Wavelength
532 / 755 / 1064nm
500–1200nm (broadband)
532 / 1064nm
694nm (single, ruby)
Ruby Fractional | For Dark Spots, Melasma & Dullness
A 694nm Q-switched ruby laser delivered as fractional shots. Leveraging high melanin selectivity to brighten skin tone while minimizing downtime.
ruby laser wavelength 694nm
nanosecond pulses Q-switched
MHLW-approved device Approved
typical treatment time 30–45 min
Our Features
FEATURES01
Melanin selectivity via the 694nm ruby wavelength
The 694nm Q-switched ruby laser is well absorbed by melanin. It selectively targets the melanin behind dark spots, dullness, and hyperpigmentation, and is suited for pigmented lesions in the epidermis and upper dermis.
02
Low-downtime design through fractional delivery
A 9mm fractional handpiece delivers micro-spots so that thermal impact on surrounding tissue is minimized and downtime is shortened. Recommended overlap is 10–20%.
03
Suitable for melasma care
For melasma care—where strong stimulation should be avoided—low-fluence fractional delivery may be used. The doctor adjusts settings based on skin condition.
04
Nanosecond-order Q-switched pulses
Nanosecond-order pulses selectively break down melanin while limiting thermal diffusion to surrounding tissue.
05
Uses a medical device approved by Japan’s MHLW
The clinic uses Quanta System (Italy) Q-Plus R, approval number 22700BZI00042000, a Class III specially controlled medical device approved in Japan.
DEVICE
Q-Plus R
Made by Quanta System SpA (Italy)
A medical device that delivers a 694nm Q-switched ruby laser as fractional shots. With high selectivity for melanin, it is used for spots, melasma, dullness, and post-inflammatory pigmentation. MHLW-approved (approval no. 22700BZI00042000, Class III highly controlled medical device).
How it differs from other pigment-treatment lasers
There are several laser devices for pigment treatment, each with different strengths and downtime characteristics. Ruby Fractional (Q-Plus R) uses the 694nm ruby wavelength for high melanin selectivity, and fractional delivery is designed to minimize downtime.
532nm
For superficial spots
694nm
High melanin selectivity
755nm
Balanced profile
1064nm
Reaches deeper layers
IPL
Broad but shallow
Illustrative diagram based on general device characteristics. Actual results vary with treatment settings and skin condition.
Delivery
Picosecond, fractional capable
Broadband pulses
Nanosecond, full-field
Nanosecond, fractional
Melanin selectivity
Moderate–high
Low (broadband)
Moderate
High (694nm)
Downtime
Mild redness (a few hours+)
Minimal
Crusts (1–2 weeks)
Tiny crusts (5 days–1 week)
For melasma
Possible at low output
Risk of worsening
Low-output toning only
Possible at low output
Best-suited spots
Diffuse spots & dullness
Dullness & faint spots
Dense, focal spots
Spots, melasma, dullness & post-inflammatory pigmentation
A comparison based on general device characteristics — effects and indications vary by skin condition. The final treatment plan is determined by the doctor during consultation.
Which types of pigmentation suit this treatment
Ruby Fractional works best on pigmentation where melanin sits in the surface to upper dermis. Number of sessions and how results appear vary by pigment type, so the doctor advises based on skin assessment during consultation.
Pigmentation with high expected efficacy
The 694nm ruby wavelength selectively targets surface melanin.
Solar lentigo
Senile lentigo
Ephelides (freckles)
Pigmentation that responds (requires multiple sessions)
Improvement is pursued through careful output settings and repeated sessions.
Melasma
Post-inflammatory pigmentation
Dullness / uneven tone
Less responsive / better treated by other modalities
Cases where Ruby Fractional may not deliver sufficient effect, or where other approaches are more suitable.
Nevus of Ota / ADM (acquired dermal melanocytosis)
Deep pigmented lesions
Active acne / inflammation
Raised moles
* Results vary by individual. The final treatment plan is determined by the doctor based on skin assessment during consultation.
Treatment specifications (per the official manual)
Following the official Quanta System Ruby Fractional treatment manual, the doctor determines wavelength, output, handpiece size, and shot density. Fluence is adjusted within 1.0–1.4 J depending on skin type and area.
