Cosmetic Dermatology Elm Clinic
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Medical cosmetics/Doctor's cosmetics

Medical cosmetics that suit Japanese skin.

Highly concentrated retinol products made overseas contain large amounts of preservatives and preservatives, and some contain ingredients that cannot be used in Japan.These preservatives and preservatives are too strong for Japanese skin, which can cause excessive redness and skin irritation, which can be a burden on patients.We worked with cosmetic dermatologists to develop this product with the aim of providing medical cosmetics that are both effective and suit the skin of Japanese people.
In addition, [At.] was born as a medical cosmetic for Japanese people that can be used safely and for a long time by removing unnecessary ingredients as much as possible, reducing the burden on the skin, and still being effective.

Medical cosmetics without compromise.

The At. series is based on the idea of ​​EVIDENCE BASED COSMETICS (cosmetics based on scientific evidence), and contains ingredients proven in medical institutions and ingredients of interest at concentrations derived from clinical data. Developed with the aim of being ``medical cosmetics without compromise.''
Ingredients that burden the skin are eliminated to the utmost, and carefully selected beauty ingredients are blended in high concentrations.These are medical cosmetics created with attention to detail.

This is exactly where it starts.

This is not the end of original medical cosmetics [At.].This is where it starts.In addition to feedback from clinics, we will continue to evolve to respond to opinions and requests from users.
Together with our patients, we aim to create medical cosmetics that help maintain better skin and help patients stay with us for a long time. With At., let's spend every day dancing with our hearts and not worrying about our skin!

Elm Beauty Medical Research Institute
chiefTomoko Yamada
For more information, please see Medical Cosmetics
Go to online shop

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Product features

The At. (A.T. Dot) series is
Without counseling,
Not for sale.

The At. series is not sold without counseling.
This is because we include products that require downtime, which only a cosmetic dermatologist can offer.
We can only sell our products to you after thorough counseling to determine what treatment your skin needs.

Depending on your lifestyle and purpose
the most suitable program.

Before purchasing, please first receive a free consultation online or at a clinic near you.
We will look at your current skin condition, listen to your lifestyle and concerns, and suggest a program that is perfect for you.
In addition, with the At. Series + Clinic Treatment, we are now able to provide comprehensive skin care that maximizes the effects of clinic treatments at home.

Protects from UV rays that cause skin aging
Evolutionary vitamin A medical cosmetics.

In fact, 80% of skin aging is caused by photoaging caused by ultraviolet rays.Protecting your skin from UV rays and making your skin resistant to UV rays is important for creating skin that does not age.It is said that if you give vitamin A to your skin every day, the skin itself will have an SPF 20 effect, so it is important to incorporate vitamin A into your basic cosmetics every day.
At., we are deeply pursuing this vitamin A.We actively use vitamin A, which is highly stable and protective, to vitamin A derivatives, which are highly irritating drugs, depending on their role.In addition, the aggressive vitamin A "retinol" has the effect of speeding up the renewal (turnover) of skin cells and reducing melanin, which causes age spots.In addition, vitamin A is effective for various symptoms such as age spots, wrinkles, melasma, pores, acne, and dullness.

evidence-based
Ingredients that really “work”.

At. is a luxurious blend of not only vitamin A but also other essential ingredients.We carefully select ingredients based on scientific evidence such as experiments and papers.
Additionally, since I have experienced severe side reactions due to the large amount of preservatives and preservatives contained in overseas products, I remove unnecessary ingredients as much as possible to reduce the burden on the skin.
At. is a medical cosmetic that is highly effective and can be used for a long time with peace of mind.

Promoting cutting-edge research,
Medical cosmetics optimized for Japanese skin.

At At.'s laboratory, we carefully select ingredients based on scientific evidence, borrow the help of partner companies, and through repeated trial and error, develop unique medical cosmetics tailored to the delicate skin of Japanese people.
In addition, we do not stop here and update the products that are currently on sale, reflecting the results of our research, so that we can always deliver the best products.
At. is a medical cosmetic product that evolves with the aim of providing the best answer for Japanese skin.

