Cosmetic Dermatology Elm Clinic
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Automatically translated. Prices and details may be inaccurate. Please check the Japanese site or contact us via form or LINE. Staff speak Japanese only.

Medical Permanent Makeup (Eyebrow Art)

Artmake case photos

Treatment name Artmake
Explanation of treatment Permanent makeup is a procedure that uses a special ultra-fine needle to inject medical pigments into the shallow layers of the skin to naturally and beautifully shape the contours of eyebrows, eyeliner, lips, etc. The effect of applying makeup lasts for a long time, so you can reduce the time it takes to apply makeup in the morning and achieve makeup that is resistant to sweat and water.
Side effects/risks Redness, bruising, swelling, infection, and allergies may occur.
cost 15,000 JPY (TAX+) to 79,800 JPY (TAX+)

Elm Clinic's permanent makeup technology uses the latest technology from Japan and abroad, and is performed by medical professionals who have acquired advanced techniques, making it possible to achieve a three-dimensional, natural, and close-to-real eyebrow finish.
Elm Clinic's permanent makeup looks natural even when you look at it up close.
This requires techniques to match each person's eyebrow growth and color, as well as an aesthetic sense to create a shape that looks beautiful.In order to achieve a satisfactory finish, we adjust the color and shape in 2 to 3 steps, adding color little by little and allowing it to settle.We provide high-quality techniques that go unnoticed by others.
Medical permanent makeup does not come off with water or sweat, and can remain beautiful even in situations such as pools, hot springs, and sports.

Number of cases

4463Piece
* FY2024 results
*Permanent makeup cases

People who are recommended for permanent makeup

  • daily makeup
    Not determined
  • Even before sports or makeup
    I want to be beautiful
  • It's quite a makeup time every morning.
    I can't guess
  • morning makeup
    Sometimes it's troublesome

What is permanent makeup?

Permanent makeup is a procedure that uses specialized equipment to insert pigments one by one into a very shallow layer of the skin, approximately 0.02 to 0.03 mm from the surface. While the finish looks similar to makeup, it will not come off even if it gets wet with sweat or water or is rubbed. The color will gradually fade over time, but will last for several years.

Since permanent makeup uses needles to inject pigment, people often ask how it differs from tattoos, but the biggest difference is the depth to which the pigment is applied. Tattoos inject pigment into a layer about 2 mm deep from the surface of the skin, so they are generally semi-permanent. On the other hand, permanent makeup injects pigment into the very shallow part of the skin, so it gradually fades due to metabolism.

The gradual fading of the color is not a disadvantage, and one of the features of permanent makeup is that the design can be adjusted and changed to suit age, preferences, and trends. Therefore, you can undergo the procedure with peace of mind, while keeping future changes in mind.

The latest technology in medical permanent makeup

Elm Clinic's permanent makeup service, which began in earnest in 2014, continues to incorporate the latest technology.There is also the traditional technique of drawing each hair one by one, powdering using a machine, and the combination of these techniques called fur + powder.We also offer a wide range of treatments, including body art makeup called SKIN1 to hide scars and paramedical art makeup to draw areolas from mastectomy scars.We have a large number of practitioners, who regularly attend seminars both domestically and internationally, and are constantly updating their advanced techniques.

In recent years, we have also hired practitioners who can correct permanent makeup done at other clinics and perform hair stroke permanent makeup, which involves drawing hair with a machine. We maintain the number of cases that are among the highest in the country and will continue to lead the permanent makeup industry.

Only medical professionals can do medical permanent makeup.

Medical permanent makeup is a special technique that can only be performed by medical professionals and can be received at a clinic.First of all, the biggest advantage is that it is highly hygienic and safe because the treatment is performed by medical professionals, and the risk of infection can be minimized by sterilizing the treatment and equipment.In addition, since doctors and nurses with specialized knowledge are involved in the treatment, we are fully equipped to provide aftercare and troubleshooting.
At our clinic, we place emphasis on counseling, carefully listening to the patient's skin condition and wishes, and proposing the most suitable treatment plan.This helps us achieve the best possible outcome for our patients.

Medical permanent makeup technology is evolving day by day, and clinics are equipped with the latest technology and equipment.
When receiving permanent makeup, you can enjoy benefits in terms of safety, effectiveness, and aftercare by choosing a clinic with medical professionals.Find a clinic that suits you and consult with a clinic you trust.

