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Does Dermapen Really Work for Acne Scars? Treatment Sessions, Effectiveness & Comparison Explained by a Doctor



Dermapen is a medically evidence-based treatment for acne scars (especially atrophic craters, hyperpigmentation, and erythema) that leverages the wound healing response, with improvement generally expected after 3 to 6 sessions. However, the required needle depth, number of sessions, and combination treatments differ depending on the type of acne scar (ice-pick, boxcar, rolling, erythema, or hyperpigmentation), and it is important to note that results are difficult to perceive after only one session. In this article, a Men’s Care Clinic physician explains, on an evidence basis, whether Dermapen (Dermapen 4) truly works for acne scars, and provides a thorough breakdown of the number of sessions and needle depths to maximize results, comparisons with Potenza and Fractional CO2 laser, before-and-after cases, and key points for improving male-skin specific shaving irritation and atrophic crater scars.

Limited-time offer: Free initial Dermapen consultation + trial session from 8,800 yen

*First-visit fee and consultation fee are free. Quantities and periods are limited and may end without notice.

Many men who have heard that “Dermapen works for acne scars” and are considering treatment still wonder, “Does it really work?”, “How many sessions do I need?”, and “How is it different from other laser treatments?” On social media and blogs you can find testimonials saying “Dermapen erased my acne scars,” but also voices saying “It did not work” or “It got worse,” so it is natural to feel uncertain.

To get straight to the point, Dermapen (especially the regulatory-approved Dermapen 4) is a scientifically evidence-based medical device for acne scars (atrophic craters, hyperpigmentation, erythema, and enlarged pores). International peer-reviewed dermatology journals (Dermatologic Surgery, Journal of Cosmetic Dermatology, etc.) have reported the efficacy of microneedling therapy, with improvement equivalent to or greater than fractional laser.

However, noticeable results require 3 to 6 sessions of continued treatment (up to 10 for deep craters), and the most common failure pattern is misjudging it as “ineffective” after only 1 or 2 sessions. In addition, the type of acne scar (ice-pick, boxcar, rolling, erythema, hyperpigmentation) determines the appropriate needle depth and combination treatments.

In this article, a Men’s Care Clinic physician with extensive experience performing Dermapen treatment provides a thorough, evidence-based, and clinically grounded explanation of how Dermapen works on acne scars, the number of sessions needed, before-and-after cases, comparisons with other treatments, and key points for improving male-specific shaving irritation and atrophic crater scars.

Does Dermapen Really Work for Acne Scars? Conclusion and Scientific Evidence

Male skin showing improvement of acne scars after Dermapen

Dermapen is a medical device with recognized, evidence-based improvement for acne scars (especially atrophic craters, hyperpigmentation, erythema, and pores). The regulatory-approved Dermapen 4 uses ultra-fine microneedles (0.2 to 3.0 mm) to create microscopic perforations in the skin, and through the wound healing response, it remodels collagen and elastin in the dermis, flattening uneven acne scars.

A systematic review (2017) published in the U.S. dermatology journal Dermatologic Surgery reported that microneedling therapy provides equal or greater improvement of acne scars compared with fractional laser, with a lower risk of hyperpigmentation. Journal of Cosmetic Dermatology (2020) confirmed that production of type I and type III collagen peaks 4 weeks after treatment, supporting the evidence base for clinical efficacy.

That said, individual perception of results varies, and “dramatic improvement in a single session” is medically impossible. Collagen remodeling requires a minimum of 4 to 6 weeks, and deep ice-pick type acne scars may require 5 to 10 continued sessions. This lack of awareness is the biggest reason for the misconception that “Dermapen does not work.”

Conditions Where Dermapen Can Improve Acne Scars

  • Atrophic crater scars: Effective for ice-pick, boxcar, and rolling types. The most representative indication
  • Erythematous (red) acne scars: Collagen remodeling acts on post-inflammatory erythema, gradually fading the redness
  • Hyperpigmentation (PIH): Combined with tranexamic acid and vitamin C, it enhances penetration of oral and topical agents
  • Enlarged pores: Effective for prominent pores caused by sebum overproduction in men, with a tightening effect on the dermis
  • Shaving irritation and chronic redness: Collagen regeneration acts on redness from male-specific skin irritation
  • Texture and skin quality improvement: Comprehensive skin rejuvenation and texture refinement

On the other hand, active acne (red, inflamed pustules and papules) and those with a keloid-prone constitution are not candidates, and the physician will determine eligibility during the pre-treatment consultation.

