01
Sebum-related pores
These are common in the T-zone and may coexist with keratin plugs, acne, and redness.
See PointsShine, keratin plugs, redness
PORES TREATMENT
Understand the cause
Understand the cause
of visible pores
Enlarged pores, dark pores, laxity, and acne scars.
Treatment is selected according to how the pores appear and the factors involved.
Visible pores may relate to sebum, keratin plugs, reduced firmness, or depressions after inflammation. Our clinic assesses the likely causes and proposes treatment according to skin condition and preferences.
FreeSelf-pay care / initial examination and follow-up
Two full-time physiciansTreatment by plastic surgeons
Documented with photographsAdjusted according to progress
CONTENTS
CONCERNS
How we assess visible pores
Do you feel this change with daily makeup and skin care?
Foundation settles into the pores
Nose and T-zone darkness
The pores of the cheek look vertical
Even after acne is cured, unevenness remains
Treatment planning begins by identifying whether sebum, keratin plugs, laxity, scarring, or pigmentation contributes—not by pore size alone.
PORE TYPES
Four patterns of visible pores
Several patterns may overlap. Compare the features to identify the dominant causes.
02
Pores affected by laxity
Reduced firmness can make cheek pores appear vertically elongated or teardrop-shaped.
See PointsCheeks, vertical elongation, reduced firmness
03
Pores with acne scarring
After acne and inflammation, depressed scars and tethering may overlap.
See PointsDepressions, tethering, acne scars
04
Pigmentation-related dark pores
Keratin plugs and pigmentation can make pores look darker and more noticeable.
See PointsKeratin plugs, pigmentation, nose
OUR POLICY
Identify the cause before choosing a device
01
Identify how the pores appear
Assess whether sebum, laxity, acne scarring, keratin plugs, or pigmentation is dominant.
02
Determine priority
Check whether redness, acne, pigmentation, or depressed scars overlap with the pore concern.
03
Build the treatment sequence
The sequence is planned according to downtime, available time, and budget.
The priority is the treatment needed for the current skin condition, not whichever pore device is popular.
TREATMENT
Treatment options for visible pores
Different treatments are used according to the dominant cause.
FOR SEBUM & REDNESS
ADVATx laser
ADVATx uses 589 nm and 1319 nm wavelengths and may be considered when visible pores coexist with sebum, redness, or acne.
- How to see
- Sebum, redness, acne
- Downtime
- Generally limited
FOR TEXTURE & FIRMNESS
POTENZA PRIME
POTENZA PRIME uses microneedle radiofrequency with selectable depths and Boost Mode drug delivery. It may be considered when laxity-related pores or broader uneven texture are concerns.
- How to see
- Laxity, texture, depressions
- Downtime
- Redness, swelling, needles, etc.
FOR SCARS
TriFill Pro
TriFill Pro combines carbon-dioxide microsubcision and drug delivery. It may be considered when depressed acne-scar tethering contributes to visible pores.
- How to see
- Depressions, tethering, scars
- Downtime
- Redness, swelling, bruising, etc.
FOR PIGMENT
Ruby Fractional
Ruby Fractional delivers a Q-switched ruby laser in a fractional pattern. It may be considered when pigmentation contributes to a dark pore appearance.
- How to see
- Dark pores and pigmentation
- Downtime
- Redness and fine crusting
You do not need to choose a treatment before consultation.
We assess the skin and discuss preferences before proposing a practical treatment sequence.
FEATURES
Our approach to treating visible pores
01
A plastic surgeon reviews progress
Photographs are taken regularly to document change. Device settings and treatment sequence are adjusted according to the observed course, not only subjective impressions.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): A board-certified plastic surgeon follows the treatment course. Five-step flow: 1) pre-treatment counseling and treatment planning—the physician reviews skin condition and concerns and proposes a plan; 2) treatment—care is performed with attention to safety, pain, and downtime; 3) progress review at scheduled examinations—the physician checks skin condition, treatment response, and progress; 4) plan adjustment when needed—treatment content, device settings, and intervals are adjusted according to progress; 5) aftercare and long-term follow-up—home-care and lifestyle guidance support longer-term skin health. The image concludes that continuous specialist follow-up supports safe treatment and progress toward the patient’s skin goals.
