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Progress and downtime after velvet skin treatment, which can be expected to have the effect of fi...




Seiko Soyama
Dr. Seiko Soyama

Seiko Medical Beauty Clinic Kagoshima-in

Japan Dermatological Association member Japanese Society for Medical Hair Removal Member of Japan Society of Aesthetic Dermatology Japan Medical Epilation Association


Medical institution with Dr. Seiko Soyama

Seiko Medical Beauty Clinic Seiko Medical Beauty Clinic Kagoshima
Seiko Medical Beauty Clinic Fukuoka
Contact information for Kagoshima Temple: 0120-172-117
Contact information for Fukuoka-in: 0120-126-265

Velvet Skin is a treatment menu that combines "Dermapen 4" and "Massage Peel (Collagen Peel)" .

It features a soft and elegant touch and a deep luster, and is called velvet skin because it leads to smooth and glossy skin like velvet, which is a fabric used for formal dresses.

By knowing the effects and mechanisms that can be expected from receiving velvet skin, as well as the downtime and post-treatment precautions, you can receive the treatment with peace of mind.

Progress and downtime after velvet skin treatment, which can be expected to have the effect of firmness, gloss, and elasticity Velvet skin that leads to smooth and glossy skin

Summary of this chapter

Velvet skin is a treatment that combines Dermapen 4 and massage peel (collagen peel), and synergistic effects can be expected by using them together. Dermapen 4 is a treatment that utilizes the wound healing power by making a hole in the skin surface with a needle. With a massage peel, you can expect your own collagen growth. When combined with Dermapen 4, the treatment effect is enhanced because the massage peel drug (PRX-T33) penetrates deep into the needle hole.

Velvet skin is a treatment menu that combines Dermapen 4 and massage peel (collagen peel), and you can expect to improve skin quality due to the synergistic effect of regeneration of skin cells and collagen production rather than receiving each separately. As for the order, first make a fine needle hole in the skin with Dermapen 4, and then apply the massage peel drug (PRX-T33) to penetrate the beauty ingredients deep into the skin.

Effect and mechanism of Dermapen 4 that promotes skin regeneration

Dermapen 4 is a procedure in which the needle moves up and down at high speed, said to be 120 times per second, to create invisible fine needle holes on the skin surface.

When 1,920 needle holes (16 needles x 120 times) per second are punctured at an appropriate depth depending on the thickness of the skin, the wound healing power works to repair the needle holes.

A growth factor that activates cell activity is secreted to heal the needle hole, and the function of fibroblasts that produce collagen, elastin, and hyaluronic acid that brings firmness and elasticity to the skin and retains moisture is activated. In addition to improving wrinkles, sagging, and open pores, the skin turnover cycle is activated and texture is improved .

In addition, Dermapen 4 is equipped with a scar treatment mode (ST mode), which is a scar healing mode that allows needle holes to be made to the deep layer (3.0 mm) of the skin as a new function, and has a crater-like acne scar. It is now possible to focus on the treatment of scars and scars .

skin turnover

In the metabolism of the skin, old skin cells are pushed by new skin cells born in the lower layer and rise to the surface of the skin.
If the turnover cycle is disturbed due to fatigue, stress, disordered eating habits, constipation, etc., the texture of the skin is disturbed and the barrier function that protects the skin is lowered, causing skin problems such as rough skin, acne, and pimples. become.

Increased treatment effect by using Dermapen 4 drug delivery

By combining various drugs with Dermapen 4, the beauty ingredients of the drug penetrate evenly into the skin through the fine needle holes, so the effect of the drug can be enhanced .

The human skin has a barrier function that prevents the invasion of bacteria from outside the body. While the barrier function blocks the entry of foreign substances, active ingredients such as lotions and serums applied to the skin normally remain on the surface of the skin and cannot penetrate deep into the skin.

However, by making high-density needle holes on the skin surface with Dermapen 4, the active ingredients of the drug, which normally do not penetrate just by applying it, penetrate deep into the skin. This effect is called "drug delivery".