Decisive Differences Between Dermapen 4 (Regulatory-Approved Medical Device) and Unauthorized Devices

The name “Dermapen” is originally the product name of Dermapen 4, a medical device developed by Equipmed of Australia. It is also approved as a medical device under Japan’s Pharmaceuticals and Medical Devices Act, and may only be used by physicians and nurses.

On the other hand, home-use microneedles sold online (referred to as “dermarollers” or “self-Dermapens”) are consumer goods that have not been approved as medical devices, and are entirely different in the following respects.

Comparison Item Medical Dermapen 4 Self / Home Devices
Needle precision Medical-grade stainless steel, single-use sterile No quality assurance, reused
Needle depth control Precise control from 0.2 to 3.0 mm Fixed or inaccurate
Vibration frequency 120 times per second (uniform) Manual, non-uniform
Hygiene management Sterile environment of a medical facility Self-managed, infection risk
Operator Physician or nurse Yourself (no skill)
Outcome Acne scar improvement, medical evidence Risk of scarring, infection, hyperpigmentation

Cases of “worsening acne scars” or “developing keloids” from self-Dermapen use have been warned about by the Japanese Dermatological Association. Never use home devices for the purpose of treating acne scars.

Mechanism of How Dermapen Works on Acne Scars (Wound Healing & Collagen Production)

Physician explaining the mechanism and action of Dermapen

The reason Dermapen works on acne scars is the physiological mechanism of the skin’s inherent “wound healing response”. When needles reach the dermal layer, the skin activates fibroblasts to “repair the damage,” producing new collagen, elastin, and hyaluronic acid. This is the principle that softens and flattens hardened scar tissue (acne scars).

Acne scars (particularly craters) are a state in which inflamed dermal tissue has scarred and become depressed. Surface skincare and chemical peels cannot reach the depth at which the tissue has been damaged, which is why Dermapen, which can directly address the dermal layer, is effective.

The Three-Stage Wound Healing Process

  • Inflammatory phase (treatment day to day 3): Microscopic bleeding and inflammation occur from needle perforation, releasing growth factors (PDGF, TGF-beta, VEGF, etc.)
  • Proliferative phase (day 4 to 3 weeks): Fibroblasts are activated, and production of type I and type III collagen begins. Neovascularization also forms
  • Remodeling phase (3 weeks to 6 months): Scar tissue is replaced by new collagen, and the skin flattens and regains elasticity

Because completion of these three stages requires at least 4 to 6 weeks, the standard protocol is to space sessions 1 to 2 months apart. The peak in perceived results comes 3 to 6 months after the first session. “No immediate change” is a normal physiological reaction, so there is no need to be impatient.

The Science of “Needle Depth” That Makes Dermapen Effective

Dermapen 4 allows needle depth adjustment in 0.1 mm increments from 0.2 to 3.0 mm. The following are guidelines for acne scar treatment.

Acne Scar Type Recommended Needle Depth Purpose
Erythema (post-inflammatory) 0.5 to 1.0 mm Improvement of vessels and inflammation in the superficial dermis
Hyperpigmentation (PIH) 0.5 to 1.0 mm Promotion of epidermal turnover plus drug delivery
Shallow boxcar 1.0 to 1.5 mm Remodeling of scars in the superficial dermis
Rolling 1.5 to 2.0 mm Subcision of fibrous bundles in the deep dermis plus reconstruction
Deep ice-pick 2.0 to 2.5 mm Disruption of scar fibers plus large-scale collagen production
Pores (including shaving irritation) 0.5 to 1.0 mm Tightening of the superficial dermis

If the needle is too shallow it does not reach the dermis and produces no effect; if too deep, downtime and the risk of hyperpigmentation increase. Having a physician or nurse evaluate the symptoms and select the optimal depth is directly tied to balancing efficacy and safety.

Dermapen Effectiveness by Acne Scar Type (Erythema, Hyperpigmentation, Craters)

Man checking acne scar types in a mirror

Acne scars are classified by appearance and cause into three types: “erythematous,” “hyperpigmented,” and “atrophic crater”, with crater types further subdivided into ice-pick, boxcar, and rolling. Because Dermapen’s effectiveness varies by type, understanding which type your acne scars belong to is the first step in building a treatment plan.

