BIRTHMARKS
- Point 1 : 01 Birthmarks vary in appearance and cause. They include pigmented birthmarks, such as café-au-lait spots, and vascular birthmarks, such as port-wine stains
- Point 2 : 02 Individualized birthmark removal treatment for the face, arms, legs, back, and body using picosecond, CO2, and dual-wavelength laser technologies
- Point 3 : 03 Medical expertise guides the treatment plan, since a birthmark's type, depth, and color all shape which approach is appropriate
Recommended for
- -Those who are concerned about a birthmark on their face, arms, legs, or back
- -Those who are exploring birthmark removal treatment but would like a physician's assessment first, since birthmarks vary widely in type and depth
- -Those who prefer a gentle approach to treating a pigmented or vascular birthmark, with attention to managing downtime and discomfort
Treatment Area
PICO LASER SPOT REMOVAL (PICO SURE)
Shorter than the pulses of conventional lasers, these energy pulses break melanin into finer fragments to support the body’s natural clearance process.
Designed with precision targeting in mind, pico laser birthmark removal aims to facilitate efficient treatment, helping to manage the total number of required sessions while taking precautions to reduce the potential risk of post-inflammatory hyperpigmentation.
The laser pulses are measured in trillionths of a second—shorter than the nanosecond pulses used in earlier laser generations—which is engineered to help minimize potential thermal impact on surrounding skin while helping to fragment pigment so the body can gradually clear it.
Because this pico laser birthmark removal approach allows energy to be directed precisely, it is often considered well suited for marks with clearer, defined boundaries.
Since suitability varies depending on the individual case, your physician will evaluate your birthmark and its pigment depth during consultation to confirm whether Pico Spot is an appropriate option.
Point 2: Fine pigment breakdown may help reduce the total number of treatment sessions needed compared with conventional laser approaches
Point 3: Focused energy delivery is engineered to support manageable downtime and help mitigate the potential risk of post-inflammatory hyperpigmentation
-Those who are seeking birthmark laser removal with manageable post-treatment downtime
-Those who have a brown or black birthmark with clear, well-defined borders
-Those who want visible change with an efficient treatment timeline
-Those who wish to take precautions against post-inflammatory hyperpigmentation after treatment
-Those who also have unrelated dark spots, freckles, or tattoos they would like addressed at the same clinic
LASER TREATMENT
This flexible approach allows your physician to explore appropriate wavelengths and techniques for your specific birthmark, rather than relying on a single method for every concern.
Such a combined treatment framework is designed to address complex birthmarks, given that pigmented and vascular components respond to fundamentally different laser principles.
For birthmark care, your consultation is not restricted to a single device: if you have a pigmented birthmark alongside a raised congenital mole, or a vascular birthmark such as a port wine stain with associated pigmentation, your physician can design a combined treatment plan tailored to each aspect of your concern.
This integrated approach reflects the understanding that birthmarks vary in color, depth, and texture, and that individual laser modalities may offer different benefits depending on the specific characteristics of the mark.
Point 2: Designed to facilitate customized plans for birthmarks that present both pigmented and vascular characteristics
Point 3: Employs a precision-focused approach aimed at supporting clearer, more even-toned skin while taking steps to help manage post-treatment downtime
-Those with a birthmark that combines pigmented and vascular characteristics
-Those who want the option of combining treatments, such as pico laser and CO2 laser, in a coordinated plan
-Those who wish to address a birthmark alongside other skin concerns such as pigmentation, texture, or redness
-Those who prefer ongoing physician oversight across multiple laser sessions
-Those who are visiting Tokyo for a limited time and want a consolidated assessment of their treatment options
CO2 Laser
The system employs a carbon dioxide laser beam engineered to vaporize targeted tissue while taking precautions to preserve surrounding skin. This offers a potential option for birthmarks that present with a raised or textured surface, rather than flat pigmented areas.
Designed for precise application directly to the raised lesion, the treatment aims to limit impact on surrounding healthy skin, supporting a natural turnover process as the area heals over time.
This approach may be considered for congenital nevi or other raised birthmarks that are less suited for picosecond lasers, which are primarily intended for flatter, melanin-based pigmentation.
As with any raised or evolving skin concern, a physician examination is conducted beforehand, as certain larger or deeper lesions may be better suited for surgical evaluation rather than laser treatment.
Point 2: Controlled heat delivery supports managed tissue vaporization, helping to limit bleeding and support the skin's natural recovery process
Point 3: Offers an efficient treatment procedure, often completed within a relatively short timeframe for smaller lesions
-Those who want a birthmark removed with careful attention to skin aesthetic outcomes and healing
-Those who have several small raised marks they would like addressed in one visit
-Those seeking a non-surgical alternative to excision for a suitable raised birthmark
-Those who want to keep downtime and discomfort manageable
-Those whose raised birthmark has been examined and confirmed appropriate for laser rather than surgical removal
ADVATX LASER
At BIANCA CLINIC, treatment plans are guided by a physician designated as a Global Key Opinion Leader for this system by its manufacturer, reflecting practical experience with the technology.
The 589 nm yellow wavelength is engineered to target oxyhemoglobin within blood vessels near the skin's surface—a mechanism associated with red, vascular birthmarks such as port wine stains, as well as facial redness, telangiectasia, and cherry angiomas.
With adjustable spot sizes that can narrow to approximately 1 mm, physicians can focus energy on isolated vascular marks while taking steps to help preserve surrounding tissue. Meanwhile, the 1319 nm infrared wavelength penetrates into deeper skin layers to support collagen remodeling and broader skin-texture refinement.
Suitability for treating specific vascular birthmarks with ADVATX LASER is evaluated individually, as factors such as color, depth, and location influence expected outcomes.
