Cosmetic Dermatology

Differences Between 3 Types of Peels: Salicylic Acid, LHA, and PRX-T33

Peeling treatments vary significantly in terms of their effectiveness, whether they cause skin peeling, and the number of sessions required, depending on the chemical agent used. At our clinic, we offer three types: salicylic acid peeling, LHALALA Doctor, and BioRePeel (massage peel), which we use selectively based on concerns such as pores, acne, dullness, and firmness. This page summarizes the differences between the three, how to choose, the number of sessions, downtime, and pricing.

  • Peel-off and non-peel-off types. Three varieties to choose from, depending on your schedule.
  • For pores and acne, use salicylic acid; for sensitive skin, Laradoctor; for firmness, Massage Peel.
  • In all cases, makeup can be applied from the same day. The procedure takes 30-60 minutes.
Available daily from 9:00 AM to 10:00 PM
Available daily from 9:00 AM to 10:00 PM
5-minute walk from the station
5-minute walk from the station
A clean clinic with a white-based interior
A clean clinic with a white-based interior
Online consultations: same-day shipping at the earliest
Online consultations: same-day shipping at the earliest
Cosmetics and supplements sold exclusively at medical institutions are also available for purchase.
Cosmetics and supplements sold exclusively at medical institutions are also available for purchase.

Even if it's called peeling, what it's effective for, whether your skin peels, and how many sessions are needed vary completely depending on the chemicals used. At our clinic, we offer three types: Salicylic Acid Peeling, LALA Doctor, and Massage Peel. This page summarizes the differences and how to choose between them.

Differences between the 3 types of peeling (Comparison Table)

Salicylic Acid Peeling LALA Doctor Massage Peel
Main Ingredient Salicylic acid macrogol LHA (Lipo Hydroxy Acid) + beauty ingredients Trichloroacetic acid + hydrogen peroxide + kojic acid
Type Removes dead skin cells Non-exfoliating (skin-nurturing type) Non-exfoliating (skin-nurturing type)
Specialty Clogged pores, acne, rough texture Acne, pores, dullness, sensitive skin Firmness & elasticity, fine lines, acne scars (unevenness)
Peeling May peel thinly a few days later Almost none Almost none
Stimulation level Medium Low (even for sensitive skin) Medium (may feel heat)
Recommended sessions About 5 sessions every 2-4 weeks 3-5 sessions every 2-4 weeks 4-5 sessions every 1-2 weeks
Price (full face) ¥5,000 (tax included) ¥9,800 (tax included) 【To be confirmed】yen (tax included)

Which one should I choose? Quick reference guide by concern

Most pressing concern Recommendation Reason
Clogged pores/blackheads Salicylic Acid Peeling Directly targets keratin and sebum clogged in pores
Recurring acne Salicylic Acid Peeling / LALA Doctor Sebum and keratin control. LALA Doctor for sensitive skin
Rough/bumpy skin texture Salicylic Acid Peeling Removes old keratin from the surface for smoother skin
Dullness/lack of brightness LALA Doctor Approaches transparency while regulating skin turnover
Sensitive skin/concerned about irritation LALA Doctor Non-exfoliating and low irritation. Contains ingredients to boost barrier function
Loss of firmness/elasticity, fine lines Massage Peel Promotes collagen production in the dermis
Unevenness from acne scars Massage Peel An approach to rebuilding skin from within
Upcoming public appearance LALA Doctor / Massage Peel There is almost no peeling

If you're unsure, we'll assess your skin condition during the consultation and suggest the most suitable treatment. You can also switch treatments mid-course.

Salicylic Acid Peeling

This peeling uses salicylic acid dissolved in a macrogol base. The characteristic of the macrogol base is that salicylic acid stays in the stratum corneum of the epidermis and does not easily penetrate into the dermis. The advantage is that it delivers results while minimizing irritation to deeper layers of the skin.

Expected Effects

  • Improvement of clogged pores and blackheads
  • Improvement of acne (especially whiteheads and blackheads)
  • Improvement of rough and bumpy skin texture
  • Improvement of dullness and skin brightening
  • Reduction of post-acne hyperpigmentation

Recommended for:

  • Those concerned about clogged pores or blackheads
  • Those suffering from recurring acne
  • Those experiencing rough or bumpy skin texture
  • Those who want to try peeling at an affordable price first

Downtime and Sessions

Slight redness may occur immediately after the treatment, but it usually subsides within a few hours. Your skin may peel thinly a few days later, but please do not forcefully remove it. Continuing approximately 5 sessions every 2-4 weeks helps to stabilize the results.