- Wavelength
- 694nm Single ruby wavelength
- Pulse
- Q-switched Nanosecond range
- Handpiece diameter
- 9mm Fractional-dedicated
- Shots per full face
- ~500 Divided by area
- Overlap
- 10–20% Recommended density to avoid burns
- Anesthesia
- Cream Optional, additional fee
Areas
Treatment guide by area
Treatment approach based on the official manual. Actual output and number of sessions are determined by the doctor after skin assessment.
Cheeks
Treated in 4 sections / care around the lashes
Nose
Zig-zag from nasal wings to tip
Forehead
Treated in 2 sections / care around the hairline
Temples
Treated with care around the hairline
Chin
Treated in 2 sections / lower lip pulled down
Under the nose
Skin stretched, 1–2 rows of shots
* The above is the standard treatment example per the official manual. The doctor adjusts output and protocol based on skin type, pigment lesions, and medical history.
Who It Is For
RECOMMEND✓Concerned about dark spots and hyperpigmentation
✓Considering care for melasma
✓Concerned about overall dullness and uneven skin tone
✓Want to improve pores and skin texture
✓Looking for low-downtime treatment for dark spots and dullness
✓Did not get sufficient results from other dark-spot treatments
Treatment Overview
OVERVIEW| Item | Details |
|---|---|
| Duration | About 30–45 minutes (about 500 shots for full face, including consultation) |
| Downtime | Day of: strong redness (makeup recommended from next day) / Next day: redness subsides, mild itching / Day 3+: redness fades / 2–4 weeks: pigment gradually lightens (micro scabs may shed) |
| Frequency | Around 3–5 sessions every 2–4 weeks. Skin type and energy settings are determined by the doctor. |
| Makeup | Limited on the day of treatment (possible 4 hours later; full makeup recommended from the next day) |
| Bathing | Shower the same day is OK; avoid bath, sauna, and exercise on the day of treatment |
| Contraindications |
|
Price
PRICE| ルビーフラクショナル 全顔 | 単発 1回 | 22,500 JPY(Tax incl: 24,750 JPY) |
| 5回コース | 100,000 JPY(Tax incl: 110,000 JPY) |
| ルビーフラクショナル 部分（頬・目周り等） | 単発 1回 | 13,500 JPY(Tax incl: 14,850 JPY) |
Book a free consultation
Free consultation available
FAQ
FAQAMost patients describe a momentary snap, similar to a rubber band flick. Numbing cream is available for an additional fee for those sensitive to pain. Sensations vary by individual.
ARedness may persist for a few hours to several days. Tiny dot-like crusts (scabs) form and shed naturally within about 5 days to 1 week. Please avoid rubbing the area until the crusts have fallen off.
AIt depends on the type and depth of the pigmentation and on your skin condition, but we typically recommend 3–5 sessions at 2–4 week intervals. Some patients notice changes after a single session, though results vary.
ABecause strong stimulation can worsen melasma, the doctor assesses your skin and uses low-output settings. Combinations with oral medication or other treatments may also be proposed.
AIPL uses multiple broadband wavelengths over a wide area, whereas the ruby laser uses a single 694nm wavelength with high selectivity for melanin. Fractional delivery is designed to reduce downtime compared with traditional full-field Q-switched treatment.
AUV protection (consistent sunscreen use) is the most important step. For 1–2 weeks after treatment, avoid strong friction, scrubs, and peeling agents, and moisturize carefully.
A公式マニュアルでは全顔の目安は約500ショットです。ハンドピース径は9mm、波長694nm（Qスイッチ）、ディスタンスガイドを7mm〜1cmで動かしながら、推奨オーバーラップ10〜20%で照射します（それ以上重ねると火傷リスクが高まるため）。部位ごとに頬・額・鼻・こめかみ・顎・鼻下と分けて照射します。
About this self-paid (non-insured) treatment
- Treatment category
- This is a self-paid treatment not covered by Japanese national health insurance. The full cost is the patient’s responsibility.
- About efficacy
- Outcomes of "Ruby Fractional" vary by individual. We cannot guarantee that all patients will experience the same effect.
- Side effects & risks
-
- Redness after treatment (a few hours to several days)
- Formation of tiny crusts (scabs) that flake off naturally
- Temporary post-inflammatory hyperpigmentation (risk increases without adequate UV protection)
- Rare cases of blistering or pigment loss
- For melasma, risk of temporary worsening if output settings are not appropriate
- Additional notes
- UV protection (consistent sunscreen use) is the most important aftercare step.
