Senile lentigo is caused by long term exposure to ultra violet and appears after middle age. This is treated with topical tretinoin (Vit. A derivative) and hydroquinone. If elevated, it is called seborrheic keratosis, and topical tretinoin and hydroquinone are not effective against seborrheic keratosis.

First time visit consultation fee※	9,900 yen (including English consultation fee and tax)
Subsequent visit consultation fee※	5,500 yen (including English consultation fee and tax - An extra charge may apply if prolonged consultation time is necessary.)
Tretinoin cream 0.05%※	5,000 yen (tax included)
Tretinoin cream 0.1%※	5,280 yen (tax included)
Tretinoin cream 0.2%※	5,830 yen (tax included)
Tretinoin cream 0.4%※	6,930 yen (tax included)
Tretinoin cream 0.8%※	9,130 yen (tax included)
Hydroquinone 10g※	2,750 yen (tax included)

※These medicines are contraindicated for those who are pregnant or breastfeeding.

Fees are subject to change without notice.