At Men’s Care Clinic, the physician examines your skin condition during the consultation and optimizes needle depth, number of sessions, and combination agents according to type.

Erythematous Acne Scars (Post-Inflammatory Erythema)

The type in which only redness remains after acne has healed. Caused by intradermal inflammation and capillary dilation; in men, it commonly appears on the cheeks, jaw, and around the nose where sebum production is high.

  • Dermapen effect: A needle depth of 0.5 to 1.0 mm calms dermal inflammation and restores skin density in red areas with new collagen
  • Sessions needed: 3 to 5 sessions (1-month intervals)
  • Recommended combinations: Tranexamic acid delivery, VCIP vitamin C topical
  • Time to perceive results: Fading is often perceived from the second or third session

Erythema also fades naturally over several months to a year, but proactive intervention with Dermapen significantly shortens the improvement period.

Hyperpigmented Acne Scars (PIH: Post-Inflammatory Hyperpigmentation)

The type in which inflammation stimulates intradermal melanocytes, leaving brown to black spot-like deposits. Common in Asians (Fitzpatrick Type III to IV), and in men it tends to darken when combined with sun exposure.

  • Dermapen effect: A needle depth of 0.5 to 1.0 mm promotes epidermal turnover and accelerates melanin clearance
  • Sessions needed: 4 to 6 sessions (4 to 6 week intervals)
  • Recommended combinations: Oral tranexamic acid, topical hydroquinone, oral vitamin C
  • Caution: Without thorough UV protection (SPF 30 or higher) for 4 weeks, hyperpigmentation can paradoxically worsen

For hyperpigmentation, combination with agents (tranexamic acid, vitamin C) via mesoporation is recommended over Dermapen alone. The next chapter explains combination treatments in detail.

Atrophic Crater Scars (Ice-Pick, Boxcar, Rolling)

The type that is the most difficult to improve in acne scar treatment, but where Dermapen demonstrates the greatest power. Dermal scar tissue is depressed, appearing as “uneven” or “bumpy” on the surface. They are classified into three forms by shape.

Type Characteristics Dermapen Effectiveness Estimated Sessions
Ice-pick Deep, pointed depressions less than 2 mm wide. Most refractory Moderate to high (TCA CROSS combination recommended) 6 to 10
Boxcar Wide depressions with sharp edges High (most likely to respond) 4 to 6
Rolling Shallow, wave-like depressions High (subcision is effective) 4 to 6

In particular, shallow rolling and boxcar craters are first-line indications for Dermapen. For deep ice-pick types, consider Dermapen plus TCA CROSS (focal high-concentration TCA application), or transition to Potenza (radiofrequency plus microneedle).

Enlarged Pores and Shaving Irritation (Concerns Specific to Men)

Men have more active sebum secretion than women, with a tendency for prominent pores on the cheeks, nose, and forehead. In addition, chronic skin irritation from shaving tends to cause redness, ingrown hairs, and clogged pores around the mouth, jaw, and neck.

  • Enlarged pores: Improvement via dermal tightening at a needle depth of 0.5 to 1.0 mm over 4 to 6 sessions
  • Redness from shaving irritation: Restoration of skin barrier function via collagen regeneration at a needle depth of 0.5 to 1.0 mm over 3 to 5 sessions
  • Ingrown hair and inflammation: Individual evaluation by the physician at the time of treatment. If active inflammation is present, it is calmed in advance

At Men’s Care Clinic, many patients receive Dermapen in combination with beard hair removal, and we accommodate combined treatment of “shaving-irritation redness + pores + old acne scars”.

Have your acne scar type diagnosed by a physician: Free consultation with a personalized treatment plan

*First-visit fee and consultation fee are free. A physician proposes a treatment plan tailored to your scar type.

How Many Sessions Are Needed? Progression and Before-and-After

Man recording the progression of his Dermapen treatment

“How many sessions do I need?” is the most common question for improving acne scars with Dermapen. As a conclusion, 3 to 5 sessions for erythema and hyperpigmentation, 4 to 6 for boxcar and rolling craters, and 6 to 10 for deep ice-pick types are the guidelines, and it is a treatment for which results are difficult to perceive after just 1 or 2 sessions.

This chapter explains in detail the specific number of sessions by acne scar type, the before-and-after changes in the skin at each treatment milestone (session 1, 3, 5, and final), and the points that maximize results.

