Bilateral labia minora reduction with suture removal ranges from ¥154,000 at Tokyo Chuo Clinic (Kyobashi) and ¥175,000 at Motif Ginza Clinic, through ¥198,000 at Shonan Beauty Clinic and Ueno Ekimae Fujinka Clinic, ¥253,000 at Tokyo Isea Clinic, and ¥275,000 at Omotesando Rejuva Medical Clinic, Swan Clinic Ginza, and Ginza Takasu Clinic, to ¥288,800 at BIANCA Clinic. The absorbable-suture version runs from ¥257,800 (Shonan's "7-day" technique) to ¥418,000 (BIANCA), with Rejuva at ¥348,000 and Swan at ¥398,000. Tokyo Hatchobori Dermatology lists a price range starting at ¥86,900. Many clinics also publish "monitor" prices roughly 30 to 50 percent lower, which require consent to have your photographs published.
Laser vaginal tightening is listed at ¥44,000 to ¥118,000 per session at KISHI Clinica Femina, depending on the indication (atrophy, laxity, or incontinence), ¥154,000 for the entire vagina and vulva at Omotesando Rejuva Medical Clinic, and ¥155,000 at Shonan Beauty Clinic (Juliet laser). Hyaluronic acid "petit" tightening is listed at ¥157,150 (Shonan) to ¥165,000 (Swan and Rejuva). Surgical vaginal tightening ranges from ¥235,950 (Shonan, vaginal opening) to ¥770,000 (Swan, vaginal wall). Regenerative options at Rejuva are ACRS intimate rejuvenation at ¥220,000, PRP at ¥242,000 per vial, and culture supernatant for the vaginal wall at ¥265,000.
Anesthesia is often charged separately: intravenous sedation is ¥31,900 at Shonan Beauty Clinic, ¥33,000 at Ueno Ekimae Fujinka Clinic, and ¥55,000 at Ginza Takasu Clinic; the long-acting local anesthetic Exparel costs ¥33,000 to ¥36,000 where offered. Prices include tax unless noted; the price lists of Swan Clinic Ginza and Ueno Ekimae do not state whether tax is included.
- Ask who will perform the surgery (a plastic surgeon, an obstetrician-gynecologist, or a cosmetic surgeon) and whether a female doctor is available on your chosen date.
- Ask whether the price includes anesthesia, medication, and follow-up visits, and whether the sutures will need to be removed.
- Expect to abstain from intercourse for about one month after surgery at most clinics, or about one week with some absorbable-suture techniques.
- For laser treatments, ask how many sessions are recommended and what repeat sessions cost.
- Ask whether the consultation can be held in English, and whether an interpreter is provided or you need to arrange your own.