Types of permanent makeup

  • powder blow

    make up with powder
    An image that seems to be
    finish

  • coat

    Add each hair one by one,
    Do you have eyebrows?
    like
    finish

  • coat+
    powder blow

    Powder and hair one by one
    By adding
    Three-dimensional finish

  • lip

    Remove dullness from your skin
    Create your favorite color and luster

  • Eyeline

    Make your eyes look big and show your strength.
    Produce sex appeal

  • Mole

    Eyes, mouth, etc. as you like
    Any size you like

About Permanent Makeup for Men

Our clinic also offers men's permanent makeup treatments. We can accommodate a wide range of designs, from straight designs that emphasize a masculine impression to curved designs that give an androgynous impression, and provide a natural, three-dimensional finish that resembles natural eyebrows. Many men also suffer from thin eyebrows and partial thinning hair, and in recent years, an increasing number of men are getting permanent makeup to resolve their complexes. It is also recommended for those who work in the customer service industry or who want to make a good impression at work.

Medical Permanent Make-up
Case Information

eyebrow

Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 2 times

Treatment amount
¥116,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sato (Azabu)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 2 times

Treatment amount
¥116,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sato (Azabu)
Eyebrow permanent makeup case photos
Our Treatments

2D (Powder)

Treatment amount
¥116,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sato (Azabu)
Eyebrow permanent makeup case photos
Our Treatments

Coat 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Saito (Fukuoka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

Coat 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Otsu (Fukuoka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

Coat 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Otsu (Fukuoka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

Powder 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Saito (Fukuoka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

Powder 2 time

Treatment amount
¥109,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Ichihara (Fukuoka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

Powder 2 time

Treatment amount
¥109,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Ichihara (Fukuoka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

3D (fur) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Fujii (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

3D (fur) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Kurisu (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

3D (fur) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Fujii (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

3D (fur) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Kurinomiya (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

3D (fur) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Kurisu (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Fujii (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Kurinomiya (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

3D (fur) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Fujii (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

3D (fur) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Fujii (Hiroshima)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shibata (Kobe Clinic)
Eyebrow permanent makeup case photos
Our Treatments

3D (powder) 2 times

Treatment amount
¥109,600 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shibata (Kobe Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shibata (Kobe Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 2 time

Treatment amount
¥109,600 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Suzuki (Kobe Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shibata (Kobe Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 2 time

Treatment amount
¥109,600 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Suzuki (Kobe Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 2 time

Treatment amount
¥109,600 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Suzuki (Kobe Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Miyamoto (Kumamoto Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D (powder) 1 times

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Uemura (Kumamoto Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D (powder) 1 times

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Miyamoto (Kumamoto Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Uemura (Kumamoto Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shiba (Okayama Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shiba (Okayama Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shiba (Okayama Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Tanigawa (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D Machine Powder 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sasano (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Matsuda (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D Machine Powder 2 time

Treatment amount
¥119,600 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sasano (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Matsuda (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 2 time

Treatment amount
¥119,600 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Tanigawa (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D Machine Powder 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sasano (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Tanigawa (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Matsuda (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Tanigawa (Osaka Clinic)
Eyebrow permanent makeup case photos
Our Treatments

2D Machine Powder 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sasano (Osaka Clinic)

Lips

Lip permanent makeup case photos
Our Treatments

Lip 2 times

Treatment amount
¥136,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sato (Azabu)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥73,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sato (Azabu)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥73,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sato (Azabu)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥70,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Fujii (Hiroshima)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥89,600 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shibata (Kobe Clinic)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥70,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Miyamoto (Kumamoto Clinic)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Maeda (Okayama Clinic)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Matsuda (Osaka Clinic)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Sasano (Osaka Clinic)
Lip permanent makeup case photos
Our Treatments

Lip 1 times

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Matsuda (Osaka Clinic)

Eyeline

Case photos of eyeliner permanent makeup
Our Treatments

Eyeliner 1 time

Treatment amount
¥25,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Shibata (Kobe Clinic)

scar

Case photos of scar (stretch mark) permanent makeup
Our Treatments

Stretch marks 2 time

Treatment amount
¥168,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Ogoro (Fukuoka Clinic)
Case photos of scar permanent makeup
Our Treatments