Individuals who have experienced an allergic reaction to aspirin or other salicylic acid-based medications cannot receive this treatment. Please inform us during your consultation.

Starting from ¥5,000 for pores and acne, an easy-to-try option.

Book Salicylic Acid Peeling

LALA Doctor

This treatment uses a peeling solution developed in Korea, "LALAPEEL," which has been refined for medical use, also known as 5th Generation Peeling. The main ingredient is LHA (Lipo Hydroxy Acid). It's a salicylic acid derivative with a larger molecular size, allowing for slower penetration into the skin, making it less irritating and suitable for sensitive skin.

Instead of "stripping" dead skin cells, this treatment gently dissolves unwanted keratin while simultaneously delivering beauty ingredients to nourish the skin. It also contains ingredients that suppress inflammation and enhance barrier function.

Expected Effects

  • Improvement and prevention of acne (sebum secretion control)
  • Improvement of enlarged and clogged pores
  • Improvement of dullness and increased skin transparency
  • Improvement of skin firmness and elasticity (promotion of collagen production)
  • Creation of skin that is less prone to irritation by improving barrier function

Recommended for:

  • Those with sensitive skin who have avoided peeling until now
  • Those who want to care for acne and dullness simultaneously
  • Those who want to avoid peeling, or have upcoming public appearances
  • Those who want to improve overall skin quality

Downtime and Sessions

As it is a non-exfoliating type, there is almost no peeling. Many people feel a slight glow immediately after the treatment, and makeup can be applied from the same day. We recommend continuing for 3-5 sessions every 2-4 weeks as a guideline, followed by maintenance about once a month.

Our LALA Doctor treatment is not a limited-time introductory offer, but a regular price of ¥9,800 (full face). We offer it at an affordable price for continued treatment.

A non-peeling treatment suitable for sensitive skin.

LALA Doctor (full face) | Simultaneously cares for glow, firmness, and transparency

Book LALA Doctor

Massage Peel

This treatment uses a solution (PRX-T33) developed in Italy. By combining trichloroacetic acid with hydrogen peroxide and kojic acid, it is designed to act on the dermis without damaging the epidermis. It is called by this name because the solution is massaged into the skin.

Among the three types, this one works most deeply "within the skin," primarily aiming to improve firmness and elasticity by promoting collagen production. The key difference from traditional peeling is that it works on collagen without causing exfoliation.

Expected Effects

  • Improvement of skin firmness and elasticity
  • Improvement of fine lines and crepey wrinkles
  • Tightening of pores
  • Improvement of unevenness from acne scars
  • Improvement of skin radiance and texture

Recommended for:

  • Those experiencing a loss of firmness and elasticity
  • Those starting to notice fine lines
  • Those who want to treat unevenness from acne scars
  • Those who want to improve their skin quality without downtime

Downtime and Sessions

You may feel a gentle warmth during the treatment, but there is almost no peeling. Makeup can be applied from the same day. We recommend 4-5 sessions every 1-2 weeks as one cycle, followed by maintenance about once a month.

Rebuilding from within, without peeling.

Book Massage Peel

Treatment Flow

STEP Content
1. Counseling/Consultation We confirm your skin condition, preferences, medical history, and current medications, then suggest the appropriate solution.
2. Cleansing/Face Washing Makeup and sebum are removed to prepare the skin for uniform application of the solution.
3. Solution Application The solution is applied (approx. 5-15 minutes). For massage peels, it is massaged into the skin.
4. Neutralization/Cool Down The solution is neutralized, and the skin is calmed.
5. Aftercare Moisturizer and sunscreen are applied, and precautions are explained. Makeup is possible from the same day.

Each procedure takes approximately 30-60 minutes.

Precautions Before and After Treatment

Before Treatment

  • If you have a severe sunburn, we may decline the treatment.
  • Please stop using retinoid topical medications (such as adapalene), scrubs, or strong exfoliating treatments several days in advance.
  • If you are unwell or have severe inflammation or wounds in the treatment area, please reschedule.
  • Always inform us of any medications you are currently taking.

After Treatment

  • Thoroughly protect yourself from UV rays. Sunscreen is essential as your skin will be sensitive.
  • Do not rub or scrub your skin vigorously on the day of treatment.
  • Avoid saunas, long baths, and strenuous exercise on the day of treatment.
  • If your skin peels, do not forcefully remove it.
  • Resume retinoids, scrubs, and other irritating skincare products after a few days.
  • Moisturize more thoroughly than usual.