Case introduction

Hiroshima clinic monitor

At.skin cure program

Hiroshima clinic monitor

E-Silk Program Mild Course

Hiroshima clinic monitor

At.skin cure program

Hiroshima clinic monitor

At.skin Cure Program Mild course during drug withdrawal period

Hiroshima clinic monitor

At.skin cure program

Hiroshima clinic monitor

E-Silk Program Mild Course

For more information, please see Medical Cosmetics
Go to online shop

At. (At.dot) purchase process

  • Flow of treatmentCounseling appointment

    First, please make a reservation for a free consultation online or at each clinic.

  • Flow of treatmentCounseling

    We offer free counseling online or at each hospital.We will check your current skin condition, listen to your concerns and wishes, and suggest products that meet your needs.We also offer comprehensive treatment, including in-office treatments.

  • Flow of treatmentPurchase

    Please purchase the desired product.We will also explain precautions when using the product and detailed instructions on how to use it.

For more information, please see Medical Cosmetics
Go to online shop

At. (Atidot) product lineup

Replus Cleansing Serum

drop
  • mandelic acid
  • Glutathione
  • Cleansing

4,500yen

Non-friction/mild
Cleansing

This cleansing serum has a texture similar to that of a beauty serum and is gentle on the skin, with no friction and elasticity.It is a gentle formula that is resistant to A reaction caused by retinol cosmetics.

premium wash

drop
  • Vitamin C derivative
  • Face wash

5,000yen

While removing chlorine from tap water
moist

Contains "clay" (mud) ingredients that absorb dirt from pores and remove sebum dirt.GO-VC, a vitamin C derivative, has high penetration into the skin and stimulates fibroblasts to promote collagen production.It has a production suppressing effect that prevents dark spots and melanin.

EX SOME STEM MASK

Soothing/moisturizing
  • Exosomes
  • EGF・FGF
  • Niacinamide

8,900yen

Three popular ingredients
Luxuriously blended

Intensive anti-aging care for the entire face with a mask filled with a beauty serum containing growth factors (EGF/FGF), exosomes, and niacinamide in a "Miracle Cotton" sheet made of 100% domestic natural cotton.

AZ-P toner

Acne/
into the pores
  • azelaic acid
  • Pionin
  • Glycolic acid

7,000yen

For acne, pores, and dead skin care
peeling toner

Contains 15% azelaic acid with immediate effect and long-lasting effect! Realizes clogging of pores, suppression of sebum secretion, antibacterial and antioxidant properties. It also targets melasma and leads to clearer skin. This toner is recommended not only for those with oily skin, but also for those with sensitive or combination skin.

TA pure skin lotion

Lotion
  • Tranexamic acid
  • whitening lotion

6,000yen

Contains tranexamic acid
moist lotion

Contains tranexamic acid, an active whitening ingredient.Dipotassium glycyrrhizinate, which has an anti-inflammatory effect, suppresses inflammation to the maximum extent, and Chamomilla B, which works on TA-stem cells that produce skin, works on skin turnover.

HQ snow skin serum

Stains/
dullness
  • Hydroquinone
  • whitening emulsion

11,000yen

Contains XNUMX% hydroquinone

An emulsion containing 4% hydroquinone.It is designed to avoid leaving a white cast when applied, and contains as few ingredients as possible that can induce allergies when used in combination with tretinoin.You can use it with confidence in a special container with a structure that prevents it from coming into contact with air.

Miracle Powder V Serum

Stains/
dullness
  • Vitamin C derivative
  • Stain control serum

11,000yen

Contains 15% high concentration of vitamin C

Contains 15% vitamin C!Skin toning serum.Improves stains and dullness, leading to clearer skin.Coenzyme Q10 and fullerene prevent skin oxidation.

Luxe retino parfait

Every day of
photoaging care
  • Retinol
  • peptide
  • beauty emulsion

13,000yen

Contains 1% retinol and 3% human stem cells

Contains retinol, retinol palmitate, human stem cells, and high-performance peptides.Protects skin from photoaging and gives firmness and luster.It cultivates "La Flora [beautiful skin bacteria]" which adjusts the balance of resident bacteria on the skin.

Retino Advance 5

Active
aging
care
  • High concentration retinol
  • Cell regeneration serum

12,000yen

Contains 5% retinol

Retinol and retinol palmitate Contains two types of retinol in high concentration in W, and can be expected to improve overall skin quality, including wrinkles, firmness, fine lines, enlarged pores, smoothness and shine, and dry skin.The skin itself fills with moisture and normalizes the skin regeneration process.

