Last verified: April 2026. Prices, English support, and clinic details were researched from official clinic websites, English-language booking platforms, and verified expat resources. Rhinoplasty pricing in Tokyo varies enormously by technique and surgeon — always confirm your total cost, including anaesthesia and follow-up, directly with your clinic before committing.
Rhinoplasty in Tokyo ranges from ¥200,000 to over ¥2,000,000 depending on how much structural work is involved — and finding a surgeon who speaks English well enough to understand exactly what you want is harder here than for any other cosmetic procedure. This guide covers six English-friendly rhinoplasty clinics in Tokyo with real prices where available, honest caveats, and the practical information foreigners actually need before booking nose surgery in Japan.
Rhinoplasty is not one surgery — it is a menu of procedures, and the price depends on which ones you combine. A simple tip refinement (鼻尖形成 / bisen keisei) is the most common standalone procedure and starts around ¥200,000–400,000. Augmentation rhinoplasty using a silicone implant (プロテーゼ / purotēze) to raise the nasal bridge runs ¥300,000–800,000. Complex structural work — nasal bone osteotomy, septum extension with cartilage grafting, hump removal — puts you in the ¥800,000–2,000,000+ range. Most patients who want meaningful change to both the bridge and tip end up combining two or three procedures, so budget for a combined quote rather than adding up individual line items.
Tokyo surgeons default to a Japanese aesthetic. Japan's rhinoplasty philosophy favours subtle, natural results — a slightly refined version of what you already have, not a dramatic transformation. The standard goal is a small, straight nose with a gently defined tip. If you are not East Asian, or if you want a result that looks different from the typical Japanese ideal, you need to communicate this very clearly. Bring reference photos. Discuss measurements in millimetres. If you cannot have that conversation fluently with your surgeon — directly or through a skilled interpreter — you risk getting a result designed for someone else's face.
Plan a minimum 10–14 day stay. Unlike Botox or fillers, rhinoplasty requires real recovery time in Tokyo. You will have a nasal splint for approximately 7 days, visible bruising and swelling for 10–14 days, and at least one follow-up visit for splint removal. Flying with significant nasal swelling is uncomfortable and not advisable within the first week. If you are coming to Tokyo specifically for this procedure, do not book a return flight for 5 days later.
The surgeon matters more than the clinic. Large chain clinics (TCB, SBC) offer rhinoplasty starting from ¥65,000–150,000 for basic thread lifts or tip procedures, but rhinoplasty is the one cosmetic procedure where surgeon skill and experience have the most dramatic impact on outcomes. A revision rhinoplasty to fix a poor result costs 1.5–3x the original surgery. For this procedure specifically, choosing on price alone is a false economy.
Terminology you will encounter: 鼻尖形成 (bisen keisei — tip refinement), 隆鼻術 (ryūbi-jutsu — augmentation rhinoplasty), プロテーゼ (purotēze — silicone implant), 鼻骨骨切り (bikotsu honekiri — nasal bone osteotomy), 鼻中隔延長 (bichūkaku enchō — septum extension), ワシ鼻修正 (washi-bana shūsei — hump removal), 小鼻縮小 (kobana shukushō — alar/nostril reduction), and 保存的鼻形成 (hozon-teki bana keisei — preservation rhinoplasty).
KAI Clinic publishes the most detailed English-language rhinoplasty price list of any Tokyo clinic found in this research. Their board-certified plastic surgeons offer the full range of procedures — from simple augmentation to preservation osteotomy and crooked-nose correction — with every price listed transparently on their English website. The clinic's approach emphasises designing the nose in context with the entire face, aiming for balanced proportions rather than isolated changes.
Prices (verified from English website):
English level: High. Full English website with procedure descriptions, price list, and booking system.
Best for: Patients who want transparent pricing upfront and a board-certified plastic surgeon. The detailed English price list means you can budget accurately before your first consultation.
Caveat: These are per-procedure prices. Most rhinoplasty patients combine two or more procedures (e.g., augmentation + tip refinement + alar reduction), so your total will likely be the sum of multiple line items. Confirm the combined quote and whether anaesthesia is included separately.
