Kiko Kono, M.D.
Profile
Graduated from Kawasaki Medical School. Worked as a dermatologist for about 20 years at core hospitals. After many years of experience and achievements, he became a cosmetic dermatologist. His practice style is to examine the skin thoroughly and pursue what is happening where on the skin and approach the problem. Her specialties include customized treatment, laser treatment, Botox, and skin growth injections. In her private life, she is a mother of two children.
Did you know that wrinkles can be broadly categorized into four types? Since each type has different causes and characteristics, it’s important to choose the right treatment. In this article, we’ll introduce recommended wrinkle treatments based on each type.
Wrinkles are one of the signs of aging.
"Wrinkles," which are considered one of the signs of aging, can be divided into the following four types.
- Fine Lines Caused by Dryness
- fine lines and wrinkles
- Sagging and Wrinkles
- Fine lines
While wrinkles can be seen as a charming part of aging, there are surely many people who want to start taking care of them as early as possible—or at least take thorough care of them—if they can. For each of these,Because the causes and characteristics differ, it is important to use an approach (treatment method) tailored to each type.Let's see which type your wrinkles fall under.
Causes and Characteristics of Fine Lines Caused by Dryness
"Dry fine lines" are wrinkles caused by a decrease in moisture in the stratum corneum—in other words, dryness.When the skin becomes dry and its texture coarsens, linear and crepe-like wrinkles appear.. They tend to appear mainly around the eyes, under the eyes, around the mouth, and on the cheeks, andThe depth of wrinkles extends to the epidermis, the outermost layer of the skinThe first two are the following.
Causes and Characteristics of Expression Lines
"Expression lines" are wrinkles that appear when the skin in areas that move frequently—such as when smiling or getting angry—undergoes deformation.In addition to the movement of facial muscles, aging and UV rays are also contributing factors.These include... "Expression lines" tend to form mainly on the forehead, between the eyebrows, around the eyes, and around the mouth, andThe depth of wrinkles extends all the way to the dermis, which lies deep within the skin.The first two are the following.
Causes and Characteristics of Sagging Wrinkles
"Sagging wrinkles" are,Wrinkles caused by the loosening of fat and fascia due to aging. Visually, they appear relatively large and deep. Since these wrinkles are caused by sagging skin,If you look up, your wrinkles are less noticeable....is another characteristic.The depth of the wrinkles extends into the dermisAreas that tend to sag and develop wrinkles include the nasolabial folds, under the eyes, and the lower neck.
Causes and Characteristics of Fine Lines
"Etched wrinkles" are, as the name suggests, wrinkles that are etched into the skin; they are characterized by being noticeable even when you're not moving your facial muscles, such as when you're smiling.As expression lines become ingrained, they progress into dermal wrinkles.Let's get started. The cause of "fine lines" is the decline in collagen and elastin.The depth of the wrinkles extends into the dermisThe areas where signs tend to appear most easily are around the eyes and mouth.
Introducing Wrinkle Treatments Tailored to Your Wrinkle Type!
The recommended wrinkle treatment varies depending on the type and depth of the wrinkles.
■For dry, fine lines, try the "Massage Peel"
A massage peel is a treatment in which a solution that is less likely to cause skin peeling is gently massaged into the skin to help it penetrate. One of the causes of wrinkles is,Targeting fibroblasts, which are the source of components such as collagen and elastinIt increases collagen and elastin, helping to restore your skin’s firmness and elasticity.
■For expression lines, try "Botox"
Botox is a recommended treatment for expression lines.By relieving muscle tension, it helps reduce expression lines between the eyebrows, around the eyes, and around the mouth.Botox is a treatment that’s suitable not only for the face but also for concerns regarding the neck, shoulders, and upper arms.