Scars 2 times

Treatment amount
¥100,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Ogoro (Fukuoka Clinic)
Case photos of scar permanent makeup
Our Treatments

Scars 2 times

Treatment amount
¥100,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Ogoro (Fukuoka Clinic)

For Men

Case photos of men's eyebrow permanent makeup
Our Treatments

3D (fur) 1 time

Treatment amount
¥50,000 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Fujii (Hiroshima)
Case photos of men's eyebrow permanent makeup
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥59,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Maeda (Okayama Clinic)
Case photos of men's eyebrow permanent makeup
Our Treatments

4D (fur + powder) 1 time

Treatment amount
¥69,800 (TAX+)
Side effects/
risk
Redness, internal bleeding, swelling, infection, allergies, etc.
Avoid alcohol, strenuous exercise, and massage on the day of your appointment.
Responsible
Nurse Tanigawa (Osaka Clinic)

Benefits of medical permanent makeup

  • Merit

    Get closer to your image with ideal eyebrows

    With medical permanent makeup, you can achieve your ideal eyebrow shape.Through counseling by experts, you will be able to get the best design for you and get closer to the image you have in mind.

  • Merit

    can express strong will

    Eyebrows greatly affect facial expressions and impressions.Well-groomed eyebrows can make you feel strong willed and confident.

  • Merit

    Sweat and water resistant

    Medical permanent makeup is resistant to sweat and water, allowing you to maintain your ideal eyebrows even when playing sports or playing in the sea or pool.

  • Merit

    Make a good first impression

    Dignified eyebrows have the effect of improving your first impression.Making a good impression has a positive effect on business and interpersonal relationships.

  • Merit

    Gives a youthful impression

    Medical permanent makeup can give you a youthful look by shaping your eyebrows.This will help you maintain an attractive appearance regardless of your age.

  • Merit

    Have the image of a competent boss

    Neat eyebrows can give people the impression of being a bossy boss.For people in leadership positions, this type of image is extremely important.

  • Merit

    Saves you the hassle of grooming yourself

    By receiving medical permanent makeup, you no longer need to take care of your eyebrows every day, saving you time and effort.This benefit is especially appealing to busy people.

In modern society where wearing masks has become commonplace, eyebrows greatly affect the impression of the face.Medical permanent makeup helps you maintain beautiful eyebrows and be confident in a variety of situations.Find the best clinic and enjoy the benefits of medical permanent makeup.


Disadvantages of medical permanent makeup

Medical permanent makeup has the advantage of improving the impression of your face and giving you a beautiful finish, but there are also disadvantages.

  • cannot be erased easily

    Medical permanent makeup cannot be easily removed once it has been treated.Therefore, it is important to choose a clinic where you can thoroughly discuss the design that suits you.If you are unhappy with the design, it may be difficult to fix it.

  • there is downtime

    After permanent makeup treatment, downtime such as swelling and redness may occur.Downtime often subsides within a few days, but if you have a period of time where you are having trouble with your work or private life, it is important to discuss your treatment schedule in advance.It is also important to follow the precautions after the procedure.

  • Requires several treatments

    Permanent makeup is usually completed in two treatments, but if you have a good metabolism and ink does not stick well, you may need three or more treatments.However, the ink may adhere better if you follow the precautions during the downtime period.

  • Lasts 2-3 years

    Permanent makeup lasts for 2 to 3 years and is not permanent. 2D permanent makeup eyebrows have good color retention, but they may look like they have been carefully drawn on with eyebrows, giving the impression of being painted solidly.On the other hand, 3D/4D permanent makeup is hand-carved, so it gives a natural look, but it may last shorter than 2D.Both methods can be combined according to the patient's wishes, but this will need to be discussed during the consultation.

Considering these disadvantages, when considering medical permanent makeup, it is necessary to choose a clinic that suits your situation and wishes, and to conduct thorough counseling in advance.

Click here for the advantages and disadvantages of permanent makeup


About removing eyebrow permanent makeup

Normally, over the course of a few years, it will gradually fade as your skin turns over, but if you wish to remove your permanent makeup sooner, it can be removed by laser irradiation using a pico laser or Q-switched ruby ​​laser.
Depending on the area to be removed and the condition, it may be difficult to apply the laser, so please consult us first. The treatment fee is 29,800 JPY for one eyebrow and 1 JPY per 9,800 cm for eyeliner.

