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[Explained by Dr. Nanari] Potenza vs. Dermapen: A Half-Face Comparison! Examining the Differences in Redness, Downtime, and Effectiveness

[Explained by Dr. Nanari] Potenza vs. Dermapen: A Half-Face Comparison! Examining the Differences in Redness, Downtime, and Effectiveness

Introduction | The Real Difference Between Two Treatments Revealed by a Half-Face Comparison

Mr. Shichiri
Today, I'll be explaining Potenza and Dermapen while showing an experimental video comparing them on the left and right halves of the face. Both are treatments that "increase collagen with needles," but their mechanisms and downtime are different.
Director Tomoko
What's the difference between Dermapen and Potenza? I've heard they're both effective for acne scars and enlarged pores...

Both Potenza and Dermapen are treatments that use needles to create microscopic wounds in the skin, promoting collagen regeneration. However, Potenza differs significantly in that it combines needles with radiofrequency (high-frequency) and drug delivery simultaneously. This time, we will explain the differences in redness, pain, downtime, and effectiveness in an easy-to-understand way, based on an experimental video comparing the left and right halves of the same face.

If you're concerned about acne scars and craters, want to tighten your pores, or are unsure which product to choose, please read on to the end.

What you'll learn in this article
  • Differences in how Potenza and Dermapen work (needles only vs. needles + radiofrequency + medication)
  • Differences in how pain is perceived during treatment
  • Redness, bruising, and downtime progression from immediately after the procedure to one week later.
  • Soothing effect of exosome stem mask
  • How to choose the right treatment for different types of acne scars and pores (including a comparison with Velvet Skin)
  • Changes in 5 Potenza cases + 2 Dermapen cases

*This article is a revised and expanded version of the content from the YouTube video.

Differences in Mechanisms | Needles Only vs. Needles + Radiofrequency + Medication

Both methods involve creating tiny wounds in the skin, and the healing process stimulates the production of collagen and hyaluronic acid, which can lead to effects such as shallower acne scars and tighter pores. However, the way the wounds are created and the mechanisms of action differ.

Comparison item Dermapen Potenza (Crater Mode)
Movement of the needle Insert it vertically while sliding it horizontally. This can easily cause scratches on the sides. Insert vertically once at a time (clack-type). Less likely to cause lateral damage.
Radio waves (heat) None Yes (heat is delivered from the needle tip)
Drug introduction None (This can be addressed by combining it with other products such as velvet skin.) Yes (selectable with CP chip)
Bleeding Slightly prone to bleeding The heat-induced hemostatic effect makes bleeding almost impossible.
Risk of hyperpigmentation Slightly higher due to damage to the side Relatively low
Mr. Shichiri
Potenza is said to be an advanced version of Dermapen, combining needles, radiofrequency, and medication simultaneously. It offers greater effectiveness compared to Dermapen, which uses only needles. Furthermore, because Potenza involves puncturing the skin vertically one time at a time, it minimizes the occurrence of unnecessary horizontal punctures, resulting in a relatively low risk of hyperpigmentation.

The difference between pain and the sensation of treatment

Both procedures involve applying anesthetic cream beforehand, so the pain is relatively minimal. However, the sensations differ.

  • DermapenThe main sensation is a tingling or prickling feeling from the needles. This can be significantly reduced with anesthetic cream.
  • PotenzaIn addition to the pain from the needles, there is a lingering pain from the heat of the radio waves. The sensation is somewhat unique.
Director Tomoko
I'm worried about the pain; which one is more painful?
Mr. Shichiri
Potenza involves radiofrequency heat, which can be painful, so the sensation is unique, and some people may find it a bit challenging. If you are sensitive to pain, you should keep this in mind.

Differences in redness and bruising immediately after the procedure

Immediately after the procedure, both treatments will cause redness all over the face. However, there is a difference in how easily bruising occurs.

Mr. Shichiri
Dermapen treatments can easily cause bruising in areas with thin skin, such as under the eyes, making the redness more noticeable. If bruising occurs, it can take 1-2 weeks to disappear. Potenza, on the other hand, uses heat to stop bleeding, so it tends to reduce bleeding and the redness subsides more quickly.
Redness and bruising indicators
  • DermapenThe overall redness doesn't last very long, but bruising can persist for 1-2 weeks.
  • Potenza: It usually settles down to the point where it can be almost completely covered with makeup by the next day.
  • There may be a tingling sensation immediately after the treatment, but the tingling sensation tends to linger longer with Dermapen.

*The rate at which redness subsides and the presence or absence of bruising may vary from person to person.

Soothing effect of exosome stem mask

In the experiment, when At.Skin's "Exosome Stem Mask" was applied immediately after the procedure, a significant soothing effect was observed within 30 minutes.

Director Tomoko
After applying the mask, the redness on my forehead was completely gone!
Mr. Shichiri
Exosome masks have a very strong soothing effect. While redness naturally subsides over time, applying the mask will help reduce it more quickly. It's worth using as part of post-treatment care.

How to manage the recovery period and choose the right treatment

Dermapen tends to cause longer downtime in areas with significant bruising. While it usually fades considerably after a week, it can sometimes take up to two weeks. Potenza, on the other hand, often leaves almost no trace of bruising with makeup the very next day, making it easier to try.