Those Who Cannot Receive Treatment / Require Caution

  • Pregnant or breastfeeding individuals
  • Individuals with infections, severe inflammation, or wounds in the treatment area
  • Individuals taking isotretinoin (skin is thin and easily damaged; treatment will be after a period following discontinuation of medication)
  • Individuals with keloid tendency
  • Individuals with recurring herpes simplex (treatment may trigger recurrence; please inform us if you have a history)
  • Individuals with photosensitivity or taking medications that cause photosensitivity
  • Individuals who have had an allergic reaction to aspirin or other salicylic acid-based medications (Salicylic Acid Peeling, LALA Doctor)
  • Individuals with allergies to any of the solution's ingredients

Combination with Other Treatments

When the skin surface is smoothed through peeling, other treatments and topical medications can be absorbed more effectively.

Precautions Regarding Unapproved Pharmaceuticals, etc.

  • Unapproved pharmaceutical: The solutions used for LALA Doctor and Massage Peel are pharmaceuticals not approved in Japan.
  • Procurement route: Our doctors use products imported through personal import procedures (obtaining pharmaceutical approval from the regional health and welfare bureau).
  • Availability of approved domestic pharmaceuticals: There are no domestically approved pharmaceuticals with the same ingredients and purpose.
  • Safety information in other countries: LALA Doctor was developed in Korea, and the solution for Massage Peel was developed in Italy, and both are used in medical institutions in their respective countries. Reported symptoms include post-treatment redness, stinging, dryness, and temporary hyperpigmentation.
  • Health damage relief system: Health damage caused by the use of unapproved pharmaceuticals is not covered by the pharmaceutical adverse reaction relief system.
  • Cost and efficacy: Both are self-pay treatments, so health insurance does not apply, and the full cost is borne by the patient. The degree of efficacy varies by individual.

Frequently Asked Questions

Q. Which of the three should I choose?
A. It depends on your concerns. If your main concerns are clogged pores or acne, salicylic acid peeling is suitable. If you have sensitive skin and are worried about irritation, or want to treat acne and dullness simultaneously, LALA Doctor is recommended. If you want to improve overall skin quality, including firmness, fine lines, and unevenness from acne scars, Massage Peel is suitable. We will assess your skin during the consultation and make a recommendation, so please consult us if you are unsure.
Q. Will my skin peel?
A. It varies depending on the type. Salicylic acid peeling may result in thin peeling a few days later. LALA Doctor and Massage Peel are not designed to exfoliate, so there is generally very little peeling. If you have an upcoming public appearance, choosing a non-exfoliating type will provide more peace of mind.
Q. How long is the downtime?
A. For all types, slight redness may appear immediately after the treatment, but it usually subsides within a few hours to the next day. Makeup can be applied from the same day. With salicylic acid peeling, slight dryness or thin peeling may occur a few days later.
Q. How many sessions are needed to see results?
A. Many people notice smoother skin after just one session, but multiple sessions are needed to establish lasting changes. The general guidelines are: Salicylic Acid Peeling: about 5 sessions every 2-4 weeks; LALA Doctor: 3-5 sessions every 2-4 weeks; Massage Peel: 4-5 sessions every 1-2 weeks. After that, we recommend maintenance about once a month.
Q. Is there any pain?
A. You may feel a slight stinging sensation while the solution is being applied. Most people find it tolerable, but please inform us immediately if you feel strong discomfort, and we will neutralize it. With Massage Peel, some people experience a gentle warmth as the solution is massaged into the skin.
Q. I'm taking acne medication, can I still receive treatment?
A. If you are taking isotretinoin, you cannot undergo peeling because your skin will be thin and easily damaged. Treatment can be performed after a certain period following the completion of the medication. Please be sure to inform us of any other topical or oral medications you are taking during the consultation.
Q. What should I be careful about after the treatment?
A. The most important thing is UV protection. After peeling, your skin becomes sensitive, so be sure to use sunscreen. Please also note that you should not rub your skin vigorously on the day of treatment, and avoid saunas and long baths. Restart irritating skincare products such as retinoids and scrubs after a few days.
Q. Can it be combined with other treatments?
A. Yes, it can. By preparing the skin surface with peeling and combining it with high-dose vitamin C IV drips or glutathione IV drips, synergistic effects can be expected. For injectable treatments such as Juvelook, it is common to plan them with an interval. Please consult us about combinations during your consultation.

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