Estimated “Required Sessions” by Symptom

Symptom Sessions Needed Treatment Interval Total Treatment Period
Erythema 3 to 5 1 month 3 to 5 months
Hyperpigmentation (PIH) 4 to 6 4 to 6 weeks 4 to 8 months
Enlarged pores 4 to 6 1 month 4 to 6 months
Boxcar craters 4 to 6 1 to 2 months 4 to 12 months
Rolling craters 4 to 6 1 to 2 months 4 to 12 months
Ice-pick craters 6 to 10 1 to 2 months 6 to 20 months
Shaving-irritation, chronic redness 3 to 5 1 month 3 to 5 months

This is not a one-and-done treatment. In actual clinical experience, although many people perceive “skin firmness and radiance” after the first session, perceiving improvement in crater depressions typically begins from the third or fourth session.

Progression by Number of Sessions (Before-and-After)

  • Immediately after session 1 to 1 month: Redness and mild swelling (3 to 7 days), followed by improved skin firmness and radiance. Crater changes themselves are minimal
  • After session 2 (around 2 months): Pores begin to tighten and redness fades. The perimeter of craters softens and makeup adheres better
  • After session 3 (around 3 to 4 months): Shallow areas of boxcar and rolling craters show clear improvement. Skin texture becomes smoother
  • After session 5 (around 6 months): Even deep craters trend toward flattening. Hyperpigmentation and erythema also improve substantially. Comprehensive transition from “skin with acne scars” to “well-conditioned skin”
  • Final session (6 months to 1 year): A stable phase after the peak of collagen and elastin production. Maintain results with ongoing maintenance (once every 3 to 6 months)

Note that collagen remodeling continues for 3 to 6 months after the final session. With a 6-session plan, the “final result” is determined 7 to 12 months later.

Five Points to Maximize Results

  • Space sessions 4 to 6 weeks apart: Secure the collagen remodeling period
  • Be thorough with aftercare: UV protection (SPF 30 or higher) for 4 weeks, daily moisturizer
  • Leverage combination agents: Tranexamic acid, vitamin C, and growth factors as appropriate for the symptom
  • Optimize lifestyle: Sleep, diet, and smoking cessation support collagen production
  • Continue at least 3 to 4 sessions before judging results: Do not decide after only 1 or 2 sessions

Whether or not you uphold these five points can greatly change the final outcome of the same six sessions.

Comparison with Other Treatments (Potenza, Fractional Laser, Peeling)

Man considering a comparison of acne scar treatments

Beyond Dermapen, options for acne scar treatment include Potenza (RF microneedle), Fractional CO2 laser, chemical peeling, and TCA CROSS. Because each has a different mechanism and excels with different acne scar types, choosing the optimal treatment for your symptoms is crucial.

This chapter clarifies which patients are best suited for Dermapen through comparisons with the four major treatments.

Comprehensive Comparison: Dermapen vs Other Treatments

Treatment Mechanism Best for Downtime Cost per session Pain
Dermapen 4 Physical perforation + wound healing All craters, erythema, hyperpigmentation, pores 3 to 7 days 15,000 to 40,000 yen Moderate (reduced by anesthesia)
Potenza Needle + radiofrequency (RF) Deep craters, deep dermis 3 to 7 days 50,000 to 100,000 yen Moderate to strong
Fractional CO2 laser Thermal perforation + tissue ablation Deep craters, scars 7 to 14 days 30,000 to 80,000 yen Strong
Chemical peeling Chemical exfoliation Mild hyperpigmentation, erythema, mild acne scars 0 to 2 days 6,000 to 15,000 yen Mild
TCA CROSS Focal high-concentration TCA application Specialized for ice-pick 3 to 7 days From 3,000 yen per spot Moderate

As shown in the comparison above, Dermapen 4 is overall a superior option in terms of cost-effectiveness, short downtime, versatility, and low risk of hyperpigmentation.

Dermapen vs Potenza: Which Should You Choose?

“Which is better, Dermapen or Potenza?” is the most common comparison question. The differences between the two are as follows.

  • Dermapen 4: Needles only. Mechanically perforates the dermis to induce the wound healing response
  • Potenza: Needles + radiofrequency (RF) energy. Applies thermal energy to the deep dermis to forcibly contract and remodel collagen

For mild to moderate acne scars, pores, and erythema, Dermapen 4 alone provides sufficient improvement. The cost is one-half to one-third, and downtime and pain are milder. On the other hand, those with deep depressed craters or who feel they have hit a plateau after multiple Dermapen sessions may consider transitioning to Potenza.

