Last verified: April 2026. Prices, English support, and clinic details were researched from official clinic websites, English-language booking platforms, and verified expat resources. Cosmetic surgery pricing in Tokyo changes frequently — always confirm the total cost directly with your clinic before booking.

Double eyelid surgery is the most commonly performed cosmetic procedure in Japan, and Tokyo has more clinics offering it than almost anywhere else in the world. For foreigners, the challenge is not finding a clinic — it is finding one that communicates clearly in English, quotes transparent pricing, and understands that not every patient wants the same narrow crease designed for Japanese eyelid anatomy. This guide covers six English-friendly clinics in Tokyo where foreigners can get double eyelid surgery in 2026, with real prices and honest caveats for each.

What to Know Before Double Eyelid Surgery in Tokyo

There are two main methods, and the price gap between them is significant. The burial method (埋没法 / maibotsu-hō) uses sutures to create a crease without cutting. It is faster, cheaper (¥30,000–¥250,000 / ~$200–1,670), and has minimal downtime — most people look presentable within 3–5 days. The incision method (切開法 / sekkai-hō) involves cutting the eyelid skin, removing excess fat or tissue, and creating a permanent crease. It costs more (¥200,000–¥500,000 / ~$1,330–3,330), has 1–2 weeks of visible recovery, but produces results that last a lifetime.

Budget headline prices are misleading. When a Tokyo clinic advertises double eyelid surgery from ¥29,800, that is almost always a basic 2-point burial method with the highest revision rate. By the time the surgeon recommends upgrading to 4–6 fixation points, adding fat removal, or combining techniques, you are realistically looking at ¥100,000–250,000 for the suture method. This is not a scam — it is how tiered pricing works in Japan's volume-driven aesthetic market — but you should expect it.

Japanese clinics favour a natural, narrow crease. Japan's aesthetic philosophy leans conservative. If you want a higher, more defined fold — common among patients of Middle Eastern, South Asian, or European descent — you need to communicate this clearly during consultation. Bring reference photos. A clinic that speaks your language well enough to discuss crease height, symmetry, and your specific anatomy is worth more than a clinic that simply costs less.

Same-day surgery is standard. Most Tokyo clinics expect you to receive treatment immediately after your consultation. If you want a consultation-only first visit, say so when booking. For the burial method, the procedure itself takes 10–30 minutes. Incision takes 40–90 minutes.

Terminology you will see: 二重整形 (futae seieki — double eyelid surgery), 埋没法 (maibotsu-hō — burial/suture method), 切開法 (sekkai-hō — incision method), and 小切開 (shō-sekkai — partial/mini incision, a middle-ground option some clinics offer).

6 English-Speaking Double Eyelid Surgery Clinics in Tokyo

BIANCA Clinic — Ginza & Omotesando

BIANCA is one of Tokyo's most foreigner-accessible clinics, with a full English website, multilingual staff, and a dedicated international patient workflow including pre-visit medical questionnaires in English. For double eyelid surgery, they offer their proprietary B-TWICE suture method — a back-suture technique where needles pass through the conjunctiva (back of the eyelid), leaving no visible scars or stitches on the front. The procedure takes about 10 minutes and includes laughing gas plus local anaesthesia.

Price: B-TWICE suture method: ¥217,800 (~$1,450) for both eyes, including anaesthesia and medication. Full incision method also available — confirm pricing during consultation.

English level: High. English website, multilingual counsellors, translation provided at every stage. Also bookable via Trambellir (English-language booking platform).

Best for: Patients who want a premium suture method with minimal scarring and strong English-language support throughout the process.

Caveat: Premium pricing. The B-TWICE method is significantly more expensive than basic burial options at budget chains. If cost is your primary concern, this is not the cheapest option — but the English support and technique quality are among the best in Tokyo.

Plaza Clinic — Hiroo

Plaza Clinic is operated by a US Board-certified plastic surgeon who practised in the United States for 18 years before opening in Tokyo. English is effectively the primary consultation language. The clinic offers both non-incisional (suture) and full incisional blepharoplasty, and has a dedicated page on Asian eyelid surgery addressing the specific anatomical considerations involved.

Price: Not published in indexed search results. Plaza Clinic has a price page on their website and accepts walk-ins for consultations — confirm pricing directly when booking.

English level: Native-level. The lead surgeon is American-trained and conducts consultations in English. This is the closest you will get to a Western-standard plastic surgery experience in Tokyo.

Best for: Patients who want a board-certified plastic surgeon (not a cosmetic dermatologist) and want to communicate complex aesthetic preferences in fluent English — especially non-Asian patients or those wanting a wider crease.

Caveat: Smaller clinic, likely limited appointment availability. Walk-ins are accepted for non-surgical treatments, but surgical consultations should be booked in advance. Pricing is not publicly indexed, so expect to request a quote.