Details of the treatment and corresponding clinicpico laser,Q-switched ruby ​​laserPlease check the page.


Treatment overview

  

Duration of treatment

1 to 3 hours

Side effects

There may be some redness after the treatment.Redness usually subsides within 1 to 2 days, but it may take up to a week. (During this period, you cannot use scrubs, etc.) Internal bleeding, swelling, infection, or allergies may occur.

Points to note

Moisturize your skin as it helps the skin regenerate and improves the color retention.To prevent infection, please refrain from using facilities that are used by an unspecified number of people, such as make-up, swimming pools, hot springs, and saunas, to avoid secondary infection.

*Pain, downtime, and effects vary from person to person.
*The treatment time does not include counseling time.
*Pregnant women cannot undergo any treatments.

Downtime, side effects, and precautions for medical permanent makeup

Medical permanent makeup is a way to get beautiful eyebrows, but there are downtimes, side effects, and precautions.
First, there are some people who cannot undergo treatment.These include open wounds, severe skin conditions, heart disease, people on anticoagulant therapy, bleeding disorders, severe diabetes, autoimmune diseases, and herpes simplex.In addition, those who are pregnant, breastfeeding, trying to conceive, heart disease, infectious disease, atopic dermatitis, keloid constitution, immunosuppressed state, severe allergic constitution, metal allergy, local anesthesia allergy, skin disease at the treatment area. If you have any, please avoid the procedure.

Before and after your treatment, you will be asked to refrain from facial cosmetic procedures or the use of vitamin A preparations for one month.Additionally, those who have undergone cosmetic surgery will not be able to receive permanent makeup for approximately six months until the swelling has subsided.Please avoid bleaching or coloring your eyebrows for 1 weeks before the procedure and 2 weeks after the procedure.

There are the following precautions regarding aftercare.For 24 hours after the treatment, be careful not to use cleansers or facial cleansers on the treated area, and lather the facial cleanser and wash gently to reduce the risk of infection.Please avoid strenuous exercise or activities that cause sweating for 2 weeks after the treatment.It is recommended that you avoid swimming in the sea, pools, saunas, hot springs, etc. for two weeks to prevent infection.Please avoid tanning for at least 2 weeks after treatment as it can cause fading and stress on the skin.For one week after the treatment, apply Vaseline ointment after washing your face to protect it and be careful not to let it dry out.Permanent eyebrow makeup treatment consists of the first treatment and the second correction, which constitutes a complete set of treatments, and requires two hospital visits.There are individual differences in how the pigment settles, and the pigment gradually fades due to skin metabolism, so it is necessary to undergo a second treatment within three months from the first treatment date.

Removing permanent makeup once applied may be difficult to irradiate with laser depending on the area to be removed, and there may be a risk of hair removal from eyebrows and eyelashes.There may be internal bleeding, scabbing, inflammation, swelling, or scarring on the skin after the procedure.In rare cases, temporary erosion of the corneal epithelium may occur.In addition, allergies, side effects, and complications may occur due to the treatment, internal and external medications, local anesthesia, etc. associated with the treatment.

If the instructions and precautions after the treatment are not followed, it may be difficult for the pigment to settle or side effects (infection, inflammatory swelling, secondary pigmentation, etc.) may occur.When receiving medical permanent makeup, it is important to pay close attention to precautions before and after the treatment and aftercare to ensure that the treatment is safe and effective.

Click here for information on downtime for permanent makeup

Permanent makeup design points

Permanent makeup is an element that greatly affects the impression of the face, and the golden ratio and aesthetic sense play an important role in the design.
The first is a design that utilizes the golden ratio.By balancing your face, you can bring out your natural beauty.Specifically, we aim to achieve proportions close to the golden ratio by adjusting the width between the eyebrows, the position of the ridge, and the angle of the end of the eyebrow.In addition, by adjusting the shape and thickness of the eyebrows according to the shape and features of the face, it is possible to improve the harmony of the entire face.
Next, a sense of design is also important.When it comes to permanent makeup, it is important to customize the design to match each individual's facial features and preferences, and it is necessary to pursue beauty that suits each individual.It is important to fully understand the client's needs through counseling and propose a design that is appropriate for the facial skeleton and facial muscles.
Permanent makeup, which combines the golden ratio and a sense of design, is a technique that many people appreciate because it can create a lasting, natural and beautiful impression.When receiving permanent makeup, consult with a professional technician to find the design that suits you.