At Men’s Care Clinic, we recommend a stepwise approach: first treat with 4 to 6 Dermapen 4 sessions and then consider additional treatment for any remaining deep craters.

Dermapen vs Fractional Laser: Decisive Differences

Fractional CO2 laser is also effective for deep acne scars, but compared with Dermapen it has the following characteristics.

  • Length of downtime: CO2 laser is 7 to 14 days. Longer than Dermapen’s 3 to 7 days
  • Risk of hyperpigmentation: The risk of PIH from thermal injury is high in Asians (Dermapen is low)
  • Strength of the effect: For deep craters, CO2 laser produces greater change per session
  • Cost: CO2 laser is 2 to 3 times more expensive
  • Ease of continuation: Dermapen, with shorter downtime, is easier for working professionals to continue

For working male professionals who cannot take time off, those with darker skin, and patients seeking continued treatment, Dermapen 4 is the first choice; for those who can take a long break and want to see major change in 1 or 2 sessions, CO2 laser is also an option.

Dermapen for Acne Scars: Precautions, Downtime, and Side Effects

Clinic explaining the precautions of Dermapen

Dermapen is a highly safe treatment, but because it is a medical procedure, correctly understanding the downtime, side effects, and precautions leads to a more satisfying treatment. Cases of regret stem largely from receiving treatment without sufficient prior understanding, which accounts for many of the “you should not do it” remarks on social media.

At Men’s Care Clinic, we always explain the following points during the pre-treatment consultation and proceed only after you have understood and agreed.

Detailed Downtime (by Day)

  • Same day to next day: Redness, mild swelling, pinpoint bleeding, and a stinging sensation (similar to right after sunburn)
  • Days 2 to 3: Skin feels tight, mild dryness, and redness gradually fades
  • Days 4 to 7: Small scabs and peeling come off naturally. Forcibly peeling them at this stage causes hyperpigmentation
  • Day 7 onward: Return to normal skin condition. Makeup, exercise, and alcohol consumption can resume as usual

Avoid treatment in the week before important events (weddings, business meetings, photo shoots). It is important to align the physician-recommended treatment interval (4 to 6 weeks) with your life events.

Anticipated Side Effects and How to Handle Them

Side Effect Frequency How to Handle
Redness and swelling Almost everyone Usually resolves spontaneously in 3 to 7 days. Cooling and moisturizing
Pinpoint bleeding High frequency Disappears in 1 to 2 days. Leave it alone
Scabs and peeling Moderate frequency Wait for natural detachment. Do not pick
Post-inflammatory hyperpigmentation (PIH) 1 to 10% UV protection plus tranexamic acid and hydroquinone
Temporary worsening of acne Low frequency Calm active acne in advance to prevent
Infection Very low frequency Prevented with single-use needles and hygiene management
Keloid formation Constitution-dependent, low frequency Those with keloid-prone skin should avoid treatment

Those Who Cannot Receive Treatment (Contraindications)

  • Pregnant or breastfeeding
  • Those with a history of keloid-prone skin or hypertrophic scarring
  • Areas with active acne, herpes, or eczema
  • Those with metal allergies (depending on needle material)
  • Those with bleeding disorders or taking anticoagulants (warfarin, etc.)
  • Those with strong sunburn at the treatment site
  • Those with collagen disease or autoimmune disease with skin manifestations
  • Those taking isotretinoin (Roaccutane) or within 6 months of discontinuation

Even if you fall into these categories, please consult during the consultation, and we can propose alternative treatments (chemical peeling, oral tranexamic acid, vitamin C delivery, etc.).

Lifestyle Precautions Before and After Treatment

  • Day before treatment: Avoid alcohol, vigorous exercise, and sun exposure
  • Day of treatment: No bathing, sauna, pool, vigorous exercise, or alcohol. Wash your face gently with lukewarm water
  • Days 2 to 3 after treatment: Avoid makeup (follow the clinic’s instructions) and be thorough with UV protection
  • Within 1 week after treatment: Discontinue shaving, peels, scrubs, and retinoids
  • Within 4 weeks after treatment: Apply SPF 30+ sunscreen daily and moisturize thoroughly. The most critical period for preventing hyperpigmentation

Combination Treatments to Maximize Results (Velvet Skin, etc.)