BIANCA has become one of Tokyo's most foreigner-focused clinics, with English-speaking staff, multilingual counsellors, and a Vectra 3D simulation system that lets you see a digital preview of your post-surgery nose before committing. This is exceptionally useful for rhinoplasty, where miscommunication about expected results is the single biggest source of patient dissatisfaction. Their rhinoplasty programme is led by Dr. Nakao (Takashi Nakao), who also runs his own practice and specialises in the "polygon" approach to Asian rhinoplasty. BIANCA offers preservation rhinoplasty — a newer technique that reshapes the nose without breaking down its structural framework.
Prices (verified from indexed content):
English level: High. English website, multilingual counsellors, translation provided at every stage from consultation through follow-up. Also bookable via Trambellir (English booking platform).
Best for: Patients who want 3D visualisation before surgery — especially those worried about communicating their desired result across a language barrier. The Vectra system lets you point at a screen instead of trying to describe an abstract shape in words.
Caveat: Premium pricing. Combined procedures will add up quickly. The 3D simulation is helpful but not a guarantee — it shows a digital approximation, not a surgical promise. Confirm which surgeon will perform your procedure, as BIANCA is a multi-doctor clinic.
Plaza Clinic is operated by Dr. Robert Katsuhiro Kure, a US Board-certified plastic surgeon who completed the UCLA Chief Plastic Surgery Residency Programme and practised in the United States for 18 years. English is effectively the primary consultation language — this is not a Japanese clinic with English translation bolted on, but a practice built around a Western-trained surgeon. Plaza offers both suture-based and full incisional rhinoplasty, and has a dedicated page on Asian eyelid and nose anatomy for international patients.
Price: Not published in indexed search results. Plaza Clinic has a price page on their website — confirm directly when booking. Expect mid-to-premium pricing consistent with a board-certified surgeon in central Tokyo.
English level: Native-level. The lead surgeon is American-trained and conducts consultations in English. This is the best option in Tokyo if your top priority is discussing complex aesthetic preferences — crease height, projection, rotation — in fluent English without any translation layer.
Best for: Non-Asian patients or anyone who needs to discuss specific structural goals in detailed English. Also strong for patients who value US-standard board certification over Japanese cosmetic medicine credentials.
Caveat: Smaller clinic with likely limited surgical slots. Pricing is not publicly indexed, so you will need to request a quote. The clinic may be less experienced with the very high volumes of Asian rhinoplasty that characterise Japan's largest chains — though the surgeon's Western training is an advantage for non-Asian nasal anatomy.
Dr. Takashi Nakao is one of Tokyo's most recognised rhinoplasty specialists, known for his "polygon concept" approach to Asian rhinoplasty — analysing the nose in geometric segments and reshaping each independently for balanced results. He also operates at BIANCA Clinic, but his own practice in Kamiyacho (30 seconds from the metro station) offers a more intimate, surgeon-led experience. The clinic has a full English website with detailed procedure descriptions, doctor profiles, and a fee page.
Price: Listed on the English fee page but not indexed in search results. The clinic notes that pricing for international patients (inbound) may differ from listed rates, and that prior consultation, medical interpreter accompaniment, and specific appointment procedures apply for foreign patients. Confirm directly.
English level: Moderate to high. Full English website. The clinic arranges medical interpreter accompaniment for foreign patients — an important detail for surgical consultations where precision matters.
Best for: Patients who specifically want a rhinoplasty specialist rather than a general cosmetic surgeon, and who value an individualised, surgeon-led consultation over a high-volume chain experience.
Caveat: International patient pricing may be higher than listed rates. The interpreter accompaniment is a good sign — it means they take foreign patient communication seriously — but it also suggests the surgeon may consult primarily in Japanese. Clarify the consultation language and any additional fees when booking.
Verite Clinic has long been one of the most-recommended clinics in Tokyo for revision rhinoplasty — fixing nose jobs that went wrong elsewhere. The clinic operates from Ginza (with additional locations in Osaka and Nagoya) and has an English-language website with a contact page for international inquiries. Verite's surgical team has extensive experience with both Asian and Western nose structures, which is relatively uncommon among Tokyo clinics.
Price: Not indexed in current search results. Revision rhinoplasty is inherently more expensive than primary surgery — expect ¥1,000,000–2,500,000+ for complex corrections. Confirm directly with the clinic.
English level: Moderate. English website and English consultation available. The level of in-clinic English may vary by surgeon — confirm when booking.