■For Sagging and Wrinkles: “HIFU × Thermagen”
For sagging skin and wrinkles, we recommend HIFU and Thermagen. BothA treatment that tightens wrinkles and sagging skin to help you achieve a firmer appearanceThat's right. HIFU is a treatment that delivers high-intensity thermal energy to the skin, while Thermagen uses radiofrequency. Both HIFU and Thermagen are treatments that require virtually no downtime.
■For fine lines, try "hyaluronic acid"
Hyaluronic acid injections are the recommended treatment for fine lines. In addition to wrinkles,It is expected to help minimize the appearance of sagging skin and nasolabial foldsCan be done.
[To Use Alongside Wrinkle Treatment] Recommended Skincare Products
Finally, here are some skincare products we recommend using in conjunction with wrinkle treatments.
・Revision: “Skin-Smoothing Serum”
・Revision: “DEJ Face Cream”
・Plus Restore “TA White Cream”
・WaiCo “Face Fluid Serum”
・Gaudi Skin “Dual Retinol Plus”
・Recalca “Stem Bright Essence”
In addition to wrinkle treatments such as massage peels, Botox, HIFU combined with Thermagen, and hyaluronic acid,By combining this with a skincare routine, you can achieve a more effective approach.。
For wrinkle treatment, visit YAYOI CLINIC
When treating wrinkles, it’s important to choose a treatment that suits the specific type of wrinkle—whether it’s fine lines caused by dryness, expression lines, sagging wrinkles, or deep furrows. At Yayoi Clinic, we offer a variety of wrinkle treatments, including Botox, HIFU, and hyaluronic acid. If you’re concerned about wrinkles around your eyes or mouth, please feel free to consult with us.
Aesthetic Dermatology, Cosmetic Medicine, Cosmetic Surgery, and Art Makeup in Hiroshima YAYOI CLINIC offers treatments for different problems of the skin, body, and face.
In order to offer a better option to our customers, we will assess the skin condition of each individual 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.
*This information, including treatment fees and product prices, is current as of the time the column was published. Please be aware of this in advance.
Description of treatment] Peeling
Approximate number of treatments
Massage peel: Once every 2-3 weeks (about 5 times)
Milan Repeal: once every 2-3 weeks (3-10 times)
Manuka peel: once every 2 to 4 weeks (about 6 to 10 times)
*Depends on the nature of the treatment.
Cost] ¥12,800 - ¥43,560
Adverse effects/risks
Massage peel
Subcutaneous bubbles may occur within an hour or so, and thin skin may peel off.
Scabs may form. In this case, please be careful not to peel off the skin forcibly.
Depending on the skin condition, redness and peeling may occur. Please follow the doctor's instructions, as he/she will prescribe an ointment or other medication as necessary.
Milan Repeal
Some tingling pain may be felt during treatment.
Skin may become temporarily red, but this will subside within a few hours at the earliest, and within a few days at the latest. Always consult a physician if prolonged redness, skin peeling, or scabbing occurs.
Skin is prone to dryness and peeling during the treatment period, so please keep the skin well moisturized.
. Skin turnover is activated and acne may temporarily worsen.
Manuka peel
Symptoms seen during and after the procedure
Irritation, edema, erythema, blistering, erosions, ulceration, scaling, crusting, abnormal coloration, persistent erythema or itching, transient exacerbation of acne or pilar enlargement, telangiectasia, milia, etc.
Rare post-treatment symptoms
Allergic contact dermatitis and contact urticaria due to scarring, infection, peeling agents, etc.
Equipment used.
The treatment of massage peels, milanuri peels, and manuka peels involves the use of domestically unapproved pharmaceuticals or medical devices.
The medicines and medical devices used for treatment were imported by private individuals based on the judgment of the doctors at our clinic. 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
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 procedure] Botox injection
Recommended frequency of treatment] Once every 3 to 4 months *Return around 14 days after the peak effect.
Cost】・1 unit ¥649～¥869 (+ ¥22,000 for treatment fee) ※There are individual differences depending on the formulation and number of units used.