Physician proposing a combination treatment

Dermapen alone is sufficiently effective, but choosing a “combination treatment” matched to the symptom can significantly improve the speed of improvement and the final result. This leverages the “mesoporation” effect, which delivers agents directly to the dermal layer through the needle holes created by Dermapen.

At Men’s Care Clinic, we propose the following combination treatments based on your acne scar type, skin quality, and goals.

Velvet Skin (Dermapen + Carboxytherapy)

A premium course in which BioRePeelCl3 (a bioactive peel) or a sheet mask is applied immediately after Dermapen treatment for absorption. It simultaneously enhances skin smoothness and brightness.

  • Indications: Pores, dullness, mild to moderate craters, hyperpigmentation
  • Effect: Skin firmness, radiance, and fine line improvement perceived faster than Dermapen alone
  • Downtime: About the same as Dermapen alone (3 to 7 days)
  • Estimated cost: 30,000 to 50,000 yen per session

Tranexamic Acid Delivery (Enhanced Hyperpigmentation Improvement)

Tranexamic acid preparations are delivered into the skin after Dermapen. Strongly supports improvement of post-inflammatory hyperpigmentation (PIH) and melasma.

  • Indications: Hyperpigmented acne scars, melasma, uneven tone after sun exposure
  • Sessions needed: 4 to 6 (concurrent with Dermapen)
  • Recommended combinations: Oral tranexamic acid (750 mg/day) + oral vitamin C (1500 mg/day)

For men whose primary concern is hyperpigmentation, this combination offers the best balance of cost and effectiveness.

Growth Factor and Exosome Delivery (For Deep Craters)

After Dermapen, PRP (platelet-rich plasma), growth factor preparations, or exosomes are delivered into the skin. This maximizes activation of fibroblasts and enhances improvement of deep craters.

  • Indications: Deep boxcar, rolling, and ice-pick craters
  • Effect: 30 to 50% faster improvement than Dermapen alone
  • Sessions needed: 4 to 6
  • Estimated cost: 60,000 to 120,000 yen additional per session

Dermapen + TCA CROSS (Specialized for Ice-Pick)

For deep, pointed ice-pick craters, the combination of Dermapen for overall treatment + TCA CROSS for individual treatment is the most powerful. TCA CROSS is a procedure that drips high-concentration TCA (trichloroacetic acid) directly into each ice-pick pore, remodeling scar tissue from the inside.

  • Indications: Ice-pick craters
  • Combination: Dermapen monthly + TCA CROSS every 3 months
  • Treatment period: 6 months to 1 year

Ice-pick is the most refractory crater type, but many patients perceive clear improvement with this combination.

Men’s Care Clinic Dermapen (Application for Male Acne Scars)

Treatment scene at Men's Care Clinic

Men’s Care Clinic is an aesthetic medical clinic specializing in men with three branches in Shimbashi, Akihabara, and Omotesando, providing Dermapen treatment specialized for male-specific acne scars, pores, shaving irritation, and excess sebum.

The three distinguishing features of our clinic are “diagnosis by physicians who are deeply familiar with male skin,” “pay-per-visit (no course contract),” and “a safety framework backed by partnership with Toyosu Hospital (Showa University system)”.

Application to Male-Specific Concerns

  • Enlarged pores from sebum overproduction: Men’s sebum secretion is 2 to 3 times that of women. Tightened with a needle depth of around 1.0 mm
  • Redness and ingrown hair from shaving irritation: Improvement of chronic irritation around the mouth and jaw via collagen regeneration
  • Deep crater acne scars: Intensive care in the 30s and 40s for acne scar remnants from the teens and 20s
  • Hyperpigmentation from sun exposure: Tranexamic acid combination for hyperpigmentation in men with outdoor activities or sports
  • Male-pattern skin aging: Dermapen + collagen regeneration for enlarged pores, sagging, and wrinkles

Men’s Care Clinic Dermapen Pricing (Pay-Per-Visit)

Men’s Care Clinic adopts a pay-per-visit system with no contract obligations. You can continue at your own pace and cancel freely at any point.

