increase in breakouts during the first two to six weeks of use. This is sometimes referred to as a \\\"purging\\\" phase and occurs because the treatment accelerates cell turnover, bringing existing congestion to the surface more quickly. This is a recognised, temporary response and is distinct from a true allergic reaction. Your dermatologist can advise you on what to expect based on the specific treatment prescribed.\"}}]}<\/script><\/p>\n<h2>Acne Treatment at a Tokyo Dermatologist: What to Expect<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Acne Treatment at a Tokyo Dermatologist: What to Expect\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_8589763_1784071479.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Acne Treatment at a Tokyo Dermatologist: What to Expect\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Towfiqu barbhuiya<\/figcaption><\/figure>\n<p>Dealing with persistent acne \u2014 whether it is a handful of stubborn blemishes or a more widespread inflammatory breakout \u2014 can be genuinely frustrating, particularly when over-the-counter products have already failed to deliver results. If you are living in or visiting Tokyo and are considering professional treatment, navigating the Japanese healthcare system as an English speaker can feel daunting. This article explains what acne treatment at a Tokyo dermatologist typically involves, from the consultation through to realistic outcomes, costs, and the range of options available.<\/p>\n<p><strong>What you&#8217;ll learn in this article:<\/strong><\/p>\n<ul>\n<li>How dermatologists in Tokyo assess and classify acne<\/li>\n<li>The main treatment options available \u2014 both insurance-covered and cosmetic<\/li>\n<li>Realistic cost ranges for acne treatment in Tokyo<\/li>\n<li>What to expect before, during, and after your appointment<\/li>\n<li>Who is a good candidate for each type of treatment<\/li>\n<\/ul>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>How Dermatologists Assess Acne<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 How Dermatologists Assess Acne\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_9253772_1784071479.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 How Dermatologists Assess Acne\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Ron Lach<\/figcaption><\/figure>\n<p>When you attend a dermatology consultation for acne, the physician will begin by examining the type, distribution, and severity of your breakouts. Acne is broadly classified into non-inflammatory lesions (blackheads and whiteheads, also called comedones) and inflammatory lesions (papules, pustules, nodules, and cysts). Identifying which type \u2014 or combination of types \u2014 is present guides the entire treatment plan.<\/p>\n<p>The doctor will also ask about your skin history, current skincare routine, any previous treatments, hormonal factors, diet, and stress levels. In our clinical experience at <strong>BIOTOPE CLINIC or Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong>, international patients are often surprised by the thoroughness of this initial assessment; Japanese dermatologists are trained to consider acne as a systemic as well as a local skin issue.<\/p>\n<p>Depending on severity, the physician may also assess for post-acne pigmentation (dark marks left after breakouts) and acne scarring, which may require separate or concurrent treatment strategies.<\/p>\n<h2>Main Treatment Options: Insurance-Covered vs Cosmetic<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Main Treatment Options: Insurance-Covered vs Cosmetic\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_4812725_1784071480.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Main Treatment Options: Insurance-Covered vs Cosmetic\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ cottonbro studio<\/figcaption><\/figure>\n<h1><span class=\"s1\"><b>Acne Treatment in Tokyo: What Results Can You Realistically Expect?<\/b><\/span><\/h1>\n<p class=\"p2\">One of the most common misconceptions about acne treatment is the expectation that breakouts will disappear immediately after starting medication or undergoing a procedure.<\/p>\n<p class=\"p2\">Unfortunately, acne does not work that way.<\/p>\n<p class=\"p3\">Acne develops through a combination of:<\/p>\n<ul>\n<li>Excess sebum production<\/li>\n<li>Abnormal keratinisation (blocked pores)<\/li>\n<li><span class=\"s1\">Growth of <\/span><span class=\"s2\"><i>Cutibacterium acnes<\/i><\/span><span class=\"s1\"> bacteria<\/span><\/li>\n<li>Inflammation<\/li>\n<li>Hormonal influences<\/li>\n<li>Genetic predisposition<\/li>\n<\/ul>\n<p class=\"p2\">Because several biological mechanisms are involved simultaneously, treatment typically requires time and consistency.