English-Speaking Liposuction and Breast Augmentation in Ginza, Tokyo: 5 Reasons to Consider AVAN TOKYO2026.11.10
AVAN TOKYO · INTERNATIONAL PATIENT GUIDE
AVAN TOKYO Ginza Liposuction Clinic is a cosmetic surgery clinic in Ginza, Tokyo, focusing on liposuction and breast augmentation, with consultations available directly with an English-speaking doctor. We help both patients visiting Japan from overseas and English-speaking residents of Japan consider their body-contouring goals, treatment options, anesthesia, costs and postoperative care.
Drawing on our experience treating patients from Europe, the Americas and Asia, we assess each person’s skeletal structure, fat distribution, skin condition, daily life and travel plans. If you are looking for an English-speaking liposuction and breast augmentation clinic in Tokyo, or want to discuss your options directly with your surgeon, this guide explains 5 reasons to consider AVAN TOKYO and what to know before your visit.
Published by AVAN TOKYO Ginza Liposuction Clinic | Information checked: November 10, 2026
Liposuction, breast augmentation and the other procedures described here are self-pay treatments not covered by Japanese public health insurance. Suitability, results and recovery vary between individuals.
- Consultations in English: Clinic director Dr. Shin Moriwaki provides consultations in English. Online consultations before travel to Japan are also available.
- Treatment options: Liposuction, fat transfer breast augmentation, silicone implant breast augmentation, hybrid breast augmentation and other procedures.
- Anesthesia and transport: General anesthesia managed by an anesthesiology specialist and postoperative transport can be discussed according to your procedure and availability.
- Travel planning: Preoperative blood tests and advance payment are required. For extensive surgery, a stay of around 10 days is an initial guide; your schedule is planned individually before surgery.
- Location: DEAR GINZA 3F, 1-6-8 Ginza, Chuo-ku, Tokyo. A 1-minute walk from Exit 6 of Ginza-itchome Station.
5 reasons international visitors and residents of Japan consider AVAN TOKYO
01Experience in liposuction and breast surgery for patients from Europe, the Americas and Asia
Alongside Japanese patients, we welcome people traveling from Europe, the Americas and Asia, as well as international residents of Japan, for consultations about liposuction and breast surgery. Their goals vary, from male chest and abdominal liposuction and waist contouring to concerns about breast volume and sagging.
We do not assume a person’s ideal body shape or treatment choice from their nationality. We ask which areas they would like to slim, where they would like to retain curves, and how they balance a natural appearance with the degree of change they want, then consider those preferences alongside examination findings. When reviewing case photographs, it is also important to compare similar body structures, treatment areas and postoperative time points.
02Speak directly with a doctor in English, including online before traveling to Japan
Our director, Dr. Shin Moriwaki, holds an ECFMG Certificate and provides medical consultations in English. You can discuss not only the areas you want treated or your preferred breast shape, but also risks, anesthesia and recovery with the doctor in English.
If you live overseas, an online consultation before travel can help you consider treatment options, required tests and the length of your stay in Japan. Residents of Japan can also discuss plans around work, childcare and time off. Please request a consultation in English when booking. Even after an online consultation, final suitability and the surgical plan are determined through an in-person examination and testing.
An ECFMG Certificate is a certification for graduates of medical schools outside the United States. It is not itself a US state medical license. Dr. Shin Moriwaki’s background and qualifications
03Planning for your body and surgical extent, including specialist-managed general anesthesia
When considering extensive liposuction or combined procedures, surgical planning requires assessment of operating time, blood loss, fluid balance and overall health as well as body design. Our clinic offers general anesthesia managed by an anesthesiology specialist and considers the appropriate method from options that also include intravenous sedation.
Patients with a BMI of 25 or above are welcome to consult us. However, height, weight and BMI alone do not determine whether surgery is appropriate. We review medical conditions, medications, possible sleep apnea, blood test results and other factors. We may recommend reducing the treatment area, dividing surgery into separate procedures, or not proceeding. Choosing general anesthesia does not mean surgery is appropriate for every body size or treatment extent.
04Body contouring that considers how the silhouette connects through 360°
At AVAN TOKYO, our approach to 360° High Definition Liposuction—considering the contour from every direction—looks beyond slimness from the front. We assess the side and back profiles, muscle contours, skin thickness and transitions between adjacent areas.
For the abdomen, this means considering the area below the chest through the waist and lower back; for the upper arms, it means considering the shoulders, underarms and breasts. We identify where to reduce fat and where to preserve it. When breast augmentation is combined with liposuction, we also consider the chest and overall body proportions. Whether you prefer natural curves or greater definition, we explain what may be achievable and the limitations before planning treatment.
This term does not guarantee a particular result. Liposuction cannot change the muscles, skeletal structure or visceral fat itself, and other treatments may be considered when there is significant skin laxity. Dr. Shin Moriwaki’s approach to upper-arm liposuction and body design
05Postoperative transport and support during your stay and after returning home
After extensive treatment, walking, changing clothes and moving luggage may be difficult. Our clinic offers postoperative transport, and you can discuss travel to your hotel or another destination in advance. Advance booking is required; the published service area is approximately a 1-hour drive from the clinic. Please confirm hotel or airport eligibility, the destination, date and time, fees and conditions when booking. The service may not be available depending on arrangements.