TCB Tokyo Central Beauty Clinic — Multiple Locations

TCB is one of Japan's largest aesthetic clinic chains with over 100 locations. They have an English website with translated materials and a free consultation reservation system for international patients. TCB offers a wide range of double eyelid options — from basic 2-point burial to advanced multi-point suture techniques and full incision.

Price: Basic 2-point burial (TCB二重術) from ¥29,800 (~$200) for both eyes. More durable techniques with additional fixation points, fat removal, or partial incision range from ¥83,600–¥298,000+. Full incision pricing available on consultation. All prices displayed tax-inclusive.

English level: Limited. The website is translated and multilingual materials can be prepared in advance, but in-clinic consultations are primarily in Japanese. Expect to use a translation app or bring someone who speaks Japanese for complex discussions about crease height and technique.

Best for: Budget-conscious patients who want the lowest entry price and are comfortable navigating limited English support. Good if you already know exactly what you want and do not need to discuss nuanced preferences.

Caveat: The ¥29,800 headline price is real but covers only the most basic technique — which has the highest revision rate. The upsell to a more durable method is standard practice and usually reasonable, but go in expecting your actual cost to be ¥100,000+ for a technique most surgeons would recommend. English support is surface-level; this is not where you want to be if clear communication about your desired result matters to you.

Tokyo Skin & Plastic Surgery Clinic — Ginza

This Ginza clinic specialises in non-incisional eyelid surgery and reports having treated over 30,000 patients — a very high volume that reflects the demand for this specific procedure in Tokyo. They have English-speaking doctors on staff, making it one of the few clinics where you can discuss technical details directly with the surgeon in English rather than through a translator.

Price: Not fully indexed in search results. The clinic has an English-language price page — confirm directly when booking.

English level: High. English-speaking doctors (not just counsellors), which matters for surgical consultations where precision in communication directly affects your result.

Best for: Patients who specifically want the suture (non-incisional) method and value the reassurance of a very high case volume for this exact procedure.

Caveat: The clinic's strength is non-incisional surgery. If you are likely to need the incision method (due to thick eyelid skin, significant fat, or previous failed suture surgery), you may want a clinic that specialises more broadly in surgical blepharoplasty. Pricing not publicly confirmed — request a detailed quote.

Primo Azabujuban Clinic — Azabujuban

Primo Azabujuban operates under the principle that all procedures are performed by certified plastic surgeons affiliated with the Japanese Society of Aesthetic Plastic and Reconstructive Surgery — a meaningful credential in a market where many "cosmetic clinics" are run by doctors without formal plastic surgery training. Their English website is comprehensive, covering procedure details, doctor profiles, and a full fee list. They offer buried suture methods with 4-point and 6-point fixation options, as well as full incision and revision surgery for patients whose previous double eyelid procedure at another clinic failed.

Price: Listed on their English fee page but not indexed in search results. The clinic charges a ¥2,200 initial consultation fee. Surgery pricing should be confirmed directly — expect mid-to-premium range given the surgeon credentials.

English level: Moderate to high. Full English website with detailed procedure explanations. Free email consultations available in English before booking.

Best for: Patients who want a board-certified plastic surgeon (JSAPS-affiliated), a revision procedure to fix a previous surgery, or the strongest suture method (6-point fixation) available without incision.

Caveat: Pricing not indexed publicly — you will need to request a quote via their email consultation or fee page. The clinic's focus on surgeon credentials comes with a price premium over budget chains. Worth it for complex cases; potentially overkill for a straightforward first-time burial procedure.

Otsuka Cosmetic & Plastic Surgery — Ginza

Otsuka is an established cosmetic surgery clinic in Ginza with over 200 staff and a long track record. They offer four types of burial methods — including their proprietary "Forever Brilliant" consolidation method designed for stronger fixation — as well as full incision double eyelid surgery. The clinic has an English website and English-speaking doctors on staff.

Price: Published on their English fee schedule, but with an important caveat: listed prices are for patients with a Japanese health insurance card or residence card. If you do not have one, contact the clinic directly for international patient pricing — it may differ.

English level: Moderate. English website and English-speaking male and female doctors available. The English site is functional but less detailed than their Japanese pages.

Best for: Foreign residents of Japan (with a residence card) who want an established, large-scale clinic with multiple technique options and on-site English-speaking doctors.

Caveat: The residence card pricing requirement is a real issue for tourists and short-term visitors. If you do not have Japanese residency, you may be quoted a different (likely higher) price, or the clinic may have a different intake process. Confirm this before booking to avoid surprises.

Price Comparison Table

*Otsuka's listed prices apply to patients with a Japanese residence card. International patients should confirm pricing separately.

Market context: Across Tokyo, expect to pay ¥30,000–250,000 for burial/suture methods and ¥200,000–500,000 for full incision. The wide range reflects technique complexity (2-point vs 6-point fixation), clinic reputation, and whether the surgeon is a board-certified plastic surgeon or a general cosmetic doctor. Budget chains compete on headline price; premium clinics compete on technique and communication.