<\/p>\n<h3><span class=\"s1\"><b>Mild Acne<\/b><\/span><\/h3>\n<p class=\"p2\">Patients with predominantly blackheads, whiteheads, and occasional inflammatory lesions often begin noticing improvement within:<\/p>\n<p class=\"p4\"><b>6\u20138 weeks<\/b><\/p>\n<p class=\"p2\">when using appropriate topical therapy consistently.<\/p>\n<h3><span class=\"s1\"><b>Moderate Acne<\/b><\/span><\/h3>\n<p class=\"p2\">Patients with persistent inflammatory papules and pustules generally require:<\/p>\n<p class=\"p4\"><b>8\u201312 weeks<\/b><\/p>\n<p class=\"p2\">before substantial improvement becomes visible.<\/p>\n<p class=\"p2\">Combination therapy is often necessary.<\/p>\n<h3><span class=\"s1\"><b>Severe or Nodulocystic Acne<\/b><\/span><\/h3>\n<p class=\"p3\">Patients with deeper cysts, nodules, and a high risk of scarring may require:<\/p>\n<ul>\n<li>Oral medications<\/li>\n<li>Combination therapy<\/li>\n<li>Long-term management<\/li>\n<li>Scar prevention strategies<\/li>\n<\/ul>\n<p class=\"p5\">In these cases, delaying treatment frequently increases the likelihood of permanent scarring.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Acne Scarring: Prevention Is Easier Than Treatment<\/b><\/span><\/h1>\n<p class=\"p2\">One of the most important goals of acne treatment is preventing scars before they form.<\/p>\n<p class=\"p2\">Once significant acne scars develop, treatment becomes more complex and costly.<\/p>\n<p class=\"p2\">Acne scars are generally classified into:<\/p>\n<h3><span class=\"s1\"><b>Ice-Pick Scars<\/b><\/span><\/h3>\n<p class=\"p2\">Deep, narrow scars extending into the dermis.<\/p>\n<p class=\"p2\">These are often the most difficult scars to treat.<\/p>\n<h3><span class=\"s1\"><b>Boxcar Scars<\/b><\/span><\/h3>\n<p class=\"p2\">Broad depressions with relatively sharp edges.<\/p>\n<h3><span class=\"s1\"><b>Rolling Scars<\/b><\/span><\/h3>\n<p class=\"p2\">Soft, wave-like depressions caused by fibrous tethering beneath the skin.<\/p>\n<p class=\"p2\">Different scar types require different treatment approaches.<\/p>\n<p class=\"p5\">Many patients have a combination of scar types.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Acne Scar Treatments Available in Tokyo<\/b><\/span><\/h1>\n<p class=\"p2\">At Kojimachi Dermatology &amp; Plastic Surgery Clinic, treatment options may include:<\/p>\n<h3><span class=\"s1\"><b>CO\u2082 Fractional Laser<\/b><\/span><\/h3>\n<p class=\"p3\">Best suited for:<\/p>\n<ul>\n<li>Boxcar scars<\/li>\n<li>Rolling scars<\/li>\n<li>Enlarged pores<\/li>\n<li>Skin texture irregularities<\/li>\n<\/ul>\n<h3><span class=\"s1\"><b>Dermapen (Microneedling)<\/b><\/span><\/h3>\n<p class=\"p3\">Best suited for:<\/p>\n<ul>\n<li>Mild to moderate acne scars<\/li>\n<li>Enlarged pores<\/li>\n<li>Uneven texture<\/li>\n<\/ul>\n<h3><span class=\"s1\"><b>RF Microneedling (POTENZA)<\/b><\/span><\/h3>\n<p class=\"p3\">May help improve:<\/p>\n<ul>\n<li>Acne scars<\/li>\n<li>Enlarged pores<\/li>\n<li>Persistent redness<\/li>\n<li>Overall skin quality<\/li>\n<\/ul>\n<h3><span class=\"s1\"><b>Combination Treatment<\/b><\/span><\/h3>\n<p class=\"p2\">Many patients achieve better outcomes when multiple modalities are combined.<\/p>\n<p class=\"p3\">Examples include:<\/p>\n<ul>\n<li>Subcision + microneedling<\/li>\n<li>Laser + injectable biostimulators<\/li>\n<li>RF microneedling + topical treatment<\/li>\n<li>Laser resurfacing + maintenance skincare<\/li>\n<\/ul>\n<p class=\"p5\">A personalised consultation is essential.<\/p>\n<h2>Comparison of Common Acne Treatment Options<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Comparison of Common Acne Treatment Options\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_4586740_1784071481.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Comparison of Common Acne Treatment Options\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Anna Shvets<\/figcaption><\/figure>\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;\">Best For<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Typical Duration<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Downtime<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Price Range (Tokyo)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Topical retinoid \/ antibiotic (prescription)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Mild\u2013moderate inflammatory acne<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">12\u201324 weeks<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">None<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Insurance co-pay (approx. \u00a51,000\u2013\u00a53,000\/month)<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Oral