Managing keloids and hypertrophic scars is a sophisticated medical journey that transcends basic scar revision. At BIANCA CLINIC in Tokyo, we emphasize a comprehensive approach that seamlessly transitions from medical “stabilization” to “visual perfection.”
Whether you are seeking solutions for a persistent keloid scar jawline or visual correction after a keloid removal piercing, our goal is to restore the skin’s natural tone and texture. By combining advanced dermatological expertise with our proprietary SCAR REMOVAL (medical pigmentation), we provide a scientific path to clinical camouflage for those pursuing aesthetic refinement.
A Phased Approach to Aesthetic Scar Refinement
At BIANCA CLINIC, we prioritize a phased approach to scar revision, ensuring every procedure is grounded in clinical precision. To determine the most effective intervention, we assess scars based on three primary clinical classifications commonly recognized in medical practice:
Scar Type Comparison Table
| Scar Type | Color | Range |
| Keloid | Red / Purple | Beyond the wound |
| Hypertrophic | Red / Pink | Within the wound |
| Mature Scar | White / Pale | Stable |
Standard Clinical Approaches (General Treatment Options)
In general, initial management for keloids often begins with over-the-counter options such as keloid removal gels or silicone sheets. For medical intervention, standard protocols typically include corticosteroid injections, tapes, or oral medications.
In refractory cases, surgical excision may be considered to physically remove the raised tissue. However, given the high risk of recurrence in keloid-prone individuals, surgery is rarely performed in isolation. It requires a meticulous, multimodal approach—typically combined with post-operative radiation therapy (electron beam therapy) and consistent pressure therapy—to help reduce the likelihood of recurrence.
Addressing Residual Redness: The Bridge to Stability
While standard treatments focus on flattening the tissue, a common challenge remains: persistent redness and color mismatch even after the scar has become level with the surrounding skin.
At this stage, we consider vascular-targeting laser therapy. For instance, systems like the Advatx® laser utilize a 589 nm wavelength that selectively targets hemoglobin. This helps calm residual microvasculature and lingering inflammation, supporting the transition of the scar toward a more stable, “mature” (white) state. Preparing the skin by reducing this vascular component is a vital prerequisite for successful aesthetic refinement.
SCAR REMOVAL: The Final Aesthetic Refinement
Once the tissue is medically stable and the redness has subsided—creating a “quiet” skin foundation—we proceed to the final phase: УДАЛЕНИЕ ОСКАРА.
SCAR REMOVAL is a proprietary paramedical technique that addresses color discrepancies using an AI-powered device. By analyzing unique skin undertones with over 95% accuracy, we inject medical-grade pigments into the dermal layer. This minimizes the visual contrast of surgical incisions or white scars, making them virtually seamless with the surrounding skin.
[IMPORTANT] Prerequisite for Treatment Eligibility
It is important to note that SCAR REMOVAL involves the use of fine needles to internalize pigment. Therefore, it is not suitable on scars with “active inflammation” that are red, itchy, or growing.
Needle stimulation during an active inflammatory phase may contribute to worsening or recurrence of triggering further keloid aggravation or recurrence. For this reason, primary medical treatments must be completed, and the tissue must remain “mature (white and flat)” for at least 3 to 6 months before proceeding.
Our goal is to transition from medical stabilization to aesthetic perfection through this careful, step-by-step approach.
【Case Study 】
▶ Learn more about Scar Removal treatment details here:
Risks, Costs, and Recovery for Scar Treatments
Since the condition of each scar varies, BIANCA CLINIC provides personalized treatment plans centered on SCAR REMOVAL to achieve an aesthetically refined finish. Below are the general details for the SCAR REMOVAL procedure, which serves as the final step in the visual revision process.
Clinical Risks and Potential Side Effects: Post-procedure reactions may include temporary redness (erythema), localized swelling, or mild bruising, all of which typically resolve within a few days. As mentioned, for patients with keloid tendencies, verifying that the scar is fully matured is essential to avoid risks of aggravation from needle stimulation.
Cost Structure (Including 10% Tax):
Treatment fees are determined by the complexity and surface area of the scar tissue.
- SCAR REMOVAL Scar Revision (Includes 1 retouch): Starting from ¥108,900.
- Third session onward (within 6 months): Half the initial price.
*As of March 2026
Recovery and Result Timeline: A typical SCAR REMOVAL session at BIANCA CLINIC is highly efficient, taking approximately 10 to 30 minutes depending on the area. Downtime is minimal; patients can shower and apply makeup on the same day. While immediate improvement is visible, the final natural tone typically settles within about one month. If medical stabilization was previously prioritized, this final step ensures the visual completion of your journey.
View our full price list here:
Frequently Asked Questions (FAQ)
Q: Is the treatment painful? Is anesthesia required?
A: SCAR REMOVAL is designed to be a low-stimulation procedure. Therefore, it is generally performed without anesthesia. However, pain tolerance varies per individual. Depending on the treatment area and your preference, optional anesthesia is available. Please discuss this with our staff during your consultation to ensure a comfortable experience.
Q: Is SCAR REMOVAL suitable for active, growing keloids?
A: No, it is contraindicated for active inflammation. Stimulating an active, red keloid with needles can worsen the condition. Standard medical therapy (injections, tape, etc.) must come first. Once the scar is flat, white, and stable for at least 6 months, SCAR REMOVAL can be safely considered to harmonize the color with the surrounding skin.
Q: How does SCAR REMOVAL differ from a regular cosmetic tattoo?
A: Standard tattoos are decorative and often use manual color matching. SCAR REMOVAL at BIANCA CLINIC utilizes medical-grade, biocompatible pigments and AI-driven diagnostics to mimic the actual translucency and tone of human skin. The goal is clinical camouflage and harmony, ensuring the scar becomes an inconspicuous part of your skin.
Q: Can I receive support and consultation in English?
A: Yes. BIANCA CLINIC provides professional English-language support. Our international team ensures that English-speaking patients can communicate directly with specialists and receive a thorough, medically-sound consultation without any language barriers.
View our full price list here:
Consultation and Care at BIANCA CLINIC in Tokyo
Successful scar management at BIANCA CLINIC follows a disciplined, multi-phased process: Flattening → Stabilization → Appearance Enhancement. We bridge reconstructive medicine and aesthetic refinement. By combining professional medical oversight with AI-driven color precision, our team helps reduce the visual impact of scars.
If you are considering scar revision or SCAR REMOVAL medical pigmentation, we encourage you to schedule a personalized consultation. The BIANCA CLINIC team will evaluate your skin condition and provide a tailored treatment plan based on your individual needs.
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