N/V oil

protective care
  • Ceramide
  • High concentration
    Niacinamide

5,500yen

Double layer serum oil

A high-performance serum containing 5% niacinamide, a notable ingredient that is famous for its ability to treat a wide range of skin concerns, especially age spots, wrinkles, and rough skin.Contains human-type ceramide, which works as a support ingredient to adjust the skin's barrier function, and galactomyces culture solution, which contains abundant nutrients, to improve the skin environment and lead to clear, glossy skin.

intensive repair cream

Soothing/moisturizing
  • Ceramide
    Encapsulated liposome
  • Glycyrrhetinic acid
    Stearyl
    Encapsulated liposome

8,000yen

Cream that gently protects and soothes the skin

Because it uses emulsified particles that closely resemble the structure of the skin, the ingredients penetrate without putting any strain on the skin.Apple ferment and glycyrrhizic acid soothe the skin.It can be used not only by people with rough skin or atopic dermatitis, but also after treatment at the clinic or during an A reaction due to vitamin A.

UV veil milk

Sunscreen
  • CICA/Fullerene
  • UV milk

5,000yen

Focused on anti-pollution
Sunscreen

It has SPF50+ and PA++++, the highest values ​​in Japan, yet is a gentle formula that does not burden the skin.It cuts 84% ​​of blue light emitted from computers and smartphones, reduces skin stress from near-infrared rays, allergens, PM2.5, pollen, and cigarettes, and protects you from skin problems.

Secret Glow CC

Sunscreen
+
foundation
  • Argireline・
    CICA/Fullerene
  • CC cream

6,000yen

“CC Cream” for glowing skin

Contains plenty of serum ingredients such as the ultimate antioxidant fullerene and EGF.A CC cream that leaves your skin moist and glossy without using UV absorbers that can irritate or burden your skin.It has a gentle formula that spreads easily and can be applied without rubbing the skin.

For more information, please see Medical Cosmetics
Go to online shop

Side reactions that may occur when using At.

  • Luxe Retino Parfait, Retino Advance
    A retinoid reaction (burning, peeling, redness, and scaling) may occur, but the reaction will gradually subside as your skin adjusts.
  • HQ snow skin serum
    In rare cases, hydroquinone may cause rash, itching, and pigmentation.

Precautions: All retinoids, including retinol, increase sensitivity to light, making them more susceptible to the toxic effects of UV rays during use, so it is necessary to take adequate precautions against UV rays, especially during the day.

*If you experience severe itching, swelling (e.g., swelling even on the eyelids that were not applied), or discharge of fluid that looks like it's swollen, please stop using the product and contact the clinic.

