Dr. Takahiro Miki
Profile
After graduating from Kawasaki Medical University, he practiced orthopedic surgery at university hospitals and general hospitals, gaining experience in a wide range of fields, including trauma, sports injuries, regenerative medicine, and ultrasound-guided treatments. He continued to hone his skills as a board-certified orthopedic surgeon recognized by the Japanese Orthopaedic Association and joined YAYOI CLINIC in 2025. Specializing in skin-rejuvenation injections, Botox, and ultrasound-guided fascial release, he provides aesthetic medical treatments tailored to each individual’s needs, addressing both beauty and health.
For those in Hiroshima City’s Naka Ward who are considering treatment for melasma at a cosmetic dermatology clinic. Melasma is a light brown discoloration that commonly appears on the cheeks and forehead in women in their 30s and 40s. It’s important to be cautious, as self-administered treatments may actually make the discoloration darker. In this article, YAYOI CLINIC, a cosmetic dermatology clinic in Naka Ward, Hiroshima City, explains the characteristics of melasma, how to identify it, and common treatment options. If you feel limited by relying on daily concealer to cover it up, or if you want to restore your skin’s natural radiance, please use this article as a reference and consider seeking professional care.
What You Need to Know First! Basic Information Before Starting Melasma Treatment
Since the causes and characteristics of skin spots vary depending on the type, it’s important to have the right knowledge to address them appropriately. In the following sections, we’ll explain the basics, including specific causes and how to identify them.
■What Is Melasma?
A type of light brown spot that appears symmetrically on both sides of the face, particularly around the cheekbones, forehead, and mouthIt is. It is commonly seen in women in their 30s and 40s, andIt is characterized by its blurry outlinesUnlike typical senile lentigines, the causes and appropriate treatment methods differ, so an accurate diagnosis by a specialist is essential.
■ How Are They Different from Other Types of Dark Spots? An Explanation of the Different Types of Dark Spots
| type | cause | feature |
| Senile Pigment Spots (Age Spots) | Ultraviolet rays, aging | Dark spots with distinct outlines |
| Freckles | Genetic Factors | Small brown spots on the nose and cheeks |
| post-inflammatory hyperpigmentation | Scars and Acne Scars | Hyperpigmentation After Inflammation Has Subsided |
| chloasma | Changes in hormone balance, friction, UV rays, etc. | It spreads out in a hazy, symmetrical pattern on both sides |
■How to Tell the Difference Between Melasma and Other Types of Dark Spots
It is said that the main causes of melasma involve a combination of factors, such as hormonal imbalances, UV exposure, and friction. These include pregnancy, taking birth control pills, and menopause, among others,This tendency tends to be more noticeable during periods of fluctuating female hormone levelscan be seen. In addition to UV damage, factors such as friction from washing your face and applying makeup, such asPhysical irritation can also contribute to the darkening of melasma.So please be careful. If you're wondering whether your dark spots are melasma, check the following points to find out.
- In my 30s and 40s, age spots suddenly started to become noticeable
- Dark spots appeared after I became pregnant or gave birth
- I have symmetrical spots on both cheeks.
If any of these apply to you, we recommend that you consult a specialist.
■Precautions for Melasma Treatment
It is important to note that when treating melasma with high-power lasers, there is a risk that the melanocytes will be stimulated, causing the pigmentation to actually become darker. Therefore,It is recommended to proceed with careful treatment, such as using low-power lasers for a gentle approach or combining oral and topical medications.This will occur. In addition, daily friction and UV damage can also contribute to the condition worsening, so it is important to wash your face gently without rubbing and to take thorough precautions against UV exposure even after the treatment.
An Explanation of Common Melasma Treatments Available at Cosmetic Dermatology Clinics in Naka Ward, Hiroshima City
In the following section, we’ll explain the typical melasma treatments available at cosmetic dermatology clinics in Naka Ward, Hiroshima City.