List of eyebrow art designs

  • powder blow

    Powder brow is a technique that applies fine dots evenly across the entire eyebrow. This reproduces a natural, soft color and shape as if it were drawn with powder. It is suitable for those with thin eyebrows or those who prefer a fluffy finish, and gives a soft impression as if they are wearing makeup.

  • coat(3D)

    The hair technique recreates natural eyebrow hairs by drawing each individual hair with a fine line. This method creates the volume and depth of real eyebrows. It is especially suitable for those who have thin eyebrows in certain areas or who prefer a natural look.

  • Hair + Powder Blow(4D)

    This is a technique that combines the brush technique and powder blow. By drawing each individual hair and adjusting the overall color with powder blow, you can create a strong eyebrow presence while maintaining a natural, three-dimensional look. It is perfect for those who want natural yet well-groomed eyebrows.

*Names may vary depending on the clinic. Please contact each clinic for details.


Eyebrow permanent makeup color

Regarding permanent makeup pigments, our clinic stocks permanent makeup pigments for eyebrows, eyeliner, moles, and lips from four overseas companies. We use extremely safe pigments approved by the FDA (U.S. Food and Drug Administration). In addition, the permanent makeup pigments we use at our clinic are different from tattoo pigments in that they contain extremely low amounts of metal, making it possible to undergo MRI scans without any problems. However, if you have a severe metal allergy, we recommend that you undergo a patch test just to be safe.
We use a variety of pigment colors. We are often asked if we can achieve the color of your choice, but at our clinic, we select the best pigment after listening to the patient's wishes and considering the color's settling. The color will change over the course of several months from the time the color appears immediately after treatment until it sets, as it is affected to some extent by skin turnover. Environmental factors also have an impact, but since everyone's skin color is different, even if the same color is used, the color will settling differently for each person. At our clinic, we actually place the pigment we will use on the skin to check the color and how it blends with the skin, and then decide on the pigment after considering the color settling.

Elm Clinic's
Commitment to medical permanent makeup

  • Conducting training sessions

    Elm Clinic, which operates nationwide, has a track record of treating more than 3200 patients annually.Artists from all over the country share information every day and have introduced a training system to improve their individual technical skills.

  • careful counseling

    Our special feature is careful counseling provided by a professional permanent makeup artist.
    During your consultation, we will carefully listen to your concerns and concerns such as pain and allergies.Please feel free to contact us with any concerns, no matter how small.

  • Commitment to design

    We thoroughly understand the customer's ideal eyebrows and use the "Golden Ratio" to provide the optimal design for each individual.Rest assured that we will only begin the treatment once you are satisfied with the treatment.

  • Thorough hygiene management

    All medical needles used for permanent makeup are new and you will be asked to open and check them in front of you.We also take every precaution such as sterilizing and disinfecting other medical equipment, patch testing for metal allergies, and using ink that is gentle on the body.

  • Treatment by medical professionals

    Permanent makeup is a medical procedure.Currently, medical professionals are required to perform the procedure at the clinic.At our hospital, permanent makeup treatments are performed by doctors and trained medical professionals under the supervision of doctors.

  • Perfect after-sales follow-up system

    Even after permanent makeup, we accept various consultations after the treatment.Our staff will be happy to assist you with aftercare and any questions you may have.

Flow of treatment

  • Flow of treatmentCounseling

    We will check your skin condition and carefully answer any concerns or questions you may have.We will also ask about your medical history and wishes before the treatment.*For those who only need counseling, the session ends here.

  • Flow of treatmentExamination/design

    A doctor will examine your skin condition, and a nurse will create the optimal design based on your bone structure and facial muscles.Pigments are mixed according to skin type and color.

  • Flow of treatment麻 酔

    Anesthesia is applied to the skin surface to reduce pain.

  • Flow of treatmentTreatment

    Permanent makeup will be applied by a qualified nurse under the guidance of a doctor.The treatment time is approximately 2 to 3 hours.

