Vitiligo vulgaris occurs as an acquired condition in which the number of melanocytes decreases or disappear, resulting in depigmented spot. Common management includes photo therapy and topical steroid, but the effect of topical steroid tends to be limited. We offer Dermapen 4 which is the microneedling device. AOVN technology, automatically calibrates the motor speed, pressure and penetration for targeted precision. Dermapen 4 is not covered by Japanese Health Insurance.

First time visit consultation fee for Dermapen※	9,900 yen (including tax and English consultation fees)

※Not covered by Japanese Health Insurance

Appointment is necessary for the Dermapen 4 / Massage peeling therapy. On the first visit, we schedule the first time procedure day, which incurs the first time visit consultation fee. This first visit is first come first served during the regular office hours. From the second time procedure on, we take appointment over the phone.

Procedure frequency

Every 2-4 weeks for 4-6 times (varies with the severity and reaction to the procedure)

Fees

Location of the body	Fees per procedure	Fees per weekday-only 5 procedures (10％off)※※
Single Darmapen 4 procedure for the area up to the one equivalent to one palm　※	30,000 yen (excluding tax / including revisit consultation)	135,000 yen (excluding tax / including revisit consultation)

All fees include anesthesiology cream, DP Hyla Active (Hyaluronic acid, zinc, and pantothenic acid), DP Retinal Active(Vitamins A and E, copper peptide, and hyaluronic acid).  

Please see our rules for Dermapen4 / Peeling procedure.

We suggest you to use Retinal Active solution at home while receiving the Dermapen procedure. Start applying Retinal Active solution every 2-3 nights 2 weeks earlier than the start of the Dermapen procedure. Resume applying it 3 days after the Dermapen procedure. After shower, push 2-3 times for the area equivalent to the face and massage the area until the solution gets absorbed. After 2 weeks use, you may want to apply every night unless you have too much irritation, in which case you stay using it every 2-3 nights.

Retinal Active solution 50ml; 22,000 yen (incl. tax)※

※Not covered by Japanese Health Insurance

※Contraindicated during pregnancy / breast feeding

※※The discount rate of weekday-only 5 procedures applies when all 5 procedures are completed during weekdays before 5 p.m.

Dermapen 4 procedure effect

Contraindications/Side effects/Warning

Contraindications: Pregnancy, breast feeding status, being allergic to anesthesiology cream/ metal needle/peeling agents, and the procedure onto the skin with melasma

Frequent side effects: Erythema (redness of the skin), stinging/burning sensation, flaky skin, temporal and minor bleeding

Rare side effects: Allergic reaction against anesthesiology cream (1 in 20,000-50,000), allergic reaction against metal needle, herpes, keloid, temporal post inflammatory hyperpigmentation (1 in 30-50), and allergic reaction against ÜBER PRO® (1 in 100-200)

Warning: The procedure can cause color degradation of permanent makeup. One week or longer period is required after hair removal procedures to take Dermapen procedure. Any skin foliating agents such as topical tretinoin, adapalene, or benzoyl peroxide should be halted at least one week before the procedure and can be applied again one week after the procedure.