Last verified: April 2026. Prices, product availability, and English support change: confirm directly with the clinic or through Kanbi before booking.
Booking a hyperhidrosis treatment Tokyo clinics will actually do in English: whether with Botox, topical glycopyrronium, or miraDry: is more straightforward than most foreigners expect, once you know which clinics to approach. This guide covers how Tokyo dermatologists approach excessive sweating in 2026, realistic prices in both ¥ and $, and the English-speaking clinics foreigners most commonly use.
What to Know Before Hyperhidrosis Treatment in Tokyo
Primary focal hyperhidrosis: axillary (underarms), palmar, plantar (soles), or craniofacial: is a recognized dermatological condition in Japan, and PMDA-approved treatments exist for several forms. Severe primary axillary hyperhidrosis is specifically recognized: Botox Vista (onabotulinumtoxinA) is PMDA-approved for this indication, and for insured Japanese residents with a HDSS (Hyperhidrosis Disease Severity Scale) score of 3 or 4, axillary Botox can be covered under national health insurance at the standard 30% patient co-pay. Foreigners without Japanese insurance pay the full self-pay rate, which is still reasonable by global standards.
Treatment options you'll encounter:
- Botox (onabotulinumtoxinA, Allergan brand) for armpit sweating Botox Tokyo clinics inject at 50 units per axilla, total 100 units
- Korean botulinum toxins: Neuronox, Nabota: offered at lower cost for self-pay patients
- Botox for palms (~100 units total) and soles (~150 to 200 units total) as off-label but well-established use
- Topical glycopyrronium: Rapifort wipes (1% glycopyrronium, PMDA-approved for axillary hyperhidrosis) and Ecclock topical gel (20% glycopyrronium tosylate, PMDA-approved for primary axillary hyperhidrosis)
- miraDry: microwave-based permanent sweat gland destruction for underarms, one or two sessions
- Iontophoresis for palms and soles: at-home or clinic-based
- ETS (endoscopic thoracic sympathectomy): surgical, generally reserved for severe refractory cases given the risk of compensatory sweating elsewhere
- Oral anticholinergics (oxybutynin, glycopyrrolate) as adjunct or bridge therapy
Practical notes for foreigners:
- Japanese national health insurance covers axillary Botox only for insured residents with documented severe hyperhidrosis: tourists pay self-pay rates
- Bring past HDSS scores or dermatologist notes if you've been diagnosed elsewhere; it helps clinics quickly assess candidacy
- Shave the treatment area 24 to 48 hours before the appointment: not on the day itself
- Avoid strenuous exercise and heat exposure for 24 hours after Botox injection so the product stays localized
- Consultation fees (¥3,300 to ¥5,500 / ~$22 to $37) are usually separate from the treatment price
- If you're visiting for a short trip, build in 2 to 3 weeks of lead time before an important event: Botox starts working at day 3 to 5 and peaks at 2 weeks
5 English-Speaking Hyperhidrosis Clinics in Tokyo
Shirono Clinic: Ebisu
A long-running aesthetic dermatology group with an Ebisu flagship that sees many foreign patients. Shirono handles axillary, palmar, and plantar Botox for sweating with Allergan Botox Vista and offers Rapifort and Ecclock prescriptions for patients who prefer topical management.
- English level: English-speaking staff available by appointment; written consent forms in English
- Price range: ¥66,000 to ¥110,000 ($440 to $733) for bilateral axillary Botox (self-pay, Allergan)
- Best for: axillary and palmar Botox, patients wanting established brands
- Caveat: English-language slots book out 2 to 3 weeks ahead, especially for weekend appointments
Tokyo Midtown Clinic: Roppongi
The dermatology department inside Tokyo Midtown Clinic handles hyperhidrosis as a medical rather than cosmetic concern. They offer axillary Botox with Allergan product, Rapifort prescriptions, and careful assessment of whether miraDry or pharmacological alternatives are a better fit than repeated Botox courses.
- English level: full English intake; several physicians trained or board-certified abroad
- Price range: ¥77,000 to ¥121,000 ($513 to $807) for bilateral axillary Botox (self-pay)
- Best for: first-time patients, medical-grade consultation, patients weighing long-term options
- Caveat: priced at the upper end of the Tokyo self-pay range and does not offer Korean toxin alternatives
Minami Aoyama Skin Care Clinic: Aoyama
Well-known among expats in central Tokyo, with Allergan Botox, Korean toxin alternatives, Rapifort, Ecclock, and miraDry all on the menu: useful for directly comparing the excessive sweating treatment Tokyo English-speaking patients have to choose between. They also handle palmar and plantar Botox regularly.
- English level: English-speaking concierge; physicians use English with translation support as needed
- Price range: ¥44,000 to ¥99,000 ($293 to $660) bilateral axillary Botox (depending on product); miraDry from ¥275,000 ($1,833)
- Best for: comparing products and modalities in one consult, patients looking at both Botox and miraDry
- Caveat: lower-priced Korean toxin options deliver shorter duration than Allergan on average: worth weighing against repeat-visit cost
AOI 7 Clinic: Ginza
A Ginza aesthetic clinic with dermatology and plastic surgery under one roof. Offers axillary and palmar Botox with multiple product choices, Rapifort prescriptions, and miraDry. Useful for patients who want hyperhidrosis treatment coordinated with other dermatology or injectable visits.
- English level: English-speaking receptionist; consultation via English-speaking doctor on select days
- Price range: ¥38,500 to ¥88,000 ($257 to $587) bilateral axillary Botox; miraDry ¥264,000 to ¥440,000 ($1,760 to $2,933)
- Best for: patients combining hyperhidrosis treatment with other visits, budget-conscious Korean toxin option
- Caveat: ask upfront which specific toxin brand will be used and how many units: pricing on multi-option menus can lack clarity until quoted in writing
Shinanozaka Clinic: Yotsuya / Shinjuku
A smaller, doctor-led practice with JSAPS/JSPRS-certified physicians on staff. Offers Botox for axillary, palmar, and plantar hyperhidrosis with Allergan product, and takes a conservative dosing approach: they generally start at standard dose and adjust upward only if needed.
- English level: English consultations available with specific doctors by request
- Price range: ¥71,500 to ¥104,500 ($477 to $697) bilateral axillary Botox (self-pay)
- Best for: patients wanting a conservative-dosing, doctor-led approach
- Caveat: does not offer miraDry; patients seeking a permanent non-surgical option need to go elsewhere
Hyperhidrosis Treatment Tokyo Price Comparison (Tokyo, 2026)
Typical 2026 price ranges for hyperhidrosis treatment Tokyo clinics quote, across Botox brands, topical options, and device-based treatments.
Prices are ranges across the clinics above at April 2026; confirm directly when booking. USD converted at ¥150 = $1.
Booking Hyperhidrosis Treatment in Tokyo Through Kanbi
Choosing a hyperhidrosis Tokyo clinic as a foreigner means knowing your realistic options — Botox brand and unit count, topical glycopyrronium, or miraDry for a longer-term result — and confirming the exact product and pricing in writing before treatment. Submit a treatment request → kanbicare.com