By selecting the drug to be applied according to each symptom and desire, such as fine wrinkles, dark spots, open pores, dry skin, and improvement of acne scars, the active ingredients reach deep into the skin, giving the skin firmness and elasticity.・It works directly on collagen, elastin, which gives moisture, and fibroblasts, which produce hyaluronic acid, so it can be expected to be more effective than applying the drug alone.

Massage peel (collagen peel) that promotes collagen production and can be expected to have a whitening effect

Massage peel (collagen peel) promotes the growth of collagen by applying a drug called "PRX-T33" that contains three ingredients: high-concentration trichloroacetic acid, low-concentration hydrogen peroxide, and kojic acid. It is a treatment that brings a feeling of firmness and luster .

Ingredients of Massage Peel (Collagen Peel) PRX-T33

High concentration trichloroacetic acid

The skin consists of two layers, the epidermis and the dermis, starting from the top. Normally, lotions and serums only penetrate to the stratum corneum, which is the top layer of the epidermis.

Trichloroacetic acid penetrates to the dermis layer of the skin and has the effect of promoting collagen growth by activating fibroblasts, which are cells that produce collagen.

In addition, it activates the growth factor of keratinocytes, which account for more than 90% of the epidermal layer, so it can promote skin turnover .

low concentration hydrogen peroxide

Low-concentration hydrogen peroxide increases the growth factor (fibroblast growth factor) called "FGF", which promotes cell differentiation and cell proliferation, in which each cell acquires the function that suits its role, and collagen of trichloroacetic acid. It works to help you grow . In addition, it suppresses inflammation caused by the strong exfoliating action of trichloroacetic acid and protects the skin .

Trichloroacetic acid is a component that produces collagen, so it has been used to treat craters such as acne scars. not suitable for treatment.

PRX-T33 (massage peel) is a mixture of 33% trichloroacetic acid and low-concentration hydrogen peroxide, which does not cause skin peeling even at high concentration, and leads to firm and elastic skin by regenerating the skin from the dermis layer. increase.

kojic acid

Kojic acid was discovered because the hands of Toji, who are craftsmen involved in sake brewing, are white and beautiful. Since it has the effect of suppressing the action of the enzyme that produces melanin, which is the source of blemishes, it can be expected to have a whitening effect that leads to improvement of blemishes and dullness .

Synergistic effect of using Dermapen 4 and massage peel together

A synergistic effect for improving skin quality can be expected by combining Dermapen 4, which makes fine needle holes in the skin and regenerates the skin by its wound healing power, and massage peel that promotes collagen growth and leads to whitening .

By making a needle hole in the skin with Dermapen 4, the active ingredients of the massage peel can easily penetrate deep into the dermis layer , promoting the growth of collagen, which not only gives the skin firmness and elasticity, but also reduces fine wrinkles and sagging. You can expect effects such as improvement and tightening of pores .

By continuing the treatment regularly, collagen is further increased, and it is said that acne scars and scars are less noticeable on the skin . In addition, kojic acid, one of the ingredients contained in the massage peel, has the effect of suppressing the production of melanin, which can improve spots and dullness .

skin structure

Human skin has a two-layer structure consisting of the epidermis layer and the dermis layer from the outside. About 70% of the dermis layer is collagen, a strong fibrous protein, and the gap between them is filled with hyaluronic acid, a jelly-like substance that retains moisture.
In addition, elastin, a fibrous protein with elasticity, binds collagen together, giving the skin firmness and elasticity.

Those who are suitable for velvet skin

  • Those who want to increase the firmness, luster, and elasticity of their skin
  • Those who are concerned about rough skin
  • Those who want to improve blemishes and dullness
  • Those who want to make pores inconspicuous
  • Those who want to make fine wrinkles inconspicuous
  • Those who want to make acne scars less noticeable
  • Those who want to make scars less noticeable

Recommended velvet skin treatment frequency

It is said that you can feel the effect of velvet skin even once, but you can expect a higher effect as the number of treatments increases collagen growth. It is recommended that the treatment be performed 3 to 5 times every 3 to 4 weeks .