Point 2: Offers adjustable spot sizes to allow focused energy application on isolated vascular marks or lesions
Point 3: Features Soft Pulsing technology designed to deliver energy gently, with attention to patient comfort and manageable post-treatment downtime
-Those with visible small blood vessels or a cherry angioma they would like addressed
-Those who want a physician-guided, individually adjusted approach to a vascular birthmark
-Those who wish to combine treatment for a vascular birthmark with broader skin-quality concerns such as redness or texture
-Those who prefer a gentle, low-downtime laser technology for a sensitive area such as the face
-Those seeking ongoing, English-supported care for ADVATX laser sessions during a visit to Tokyo
Treatment Process
Consultation & Examination
Our physician will examine the mark's color, depth, and boundaries, using dermoscopy where helpful, to determine whether it is a pigmented or vascular birthmark and which laser technology is best suited.
All consultations are conducted by doctors experienced in treating birthmarks, and English-language support is provided throughout.
Treatment
Pigmented birthmarks such as café au lait spots or ADM are typically approached with picosecond laser technology, raised congenital moles may call for CO2 laser removal, and vascular birthmarks such as port wine stains are treated with a laser that targets blood vessels beneath the skin.
Topical anesthesia is applied where appropriate, and your physician will adjust laser settings to your skin and the nature of your birthmark.
Aftercare
In general, sun protection, gentle skincare, and avoiding friction on the treated area are essential to help reduce the risk of post-inflammatory hyperpigmentation.
Since many birthmarks respond gradually, your physician will discuss a realistic timeline and whether further sessions may be of benefit.
FAQ
What causes birthmarks?
Birthmarks generally fall into two categories: pigmented birthmarks, caused by a clustering of pigment-producing cells in the skin, and vascular birthmarks, caused by blood vessels beneath the skin that did not form or regulate typically during development. Most birthmarks are not inherited and are not linked to anything that happened during pregnancy.
The exact type you have, whether a pigmented birthmark such as a café au lait spot or a vascular birthmark such as a port wine stain, determines both its appearance and the treatment approach that may help.
Can birthmarks be removed?
Many birthmarks can be treated with laser technology to help reduce their visibility, though complete removal cannot be guaranteed and results vary depending on the type, size, and depth of the mark.
Pigmented birthmarks such as café au lait spots and ADM often respond to picosecond laser treatment, while vascular birthmarks such as port wine stains are approached with a laser that targets blood vessels. A physician consultation is the best way to understand realistic expectations for your specific birthmark.
What types of birthmarks can be treated at BIANCA CLINIC?
BIANCA CLINIC treats a range of pigmented and vascular birthmarks, including café au lait spots, ADM, nevus, raised congenital moles, and vascular birthmarks such as port wine stains and other red birthmarks.
Each birthmark type may require a different treatment approach. If you are concerned about birthmarks on your face or body, your physician will examine the mark during consultation and discuss which option may be suitable for you.
Is birthmark removal treatment painful?
Most patients describe the sensation during laser birthmark treatment as a brief snapping or warm, tingling feeling rather than significant discomfort.
Topical anesthesia is used for many treatments to improve comfort, and your physician can adjust the laser output if you are sensitive to discomfort. Please mention any concerns during your consultation so we can plan accordingly.
How many treatment sessions are needed for birthmark removal?
The number of sessions depends on the type, size, and depth of the birthmark. Some pigmented birthmarks may show visible change after a single picosecond laser session, while others, particularly deeper or larger marks, may benefit from a series of treatments spaced several weeks to months apart.
Vascular birthmarks such as port wine stains often require multiple sessions over time, as blood vessels respond gradually. Your physician will outline an individualized plan after your assessment.
What is the difference between treating a pigmented birthmark and a vascular birthmark like a port wine stain?
Pigmented birthmarks are treated with lasers that target melanin, breaking down pigment so the body can gradually clear it, which is the principle behind our pico laser spot removal treatment.
Vascular birthmarks such as port wine stains, by contrast, are treated with a laser that targets hemoglobin in blood vessels beneath the skin, which aligns with the approach used in our ADVATX laser treatment. Because the underlying targets differ, selecting the correct laser mechanism for your specific birthmark type is essential for safe and effective care.
Is downtime required after birthmark removal treatment?
Downtime varies by treatment and by the size and location of the birthmark. Pico laser treatment for pigmented birthmarks typically involves mild redness and temporary darkening of the treated area for several days, followed by light scabbing that clears within one to two weeks.
CO2 laser mole removal may involve redness and a small scab for a similar period. Your physician will explain what to expect based on the specific treatment recommended for your birthmark.
My birthmark seems to be getting bigger or changing color — should I be concerned?
A birthmark that is rapidly growing, changing color or shape, developing irregular borders, bleeding, or becoming painful should be evaluated by a physician promptly, as these can be signs that warrant medical evaluation rather than cosmetic treatment alone.
This is also true for a new mark that was not present at birth or in childhood. During your consultation, our doctors will assess the birthmark carefully before recommending any laser treatment, and refer you for further medical evaluation if needed.
Can I get birthmark removal treatment during a short visit to Tokyo?
Yes, many patients traveling to Japan can receive an initial consultation and laser treatment for birthmarks during the same visit.
Since certain birthmark types require multiple sessions spaced weeks or months apart, your physician will evaluate your birthmark and outline a realistic treatment timeline that fits your itinerary in Tokyo.
How much does birthmark removal cost, and can I see before-and-after examples?
Birthmark removal cost depends on the treatment selected, the size and number of areas treated, and the number of sessions required, so pricing is confirmed during your consultation once your birthmark has been assessed.
Please see our Price List and Before / After pages for treatment pricing and case examples, or ask us during your consultation.