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 ¥15,000–30,000 (roughly $100–200 USD) per area when using Allergan product — significantly less than the $300–600 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.
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 ¥20,000–30,000 ($130–200) 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.
For foreigners, the biggest friction points are language and pricing structure. Many clinics advertise Botox from ¥3,500, but that headline figure almost always uses Korean-manufactured botulinum toxin — not Allergan Botox Vista, which is the only brand approved by Japan's Ministry of Health. Clinics also commonly charge a separate "treatment fee" (¥2,000–24,000) 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.
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: Botox Vista at ¥726–770 per unit plus a ¥24,200 treatment fee per session. Hyaluronic acid filler runs ¥84,700 per mL plus the same session fee. The treatment fee adds meaningfully to the total — a 20-unit Botox session would come to roughly ¥39,000–40,000 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.
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.
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 — this is 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. Pricing is premium (specific yen figures were not confirmed on their indexed web pages as of April 2026), but the trade-off is zero communication risk and US-standard consultation style.
Located at 5-5-1 Hiroo, Shibuya-ku, a three-minute walk from Hiroo Station.
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.
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.
The English website includes a dedicated price list page, though specific yen figures for Botox were not indexed in search results as of this writing. A consultation fee of ¥3,000 (tax not included) applies. All published prices are 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 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. If English communication during the procedure is important to you, confirm this before booking.
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 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-speaking staff availability varies by branch — confirm with your specific location. Additional treatment fees of ¥2,000–5,000 may apply.
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 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.
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.
| Clinic | Botox (Allergan) | Botox (Korean brand) | HA Filler | Treatment/Session Fee | Consultation Fee |
|---|---|---|---|---|---|
| BIANCA Clinic | ¥726–770/unit | Available (Coretox) | ¥84,700/mL | ¥24,200 | Included |
| Plaza Clinic | Premium (confirm directly) | Not offered | Available (confirm) | Confirm | Confirm |
| Azabu Skin Clinic | ~¥15,000+/area (est.) | Not confirmed | Available | Confirm | ¥3,000 (tax excl) |
| Elm Clinic | Not separately listed | Not confirmed | Available | ¥4,000 (flat) | Confirm |
| TCB | Higher (confirm) | From ¥3,500/area | Available | ¥2,000–5,000 | Free |
| SBC | Higher (confirm) | From ~¥4,000/area | Available | Varies | Free at some branches |
Note: Direct price comparison across these clinics is imperfect. Pricing structures differ (per-unit vs. per-area), brands differ, and additional fees vary. Use this table as a starting point, not a final comparison. Always confirm the total cost for your specific treatment before booking.
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. Always confirm English availability for your specific appointment, either 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. Japanese aesthetic consultations are typically shorter than Western ones. The doctor will assess your concern and recommend a treatment. In 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.
Finding the right clinic in Tokyo is hard enough — booking one in Japanese is harder. Kanbi is an English-language concierge that handles everything: treatment advice, clinic selection, Japanese communication, and booking confirmation. You just tell us what you want.
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No Japanese needed. No forms to fill in Japanese. No phone calls.
Related Kanbi guides: jaw slimming botox in Tokyo, Allergan vs Korean botox, and dermal fillers in Tokyo., and how to book a clinic in Tokyo without speaking Japanese
Is Botox cheaper in Tokyo?
Yes. Allergan Botox in Tokyo typically costs ¥15,000–30,000 ($100–200) per area, compared to $300–600 in the US or Europe. Budget clinics using Korean brands can be even lower, from ¥3,500 per area.
Do Tokyo clinics speak English?
A small number do. Clinics in Ginza, Omotesando, Hiroo, and Azabu are most likely to have English-speaking staff, but always confirm before booking. An English website does not guarantee English-speaking doctors.
How much does Botox cost in Tokyo?
From ¥3,500 per area with Korean botulinum toxin at budget chains, to ¥20,000–35,000 per area with Allergan Botox Vista at premium clinics. Treatment fees of ¥2,000–24,000 may be added on top.
Can foreigners book online?
Most clinics accept online bookings or email inquiries in English. A tourist visa is sufficient for cosmetic procedures — no special medical visa is needed.
Are consultations free?
It varies. TCB and SBC offer free consultations. Azabu Skin Clinic charges ¥3,000. BIANCA includes the consultation in the treatment fee. Always confirm upfront.
How do I choose a clinic?
Prioritize clinics where the doctor (not just staff) speaks your language, where pricing is published and includes all fees, and where the specific brand of product is clearly stated. Ask whether the quoted price is tax-inclusive and whether follow-up visits are included.
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