Pain during velvet skin treatment

Dermapen 4 is said to be less painful because it is performed after applying an anesthetic cream, but there are individual differences in how the pain is felt. The pain during the Dermapen 4 treatment is said to be a tingling pain when the skin is thin or when it is deeply stabbed .

Trichloroacetic acid contained in PRX-T33, a massage peel agent, has the effect of exfoliating keratin by acid. In addition, Dermapen 4 makes fine needle holes in the skin and penetrates the drug when the skin barrier function is weakened, so some people feel strong pain. It is said that you will feel a burning sensation during the massage peel.

Progress and downtime after velvet skin treatment

Redness may appear after the velvet skin treatment, but it can be covered with makeup, and it is said that it will subside in about 2 to 3 days . Skin peeling may occur, but it is said to subside in about 4 days to 1 week.

On the day of treatment Redness and irritation may occur at the treatment site.
The redness can be covered with makeup, but you cannot use your usual foundation on the day of the treatment, so if you are concerned about it, be careful not to make any important plans immediately after the treatment.
It is possible to use a medical foundation with UV protection that is exclusive to Dermapen and can be used immediately after treatment.
the 2nd day Redness begins to subside.
Temporarily gives a slightly dull impression, but it can be hidden with makeup.
It may feel a little stiff.
Third day Especially around the mouth and eyes where the stratum corneum is thin, fine peeling may begin, but do not force it off.
Day 4 Minor peeling continues.
In some cases, the lotion etc. may be slightly irritated.
Day 5 Reduces flaking and brightens the skin.
It is said that you can feel firmness, luster, and smoothness.

*There are individual differences in redness, irritation, and peeling.

Precautions after velvet skin treatment

Make-up and basic cosmetics that you normally use can be applied from the next day.

Since the skin is temporarily delicate after the treatment, please do not use preservatives, additives, basic cosmetics containing alcohol, or commercially available sunscreens for 12 hours after the treatment . It can be used as long as it is a medical foundation with UV protection that is exclusive to Dermapen and can be used immediately after treatment.

Moisturize well

After the treatment, the protective film on the surface of the skin is lost, so water evaporation progresses and it becomes easy to dry, so please perform moisturizing care to prevent dryness . Basic cosmetics containing preservatives, additives, and alcohol may cause a tingling sensation, so please use additive-free cosmetics for delicate skin or use a moisturizing cream prescribed by a medical institution. .

protect from UV rays

After the velvet skin treatment, the skin barrier function is temporarily lowered. It is easy to get irritated by ultraviolet rays, and it is easy to cause problems such as dryness and inflammation, so please take proper measures against ultraviolet rays .

Bathing from the next day

On the day of treatment, you can only take a shower (bathing from the next day). In order to avoid strong irritation to the treatment area, wash your face gently without rubbing it with strong force.

avoid massage

If the skin barrier function is temporarily weakened after the treatment, applying stimulation such as rubbing the skin may cause pigmentation, so please refrain from massaging the treatment area for one week .

Refrain from exercising, swimming, and drinking alcohol

Until the inflammation of the skin such as redness and peeling subsides , please refrain from strenuous sports, hot yoga, sauna, drinking, etc. that improve blood circulation. Inflammation may prolong or worsen. Chlorine pools, which are highly irritating to the skin, may also exacerbate the symptoms, so please refrain from using them until the redness and peeling subsides.

Those who cannot receive velvet skin treatment / areas that cannot be treated

  • Those who are pregnant or breastfeeding
  • People with keloid constitution
  • Those who are allergic to anesthetics
  • Those with metal allergies
  • Those with infectious diseases
  • Those who are prone to telangiectasia and bleeding
  • Those with diabetes complications and serious illness
  • Those with skin inflammation or excessively sensitive skin
  • Those with skin rash, herpes rash, or seborrheic dermatitis
  • Those who are allergic to kojic acid
  • Atopic dermatitis, eczema, areas with strong redness and itchiness due to rash
  • Areas with pimples with pus (can be treated if inflammation has subsided)
  • Areas with strong pigmentation after sunburn

Risks and side effects of velvet skin treatment

Those with thin skin or those who are prone to scarring may experience needle marks, redness, swelling, and very rarely internal bleeding, which may take about a week to settle down .