Adverse effects/risks
Headache, pain and swelling at injection site, partial muscle weakness, redness, bruising, skin tightness, numbness, prickling sensation, nausea, temporary dent, internal bleeding, difficulty swallowing, pneumonia, anaphylaxis, severe lethargy, etc.
Equipment used.
Botox treatment includes treatments that are either unapproved drugs in Japan or treatments that are different from those approved for use in the pharmaceutical industry.
Drugs and medical devices used for treatment were imported through a private importation procedure based on the judgment of a physician at our clinic.
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance, except for those approved by the pharmaceutical affairs bodies.
Information on safety, etc. in other countries
-BOTOX VISTA® approved by the Japanese regulatory authorities for the treatment of expression lines between the eyebrows or at the corners of the eyes in adults under 65 years of age.
-NABOTA receives U.S. FDA approval
-CORETOX® receives Korea MFDS approval
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] Hyphenated
The number of treatments depends on the area to be treated, so please ask your doctor for details. Re-irradiation is possible if there is an interval of 6 months after treatment.
Cost] ¥68,600 - ¥98,000
Adverse effects/risks
Although it varies from person to person, irradiation is accompanied by pain.
In very rare cases, burns may occur in people with sensitive skin or depending on their physical condition. If symptoms should occur, please contact our clinic.
The irradiated area may become unevenly hardened, but it will blend in within 3 to 4 weeks.
Swelling, swelling, and redness may occur. Please refrain from strenuous sports, excessive alcohol consumption, and saunas while experiencing swelling and swelling. Also, please refrain from massages for a week and be careful of friction.
Dull aches and numbness like muscle pain may occur for about a month after irradiation, but will gradually subside.
Equipment used.
SuperHIFE treatments include procedures using domestically unapproved drugs or medical devices.
Drugs and medical equipment used for treatment have been purchased and processed under the judgment of the clinic's physicians.
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] Thermagen
Approximate number of treatments: 4 to 6 times per month *Depends on the treatment.
[Cost] ¥21,780–¥249,000 *Prices vary depending on the treatment area and number of sessions.
Adverse effects/risks
The following complications may occur in rare cases after the procedure.
However, all of these can be improved with early treatment. If you experience any abnormalities, please consult our doctors as soon as possible.
*People who may be pregnant should always consult with their doctor in advance, as they may not be able to receive treatment.
Equipment used.
Thermagen treatments include procedures using domestically unapproved drugs or medical devices.
The medicines and medical devices used for treatment were imported by private individuals based on the judgment of the doctors at our clinic. 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 approved medical devices in Japan.
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 procedure] Hyaluronic acid
Approximate number of treatments
Hyaluronic acid: per treatment
Hyaluronidase: 1-2 times
*The number of treatments for each of these varies from person to person.
Cost]
Hyaluronic acid: 1 unit ¥79,800 (+ ¥22,000 for the procedure fee) *The number of units used depends on the individual.
Hyaluronidase:
One time ¥33,000
Other hospitals: 1 time ¥55,000
Adverse effects/risks
Very rare side effects of hyaluronic acid have been reported, including transient or irreversible blindness, induced stroke, as well as nodules, beaded nodules, allergic reactions, granulomas, herpes, lack of or decreased correction, misalignment, necrosis, numbness, pain, tumors, infection, angioedema, discoloration and hematomas.
Side effects of hyaluronidase have been reported to include needle marks, internal bleeding, and allergic reactions.
If you notice any of these symptoms or any other abnormalities, please consult your doctor as soon as possible.
Equipment used.
Fillers and hyaluronidase injections include drugs not approved in Japan and treatments that differ from their approved regulatory use.
The medicines and medical devices used for treatment were imported by private individuals based on the judgment of the doctors at our clinic. 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
Information on safety, etc. in other countries
-Juviderm Vista® series: approved in Japan for "correction of moderate to severe wrinkles and furrows on the face
-Hyaluronidase: Approved by MFDS, Korea
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.