02
Select equipment according to the cause
Sebum, reduced firmness, scarring, and pigmentation require different approaches. Treatment is selected according to the dominant cause rather than fixed to one device.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): Device selection based on current evidence. Five-step flow: 1) collect current findings from Japanese and international literature, conference presentations, and guidelines; 2) evaluate evidence for effectiveness, safety, reproducibility, and adverse effects; 3) select devices that pass the evaluation and fit the skin and treatment goal; 4) optimize combinations for the patient’s skin condition and concerns; 5) verify outcomes and safety continuously, update knowledge, and apply it to future care. The conclusion states that evidence is continually updated to provide an appropriate, reassuring treatment plan for each patient.
03
Design multiple troubles together
Pores, redness, acne, fine lines, and laxity may overlap. Treatment is planned while considering response, downtime, and daily-life burden.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): Custom treatment planning combines procedures according to pore condition, skin type, and lifestyle. Four-step flow: 1) diagnosis and analysis of skin condition and pore type; 2) design an appropriate combination based on the causes; 3) perform the selected combination of treatments; 4) provide aftercare covering home care and lifestyle. The diagram explains that a combined plan may create complementary effects and support greater improvement.
CASE & COLUMN
Clinical cases and articles related to pore treatment
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): Why pores become noticeable: widening, laxity, depressions, and discoloration may overlap. Four main causes are shown: 1) excess sebum; 2) reduced firmness and age-related laxity; 3) a mixture of acne, inflammation, and depressions; 4) blackheads or pigmentation. Sebum and clogging predominate in younger skin; reduced firmness is more likely to overlap from the 30s onward; prior acne can add uneven texture and pigment.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): ADVATx case. Two-view panel order: Before → After, after five ADVATx laser sessions. Baseline shows redness and inflammatory acne. As overall redness improved and sebum was controlled, new acne decreased and pores became less noticeable.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): Acne-scar treatment case. After five years of treatment at several clinics—including oral and topical medication, peeling, and Dermapen—central cheek redness, scars, and new acne remained. Improvement is shown after three treatments; treatment is continuing. Treatment shown: three POTENZA drug-delivery sessions with McCoom plus ZO Skin Health high-concentration vitamin A.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): POTENZA versus TriFill Pro. POTENZA inserts microneedles and delivers monopolar radiofrequency to promote wound healing and collagen production; it is presented for acne-prone, oily, red skin, using 2,000 shots and with longer downtime. Its five-step diagram shows needle insertion, tissue elevation and air inflow, accurate positioning and RF delivery, then positive-pressure drug delivery during withdrawal. TriFill Pro injects CO2 and medication through a fine needle to treat depressions while supporting collagen production; it is presented for relatively less oily and less red skin, with point-by-point treatment and shorter downtime than POTENZA. Its three steps are CO2 microsubcision, drug delivery such as Juvelook into the released space, and further CO2 dispersion. The image notes physician-administered and nurse-administered TriFill Pro modes.
POTENZA / TriFill Pro
Differences in treatment methods and medications
Read the articleJapanese article
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): Acne-scar case. Panel order: Before → After. POTENZA was performed once monthly, with vitamin A used for home care. Treatment: three POTENZA drug-delivery sessions using McCoom plus Skin Brightening Serum 0.25 vitamin A.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): Acne-scar case. Treatment began two years earlier and ended one year earlier. At one year after completion, reduced acne recurrence and tighter-looking pores were maintained. Treatment: three POTENZA drug-delivery sessions using McCoom plus five facial hair-removal sessions.
POTENZA / Medical hair removal
POTENZA and medical hair removal for acne-prone skin
See CasesJapanese article
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): TriFill Pro downtime. Immediately after TriFill Pro drug delivery with Juvelook, bruising is shown; by day 3 it becomes yellowish and usually resolves in about one week, although the course varies. Treatment shown: 300 shots. Makeup can be applied the next day and generally conceals the discoloration.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): ADVATx case. Two-view panel order: Before → After, after five ADVATx laser sessions. Dilated capillaries and redness around the nose were treated. The image states that finer millimeter-level irradiation than V-beam allows relatively less pain and downtime.
