ALMA PRIMEX| BIANCA in Tokyo, Japan

Point 1 : 01 Dual-energy technology targets fat cells and skin tightening simultaneously in one session.
Point 2 : 02 Up to 10 applicators allow precise treatment of the face, chin, arms, abdomen, and thighs.
Point 3 : 03 No incisions, no anesthesia — most patients resume normal activities the same day.

At BIANCA CLINIC, ALMA PRIMEX treatment begins with a thorough physician consultation to understand your specific concerns and goals. Rather than applying a standard protocol, our physicians select from a wide range of specialized applicators — each designed to address distinct tissue depths and anatomical zones — to design a treatment plan that reflects your individual face and body structure. Every treatment is carefully tailored to your individual needs, ensuring a personalized approach rather than a standardized protocol.
We welcome international patients at our Ginza and Omotesando clinics, and our team is experienced in supporting English-speaking visitors throughout the consultation and treatment process. Whether you are planning a single visit or a multi-session program, we are happy to discuss realistic goals, timing, and options for continuing care after you return home.

A desire for a more defined, sculpted jawline without surgery
Concern about submental fat or a double chin
Excess fat or softness in the upper arms or posterior thighs
Skin laxity, fine lines, or loss of firmness on the face or neck
Visible cellulite on the body
Interest in addressing post-acne scarring or uneven skin texture
A preference for a non-invasive treatment with minimal interruption to daily life

ALMA PRIMEX is a non-invasive body and face contouring treatment that uses focused ultrasound (US) and radiofrequency (RF) energy to target localized fat deposits, skin laxity, and cellulite across multiple areas of the face and body. The device is equipped with up to 10 specialized applicators, allowing physicians to address a wide range of anatomical zones — from delicate areas around the eyes and jawline to larger body areas such as the abdomen, upper arms, and thighs — within a single treatment system.

The ultrasound component delivers guided wave energy with low scatter, directing its effect specifically to adipose tissue. This targeted acoustic stimulation is designed to induce changes in fat cells, allowing the body's natural metabolic processes to gradually reduce fat volume. The radiofrequency component operates at 40.68 MHz, delivering uniform thermal energy into the dermis and subcutaneous tissue. This controlled heat stimulates collagen and elastin production — proteins responsible for skin elasticity and firmness — which may help address laxity, fine lines, and signs of skin aging. Used together, the two technologies allow physicians to pursue both fat reduction and skin tightening within the same session, targeting different tissue layers with precision.

One of ALMA PRIMEX's defining clinical features is its applicator range, which enables treatment across the face and body in a single visit. For facial contouring, applicators such as MiniSpeed and SpeedSculpt address submental fat and localized fat deposits in small treatment areas, while UniLarge, UniFace, Tune Periorbital, and Tune Face address skin laxity, periorbital concerns, and broader anti-aging signs across the cheeks, chin, forehead, and eye area. Body applicators — UltraWave and Unibody for the abdomen, and MiniSpeed with Unibody for the upper arms — allow treatment of common body contouring concerns. This versatility means your physician can design a combined facial and body treatment plan at a single appointment, which is particularly relevant for patients visiting Tokyo with limited time.

ALMA PRIMEX is a non-invasive treatment that does not require incisions, injections, or anesthesia, and has no significant restriction on treatment frequency. It is described as suitable for all skin types. As with any energy-based aesthetic treatment, temporary side effects such as redness, warmth, swelling, and mild skin sensitivity are possible and are outlined in detail in the Treatment Details section below. Patients with pacemakers or other implanted electronic devices, metal plates, silicone implants in the treatment area, or dental implants, as well as those who are pregnant or breastfeeding, may not be suitable candidates. Physician consultation is required to confirm suitability.

At BIANCA CLINIC, every ALMA PRIMEX session is administered under direct physician supervision, with applicator selection based on a clinical assessment of your anatomy and goals. The wide range of applicators—each designed for different tissue depths, energy modalities, and anatomical areas—allows every treatment to be tailored to the patient's unique anatomy and concerns. Your physician determines which combination addresses your specific concerns most effectively, adjusting parameters throughout the session to optimize comfort and outcome.

ALMA PRIMEX does not require incisions, anesthesia, or a significant recovery period. The treatment is generally described as well-tolerated, with most patients experiencing a gentle warming sensation rather than acute discomfort. There are no significant restrictions on treatment frequency, making it suitable as both an initial contouring treatment and an ongoing maintenance option. As with all energy-based treatments, individual responses vary, and your physician will advise on the most appropriate plan for your situation.

The ultrasound technology in ALMA PRIMEX uses a guided wave format that minimizes energy scatter, directing acoustic energy specifically toward adipose tissue. This means the ultrasound effect is concentrated at the level of fat cells, while surrounding tissues are less affected. The acoustic stimulation is designed to induce structural changes in fat cell membranes, enabling the body's natural metabolic pathways to process and reduce fat volume over time. This mechanism also makes ALMA PRIMEX a relevant option for patients addressing cellulite, as the ultrasound energy can target the superficial fat and connective tissue responsible for its appearance.

