Insurance Coverage

  • Foreign medical insurance*:
  • If you want to claim the medical fee to your foreign medical insurance, we can provide necessary documents such as an itemized invoice of the treatment (*Not all the cases are covered by the foreign insurance).

    *Tricare (US military insurance) can be used. This requires pre-authorization.

  • Japanese national health insurance**:
  • The followings are the medical conditions covered by the Japanese national medical insurance (In the case of surgery, all treatment is a day trip). **If you want to use the Japanese national insurance, you must state so at the time of registration (cannot be retro-activated).

    *All the procedures at our clinic are performed by our director who is an U.S. board-certified plastic surgeon and past chief resident at UCLA. For his profile, please visitthis page.

    Prominent Ear* and Ear shape abnormality**

    *Diagnostic criteria for Prominent Ear: If you are born with not so well-bend and/or cup-shaped ears, and the ears protrude from the temporal region (more than 30 degrees), and if you have a “standing ear” state (this is the Prominent Ear), insurance is applicable.

    Surgical method

    In prominent ear surgery, the skin behind the ear is incised, and a mattress suture is used to fold the constriction called antihelix on the inner cartilage.



    Estimated treatment cost

    ・One-side treatment (when 30% copay of health insurance): JPY 58,000*
    ・For both sides: double the above
    (* Others, pre-operative inspection cost ¥ 4 ~ 5,000 yen)

    **Other ear shape abnormality such as stahl’s ear can also be repaired.


    Diagnostic criteria: The tissue under the areola becomes larger than usual and palpable as a bulge (swelling) or a mass (hump). They need to be a real (authentic) gynecomastia.
    *Chubby chest consisting of mostly fat in the chest are not covered by insurance (in this case, you can have liposuction of the chest at your own expense).
    Examples of authentic gynecomastia.

    Surgical method

    A skin incision is made from around the areola (approx. local anesthesia).
    The mammary gland tissue under the areola is removed under direct vision.
    Suture the areola wound.

    Estimated treatment cost

    ・About JPY 37,000 on both sides (in case of 30% copay)
    (In addition, pre-operative examination cost is about 4 ~ 5,000 yen, pathological examination cost is about 3,000 yen)

    Varicose veins of the lower extremities

    It is a state where blue dilated veins are clearly visible under the surface of the lower limbs. It is caused by a malfunction of the check valve in the deep vein. At our clinic, the method of injecting a medication that shrinks the blood vessels (sclerosis therapy) is covered by insurance.

    Method of treatment

    Inject the hardening agent (liquid) into the target blood vessel (see the figure below). It is also performed in the form of bubbles (foam sclerotherapy).

    After treatment, care with a compression bandage and/or compression stockings is required for a long time. Since one treatment often causes recurrence, several re-treatments may be necessary.

    Estimated treatment cost

    ・The cost of one treatment is about 5,400 yen (in case of insurance copay of 30%)

    Subcutaneous tumor (lipoma, atheroma, etc.)

    Diagnostic criteria: When the above subcutaneous tumor is suspected by palpation or image diagnosis.

    Surgical method

    Generally, the tumor is removed under local anesthesia.

    Estimated treatment cost

    ・Non-exposed part (part hidden by clothes): From ¥3,900 per piece (depending on size, 30% copay)
    ・Exposed area (forearm, below knees, etc.): From ¥5,000 each (same as above)
    (In addition, pre-operative examination cost of about 4 ~ 5,000 yen, pathological examination cost of about 3,000 yen, additional fee will be charged if image diagnosis is required)

    Ptosis of upper eyelids

    Diagnostic criteria: The case where the eyelids are hard to open and the certain criteria are met is covered by insurance. If the drooping is mild, under the insurance medical treatment is not applicable.
    Example: Moderate or greater ptosis with a value of 2 mm or less, which is MRD-1, indicating the degree of ptosis and levator fold function of 8 mm or more. In general, everyone feels that there is drooping – is covered by the insurance.

    Surgical method

    The upper eyelid is incised, and the levator fold muscle aponeurosis is shortened and sutured.

    Estimated treatment cost

    ・One side costs about JPY 22,000 (in case of 30% copay)
    (* Others, pre-operative inspection cost ¥ 4 ~ 5,000 yen)

    Inverted nipple

    Diagnostic criteria: If you plan to become pregnant, have a baby and are planning to breastfeed in the near future, and you suspect that your breastfeeding will be impaired due to a depressed nipple (women up to 39 years of age) are generally covered by insurance.

    Surgical method

    Depending on the severity of the treatment of the depressed nipple, the treatment method varies, but the scar area where the nipple is hard to come out will be removed and the peripapillary area will be finished with a plastic surgery design.
    Photographs before surgery (left) and after surgery (right). After the operation, observe the situation for a while using protective tape.

    Estimated treatment cost

    ・Approximately ¥22,500 on one side (30% copay)
    (* Others, pre-operative inspection cost ¥ 4 ~ 5,000 yen)

    Armpit odor

    Diagnostic criteria: In addition to subjective symptoms, objective judgment is also significant (mostly earwax is moist and soft)

    Surgical method

    A small incision is added to the side and a flap flap method is used for insurance.

    Estimated treatment cost

    ・Approximately JPY 21,000 on one side (30% copay)
    (* Others, pre-operative inspection cost ¥ 4 ~ 5,000 yen)

    Injury (trauma) treatment

    Treatment of cuts on the face and body surface.

    Acne treatment

    Prescription of ointment and antibiotics

    Other plastic surgery and some dermatological diseases

    Example: potentially malignant skin tumor


    Treatment of partial burns up to 2 degrees.
    (*Extensive burns, burns involving hands and joints are not handled at this clinic)

    In the above, we will handle with the Japanese national medical insurance. Depending on the disease, whether or not you are covered by insurance depends on the severity of the disease, so we accept prior consultation.

    If you would like to ask about insurance medical treatment, you can also contact us by email to our clinic.

    Plaza Clinic

    Plastic Surgeon in Tokyo Japan