  • Flow of treatmentcool down

    An ointment will be provided to prevent redness and swelling after the treatment.

  • Flow of treatmentAfter counseling

    We will explain precautions and aftercare after the treatment, and will be happy to consult with you if you have any questions.For new patients, 2 to 3 treatments are required, and reservations should be made at least 28 days apart.

List of permanent makeup sites

Clinics where treatment is available

Residents of Kanto (Tokyo)

For those who live in the Kansai region

For those who live in the Chugoku region

For those who live in Kyushu

Permanent makeup fee

Hiroshima-in
(tax included)
Menu Regular fee Campaign fee Set course
Mixed Brow(Hair + Powder Brow) 50,000 JPY
*Second time onwards: 40,000 JPY
First visit only: 40,000 JPY Eyebrow set (2 sessions): 80,000 JPY
eyebrows 4d(Fur + Shading) 50,000 JPY
*Second time onwards: 40,000 JPY
First visit only: 40,000 JPY Eyebrow set (2 sessions): 80,000 JPY
eyebrows 3d(Fur) 50,000 JPY
*Second time onwards: 40,000 JPY
First visit only: 40,000 JPY Eyebrow set (2 sessions): 80,000 JPY
eyebrow powder brow 50,000 JPY
*Second time onwards: 40,000 JPY
First visit only: 40,000 JPY Eyebrow set (2 sessions): 80,000 JPY
eyebrows 2d(machine gradation) 50,000 JPY
*Second time onwards: 40,000 JPY
First visit only: 40,000 JPY Eyebrow set (2 sessions): 80,000 JPY
eyeliner top(both sides)
*No tail (flip-up line)
25,000 JPY
*Second time onwards: 20,000 JPY
- -
full lip 70,000 JPY
*Second time onwards: 60,000 JPY
(Block injection fee included)
First visit only: 56,000 JPY -
mole 1 individual 15,000 JPY
*Second item and onwards: 10,000 JPY
- -

*Includes surface anesthesia fee and consumption tax.
*If you designate a practitioner, a separate treatment fee will be required each time.

Fukuoka-in
(tax included)   
Menu Regular fee  Set course
Hair Strokes 74,800 JPY
*Second time onwards: 64,800 JPY
2-time set: 134,800 JPY
Eyebrow hair condition 69,800 JPY
*Second time onwards: 59,800 JPY
2-time set: 124,800 JPY
eyebrow powder brow 69,800 JPY
*Second time onwards: 59,800 JPY
2-time set: 124,800 JPY
Eyebrows + Powder Brow 69,800 JPY
*Second time onwards: 59,800 JPY
2-time set: 124,800 JPY
eyeliner top(both sides) 44,800 JPY
*Second time onwards: 40,000 JPY
(*Tails not allowed)
2-time set: 80,000 JPY
full lip 69,800 JPY
*Second time onwards: 59,800 JPY
2-time set: 124,800 JPY
mole 14,800 JPY / piece
*Second time onwards: 9,800 JPY
-
Scratch test 3,300 JPY / time -

*Includes surface anesthesia fee and consumption tax.
*If you designate a practitioner, a separate treatment fee will be required each time.
*If there is a gap of one year or more between treatments, the first fee will be charged.

Okayamain
(tax included)   
Menu Regular fee
Eyebrow 4D (hairline + powder brow) 59,800 JPY
*Second time onwards: 49,800 JPY
3D eyebrows (hair) 59,800 JPY
*Second time onwards: 49,800 JPY
Eyebrows (powder brows) 59,800 JPY
*Second time onwards: 49,800 JPY
eyeliner top(both sides) 39,800 JPY
*Second time onwards: 29,800 JPY
(*Tails not allowed)
eyeliner bottom(both sides) 39,800 JPY
*Second time onwards: 29,800 JPY
full lip 69,800 JPY
*Second time onwards: 59,800 JPY
mole 1 individual 15,000 JPY
*Second item and onwards: 10,000 JPY

*Includes surface anesthesia fee and consumption tax.
*If you designate a practitioner, a separate treatment fee will be required each time.
*If you have a metal allergy, a separate patch test (1 JPY) is required at least one week before the treatment.