The RF component of ALMA PRIMEX operates at 40.68 MHz, generating frictional heat uniformly across the dermis and deeper fat layer. This thermal stimulation activates the body's natural healing response, supporting the production of collagen and elastin — structural proteins that decline with age and contribute to skin laxity, wrinkles, and loss of radiance. The RF energy is also associated with improvements in skin texture, tone, and turnover, which may benefit patients managing acne scarring, dullness, or early signs of aging. The treatment surface is maintained at approximately 40°C throughout the procedure, providing a warm but generally comfortable sensation.

ALMA PRIMEX facial treatment at BIANCA CLINIC follows the Tune Lifting method (also known as Celebrity Lifting or Tune Face), a structured approach that combines multiple applicators to address fat, laxity, and skin quality in one session. By pairing ultrasound applicators targeting submental fat and double chin concerns with RF applicators for broad facial tightening, the Tune Lifting protocol aims to refine facial contour and lift the appearance of the lower face without surgery. This makes it a realistic option for patients who want visible facial improvements during a short visit to Tokyo, with no surgical recovery required. For patients planning an extended program, a 3-session package or 6-session package allows the physician to build on each session's results progressively.

Your session begins with a one-on-one consultation with a BIANCA CLINIC physician. You will discuss your concerns, target areas, and aesthetic goals, and your physician will assess whether ALMA PRIMEX is appropriate for you and recommend an applicator combination. English-language support is available; please let the clinic know your language preference when booking your appointment. If you have any questions about treatment timing, managing a visit around travel, or options for follow-up after returning home, this is the time to ask.

The treatment area will be cleansed and prepared. A specialized conductive oil or gel will be applied to facilitate applicator contact and even energy delivery across the skin surface.

Your physician will apply the selected applicators to the treatment area, adjusting power levels throughout to maintain an appropriate sensation — typically described as a gentle, sustained warmth. Treatment duration ranges from approximately 30 to 90 minutes depending on the areas being treated and the applicators in use. If you feel any discomfort at any point, the settings can be adjusted immediately — please let your physician know. Once the session is complete, the oil or gel is removed and the treatment area is checked before you leave.

Our goal is to provide an experience that goes beyond mere satisfaction, a truly moving one.

Responding to the desire to “become more beautiful and healthy,”
what can we do for our patients’ happiness?

Providing total beauty that makes life shine—
That is our clinic’s policy.

BIANCA is a place where you can leave with a smile.

That’s the kind of place we aim to be.

ALMA PRIMEX can treat multiple areas of the face, including the cheeks, jawline, forehead, periorbital area (upper eyelids, lower eyelids, and crow’s feet), and under-chin (submental) region. For patients researching ALMA PRIMEX face treatments, the platform offers a range of applicators designed for different facial concerns. It can also be used for ALMA PRIMEX double chin treatment, as the under-chin area is one of its primary treatment indications. Your physician will recommend the most appropriate applicators based on your concerns and treatment goals.

This treatment may involve the use of medical devices that have not received pharmaceutical regulatory approval in Japan for this indication. Devices used in this treatment are individually imported under the supervising physician's judgment and in accordance with applicable procedures.

For further information, please refer to the Ministry of Health, Labour and Welfare's guidance on individually imported pharmaceuticals and medical devices:
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html

Except where regulatory approval has been obtained, there may be no domestically approved equivalent device with the same performance available within Japan. The full scope of serious risks or adverse effects may not yet be established. In the event of a serious adverse reaction, compensation under Japan's Adverse Drug Reaction Relief Fund may not apply.

SKIN

FACE

BODY

Face

Body

Eye

Nose

Face contour

Liposuction

Breast Augmentation

Buttock Augmentation

Tummy tuck

Skin Rejuvenation

Injections

Other

Feminine Wellness

Internal Medicine Approach

Regenerative Medicine

ALMA PRIMEX

DR. MANAMI HAYAMA

Our Approach at BIANCA CLINIC

A consultation, in your own time

Downtime

Recommended for

Characteristics

Benefits

Physician-Guided, Applicator-Matched Treatment Planning

Comprehensive Coverage Across Face and Body

Non-Invasive with a Favorable Safety Record

Key Features

A consultation, in your own time

Treatment Area

Treatment Process

Physician Consultation

Treatment

After Treatment

A consultation, in your own time

Concept

Q&A

How is ALMA PRIMEX different from other body contouring treatments?

What areas of the face can ALMA PRIMEX treat, and can ALMA PRIMEX treat a double chin?

Can ALMA PRIMEX treat the body, and can it help with cellulite?

Is ALMA PRIMEX painful?

When can I apply makeup after treatment?

What are the side effects of ALMA PRIMEX?

What are the side effects of ALMA PRIMEX?

Can ALMA PRIMEX be combined with other treatments?

Treatment Details & Important Safety Information

A consultation, in your own time