antibiotics (prescription)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Moderate inflammatory acne<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">6\u201312 weeks<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">None<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Insurance co-pay<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Salicylic acid peel<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Comedonal \/ mild inflammatory acne; pores<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Monthly sessions (3\u20136 recommended)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Minimal (1\u20132 days mild redness)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a511,000\u2013\u00a5308,000 (per course)<\/td>\n<\/tr>\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;\">Acne scars, enlarged pores<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">1\u20133 sessions (4\u20136 weeks apart)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">3\u20137 days (redness, peeling)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a511,000\u2013\u00a566,000 per session<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Dermapen (microneedling)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Acne scars, skin texture<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">3\u20136 sessions (4 weeks apart)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">1\u20133 days (mild redness)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a59,800\u2013\u00a5220,000 per session<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Cost of Acne Treatment in Tokyo<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Cost of Acne Treatment in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_4812657_1784071482.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 Cost of Acne Treatment in Tokyo\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ cottonbro studio<\/figcaption><\/figure>\n<p>Treatment costs in Tokyo vary considerably depending on whether your care falls under the national health insurance system or is provided as a cosmetic (self-pay) service. For insurance-eligible patients, most prescription medications and dermatology consultations involve only a small co-payment (typically 30% of the standard fee for most working-age adults).<\/p>\n<p>For cosmetic treatments paid out of pocket, the following price ranges apply at Kojimachi Dermatology &amp; Plastic Surgery Clinic:<\/p>\n<ul>\n<li><strong>Initial consultation:<\/strong> \u00a53,300<\/li>\n<li><strong>Salicylic acid peel:<\/strong> \u00a511,000\u2013\u00a5308,000 (single session to full course)<\/li>\n<li><strong>CO2 fractional laser:<\/strong> \u00a511,000\u2013\u00a566,000 per session<\/li>\n<li><strong>Dermapen (microneedling):<\/strong> \u00a59,800\u2013\u00a5220,000 per session<\/li>\n<li><strong>Massage peel:<\/strong> \u00a517,600\u2013\u00a579,200<\/li>\n<\/ul>\n<p>Note that cosmetic treatments do not qualify for insurance reimbursement. Visitors or tourists who are not enrolled in the Japanese health insurance system will pay the full fee for all treatments, including prescription consultations. For an accurate quote tailored to your specific concerns, we recommend booking a consultation.<\/p>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>What to Expect: Before, During, and After Your Appointment<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 What to Expect: Before, During, and After Your Appointment\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_6476070_1784071482.webp\" alt=\"Acne treatment at a Tokyo dermatologist: what to e \u2014 What to Expect: Before, During, and After Your Appointment\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Hanna Pad<\/figcaption><\/figure>\n<h3>Before Your Visit<\/h3>\n<p>It is helpful to prepare a brief summary of your acne history before your appointment: how long you have had it, what treatments you have already tried, any allergies, and any medications you are currently taking. If you have a prescribed skincare regime from a previous dermatologist, bring that information along \u2014 photographs of your skin at its worst can also be useful, particularly if your acne is cyclical or fluctuating.<\/p>\n<p>For certain cosmetic procedures (such as chemical peels or laser treatments), you may be advised to avoid sun exposure and discontinue certain active skincare ingredients (such as retinoids or AHAs\/BHAs) for a week prior to the session.