Senile lentigo is caused by long time 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, but topical tretinoin and hydroquinone are not effective against seborrheic keratosis. Oral vitamin C may be prescribed. 

First time visit consultation fee※	9,000 yen (including English consultation fee, without tax)
Subsequent visit consultation fee※	5,000 yen (including English consultation fee, without tax - An extra charge may apply if prolonged consultation time is necessary.)
Tretinoin cream 0.05%※	3,000 yen (without tax)
Tretinoin cream 0.1%※	4,000 yen (without tax)
Tretinoin cream 0.2%※	4,400 yen (without tax)
Tretinoin cream 0.4%※	5,200 yen (without tax)
Tretinoin cream 0.8%※	6,800 yen (without tax)
Hydroquinone 10g※	2,500 yen (without tax)

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

Fees are subject to change without notice.