Dermapen 4 is a procedure that makes a fine needle hole in the skin, but a special cover has been developed to be attached to the main body of the device, and the tip with the needle is disposable, avoiding the risk of infection.

Flow of velvet skin treatment

1) Counseling/examination

The skin condition is checked during the examination, and the skin troubles to be improved and the areas in question are examined for suitability for treatment. If you have any concerns or doubts about velvet skin treatment, please confirm at the time of counseling.

2) Face wash

To clean the treatment area, remove makeup and wash your face.

3) anesthesia

Apply an anesthetic cream and wait 20 to 30 minutes for the anesthetic to work.

4) Dermapen 4 treatment

Wipe off the anesthetic cream. For the whole face, divide it into parts such as the forehead, around the eyes, cheeks, around the nose, and chin, and perform normal treatment with a dermapen. (0.2mm)
In some cases, we treat pain and redness to a depth of about 0.5 mm.

5) Massage peel treatment

Apply PRX-T33. Wipe off the solution with gauze soaked in water immediately after application.

6) Cooling

Redness and hot flashes may occur after the treatment, so cool down with a cooling mask to calm the skin.

7) Moisturizer/sunscreen

Apply moisturizing cream and Dermapen exclusive sunscreen to finish. If you wish, there is also a foundation dedicated to Dermapen, so please ask a medical institution.

Cost of velvet skin

The cost of velvet skin is about 30,000 yen to 70,000 yen for the whole face . Some medical institutions have initial discounts, and some set fees for 3-time or 5-time courses.

Dermapen 4 option menu other than velvet skin

Human-derived growth factor (gross factor) that improves fine wrinkles, open pores, and dullness

Growth factor (gross factor) is a general term for proteins that promote the proliferation and differentiation of specific cells in the human body (the acquisition of functions appropriate for each cell's role).

The main types of growth factors include epidermal cell growth factors that promote skin turnover, collagen and elastin that are necessary to maintain skin elasticity in the dermis layer, hyaluronic acid, and SOD (antioxidant). There is a fibroblast growth factor that activates such as.

Growth factors also help regenerate damaged cells and regenerate the skin, so applying it to the skin that has been punctured with Dermapen 4 is said to further enhance the skin regeneration effect of Dermapen 4 . .

MPF Rejuvenating Kit

It is a drug that contains growth factors, hyaluronic acid, peptides, and vitamins. Improves fine wrinkles, maintains moisture with high-concentration hyaluronic acid, promotes cell regeneration and skin firmness .

MPF Complex Kit

This medicine contains growth factors such as hyaluronic acid, vitamins, and evening primrose (evening primrose) seed extract, which has antioxidant, anti-inflammatory, and whitening effects. It improves pigmentation such as uneven skin tone, aging and UV spots , and leads to bright and soft skin.

Amniogenix, a dry human amniotic membrane/chorion preparation that makes acne scars and scars less noticeable

Human amnion/chorion is a thin collagenous membrane derived from the placenta, and is a highly elastic tissue that wraps around the fetus as it grows and develops in the mother's womb. Since it contains abundant growth factors, it has excellent wound healing properties, and is also used to treat skin ulcers, surgical wounds, and burns.

Dried human amniotic membrane / chorion preparation Amniogenix (AmnioGenix) can be expected to be effective in treating conspicuous uneven acne scars when used in combination with Dermapen 4 .

Human adipose stem cell-derived exosome preparation ASCE Plus for rough skin and atopic dermatitis

Exosomes are substances that play a role in the transmission of information between cells. Human adipose stem cell-derived exosome preparation ASCE Plus contains various growth factors, peptides, coenzymes, amino acids, minerals, vitamins, and hyaluronic acid in addition to exosomes.