<\/p>\n<h3>During Your Appointment<\/h3>\n<p>Your dermatologist will examine your skin under good lighting, discuss your history, and explain the available treatment options. Prescriptions for topical or oral medications can typically be issued at the same visit, with the medication dispensed at a nearby pharmacy. For cosmetic procedures such as a chemical peel, the session itself is usually straightforward \u2014 a salicylic acid peel, for example, typically takes 20\u201330 minutes and involves the application of the acid solution, mild tingling, and then neutralisation.<\/p>\n<h3>After Your Treatment<\/h3>\n<p>Recovery depends on the treatment chosen. Prescription medications have essentially no downtime but require consistent use over weeks to months before meaningful results are visible. Chemical peels may cause mild redness and some flaking for one to two days. CO2 fractional laser carries the most notable recovery period \u2014 expect noticeable redness and skin peeling for approximately three to seven days, during which sun protection and gentle skincare are essential.<\/p>\n<p>At our clinic in Ichigaya, Tokyo, we frequently see patients who have started a new acne treatment and discontinued it prematurely because they expected faster results. It is important to understand that acne treatment \u2014 whether topical, oral, or procedural \u2014 generally requires sustained commitment, and improvement typically becomes visible after four to twelve weeks depending on the approach.<\/p>\n<h2>What People Often Get Wrong About Acne Treatment<\/h2>\n<p><strong>Misconception 1: &#8220;Acne is just a teenage problem \u2014 it will resolve on its own.&#8221;<\/strong> Adult acne (occurring in patients in their 20s, 30s, or beyond) is increasingly common and frequently has hormonal, dietary, or stress-related contributors that do not resolve without intervention. Studies suggest that adult acne affects up to 15% of adult women and a smaller but significant proportion of adult men. Leaving moderate-to-severe inflammatory acne untreated also increases the risk of permanent scarring, which is far more difficult to treat than the acne itself.<\/p>\n<p><strong>Misconception 2: &#8220;Cosmetic acne treatments are unnecessary \u2014 only prescription medication matters.&#8221;<\/strong> Prescription medication is often the appropriate first-line treatment, but for many patients \u2014 particularly those with post-acne scarring, enlarged pores, or ongoing acne that has not fully responded to medication \u2014 cosmetic procedures can meaningfully complement medical treatment. The two approaches are not mutually exclusive, and a combined plan is often the most effective strategy.<\/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 arrive having already spent months or years trying products purchased online without proper diagnosis. A common question I receive is whether skincare alone can resolve acne. The honest answer is: it depends entirely on the type and severity. Mild comedonal acne may respond well to a well-chosen topical routine, but moderate or severe inflammatory acne typically requires prescription-strength treatment to bring under proper control \u2014 and the sooner that is started, the lower the risk of permanent scarring. Even if your skin concerns seem minor, a brief assessment by a board-certified dermatologist can save you considerable time, money, and frustration in the long run.<\/p>\n<\/blockquote>\n<h2>Who Is a Good Candidate?<\/h2>\n<p>Most adults and adolescents experiencing persistent acne that has not responded to over-the-counter products are good candidates for professional dermatological assessment. This includes individuals with any of the following:<\/p>\n<ul>\n<li>Acne that has persisted for more than three months despite regular skincare<\/li>\n<li>Inflammatory, cystic, or nodular acne (deep, painful lesions)<\/li>\n<li>Acne resulting in post-inflammatory hyperpigmentation (dark marks)<\/li>\n<li>Acne scarring affecting skin texture<\/li>\n<li>Acne in sensitive areas such as the jawline, neck, or back<\/li>\n<\/ul>\n<p>Certain cosmetic treatments \u2014 particularly chemical peels and laser procedures \u2014 may not be suitable during pregnancy or breastfeeding, in individuals with active skin infections, or in those taking photosensitising medications. Patients with a history of keloid scarring should discuss this with their physician prior to any energy-based or needling procedure. A thorough consultation is always the appropriate first step before any treatment is recommended.<\/p>\n<h1><span class=\"s1\"><b>Common Misconceptions About Acne Treatment<\/b><\/span><\/h1>\n<h2><span class=\"s1\"><b>Misconception 1: Acne Is Caused by Poor Hygiene<\/b><\/span><\/h2>\n<p class=\"p2\">This is one of the most persistent myths.