Last verified: April 2026. Prices and English availability were researched from official clinic websites and may change. Always confirm directly before booking.
Botox in Tokyo typically costs ¥15,000 to ¥30,000 (roughly $100 to $200) per area when using Allergan product — significantly less than the $300 to $600 you would pay in the US or most of Europe. But finding a clinic that genuinely speaks English, publishes transparent pricing, and makes booking straightforward for foreigners is harder than it should be.
After researching official clinic websites, English-language pricing pages, and booking processes, we identified six clinics in Tokyo with credible English support and visible treatment information for Botox, fillers, or both. This is not a ranking: it is a selective shortlist based on what we could actually verify.
What to Expect from Aesthetic Clinics in Tokyo
Tokyo has one of the densest concentrations of aesthetic clinics in the world. Pricing for injectables runs considerably lower than in Western countries, even at premium clinics. A forehead Botox treatment that costs $400+ in New York or London might run ¥20,000 to ¥30,000 ($130 to $200) in Ginza.
That said, the experience differs from what most Western patients expect. Japanese clinics tend to use conservative dosing, prioritizing subtle, natural results. Consultations are often brief and doctor-led, with less back-and-forth than you might be used to. Most clinics expect you to choose your treatment before the consultation rather than exploring options during it.
- Language and pricing structure are the biggest friction points for foreigners. Many clinics advertise Botox from ¥3,500, but that headline figure almost always uses Korean-manufactured botulinum toxin, not Allergan Botox Vista — the only brand approved by Japan's Ministry of Health.
- Treatment fees are common. Clinics commonly charge a separate treatment fee (¥2,000 to ¥24,000) on top of the per-unit or per-area price, and tax may or may not be included. Always ask for the total cost before agreeing to treatment.
6 English-Speaking Aesthetic Clinics in Tokyo
BIANCA Clinic: Ginza & Omotesando
BIANCA is the closest thing Tokyo has to a large-scale, English-capable aesthetic clinic. With over 40 doctors across two locations, it covers Botox, fillers, skin boosters (Rejuran, Profhilo), and surgical procedures. Dr. Airi Yokoyama speaks fluent English, and several staff members trained at US universities. Pricing is transparent and published in English: a 20-unit Botox session would come to roughly ¥39,000 to ¥40,000 all-in. The Ginza flagship is on the 12th floor of Kirarito Ginza, four minutes from Ginza Station; the Omotesando branch has a smaller, more intimate feel.
English level: Fluent doctor, US-trained staff
Price range: Botox Vista ¥726–770/unit + ¥24,200 treatment fee; HA filler ¥84,700/mL + same fee
Best for: foreigners who want a full-service clinic with published pricing and confirmed English-speaking doctors
Caveat: the ¥24,200 session fee makes small treatments proportionally expensive
Plaza Clinic: Dr. Robert Kure (Hiroo)
Dr. Robert Kure is the only US board-certified plastic surgeon practicing in Japan, with over 18 years of experience in the US before opening in Tokyo. The clinic is fully English-speaking — the safest option for anyone anxious about communicating medical preferences across a language barrier. Plaza uses Allergan Botox exclusively and also offers Restylane and Juvederm fillers. Walk-in Botox appointments are accepted. Located at 5-5-1 Hiroo, Shibuya-ku, a three-minute walk from Hiroo Station.
English level: Fully English-speaking, US board-certified surgeon
Price range: premium, not publicly indexed: confirm directly
Best for: expats and medical tourists who prioritize English fluency and US-style care above all else
Caveat: expect to pay more than at Japanese-run clinics: confirm current pricing directly
Azabu Skin Clinic: Azabu, Minato-ku
A dermatology-focused clinic in Tokyo's embassy district, Azabu Skin Clinic treats a high proportion of foreign patients. Dr. Kawashima speaks fluent English and has years of experience with diverse skin types. The clinic offers standard Botox, a proprietary "Botox Lifting" micro-dose technique, fillers, laser treatments, and chemical peels.