■ZeoSkin Therapeutic
"ZeoSkin Therapeutic" is a skincare program available exclusively through medical institutions. It combines the prescription medications tretinoin and hydroquinone to promote skin turnover and address hyperpigmentation.
| (data) item | Contents |
| Approximate number of treatments | About 12 to 18 weeks
*Results may vary depending on skin condition. |
| down time | Redness and peeling last 4 to 6 weeks |
| risk | Dry skin, flaking, redness, itching, temporary breakouts, etc. |
■TriBeam Premium Laser Toning
"Tri-Beam Premium" is a laser device designed to target only specific pigments. Through laser toning—which delivers a uniform laser beam at low power—itTargets accumulated melanin while minimizing skin irritationIt features a dedicated laser toning mode that can treat melasma and deep-seated dark spots, helping you achieve a brighter, more even complexion.
| (data) item | Contents |
| Approximate number of treatments | Once a week, about 5-6 times in total
*Results may vary depending on skin condition and a doctor's diagnosis. |
| down time | Redness may last for a few days, and small scabs or bruising may occur in some cases. |
| risk | Redness, scabs, bruising, post-inflammatory hyperpigmentation, scarring, depigmentation, changes in skin texture, erythema |
■CEREC V
"CEREC V" is a light therapy device that uses light energy known as IPL. It is equipped with filters that allow it to emit multiple wavelengths, andMild skincare treatments tailored to each patient's skin condition, such as uneven skin tone and redness, are available.That's right. We treat melasma using settings specifically designed for melasma (Melasma Mode).
| (data) item | Contents |
| Approximate number of treatments | 3 to 10 times every 2 to 4 weeks *Depends on the treatment. |
| down time | Skin redness may occur for a few hours to a few days. |
| risk | Pain, skin damage, hyperpigmentation, scarring, excessive swelling, erythema, and purpura |
Yayoi Clinic, a cosmetic dermatology practice in Naka Ward, Hiroshima City, answers frequently asked questions about melasma treatment
Below, YAYOI CLINIC, a cosmetic dermatology clinic in Naka Ward, Hiroshima City, answers frequently asked questions about melasma treatment.
■Q. Does melasma go away on its own?
Generally,It is rare for melasma to fade on its own.That is true. However, once women reach their late 50s and beyond—when they go through menopause and their hormone levels stabilize—these spots may fade or become less noticeable. Nevertheless, as UV damage and friction accumulate, another type of spot—senile lentigines—may develop on top of them, causing them to darken.
■Q. Which cosmetic dermatology clinics in Hiroshima do you recommend for treating age spots and melasma? How can I find a clinic that’s right for me?
When you’re interested in spot removal or melasma treatment, do you find yourself searching for terms like “Hiroshima spot removal reviews” or “Hiroshima dermatology top doctors rankings” to find clinics with high review ratings for laser spot removal or other treatments, or to find top dermatologists in Hiroshima?
The key is to choose a treatment that suits your symptoms. Keep in mind that just because a clinic has high ratings in online reviews doesn’t necessarily mean it’s right for you. Since the authenticity of some online reviews can’t be verified, if there’s a clinic you’re interested in,Seeking counseling is one option.That's right. Choose a clinic that can accurately assess your symptoms.
■Q. Once melasma is treated, will it not recur?
Even if the symptoms of melasma subside for a while,Dark spots that may become noticeable againThat's right. Don't let your guard down just because it's gotten thinner—take precautions.
Possible causes for melasma that has faded to darken again include fluctuations in female hormones, UV damage, and physical irritation such as friction from washing the face.Daily self-care is essential for maintaining these skin improvements over the long term.It is.
- Year-Round UV Protection: Apply sunscreen every day.
- Skincare Without Rubbing the Skin: Perform gently to avoid putting strain on the skin.
- Continuation of Oral Medication: Take medications such as tranexamic acid for the prescribed duration.
■Q. Are there any popular clinics in Hiroshima where skin spot removal treatments at a dermatology clinic are covered by insurance?
As a general rule, treatment for melasma is not covered by health insurance, andPrivate medical care with full out-of-pocket costsThis is because, while health insurance is intended to cover illness and injury, such procedures are considered to be for cosmetic purposes.
However, if you are diagnosed with ADM (acquired dermal melanocytosis), which presents with similar symptoms, insurance coverage may be available depending on your symptoms. Since it is difficult to determine this on your own, you should first see a doctor and consult with them.
■ Conclusion.