<\/p>\n<p class=\"p2\">Acne is not caused by dirty skin.<\/p>\n<p class=\"p2\">Excessive cleansing can actually worsen irritation and inflammation.<\/p>\n<p class=\"p3\">Most dermatologists recommend gentle cleansing twice daily.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Misconception 2: Diet Has No Effect on Acne<\/b><\/span><\/h2>\n<p class=\"p2\">The relationship is complex.<\/p>\n<p class=\"p4\">Modern research suggests that some individuals may experience worsening acne with:<\/p>\n<ul>\n<li>High glycaemic-load diets<\/li>\n<li>Excessive sugary foods<\/li>\n<li>Certain dairy products<\/li>\n<\/ul>\n<p class=\"p2\">However, diet alone is rarely the sole cause.<\/p>\n<p class=\"p3\">A holistic approach tends to be most effective.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Misconception 3: Squeezing Pimples Helps Them Heal Faster<\/b><\/span><\/h2>\n<p class=\"p4\">Picking and squeezing lesions can:<\/p>\n<ul>\n<li>Increase inflammation<\/li>\n<li>Spread bacteria<\/li>\n<li>Delay healing<\/li>\n<li>Increase pigmentation<\/li>\n<li>Cause permanent scarring<\/li>\n<\/ul>\n<p class=\"p3\">This is particularly important in patients prone to post-inflammatory hyperpigmentation.<\/p>\n<hr \/>\n<h2><span class=\"s1\"><b>Misconception 4: Once Acne Improves, Treatment Can Stop Immediately<\/b><\/span><\/h2>\n<p class=\"p2\">Acne is a chronic inflammatory condition.<\/p>\n<p class=\"p2\">Maintenance therapy is often necessary.<\/p>\n<p class=\"p3\">Stopping treatment too early commonly leads to recurrence.<\/p>\n<hr \/>\n<blockquote>\n<h1><span class=\"s1\"><b>Dr. Karibe\u2019s Note<\/b><\/span><\/h1>\n<p class=\"p2\">One of the most rewarding aspects of acne treatment is seeing patients regain confidence as their skin improves.<\/p>\n<p class=\"p2\">However, the patients who achieve the best outcomes are rarely those looking for a quick fix. They are usually the patients who understand that acne treatment is a process rather than a single event.<\/p>\n<p class=\"p2\">At BIOTOPE CLINIC or Kojimachi Dermatology &amp; Plastic Surgery Clinic, we focus not only on controlling active acne but also on preventing long-term complications such as scarring and pigmentation. Early treatment almost always leads to better outcomes than waiting until scars have already formed.<\/p>\n<p class=\"p3\">\u2014 <span class=\"s1\"><b>Dr. Jun Karibe<\/b><\/span><br \/>\nBoard-Certified Plastic Surgeon<br \/>\n<strong>BIOTOPE CLINIC \/ Kojimachi Dermatology &amp; Plastic Surgery Clini<\/strong>c, Tokyo<\/p>\n<\/blockquote>\n<dl class=\"kj-faq\">\n<dt>\n<blockquote><p>Q. Can I receive acne treatment in English at a Tokyo dermatology clinic?<\/p><\/blockquote>\n<\/dt>\n<dd>Yes. BIOTOPE CLINIC or Kojimachi Dermatology &amp; Plastic Surgery Clinic in Ichigaya, Tokyo offers consultations in English. While English-language dermatology services are not universally available across Japan, several clinics in central Tokyo do accommodate English-speaking patients. It is always advisable to confirm language support before booking.<\/dd>\n<dt>Q. Is acne treatment covered by Japanese health insurance for visitors to Japan?<\/dt>\n<dd>Health insurance coverage applies to individuals enrolled in Japan&#8217;s national health insurance or a company health insurance scheme. Short-term visitors and tourists who are not enrolled in the Japanese insurance system will pay the full fee for all medical services, including prescription consultations and medications. Some international travel insurance policies may cover dermatology consultations \u2014 it is worth checking your policy in advance.<\/dd>\n<dt>Q. How many sessions are typically needed for acne scar treatment?<\/dt>\n<dd>The number of sessions depends on the depth and type of scarring, the treatment chosen, and individual skin response. As a general guide, CO2 fractional laser typically requires one to three sessions spaced four to six weeks apart, while microneedling with Dermapen often calls for three to six sessions. Your dermatologist will provide a more specific recommendation following a skin assessment.<\/dd>\n<dt>Q. Will acne treatment cause purging or make skin worse before it improves?<\/dt>\n<dd>Certain topical treatments \u2014 particularly retinoids and some chemical exfoliants \u2014 can cause an initial increase in breakouts during the first two to six weeks of use. This is sometimes referred to as a &#8220;purging&#8221; phase and occurs because the treatment accelerates cell turnover, bringing existing congestion to the surface more quickly. This is a recognised, temporary response and is distinct from a true allergic reaction. Your dermatologist can advise you on what to expect based on the specific treatment prescribed.