Kyotoin
(tax included)
Menu Regular fee Set course Campaign fee
Eyebrow hair condition 59,800 JPY
*Second time onwards: 49,800 JPY
2-time set: 99,800 JPY -
eyebrow powder brow 59,800 JPY
*Second time onwards: 49,800 JPY
2-time set: 99,800 JPY -
Eyebrows + Powder Brow 69,800 JPY
*Second time onwards: 59,800 JPY
2-time set: 119,800 JPY 1 th 59,800 JPY
After 2 49,800 JPY
2 times set 99,800 JPY
eyeliner top(both sides) 29,800 JPY
*Second time onwards: 24,800 JPY
(*Tails not allowed)
- -
full lip 79,800 JPY
*Second time onwards: 69,800 JPY
2-time set: 139,800 JPY -
mole 1 individual 15,000 JPY
*Second item and onwards: 10,000 JPY
- -

*Includes surface anesthesia fee and consumption tax.
*If you designate a practitioner, a separate treatment fee will be required each time.

Kumamoto-in
(tax included)
Menu Regular fee
eyebrow 50,000 JPY
*Second time onwards: 40,000 JPY
Eyeline 25,000 JPY
*Second time onwards: 20,000 JPY
lip 70,000 JPY
*Second time onwards: 40,000 JPY
1 mole 10,000 JPY

*If you nominate a practitioner, a nomination fee will be charged each time.

Osaka-in
(tax included)
Menu Regular fee
eyebrow(both sides) 69,800 JPY
*Second time onwards: 49,800 JPY
eyeliner top(both sides) 29,800 JPY
*Second time onwards: 24,800 JPY
lip 79,800 JPY
*Second time onwards: 59,800 JPY
Mole 1 individual 15,000 JPY
*Second item and onwards: 10,000 JPY

*Includes surface anesthesia fee and consumption tax.
*If you designate a practitioner, a separate treatment fee will be required each time.

Kobein
(tax included)
Menu Regular fee
Eyebrows [Fur or Powder or Fur + Powder Brow] 69,800 JPY
*Second time onwards: 59,800 JPY
full lip 79,800 JPY
*Second time onwards: 69,800 JPY
On the eyeline (both sides, no tail) 35,000 JPY
*Second time onwards: 25,000 JPY
Mole 1st item 15,000 JPY
10,000 JPY for the second item and onwards

*Includes surface anesthesia fee and consumption tax.
*If you designate a practitioner, a separate treatment fee will be required each time.
*If it is within one year of the procedure, the second and subsequent fees will apply.
* If more than one year has passed since the implementation, the initial fee will be charged.

Omotesando-in Temple

(tax included)
Menu Regular fee 2 sets Monitor price
Eyebrow machine hair
(Hair Strokes)
70,000 JPY
*Second time onwards: 60,000 JPY
120,000 JPY Monitor price
1 times 58,000 JPY
Eyebrow Powder Brow 60,000 JPY
*Second time onwards: 50,000 JPY
100,000 JPY Monitor price
1 times 48,000 JPY
Eyebrow machine hair + powder
Combination Techniques
75,000 JPY
*Second time onwards: 65,000 JPY
130,000 JPY Monitor price
1 times 62,000 JPY
Eyeline(both sides) 32,000 JPY
*Second time onwards: 30,000 JPY
58,000 JPY -
full lip 70,000 JPY
*Second time onwards: 60,000 JPY
100,000 JPY Monitor price
1 times 45,000 JPY

*Topical anesthesia fee and consumption tax included
*A separate nomination fee is required.
*Permanent makeup reservations are only accepted via LINE.
*Anti-herpes medication for lip permanent makeup costs an additional 2,000 JPY (5 tablets for 10 days)
*Monitor prices are available only to those who are willing to provide case photos.

Azabuin
(tax included)
Menu Regular fee
Eyebrow hair condition 60,000 JPY
*Second time onwards: 50,000 JPY
eyebrow powder brow 60,000 JPY
*Second time onwards: 50,000 JPY
Eyebrows + Powder Brow 60,000 JPY
*Second time onwards: 50,000 JPY
Hair Strokes 73,000 JPY
*Second time onwards: 63,000 JPY
eyeliner top(both sides) 29,800 JPY
*Second time onwards: 24,800 JPY
*Separate procedure fee of 3,000 JPY
full lip 70,000 JPY
*Second time onwards: 60,000 JPY
mole 1 individual 14,800 JPY

*Includes surface anesthesia fee and consumption tax.
*If you designate a practitioner, a separate treatment fee will be required each time.
*Anti-herpes medicine costs 2,000 JPY separately (5 tablets for 10 days)

Click here for details on the fees for each treatment

About Payment Methods

You can choose the payment method that suits you.
Various combinations are possible.