If you’re considering treatment for melasma at a cosmetic dermatology clinic in Naka Ward, Hiroshima City, the quickest path to a solution is to receive an accurate diagnosis from a specialist and follow an approach tailored to your symptoms. Since self-diagnosis and self-treatment can potentially worsen your condition, it’s important to choose a method suited to your specific skin condition. At Yayoi Clinic, we address each individual’s skin concerns and provide thorough consultations and personalized treatment plans. If you’d like to restore your skin to its natural state, please feel free to contact us.
Aesthetic Dermatology, Aesthetic Medicine, Aesthetic Surgery, Art Make-up Yayoi Clinic (YAYOI CLINIC) in Hiroshima introduces treatments for different problems of the skin, body, and face.
In order to offer a better option for everyone, we will assess each person's skin condition and formulate a treatment plan that meets their needs in terms of treatment duration, budget, and acceptable downtime.
If you have any concerns, please come for a counseling session first.
■Related Articles Recommended for You
Description of treatment] ZEOSKIN Therapeutics
Approximate number of times of treatment] Once every two weeks for a checkup
Cost] ¥64,020
Side effects/risks] Dry skin, peeling, redness, itching, temporary acne, etc.
Equipment used.
For Zeo Skin Therapeutics treatment,
This includes procedures using domestically unapproved drugs or medical devices.
The medicines and medical devices used for treatment were imported from Japan under the judgment of our doctors. Please refer to the following for information on medicines and other items of concern for personal importation.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
Information on safety, etc. in other countries
Risks of treatment include skin dryness, peeling, redness, and itching.
About the Adverse Reactions Relief System for Drugs
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief System.
Description of Treatment] TriBeam Premium
The number of treatments depends on the skin condition and the results of the doctor's judgment, but in general, the standard treatment is once a week for a total of 5 to 6 treatments. During this course of treatment, most patients will notice a fading of spots and melasma.
Cost] ¥15,800 - ¥21,780
Adverse effects/risks
Postinflammatory hyperpigmentation, scarring, depigmentation, texture changes, erythema
・ Individuals may experience redness after irradiation. Most will disappear within a few days, but in some cases creams or ointments will be prescribed, so please follow your doctor's instructions.
Small scabs or internal bleeding may occur in places. Please do not peel them off forcibly, but wait until they come off naturally. Also, in rare cases, folliculitis-like symptoms or transient skin rash may occur.
・Temporary hyperpigmentation may occur depending on skin type.
There is almost no pain during laser irradiation, but there is a mild irritation that feels like a crackle. Some people may feel a slight sensation of heat.
There is a possibility that the melasma may become slightly darker after the first two treatments, but in most cases, the melasma can be felt to fade from the third treatment.
Equipment used.
TriBeam Premium treatments include procedures using domestically unapproved drugs or medical devices.
The medicines and medical devices used for treatment were imported from Jeisy Medical Inc. under the judgment of our doctors. Please refer to the following for information on drugs and medical devices that should be imported by individuals.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
Information on safety, etc. in other countries
Significant risks and side effects may not be evident.
About the Adverse Reactions Relief System for Drugs
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief System.
Description of Treatment] CEREC V
Approximate number of treatments: Every 2 to 4 weeks for a total of 3 to 10 treatments.
Cost] ¥21,780
Adverse effects/risks
Pain, skin damage, pigmentation, scarring, excessive edema, erythema/purpura
・It depends on the individual, but you may feel pain or heat as if you were lightly popped during the treatment.
After the procedure, a slight burning sensation may remain, but it is usually only a slight reddening of the skin and is usually painless. It will disappear within a few hours to a few days. In some cases, a cream or ointment will be prescribed, so please follow the doctor's instructions.
The spots and mole areas may appear slightly darker for 2 to 3 days after the procedure.
Equipment used.
Cellec V treatment includes procedures using unapproved drugs or medical devices in Japan.
The medicines and medical devices used for treatment were imported from Jeisy Medical Inc. under the judgment of our doctors. Please refer to the following for information on drugs and medical devices that should be imported by individuals.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
Information on safety, etc. in other countries
The following certifications have been obtained
CE (2018.10)
MFDS (2017.8)
About the Adverse Reactions Relief System for Drugs
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief System.