Best for: Patients who need a revision or correction of a previous rhinoplasty, especially if the original surgery was performed at another clinic (in Japan or abroad). Also worth considering if you have a complex case involving both Asian and Western structural elements.
Caveat: The clinic's most famous rhinoplasty surgeon, Dr. Matsumoto, retired from Verite in late 2023 and was reportedly establishing his own practice. Confirm which surgeon will perform your procedure and review their specific experience. Verite's reputation was built significantly on Dr. Matsumoto's work — verify that the current surgical team matches your expectations.
Primo Azabujuban stands out for a credential that matters in rhinoplasty more than most procedures: all surgeons are certified by the Japanese Society of Aesthetic Plastic and Reconstructive Surgery (JSAPS). In Japan, any licensed doctor can legally perform cosmetic surgery — there is no legal requirement for plastic surgery board certification. JSAPS affiliation means the surgeon has completed formal plastic surgery training, which is particularly relevant for a structural procedure like rhinoplasty. The clinic has a comprehensive English website covering nose surgery options, doctor profiles, and a fee list.
Price: Listed on their English fee page but not indexed in search results. Initial consultation fee: ¥2,200. Free email consultation available before booking. Expect mid-to-premium pricing given the surgeon credentials.
English level: Moderate to high. Full English website with detailed nose surgery descriptions. Free email consultation in English — a useful way to assess communication quality before committing.
Best for: Patients who prioritise surgeon credentials and formal plastic surgery training. Also a strong option if you want to start with an email consultation to test communication quality before making a trip to the clinic.
Caveat: Pricing not publicly confirmed for specific rhinoplasty procedures. The ¥2,200 initial consultation fee is modest but worth noting — most chain clinics offer free consultations. The clinic's strength is surgical credentialing, not budget pricing.
| Clinic | Tip Refinement | Augmentation (Implant) | Osteotomy | English Level |
|---|---|---|---|---|
| KAI Clinic | Confirm directly | ¥330,000 (~$2,200) | ¥550,000 (~$3,670) | High |
| BIANCA Clinic | ¥382,800 (~$2,550) | Confirm directly | ¥660,000 (~$4,400) | High |
| Plaza Clinic | Confirm directly | Confirm directly | Confirm directly | Native-level |
| Nakao Plastic Surgery | Confirm directly* | Confirm directly* | Confirm directly* | Moderate–High |
| Verite Clinic | Confirm directly | Confirm directly | Confirm directly | Moderate |
| Primo Azabujuban | Confirm directly | Confirm directly | Confirm directly | Moderate–High |
*Nakao Plastic Surgery notes that pricing for international patients may differ from listed rates.
Market context: Across Tokyo, expect ¥200,000–400,000 for simple tip work, ¥300,000–800,000 for augmentation, and ¥800,000–2,000,000+ for complex structural rhinoplasty combining multiple procedures. Budget chains (TCB, SBC) advertise thread nose lifts from ¥20,000 and basic tip procedures from ¥65,000, but English support is limited and surgeon experience varies widely — fine for threads, risky for surgical rhinoplasty. Revision surgery to correct a poor result typically costs 1.5–3x the original procedure.
Not sure which clinic to choose, or how to book in Japanese? Kanbi handles clinic selection, Japanese communication, and booking for rhinoplasty treatments. Submit a treatment request → kanbicare.com
How much does rhinoplasty cost in Tokyo?
It depends entirely on the technique. Simple tip refinement starts around ¥200,000–400,000 (~$1,330–2,670). Augmentation with a silicone implant runs ¥300,000–800,000 (~$2,000–5,330). Complex structural rhinoplasty with osteotomy and cartilage grafting costs ¥800,000–2,000,000+ (~$5,330–13,330+). Most patients combine two or more procedures, so the total is usually higher than any single line item. These prices are 40–70% lower than equivalent procedures in the US.
Can I get rhinoplasty in Tokyo without speaking Japanese?
Yes, but your options narrow significantly. BIANCA and KAI Clinic have strong English websites and staff. Plaza Clinic operates in English by default. For other clinics, you may need a medical interpreter (¥20,000–50,000 per session), which some clinics like Nakao Plastic Surgery can arrange. For rhinoplasty specifically, the ability to communicate your desired result in detail is more important than for any other procedure — do not compromise on this. For general booking advice, see our guide to booking clinics without Japanese.