<\/dd>\n<\/dl>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>Summary<\/h2>\n<p class=\"p1\">Acne is a chronic inflammatory skin condition that affects patients of all ages and skin types. Effective treatment requires accurate diagnosis, realistic expectations, and a personalised treatment strategy.<\/p>\n<p class=\"p1\">For active acne, prescription therapies such as retinoids, benzoyl peroxide and antibiotics remain the foundation of treatment. For acne scars, enlarged pores and post-inflammatory pigmentation, treatments such as Dermapen, POTENZA RF microneedling, CO\u2082 fractional laser and PicoWay laser may provide meaningful improvement.<\/p>\n<p class=\"p1\">The most important step is seeking treatment early, before permanent scarring develops.<\/p>\n<p class=\"p1\">If you are looking for <span class=\"s1\"><b>English-speaking acne treatment in Tokyo<\/b><\/span>, our team at<strong> BIOTOPE CLINIC<\/strong> or <span class=\"s1\"><b>Kojimachi Dermatology &amp; Plastic Surgery Clinic in Ichigaya<\/b><\/span> would be happy to help. We offer consultations in English and personalised treatment plans for both active acne and acne scarring.<\/p>\n<div class=\"kjmc-en-booking-box\" style=\"background: linear-gradient(135deg,#f1faf3 0%,#e6f3ea 100%); border-radius: 14px; padding: 32px 24px; margin: 36px 0 24px; border: 1px solid #c5dccd; text-align: center;\">\n<h3 style=\"margin: 0 0 8px; color: #3a6e3a; border: none; padding: 0; font-size: 1.3em;\">24\/7 Consultation &amp; Booking<\/h3>\n<div style=\"width: 48px; height: 2px; background: #3a6e3a; margin: 0 auto 22px;\"><\/div>\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 1.1em; font-weight: bold;\">Book a Consultation or Treatment<\/p>\n<p style=\"margin: 0 0 24px; color: #2c4a35; line-height: 1.75;\">Our English-speaking team responds via LINE or WhatsApp \u2014 usually the same day.<\/p>\n<p style=\"margin: 0 0 10px; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #06C755; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(6,199,85,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #25D366; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(37,211,102,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Zaenglein AL, Pathy AL, Schlosser BJ, et al. Guidelines of care for the management of acne vulgaris. Journal of the American Academy of Dermatology. 2016;74(5):945\u2013973.<\/li>\n<li>Dreno B, Thiboutot D, Gollnick H, et al. Large-scale worldwide observational study of adherence with acne therapy. International Journal of Dermatology. 2010;49(4):448\u2013456.<\/li>\n<li>Barbaric J, Abbott R, Posadzki P, et al. Light therapies for acne: abridged Cochrane systematic review including GRADE assessments. British Journal of Dermatology. 2018;178(1):61\u201375.<\/li>\n<li>Tan JKL, Bhate K. A global perspective on the epidemiology of acne. British Journal of Dermatology. 2015;172(Suppl 1):3\u201312.<\/li>\n<li>Fabbrocini G, Annunziata MC, D&#8217;Arco V, et al. Acne scars: pathogenesis, classification and treatment. Dermatology Research and Practice. 2010;2010:893080.<\/li>\n<\/ol>\n<h2>Related Articles<\/h2>\n<p>You may also find these articles useful.<\/p>\n<ul>\n<li><a href=\"https:\/\/kojihifu.com\/english\/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\/sensitive-skin-care-tokyo-dermatologist-2\/\" target=\"_blank\" rel=\"noopener\">Sensitive Skin Care Tokyo: Dermatologist 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":"Comprehensive guide to acne treatment at Tokyo dermatologists. Learn assessment methods, treatment options, costs, and what to expect during your appointment with English-speaking clinics.","protected":false},"author":4,"featured_media":8440,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[317,318,319,320,175,136,26],"class_list":["post-8441","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-dermatology","tag-skin-conditions","tag-breakout","tag-blemishes","tag-english-speaking-dermatologist-2","tag-dermatology","tag-acne-treatment","tag-tokyo-clinic"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/8441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/comments?post=8441"}],"version-history":[{"count":1,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/8441\/revisions"}],"predecessor-version":[{"id":8444,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/8441\/revisions\/8444"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/8440"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=8441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=8441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=8441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}