Exosomes migrate between cells such as epidermal cells involved in turnover and fibroblasts that produce collagen and elastin, and help deliver drug components involved in skin cell regeneration and anti-inflammation to cells. It has a drug delivery effect that

The exosome preparation ASCE Plus has anti-inflammatory effects, such as spots, dullness, and uneven color due to inflammatory pigmentation that remains after inflammation such as redness, rough skin, acne or insect bites, or after strong rubbing or scratching. lead to improvement .

In addition, the action of exosomes to restore the barrier function that prevents the evaporation of moisture inside the skin and prevents the intrusion of foreign substances (allergens, bacteria, etc.) from the outside leads to healthy skin texture with good texture. It is expected to improve various skin problems such as sensitive skin, atopic dermatitis, dry skin, and recurrent acne .

PRP (platelet-rich plasma) that can be expected to rejuvenate the skin

PRP is a skin regeneration treatment born from regenerative medicine that uses platelets and white blood cells that are extracted by centrifuging your own blood. Abundant growth factors contained in platelets and white blood cells activate fibroblasts that produce collagen and elastin, which give elasticity and firmness to the skin.

It regenerates the cells themselves and promotes improvement of skin quality from the inside to make the skin firm and glossy, so it can be expected to be effective in improving fine wrinkles, sagging pores, roughness, acne scars, and uneven crater skin .

Botulinum formulation that tightens open pores

A botulinum preparation is a drug that can be expected to have the effect of relaxing the action of muscles, improving facial wrinkles and suppressing the tension of the gills due to the development of the masseter muscle, but it is also said to have the effect of tightening pores.

If the botulinum preparation is penetrated into the shallow part of the skin where sagging pores are a concern, instead of the muscles, it can be expected to have the effect of tightening the sagging skin and making the pores less noticeable .

Botulinum preparations act on the sweat glands and sebaceous glands to reduce sweat and sebum, but it is believed that the sweat glands and sebaceous glands in the dermis atrophy and reduce the volume, leading to a tightening effect and improved pores.

How to choose a medical institution to receive velvet skin

Progress and downtime after velvet skin treatment that leads to firm, glossy, and elastic skin

Dermapen 4 can be combined with various option menus to obtain further effects, so you can choose options according to your own concerns and wishes.

A medical institution that first consults with you about your concerns and wishes through counseling to see if your skin symptoms can be improved with Velvet Skin, a combination of Dermapen 4 and massage peel, and provides convincing advice and suggestions. You can safely undergo the procedure .

In addition, in order to fully obtain the treatment effect of Dermapen 4, it is necessary to undergo treatment under the supervision of a doctor who is familiar with the different skin thicknesses and effective needle depths for each part .

For example, one option is to receive treatment at a medical institution where a doctor who received a direct lecture on the correct treatment technique from the training doctor who developed Dermapen 4 is enrolled .

Seiko Medical Beauty Clinic Velvet Skin

We asked Seiko Soyama, who supervised the article, about velvet skin.

Please tell us the symptoms and cases for which velvet skin is suitable.
Dr. Seiko Soyama
It is effective for various symptoms, but it is recommended for those who suffer from rough skin, oiliness, dullness, fine wrinkles, open pores, and acne scars.
Velvet skin has a scar treatment mode (ST mode) that allows needle holes to be made deep into the skin (3.0 mm) when you want to focus on treating crater-shaped acne scars, uneven skin, and scars. Should I not do it?
I heard that it is more effective to pierce the needle deeply for those symptoms, but if you can't pierce it deeply, either Velvet Skin or Dermapen 4 alone in scar treatment mode is more effective for treating crater-shaped acne scars. Can you expect
Dr. Seiko Soyama
ST mode is not recommended for velvet skin with collagen peel due to the risk of scarring.

Velvet skin is rather suitable for treatments that want to promote collagen production overall, such as "skin rejuvenation", "beautiful skin", and "anti-aging", but it is recommended to locally increase collagen such as acne scars and scars. If you want to make unevenness less noticeable, instead of using velvet skin, use a product containing gross factor or vitamin A to promote petechiae (depending on the severity of the scar, it may cause more solid bleeding). Surgery is recommended.