Mr. Shichiri
If you're struggling with acne scars and craters, then Potenza is my only recommendation. It's more effective for treating craters. However, if your main concern is enlarged pores, then Velvet Skin, which combines derma pen and a massage peel, is more cost-effective and better at improving firmness and radiance. If you don't have acne scars and your goal is firmness and radiance, then Velvet Skin is probably a better fit for you.
Summary of how to choose based on your specific concerns
  • Acne scars (craters)→ Potenza (crater mode) is effective.
  • Pores, firmness, and radiance (no craters)→ Velvet Skin (Dermapen + Massage Peel) is also available at a cost-effective price.
  • I want to minimize the downtime as much as possible.→ Potenza (often almost completely covered by the next day)
  • I want to try it out easily first, but I'm worried about the pain.→ Dermapen is also an option.

Case studies showing the effects of Potenza

Porcelain-like skin with Potenza | Case study after 3 treatments

This is a case study of a patient who was concerned about uneven skin texture and dullness due to enlarged pores.After three treatments, my skin texture became smoother within a month.

Porcelain-like skin after 3 treatments of Potenza (case photos)

Our Treatments
Porcelain-like finish Potenza (3 applications)
Treatment amount
242,400 JPY (TAX+)
Side effects/risks
Redness, pain, swelling, internal bleeding, pregnancy not allowed

*The effects may vary from person to person.

Strawberry nose treatment with Potenza | Case study after 2 treatments

This is a case study of a patient who was concerned about clogged pores and blackheads around their nose.Two weeks after two treatments, my nose became cleaner with fewer clogged pores.

Case photos of strawberry nose treated with Potenza twice.

Our Treatments
Strawberry Nose Potenza 2 times
Treatment amount
69,600 JPY (TAX+)
Side effects/risks
Redness, swelling, pain, edema, internal bleeding, pregnancy not allowed

*The effects may vary from person to person.

Crater Potenza Treatment | Case Study of 3 Treatments

This is a case study of a patient who was troubled by acne scars and craters.After three treatments, the craters become shallower and the pores tighten.

Case photos after 3 treatments of crater palpation with Potenza.

Our Treatments
Crater Potenza 3 times
Treatment amount
242,400 JPY (TAX+)
Side effects/risks
Redness, heat sensation, microcrust

*The effects may vary from person to person.

Acne Potenza | Case study of 3 treatment sessions

This is a case study of a patient who suffered from recurring inflammatory acne.After three treatments, the inflammation subsided, and the overall redness of my skin improved significantly.

Acne Potenza 3 Case Photos

Our Treatments
Acne Potenza 3 times
Treatment amount
80,400 JPY (TAX+)
Side effects/risks
Redness/temporary worsening of acne

*The effects may vary from person to person.

Redness from Potenza | Case study after 3 treatments

This is a case study of a patient who was troubled by redness all over their face.After three treatments, the redness was significantly reduced, and my skin tone became more even.

Case photos of redness treated with Potenza 3 times

Our Treatments
Redness Potenza 3 times
Treatment amount
134,400 JPY (TAX+)
Side effects/risks
Redness, heat sensation, microcrust

*The effects may vary from person to person.

Case studies showcasing the effects of microneedling.

Upper Arm Dermapen Treatment | Case Study of 12 Treatments

This is a case study of a patient who was concerned about keratosis pilaris (bumps) on their upper arms.After 12 treatments, the bumps on the surface of my skin improved.Dermapen can be used on the body as well as the face.

Before and after photos of 12 sessions of microneedling on the upper arm.

Our Treatments
Upper arm microneedling (12 sessions)
Treatment amount
277,200 JPY (TAX+)
Side effects/risks
Redness, swelling, itchiness, pain, swelling, internal bleeding, pregnancy not allowed

*The effects may vary from person to person.

Dermapen | Case study of 6 treatment sessions

This is a case study of a patient who was concerned about the uneven texture and skin condition caused by acne scars.My skin's smoothness improved after 6 treatments.

Before and after photos of 6 sessions of Dermapen treatment.

Our Treatments
Dermapen 6 times
Treatment amount
129,000 JPY (TAX+)
Side effects/risks
Redness, swelling, itching, dryness, scabs

*The effects may vary from person to person.

Summary | How to choose based on your specific concerns through counseling

Key points of this article
  • Potenza is a 3-way treatment using needles, radio waves, and medication. Dermapen uses only needle stimulation.
  • Because Potenza involves injecting vertically once at a time, it is less likely to cause lateral scarring and has a lower risk of hyperpigmentation.
  • Bruising is more likely to occur with Dermapen, and it can take up to two weeks for it to disappear.
  • Potenza tends to have a shorter downtime. Often, the downtime can be almost completely covered with makeup by the next day.
  • Potenza is effective for acne scars and craters. If your goal is pore reduction, firmness, and radiance, Velvet Skin is also an option.
  • The soothing effect is enhanced by using an exosome mask immediately after the treatment.

Potenza and Dermapen each have different characteristics, and the most suitable treatment varies depending on the type of concern. At Elm Clinic, we will assess your skin condition and preferences during a consultation before proposing the most appropriate treatment. Please feel free to contact us for a consultation.

*This article is a revised and expanded version based on a YouTube video. Individual results may vary. Please confirm the treatment details, fees, and risks during your consultation.

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