高度な瘢痕ケア

高度なニキビ跡治療

高度なニキビ跡治療では、どれだけ強い治療をするかより、跡の種類と深さに合わせて、どの順番で進めるかを考えることが大切です。

皮膚科専門医

Board-Certified

AAD International Fellow

IFAAD

FDA 認可機器

該当施術

MFDS 登録

韓国保健福祉部

ユン・サンヨル院長監修

皮膚科専門医 · 院長 · AAD会員

概要

再生系治療やレーザーを扱う場合でも、目的は劇的な変化を求めることではなく、跡の種類に合わせて少しずつなめらかに整えることにあります。

こんなお悩みの方へ

推奨される方

所要時間: 30-60 min (subcision + JUVELOOK + CO2 boundary shaping); 5-10 min (TAC)
推奨回数: Subcision + JUVELOOK 1-3 mo apart; CO2 ~3 mo apart; TAC 1-2 wk × ~10
ダウンタイム: ~3-4 days (subcision bruising); ~1 week (CO2 microcrust)
ピーク効果: 12 months across course

Immediately post (subcision)
Mild swelling and bruising at the released zone; pinpoint puncture marks resolve over the first 24-48 hours.
Days 1-7 (subcision + CO2 layering)
Subcision bruising fades over 3-4 days; CO2 microcrust resolves over ~1 week. Pink tone may persist 1-2 weeks.
Weeks 4-8
Initial textural softening becomes visible; staged session interval allows full re-epithelialization before next visit.
3-6 months (mid-course)
Cumulative collagen remodeling visible across the staged sessions; raised-scar component progressively flattens with the TAC course.
12 months (post-course)
Structural scar improvement essentially semi-permanent. Maintenance protects new collagen from UV damage.

JUVELOOK — VAIM Co., Ltd. (Korea); subcision is a needle-based in-office procedureMFDS-approved PDLLA biostimulator

主要仕様

: Fine-needle release and partial removal of fibrous bands tethering rolling and boxcar scars
: JUVELOOK placed in the released subdermal space supports collagen rebuilding and prevents re-tethering
: Recovery approximately 3-4 days (bruising and mild swelling)
: Sessions spaced 1-3 months apart, repeated as needed
: Ice-pick scars are not appropriate for this protocol — managed via CO2 boundary shaping instead

Operator confirm — Lutronic eCO2 / Lumenis UltraPulse / DEKA SmartXideFDA-cleared ablative fractional CO2 platforms

主要仕様

: Controlled ablation of the scar rim flattens the visual step-off between scar and surrounding skin
: Applied to ice-pick scars and to the boundary of other atrophic scars
: Session time ~10-25 minutes; visible recovery ~1 week
: Sessions spaced approximately 3 months apart to allow full re-epithelialization
: Structural scar improvement is essentially semi-permanent once the course completes

Multiple manufacturers (Kenalog and Korean generics)MFDS-approved corticosteroid for intralesional injection

主要仕様

: First-line for any raised, hypertrophic, or keloid component in the scar field
: Sessions spaced approximately 1-2 weeks apart for ~10 sessions to flatten and soften the scar
: Mild local atrophy and hypopigmentation are recognized side effects, especially in darker skin
: We do not use intralesional 5-FU — the TAC monotherapy cadence is calibrated to manage atrophy risk
: Vbeam Perfecta (PDL 595 nm) can be layered for the vascular (redness) component

“注射薬とエネルギー機器は必ず医師が直接行い、看護師や技術者に委ねることはありません。当院の診療は皮膚科専門医が主導いたします。”
— ユン・サンヨル院長 · 診療院長 · 皮膚科専門医 · AAD International Fellow

First 48-72 hours (subcision)
Mild swelling and bruising are expected. Avoid pressure on the released zone; no hot showers, saunas, or vigorous exercise. Sleep with the head elevated for the first night.
First week (CO2)
Microcrusts flake off naturally over ~1 week — do NOT pick. Cleanse gently. Broad-spectrum SPF 50+ daily. Pink tone may persist 1-2 weeks.
Weeks 2-12
Strict sun protection continues. Avoid retinoids and exfoliating acids until full re-epithelialization. Schedule next session at protocol interval (subcision 1-3 months, CO2 ~3 months, TAC 1-2 weeks).
Long-term
Daily SPF 50+ to protect remodeling collagen. Photographic follow-up at clinic helps track scar remodeling progress.