English level: Fluent doctor, years of experience with diverse skin types
Price range: ~¥15,000+/area (estimated); ¥3,000 consultation fee (tax not included); all prices tax-exclusive
Best for: foreigners looking for a dermatology-led approach to injectables and skin treatments with a fluent English-speaking doctor
Caveat: prices are tax-exclusive: confirm total costs including tax and consultation fee before booking
Elm Clinic: Omotesando & Azabu
Elm Clinic publishes one of the clearest English-language pricing structures in Tokyo. Botox carries a flat treatment fee of ¥4,000 (tax and anesthesia included) plus ¥10,000 for full-face treatment or ¥5,000 for a partial area. They also offer hyaluronic acid fillers and various skin treatments. Dr. Yuka Doi directs the Omotesando branch, located one minute from Omotesando Station. However, there is conflicting information about in-person English support — the website is fully translated, but at least one source states that staff speak Japanese only.
English level: Translated website; in-person English not confirmed, at least one source says Japanese only
Price range: ¥4,000 flat fee + ¥10,000 (full face) or ¥5,000 (partial area)
Best for: price-conscious visitors who want a clear, low-fee structure and are comfortable with potentially limited in-person English
Caveat: in-person English support is not confirmed: verify before booking
TCB Tokyo Central Beauty Clinic: Multiple Locations
TCB is one of Japan's largest cosmetic surgery chains, with multiple Tokyo branches and an English website including a full price list. Botox is listed from ¥3,500 per area, and multilingual support materials are available. The critical caveat: the ¥3,500 starting price is for Korean-manufactured botulinum toxin, not Allergan Botox Vista. If you want the MHLW-approved Allergan product, the cost will be significantly higher.
English level: English website, multilingual materials; staff availability varies by branch
Price range: from ¥3,500/area (Korean brand); Allergan significantly higher; +¥2,000–5,000 treatment fee
Best for: budget-minded visitors comfortable with non-Allergan brands who want a large, accessible clinic network
Caveat: headline prices use Korean brands, English support is inconsistent across branches
SBC Shonan Beauty Clinic: Select Branches
SBC is Japan's largest aesthetic clinic chain. English-Japanese bilingual doctors are available at flagship branches in Ginza and Shinjuku, with Botox starting around ¥4,000 per area using Korean brands. Like TCB, the low prices do not reflect Allergan Botox. SBC is high-volume and less personal than boutique clinics, but it is accessible and has some English infrastructure at its busiest locations.
English level: Bilingual doctors at flagship Ginza and Shinjuku branches only
Price range: from ~¥4,000/area (Korean brand); Allergan higher, confirm directly
Best for: visitors prioritizing low cost and convenience who are comfortable navigating a large chain environment
Caveat: English limited to select branches, budget prices are not for Allergan product
Botox Tokyo Price Comparison (Tokyo, 2026)
How to book an aesthetic clinic in Tokyo as a foreigner:
- Language: do not assume English is available even if a clinic has an English website — the website may be translated but the staff may not speak English. Confirm English availability for your specific appointment by emailing the clinic in English or checking recent patient reviews.
- Booking: most clinics accept online reservations through their website. Some, like Plaza Clinic, accept walk-ins for non-surgical treatments. A few require phone reservations in Japanese, which can be a barrier. Email inquiries in English are generally the safest first step.
- Consultation: expect a brief, focused consultation, typically shorter than Western ones. The doctor will assess your concern and recommend a treatment. At some clinics you may see a counselor first and the doctor only during the procedure.
- Payment: most clinics accept cash and major credit cards. Aesthetic treatments are not covered by Japanese health insurance. Consumption tax (10%) applies: confirm whether quoted prices include tax. Some clinics offer medical loans for larger procedures.
- Before you book: confirm the total price including all fees, the specific brand of botulinum toxin or filler being used, whether the doctor (not just staff) speaks English, and the clinic's policy on follow-up or touch-ups.
Booking Botox in Tokyo Through Kanbi
Finding the right clinic in Tokyo is hard enough — booking one in Japanese is harder. Kanbi handles the treatment advice, clinic selection, Japanese communication, and booking confirmation, so you just tell us what you want.
Submit a treatment request → kanbicare.com