FAQ

Are there any precautions to be taken while using it?
When using At.skin, please wrap it in without rubbing it.Also, while using cosmetics, you may experience peeling, dryness, stinging, or redness.
This is a normal reaction from use, so you can continue using it.However, if you experience any heat sensation, rash, or swelling on your skin, please stop using the product and contact our clinic.
Can At.skin be used during laser treatment?
If there is no redness or peeling, you can stop using it approximately 2 to 7 days before and use it 2 to 7 days after the laser treatment.The number of days varies depending on the type of laser, so please check in advance.
Can I wear foundation or makeup during the skin peeling period?
It is possible to apply foundation and makeup during the period of skin peeling, but depending on the time of year and the item, makeup may not adhere well.
At.skin's UV Veil Milk has a light milky white color and works as a makeup base, so it is recommended during the skin peeling period.
Can I go into the pool or ocean during the Cure program?
Although it is possible to enter the pool or the sea, we do not recommend it due to the risk of pigmentation due to sunburn and the effects of ultraviolet rays.Be sure to take proper measures against UV rays.
I have an important appointment coming up and would like to get my skin back in shape.Can I stop using it?
Redness and peeling will subside by discontinuing the use of tretinoin, HQ Snow Skin Serum, and high concentration retinol (Retino Advance 5).If you are concerned, please stop using it about a week before your scheduled appointment.If you cancel, please use your usual skin care.
Is it okay to use the pack I have?
You can use it, but the effectiveness may decrease during the cure program, so check with your doctor first before using it.
Is it okay to use eye tape?
Eye tape can be used, but if you have redness or peeling around your eyes, we recommend that you refrain from using it.
Is it okay to use it on the neck?
We recommend that you refrain from using tretinoin, HQ Snow Skin Serum, and high-concentration retinol (Retino Advance 5) on areas where the skin is thin, such as the neck.
If applied, swelling, redness, and peeling of the skin may occur.If you try it on and there is no problem, there is no problem in using it.
Can it be used around the mouth and eyelids?
Avoid applying tretinoin, HQ Snow Skin Serum, or high-concentration retinol (Retino Advance 5) to areas where the skin is thin, such as around the mouth and eyelids, as this can easily cause swelling and peeling.
Can I exercise while using At.skin?
It is possible to exercise.In rare cases, strong redness may appear.
My skin becomes itchy.
Scratching can lead to pigmentation.please note.
The itching can be reduced by using N/V oil or white petrolatum.
It's extremely dry.
You may be concerned about dryness while using the Cure Program. Applying N/V oil to protect it will reduce dryness.
How long does At.skin last?
It will vary depending on the amount used, but it will take approximately 1 to 2 months.
How much does At.skin cost for the complete program?
Prices vary depending on the program, but the approximate price is around 3 to 6 yen.Please feel free to contact us for advice, as we are able to offer single items and minimal cost-saving proposals during counseling.
I can't peel the skin, but I'm not sure if I'm using it correctly.
As you continue to use retinol preparations and tretinoin, the side effect called A reaction will gradually become tolerant in your body and the skin peeling will subside.Since the degree of treatment varies from person to person, we may be able to adjust the concentration of the compound while examining your skin condition through regular counseling.
Can I drink alcohol?
Yes.Is possible.
Can it be used after plastic surgery?
We recommend using it after the post-operative swelling and scars have subsided. (Aim for 1 to 6 months.) I think it would be safe to ask your doctor if it is possible to use retinol products.
Can I use it after undergoing or planning to undergo HIFU treatment?
After HIFU, you can use it from the next day if there are no skin problems such as burns.If you are planning to receive HIFU from now on, as long as there is no peeling or redness, HIFU treatment can be performed immediately.
If you experience redness or peeling, please stop using tretinoin, HQ Snow Skin Serum, or high concentration retinol (Retino Advance 5) 5 to 7 days before your treatment.
Can it be used in conjunction with other beauty treatments?
When performing treatments such as Photofacial, Dermapen, Velvet Skin, Massage Peel, Hydrafacial, etc., stop using Tretinoin, HQ Snow Skin Serum, and Retino Advance 5 at least 7 to 5 days in advance to restore your skin's condition. Please perform the treatment after that.Also, if you want to start using it again after treatment, please wait 1 to 7 days before using it.
Please contact our hospital for details.
I don't know which one to choose.
An active program makes it easier to control downtime and can be expected to be effective.It's okay to have some downtime.The Cure Program is recommended for those who want to see results in a short period of time.
We have acne programs for acne problems, and we also have basic programs that you can continue to use for a long time.There are individual differences in effectiveness and usability, so if you have any questions, please come to our free consultation.
We also offer online counseling, so please take advantage of it.
Can it be used while breastfeeding or pregnant?
Tretinoin, HQ Snow Skin Serum, Retino Advance 5, and Luxe Retino Parfait cannot be used while breastfeeding or pregnant.
Regarding sunburn
Ultraviolet rays are your enemy during the cure program.Please be sure to use sunscreen and take sun protection such as a hat or parasol.Please be careful not to get sunburned on other courses as well.
Also, it can be used after sunburn, but the reaction may be stronger than on normal skin.
Will the effect disappear if I stop it once?
There is no problem with discontinuing treatment if you are concerned about irritation or after proper counseling such as combined treatment with laser treatment.However, please refrain from interrupting at your own discretion.
How long does it take for the skin to peel?
Although it varies from person to person, your skin will gradually start peeling from the 3rd to 4th day after starting the program, and your skin will become normal and the peeling will subside in about 1 to 2 months.
Which is better: stain removal laser or At.skin?
It depends on the type of stain, so please come for a consultation.
Can I use it in conjunction with my existing skin care products?
Although it is possible to purchase them individually, the effects may vary depending on the type and usage.Please consult with us once.
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