Is rhinoplasty in Tokyo as good as in Seoul?
Different, not better or worse. Seoul has a larger medical tourism infrastructure for rhinoplasty, more surgeons specifically marketing to foreigners, and generally lower prices. Tokyo's strengths are a conservative, natural-looking aesthetic and access to JSAPS-certified plastic surgeons. Japanese surgeons tend to aim for subtlety — if you want a dramatic change, Seoul's surgical culture may be more aligned with your goals. If you want refinement that does not look "done," Tokyo's approach has real advantages.
What is preservation rhinoplasty, and is it available in Tokyo?
Preservation rhinoplasty is a newer technique (developed around 2018) that reshapes the nose by working within its existing structural framework rather than breaking it down and rebuilding it. The claimed benefits are a more natural result, less swelling, and faster recovery. BIANCA Clinic and KAI Clinic both offer preservation rhinoplasty in Tokyo, with KAI pricing it at ¥660,000 (~$4,400). It is not suitable for every nose — your surgeon will advise whether your anatomy is a good candidate.
How long do I need to stay in Tokyo after surgery?
Plan a minimum of 10–14 days. The nasal splint stays on for about 7 days and must be removed by the surgeon. Visible bruising and swelling peak around days 3–5 and remain noticeable for 10–14 days. You can fly after splint removal, but expect to look visibly swollen. Most surgeons recommend at least one follow-up appointment before you leave. If you are combining rhinoplasty with another procedure, add extra recovery time.
Should I worry about silicone implants for the nose bridge?
Silicone (L-shaped or I-shaped) nasal implants are standard in Asian rhinoplasty and have a long track record in Japan and Korea. The main risk is capsular contracture or implant displacement over years — which is why some surgeons prefer cartilage grafting (using your own ear or rib cartilage) for long-term durability. Cartilage grafting is more invasive, takes longer, and costs more, but avoids having a foreign material in your nose permanently. Ask your surgeon about both options and their revision rates.
What is the difference between a cosmetic doctor and a plastic surgeon in Japan?
In Japan, any licensed physician can legally perform cosmetic surgery — including rhinoplasty. There is no legal requirement for board certification in plastic surgery. Clinics staffed by JSAPS-certified surgeons (like Primo Azabujuban and KAI Clinic) or US Board-certified surgeons (like Plaza Clinic) have completed formal surgical training programmes. For rhinoplasty — which involves bone, cartilage, and complex three-dimensional anatomy — board certification is a more meaningful credential than for non-surgical treatments like Botox or fillers.
Can I combine rhinoplasty with other procedures in the same trip?
Many Tokyo clinics offer combination surgery — rhinoplasty with double eyelid surgery is the most common pairing. Combining procedures saves on anaesthesia costs and recovery time (one healing period instead of two). However, combined surgery means longer time under anaesthesia and more post-operative discomfort. Discuss this with your surgeon during consultation. If you are considering eyelid surgery, see our guide to double eyelid surgery in Tokyo.
Rhinoplasty is the most complex cosmetic procedure most people will ever consider, and Tokyo is one of the world's highest-volume cities for it. The quality ceiling here is very high — but so is the variability between clinics. The single most important decision you will make is choosing a surgeon you can communicate with clearly about what you want. Everything else — price, location, technique — follows from that.
Related Kanbi guides: nose filler (non-surgical rhinoplasty) in Tokyo, chin implant in Tokyo, and blepharoplasty in Tokyo., and how to book a clinic in Tokyo without speaking Japanese
Sources consulted: official clinic websites (kaiclinictokyo.com/en, biancaclinic.jp/en, biancaclinic-tokyo.com, plazaclinic.net, nakao-plasticsurgery.com/english, veriteclinic.org/english, en.primo-clinic.com, tcb-grp.com/en), English booking platforms (trambellir.com), expat and medical tourism resources (japanlivingguide.com, clinicjapan.net, hikaku-clinic.net, medijump.com, 123.clinic), and community forums (purseforum.com). Direct website fetches were restricted; data verified through search-engine-indexed content from official pages. Prices and surgeon availability should be confirmed directly with clinics before booking.
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