Direct English rendering of the Japanese text in the retained source image, in visual reading order (top to bottom and left to right within each row; Before/After panels and arrows remain in the image): ADVATx case. Two-view panel order: Before → After, after five ADVATx laser sessions. Pigmented spots and melasma coexisted on the cheeks, so treatment began with melasma. ADVATx targeted vessels/redness beneath the melasma. Dark discrete spots remained, while melasma improved.
PRICE
Pore-treatment fees
All prices are tax-included. After the consultation, we will guide you to the necessary expenses before the treatment.
POTENZALipids, pores, skin, scars
Facial redness, acne, and pores / full face / one session55,000 JPY
Facial redness, acne, and pores / full face / three sessions156,750 JPY
Scar treatment and drug delivery / full face / one session66,000 JPY
Medication: McCoom, botulinum toxin, or Juvelook¥22,000 each
ADVATx laserSebum, redness, acne
Full face, one session including spot irradiation30,000 JPY
Full face, five sessions including spot irradiation139,000 JPY
Mesona J option, one session18,000 JPY
TriFill ProConcave, scar, and medication delivery
Full face, up to 300 shots (Juvelook included)99,000 JPY
Wrinkle or scar treatment, one site (Juvelook included)18,000 JPY
Subcision, 2 × 2 cm33,000 JPY
Ruby FractionalDark pores and pigmentation
Full face, nurse-administered, one session16,500 JPY
First course, five sessions66,000 JPY
Physician-administered, one session27,500 JPY
Clinic fees as of July 20, 2026.Price ListView the current fee schedule.
TREATMENT NOTES
Treatment Overview and Notes
Self-pay treatment
The listed pore treatments are self-pay and are not covered by Japan’s public health insurance. Anesthesia or medication fees may apply depending on the treatment.
Possible reactions after treatment
Redness, swelling, sensitivity, dryness, rash, needle marks, pinpoint bleeding, bruising, or fine crusting may occur.
When treatment may not be appropriate
Treatment may not be appropriate when there is infection or marked inflammation at the treatment site or when certain implanted metal or electronic devices are present. Please disclose medical history and current medications before treatment.
Unapproved equipment, etc.
Some devices or medications may be unapproved in Japan or used off label. The physician explains the procurement route, availability of equivalent approved products, overseas safety information, and whether Japan’s adverse-drug-reaction relief system applies.
FAQ
Frequently asked questions about pore treatment
Will pores become less noticeable after one treatment?
The course depends on the cause, depth, and selected treatment. The expected number and interval are reviewed while documenting the response with photographs.
Which treatment may suit dark pores on the nose?
Treatment depends on whether the dark appearance comes from keratin plugs or pigmentation. Sebum and keratin care is considered for plugs; Ruby Fractional may be considered when pigmentation contributes.
How do you use POTENZA PRIME and TriFill Pro?
POTENZA PRIME may be considered for broader laxity-related pores and uneven texture. TriFill Pro may be considered when depressed scars and tethering are more prominent.
What if visible pores coexist with redness or acne?
When sebum, inflammation, and redness overlap, ADVATx may be considered. If irritating skincare contributes, the daily routine is also reviewed.
How long is the treatment downtime?
Downtime depends on the treatment. ADVATx generally has limited downtime; POTENZA PRIME and TriFill Pro may cause redness, swelling, needle marks, or bruising.
Can I make a reservation only with a consultation?
Yes. Consultation can begin with assessment of pore appearance and skin condition and discussion of downtime, budget, and preferred pace.
COUNSELINGBegin with how the pores appear,
Begin with how the pores appear,
then identify the likely causes together.
When several pore patterns overlap, one treatment may not address every factor. The plan considers skin condition, priorities, and daily-life burden.
Consultation and counseling