Menu Price Indications
Initial consultation Free Everyone
Dermapen 4 (full face) From 19,800 yen Trial pricing available for first visit
Dermapen 4 + Tranexamic Acid Delivery From 29,800 yen Strong hyperpigmentation or erythema
Velvet Skin From 39,800 yen Focus on pores, dullness, and skin quality
Dermapen 4 + Growth Factor From 59,800 yen For deep craters

*Prices include tax. Pricing and menu may be revised. Please check the latest information on the Dermapen treatment page.

Three Branches and Access

  • Shimbashi branch: 3 minutes on foot from JR Shimbashi Station. Ideal for working professionals on lunch breaks
  • Akihabara branch: 5 minutes on foot from JR Akihabara Station. Open weekends
  • Omotesando branch: 4 minutes on foot from Tokyo Metro Omotesando Station. Fully private rooms designed for privacy

All branches provide the same quality of Dermapen treatment, and through our partnership with Toyosu Hospital (Showa University system), we maintain a safety framework capable of general-hospital-level response in the unlikely event of complications.

For male acne scars, craters, and erythema treatment, choose the experienced Men’s Care Clinic. Special pricing on initial consultation + trial procedure now available

*First-visit fee and consultation fee are free. Pay-per-visit, so no course contract is required.

Frequently Asked Questions (FAQ)

Physician answering questions about Dermapen treatment for acne scars

A physician answers, based on clinical experience, the questions about Dermapen for acne scars that are most frequently raised in Men’s Care Clinic consultations.

Q. Does Dermapen really work on acne scars?

A. Yes, the regulatory-approved medical device Dermapen 4 has scientifically evidence-based improvement effects on acne scars (especially atrophic craters, hyperpigmentation, erythema, and pores). A systematic review in Dermatologic Surgery (2017) reports effectiveness equal to or greater than fractional laser. However, it requires 3 to 6 sessions of continued treatment rather than 1 or 2, and collagen remodeling requires a minimum of 4 to 6 weeks.

Q. How many sessions of Dermapen are needed for acne scars to improve?

A. 3 to 5 sessions for erythema and hyperpigmentation, 4 to 6 for boxcar and rolling craters, and 6 to 10 for deep ice-pick types are the guidelines. The treatment interval is 4 to 6 weeks, and the total treatment period ranges from 3 months to over 1 year. Because collagen remodeling continues for 3 to 6 months after the final session, the final result is determined 6 months to 1 year after treatment ends.

Q. How long does redness last after Dermapen treatment?

A. It typically subsides naturally in 3 to 7 days. If the needle depth is shallow (around 0.5 mm), it takes 1 to 2 days; if deep (2.0 mm or more), 5 to 7 days. If redness lasts more than 10 days, swelling worsens, or pus appears, please consult the clinic. With aftercare such as cooling, moisturizing, and UV protection, recovery is faster.

Q. Can Dermapen worsen acne scars?

A. If applied appropriately and performed at a medical institution, worsening is extremely rare. Most cases of worsening involve treatment performed during active acne, unqualified procedures with self-Dermapen or at esthetic salons, or neglected aftercare (UV protection, face washing). Please undergo treatment after receiving an indication assessment at consultation.

Q. Does it work on crater types (ice-pick, boxcar, rolling) of acne scars?

A. Yes. Dermapen is one of the first-line treatments for crater-type acne scars. Boxcar and rolling types respond particularly well, with clear improvement after 4 to 6 sessions. Deep ice-pick types are the most refractory, but improvement is possible with 6 to 10 sessions of Dermapen + TCA CROSS combination.

Q. Among Dermapen, Fractional CO2 laser, and Potenza, which is best for acne scars?

A. It depends on symptoms and budget. Dermapen 4 is the first choice for mild to moderate acne scars, pores, and erythema (cost-effectiveness balance), Potenza for deep depressions and refractory cases (powerful with RF), and CO2 laser for extensive deep craters when long downtime is feasible. At Men’s Care Clinic, we recommend a stepwise approach: first treat with Dermapen, then consider additional treatment for any remaining deep areas.

Q. Can self-Dermapen (home use) cure acne scars?

A. Avoid it absolutely. Home devices are not medical devices, and due to insufficient disinfection, inaccurate needle depth, and lack of operator skill, the risk of keloids, infection, deep scarring, and worsening hyperpigmentation is extremely high. The Japanese Dermatological Association has also issued warnings. Receiving medical-grade Dermapen 4 under the supervision of a physician or nurse is the only safe and effective method.