Not sure which clinic to choose, or how to book in Japanese? Kanbi handles clinic selection, Japanese communication, and booking for double eyelid surgery treatments. Submit a treatment request → kanbicare.com

FAQ

How much does double eyelid surgery cost in Tokyo?
The suture (burial) method ranges from ¥29,800 to ¥250,000 for both eyes, depending on the number of fixation points and technique. The incision method costs ¥200,000–500,000. Budget headline prices almost always reflect the most basic technique — expect the surgeon to recommend a more durable (and more expensive) option during consultation.

What is the difference between the burial method and the incision method?
The burial method (埋没法) uses sutures to create a crease without cutting. It is reversible, has 3–5 days of visible swelling, and costs less — but the crease can loosen over time, especially with basic 2-point fixation. The incision method (切開法) cuts the eyelid, removes excess skin or fat, and creates a permanent crease. Recovery takes 1–2 weeks but results are lifelong. Your surgeon will recommend one based on your eyelid thickness, fat volume, and desired crease height.

Can I get double eyelid surgery in Tokyo without speaking Japanese?
Yes, but your clinic choice matters significantly. BIANCA Clinic and Plaza Clinic offer high-level English support. TCB has translated materials but limited spoken English. For a surgical procedure where communicating your desired result directly affects the outcome, prioritise English capability over price. For a step-by-step guide to booking, see our booking guide for foreigners.

Is the burial method permanent?
Not always. Basic 2-point fixation has the highest loosening rate — some patients need a redo within 1–3 years. Advanced techniques (4-point, 6-point, or back-suture methods like BIANCA's B-TWICE) are more durable and can last 10+ years or indefinitely for many patients, but no suture method carries a true lifetime guarantee. If permanence is your priority, the incision method is more reliable.

How long is recovery? Can I fly home afterwards?
For the burial method, major swelling subsides in 3–5 days. You can fly the same day, though your eyes will be noticeably swollen. Most people look presentable with makeup within a week. For the incision method, expect 1–2 weeks of significant swelling and bruising, with stitches removed around day 5–7. Flying within 48 hours is physically fine but uncomfortable. Plan at least 5–7 days in Tokyo after incision surgery if possible.

Will a Tokyo surgeon understand what I want if I am not Asian?
Japanese surgeons perform more double eyelid procedures than almost anyone in the world, but their default reference point is Japanese eyelid anatomy. If you are not East Asian — or if you want a higher, wider crease than the Japanese standard — bring reference photos showing your desired result and discuss crease height explicitly in millimetres during consultation. Clinics with strong English support (Plaza, BIANCA) are better equipped for these conversations.

What is the difference between a cosmetic doctor and a plastic surgeon in Japan?
In Japan, any licensed physician can legally perform cosmetic procedures — there is no legal requirement for plastic surgery board certification. Some Tokyo clinics are run by dermatologists or general practitioners who trained in aesthetics. Others, like Primo Azabujuban and Plaza Clinic, are staffed by surgeons certified by the Japanese Society of Aesthetic Plastic and Reconstructive Surgery (JSAPS) or equivalent international boards. For a surgical procedure on your eyelids, board-certified credentials offer an additional layer of reassurance — though experienced cosmetic doctors at high-volume clinics also produce good results.

Should I get double eyelid surgery in Tokyo or Seoul?
Seoul is the other major destination for this procedure, with generally lower prices (starting around $500–1,500 USD for burial methods) and a massive medical tourism infrastructure built around it. Tokyo's advantages are a more conservative, natural-looking aesthetic; access to JSAPS-certified surgeons; and convenience if you are already in Japan. Seoul's advantages are lower cost, more clinics specifically marketing to international patients, and higher volume of complex revision cases. Neither city is categorically better — it depends on your budget, aesthetic preference, and travel plans.

Double eyelid surgery is routine in Tokyo — tens of thousands of procedures are performed here every year. The quality of your experience as a foreigner comes down to two things: choosing a clinic that communicates clearly in your language, and understanding the pricing structure well enough to make a real comparison. If you can do both, you are in one of the best cities in the world for this procedure.

Related Kanbi guides: blepharoplasty in Tokyo, liquid facelift in Tokyo, and rhinoplasty in Tokyo.

Sources consulted: official clinic websites (biancaclinic.jp/en, biancaclinic-tokyo.com, plazaclinic.net, tcb-grp.com/en, 251901.net/en, en.primo-clinic.com, otsuka-biyo.co.jp/en, en.sbc-beauty.com), English booking platforms (trambellir.com), expat resources (japanlivingguide.com, hikaku-clinic.net), and verified pricing from search-indexed clinic pages. Direct website fetches were restricted; data verified through search-engine-indexed content. Prices and availability should be confirmed directly with clinics before booking.