  • Lump sum cash
  • Credit Transfer
  • Medical loan(3 to 60 installments/annual interest rate 8.4%)

For minor patients

If you are a minor, a "parental consent form" is required.Please download and fill out the form in advance and bring it with you, or bring one of your parents with you.

FAQ

How do you design permanent makeup?
At our clinic, before the treatment, we check the customer's original eyebrow growth and design the eyebrows based on the golden ratio.Many people tell me that they don't like makeup and don't know what kind of eyebrows look good on them.Please rest assured that we will design the product while consulting with you.
How painful is permanent makeup?
A topical anesthetic will be administered before the procedure.Don't worry, there is no unbearable pain due to the effects of the anesthesia, and some patients may even fall asleep during the procedure.If lip therapy is not effective, block injection anesthesia is also possible.
There are so many names for permanent makeup that I don't know which clinic is best.
There are several techniques and names for permanent makeup, but they are not clearly defined and vary depending on the clinic.At our clinic, we call it ``coat texture'', ``powder blow'', or ``coat+powder blow'', and we propose treatments according to the customer's skin type, makeup style, and preferences.
Which type of permanent makeup is suitable for you?Powder blow?The coat?
Permanent hair makeup is a procedure in which lines are drawn one by one to resemble hair, as if the eyebrows were growing.It doesn't come off even when you don't make up, giving you a natural finish.Also recommended for men.Powder brow is similar to applying makeup with powder.Even without makeup, it still looks like makeup.Coat + Powder Blow is recommended for those who want to increase their coat and don't want to wear much makeup.
What should I do aftercare for permanent makeup?
After applying permanent makeup, if you let it dry, the pigment will not stick properly. Please moisturize with Vaseline for a week and avoid applying makeup to areas with permanent makeup.You can wash or cleanse your face on areas where you don't have permanent makeup, but please refrain from using oil cleansers or products that contain peeling agents, as this will make it difficult for your permanent makeup to stick.
If I have permanent makeup, can I have an MRI scan?
Currently, in most cases, you can undergo an MRI scan without any problems, but permanent makeup can cause burns and affect the results of the scan, so be sure to tell the doctor that you have permanent makeup on before undergoing an MRI scan.

Clinics where treatment is available

Residents of Kanto (Tokyo)

For those who live in the Kansai region

For those who live in the Chugoku region

For those who live in Kyushu

Supervisor information (overall supervision, treatment supervision, column supervision)

Hiroshi Kikuchi

Director of Fukuoka Institute/General Director
Nice to meet you, I'm Hiroshi Kikuchi, director of Fukuoka Clinic.The most important thing in aesthetic medicine is "patient satisfaction."We believe that providing highly effective treatment tailored to each individual's concerns in a way that is as painless as possible, and working hard to create a clinic with a comfortable and easy-to-go atmosphere will lead to patient satisfaction.Even if this is your first time at a beauty clinic, please feel free to visit us.Also, please feel free to ask any questions you may have during your consultation.
Career
2008
Graduated from Hiroshima University School of Medicine, Department of Medicine Worked at Chiba University School of Medicine Affiliated Hospital and related hospitals.
2013
Cosmetic dermatology Elm Clinic Fukuoka clinic opened
Affiliation/Qualification
Japanese Society of Aesthetic Dermatology
Juvederm Vista certified doctor
Certified doctor trained in Allergan’s Vista program
Cosmetic Ingredient Test Level 1
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Review and improvement of homepage

At Elm Clinic, under the supervision of a doctor, we are reviewing and improving our website as appropriate in the following two areas, in accordance with the "Medical Advertising Guidelines."
(i) Addition/deletion of testimonials
(ii) When posting case photos, please describe the details of the treatment, risks of the treatment, price of the treatment, etc.

We apologize for any inconvenience this may cause our patients and appreciate your understanding.
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