Q. How can hyperpigmentation (PIH) after Dermapen be prevented?

A. Be thorough with the following for 4 weeks after treatment: SPF 30+ sunscreen daily, oral tranexamic acid and topical hydroquinone, oral vitamin C (1500 mg/day), do not rub the skin, and quit smoking and get adequate sleep. In particular, men with darker skin (Fitzpatrick Type IV or higher) or who tan easily benefit from establishing a sunscreen habit before treatment to enhance prevention.

Q. Who cannot receive Dermapen (contraindications)?

A. Pregnant or breastfeeding patients; those with keloid-prone skin or a history of hypertrophic scarring; those with active acne, herpes, or eczema; those with metal allergies; those with bleeding disorders or taking anticoagulants; those right after strong sunburn; those with collagen disease or autoimmune disease; and those taking isotretinoin or within 6 months of discontinuation. Even if you fall into these categories, we can propose alternative treatments such as chemical peeling, oral tranexamic acid, or vitamin C delivery, so please consult during the appointment.

Q. What is the best needle depth for acne scars with Dermapen?

A. It varies by symptom, but the guidelines are 0.5 to 1.0 mm for erythema, pores, and hyperpigmentation; 1.0 to 2.0 mm for boxcar and rolling craters; and 2.0 to 2.5 mm for deep ice-pick types. If the needle is too shallow there is no effect; if too deep, downtime and the risk of hyperpigmentation increase. The physician or nurse selects the optimal depth based on examination of the symptoms.

Q. Does Dermapen work on acne scars on the back and upper arms?

A. Yes, Dermapen is also effective on acne scars in non-facial areas (back, upper arms, chest, buttocks). However, because body skin is thicker than facial skin, the needle depth is set slightly deeper (2.0 to 2.5 mm), and the number of sessions increases to 6 to 8. Back acne scars common in men are sometimes treated together with beard hair removal.

Q. How many days is the downtime after Dermapen treatment? Can I take time off work?

A. Most of the redness subsides in 3 to 7 days. A common schedule for working male professionals is treatment on Friday evening to Saturday and a return to normal work on Monday (with a mask). For workplaces where masks are not required, Wednesday or Thursday is ideal. If important business meetings, weddings, or photo shoots are coming up, please leave 1 to 2 weeks.

Q. What is the difference between Dermapen and Velvet Skin? Which is more effective?

A. Velvet Skin is a procedure that combines BioRePeelCl3 or a dedicated sheet mask after Dermapen. It enhances improvement of skin firmness, radiance, and brightness beyond Dermapen alone, but the cost is 10,000 to 20,000 yen higher. If pores, dullness, and mild acne scars are the primary concerns, Velvet Skin is suitable; if deep craters are the focus, Dermapen + Growth Factor is more appropriate.

Conclusion: For Truly Improving Acne Scars with Dermapen

Dermapen (especially the regulatory-approved Dermapen 4) is a medical device with medically evidence-based improvement effects on acne scars (atrophic craters, hyperpigmentation, erythema, and pores). International peer-reviewed journals such as Dermatologic Surgery and Journal of Cosmetic Dermatology have also reported effectiveness equal to or greater than fractional laser, with a lower risk of hyperpigmentation.

Let us reaffirm the key points conveyed in this article.

  • Choose the appropriate needle depth by acne scar type: 0.5 to 1.0 mm for erythema, 1.0 to 2.5 mm for craters
  • Required sessions are 3 to 10: 3 to 5 for erythema, 4 to 10 for craters. Do not judge after 1 or 2 sessions
  • Treatment interval is 4 to 6 weeks: Secure time for collagen remodeling
  • Avoid self-Dermapen at all costs: Use the regulatory-approved Dermapen 4 at a medical institution
  • Aftercare changes the result: Be thorough with UV protection, moisturizing, and combination agents
  • Consider combination treatments tailored to symptoms: Velvet Skin, tranexamic acid, growth factors, TCA CROSS

At Men’s Care Clinic, through consultation with physicians who are deeply familiar with male skin, we propose the optimal treatment plan tailored to your acne scar type and lifestyle. With a pay-per-visit system, you can continue without burden, and our partnership with Toyosu Hospital (Showa University system) ensures a fully developed safety framework.

If you are a man thinking “I want to truly improve my acne scars with Dermapen,” please first consult during a free consultation. A physician will examine your skin and explain in concrete terms the number of treatments needed, the cost, and the expected results.

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