ST mode is used for acne scars and scars that are difficult to improve, such as deep acne scars and severe contractures.
Does Velvet Skin help with redness and pigmentation in acne scars? How many times can I feel the effect?
Dr. Seiko Soyama
It is also effective for redness and pigmentation of acne scars. We recommend 3 to 5 times.
Can I apply sunscreen immediately after receiving Velvet Skin? Also, I was handed petroleum jelly with a click. When can I start using the cosmetics I normally use? When can I start wearing makeup?
Dr. Seiko Soyama
Please refrain from wearing sunscreen and make-up on the day. It is possible from the next day. On the day of the treatment, apply petroleum jelly or a protective cream specifically for Dermapen to protect the skin surface.
Does it matter where I get the velvet skin? I understand that plastic surgery changes depending on the surgeon, but is this true for Velvet Skin (Dermapen 4) as well? If it is different depending on the practitioner, please tell me the point of choosing a clinic.
Dr. Seiko Soyama
Velvet skin is a custom-made treatment, and the treatment method differs depending on the person's concerns and skin type. We recommend that you receive treatment at a medical institution where a doctor who regularly learns about correct treatment techniques is enrolled.
Thank you very much, Mr. Soyama!

[For medical professionals] Velvet skin Q&A with Dr. Seiko Soyama

We asked Seiko Soyama, who supervised the article, about velvet skin.

Can Velvet Skin be used on acne-prone skin? Is it effective in treating acne?
Dr. Seiko Soyama
Depending on the condition, it is possible to treat acne skin, and it is also effective for acne treatment. However, if the severity is high, it is recommended that you do not immediately apply velvet skin, but after reducing the inflammation to some extent with internal use, external use, skin care, etc.
Does velvet skin help with neck wrinkles?
Dr. Seiko Soyama
Velvet skin with collagen peel is not recommended as the neck has a different drug absorption rate compared to the face (the neck has more than double the percutaneous absorption rate of the face). Pigmentation may occur due to scratching while sleeping. If you want to neck, it is recommended to use Dermapen 4 and Gloss Factor together.
Are there any treatments that are effective when used together?
Dr. Seiko Soyama
In our clinic, we are more satisfied by performing Nd:yag laser (Genesis) between regular velvet skin treatments. The following synergistic effects can be expected.

(1) Improve fine wrinkles, open pores, and acne scars by further promoting collagen growth in the dermis with Genesis
(2) Improvement of acne and dullness by removing accumulated keratin by the action of laser peeling and improving turnover disturbance.

In addition, Genesis also works to constrict dilated blood vessels, so it can be expected to be effective in improving redness.
If I want to use other treatments at the same time, how many days should I leave the interval? In the case of fillers such as hyaluronic acid, what about irradiation systems such as laser and IPL treatment?
Dr. Seiko Soyama
Regarding fillers, it will vary depending on the order of treatment.
Before: Velvet skin → After: Filler ⇒ Wait 2 weeks Before: Filler → After: Velvet skin ⇒ Wait 4 weeks It is recommended to wait 1 month for laser and IPL treatments regardless of the order.
How many days after velvet skin treatment can I resume tretinoin?
Dr. Seiko Soyama
Available after 1 week.
Will a shorter needle length result in less downtime?
Dr. Seiko Soyama
It is believed that a shallow prick will reduce the degree of redness and shorten the length of the prick, but there are individual differences.
Thank you very much, Mr. Soyama!

Introduction of supervising doctor

Dr. Seiko Soyama, Chairman of Seiko Medical Beauty Clinic. As a beauty specialist, she has appeared in the media many times, and has contributed many articles to "Latest Aesthetic Dermatology Treatment Navigation" and "Non-Surgical Aesthetic Medicine Super Practical Lectures." In addition, the clinic has a policy of meticulous examination, such as fully equipped treatment rooms with completely private rooms, as well as a kids' room and a men-only room.

Medical institution with Dr. Seiko Soyama

Seiko Medical Beauty Clinic Seiko Medical Beauty Clinic Kagoshima
Seiko Medical Beauty Clinic Fukuoka
Contact information for Kagoshima Temple: 0120-172-117
Contact information for Fukuoka-in: 0120-126-265