After surgery, you can contact us through LINE, email or WhatsApp. For patients returning overseas, we discuss the examination before departure, how to contact us, and local medical care if needed. Residents of Japan can also ask about concerns that arise after resuming daily life. Postoperative transport information
Liposuction and breast surgery: case photographs and recovery video
These photographs and video illustrate our experience treating international patients and our approach to body contouring. Even with the same procedure name, recovery differs according to the areas treated, body type and additional procedures. Each photograph shows an individual case and does not guarantee an outcome or recovery time.
In each comparison, the preoperative photograph is on the left and the postoperative photograph is on the right. Some photographs differ in posture, clothing, lighting and photographic conditions, so the degree of change cannot be measured precisely from photographs alone. The fees below are reference standard procedure fees in Japanese yen (JPY), including tax, as of November 10, 2026. They are not the actual amounts paid by the patients shown. Anesthesia, testing, compression garments and other items cost extra.
Chest, below-chest, circumferential abdominal and lower-back liposuction | 3 months after surgery
This case considers the transition from the chest through the abdomen to the waist. In male liposuction, we discuss where to reduce fullness and which contours to preserve, taking the rib cage and muscle shape into account. Even 3 months after surgery, swelling, firmness and the way the skin settles may still be changing.
Procedure and follow-up: Liposuction of the chest, below-chest area, circumferential abdomen and lower back. Photographs taken 3 months after surgery. Self-pay treatment.
Reference fees: Chest: JPY 498,000; below-chest area: JPY 348,000; whole abdomen (upper, lower and sides): JPY 1,048,000; lower back: JPY 448,000. We provide a total estimate after confirming the applicable areas, combination, BMI and other factors.
Main risks: Swelling, bruising, pain, edema, tissue firmness or contracture, numbness, contour irregularities, asymmetry, skin laxity, scars, infection, hematoma, seroma and anemia, among others. Rare serious complications, including thromboembolism and fat embolism, may occur.
Silicone implant exchange, breast reduction and lift, and lower-back liposuction | 3 months after surgery
When assessing someone who has previously had breast augmentation, we consider not only a change in size but also breast sagging, excess skin, nipple position and the condition of the existing implants. This case combines several operations; scarring, recovery and costs differ from primary breast augmentation alone.
Procedure and follow-up: Silicone implant exchange, breast reduction and lift, and lower-back liposuction. Photographs taken 3 months after surgery. Self-pay treatment.
Reference fees: Breast reduction with lift: JPY 2,280,000; lower-back liposuction: JPY 448,000. Implant exchange is quoted individually according to the condition of the existing implants and capsule, and the replacement product and technique. It is not included in these figures. The total cost is provided after examination.
Main risks: Swelling, bruising, pain, infection, hematoma, scars, delayed wound healing, asymmetry, altered nipple or breast sensation, effects on breastfeeding, impaired blood supply or necrosis of skin, fat or the nipple–areola complex, and further surgery, among others. Implant risks also include capsular contracture, displacement and rupture. Liposuction risks include contour irregularities, tissue firmness or contracture, and thrombosis.
Circumferential upper-arm, underarm and accessory breast-area liposuction with hybrid breast augmentation | 6 months after surgery
This case illustrates our approach to the arms, underarms and breasts as a connected upper-body silhouette. Hybrid breast augmentation combines silicone implants with fat grafting. The breast changes are not due to liposuction alone, and suitability must be assessed according to body structure and the condition of the skin and fat.
Procedure and follow-up: Circumferential upper-arm, underarm and accessory breast-area liposuction with hybrid breast augmentation. Photographs taken 6 months after surgery. Self-pay treatment.
Reference fees: Circumferential upper-arm liposuction: JPY 650,000; underarm and accessory breast areas: JPY 220,000 each; hybrid breast augmentation: JPY 1,480,000, including fat harvesting from 1 area. Because harvesting areas may overlap and combined-procedure pricing may apply, we provide an individual total rather than simply adding these fees.
Main risks: Liposuction may cause swelling, bruising, pain, tissue firmness or contracture, contour irregularities and asymmetry, among other risks. Breast augmentation risks include inadequate fat retention, lumps, calcification, fat necrosis, infection, implant capsular contracture, displacement or rupture, altered sensation and additional surgery. Rare serious complications, including thromboembolism and fat embolism, may occur.
Recovery after lower-back liposuction and buttock fat grafting (BBL)
This video follows the recovery of a Western patient after lower-back liposuction and buttock fat grafting (BBL). The procedure considers the waistline together with buttock volume, but postoperative positioning and daily-life precautions differ from those for liposuction alone. The recovery shown should not be assumed to predict your own recovery schedule.
Watch the recovery video on YouTube
Procedure and fees: Lower-back liposuction and buttock fat grafting (BBL). Self-pay treatment. The standard BBL procedure fee is JPY 980,000, including fat harvesting from 2 areas. The total varies with harvesting extent, BMI, anesthesia and other factors; a separate lower-back liposuction fee is not automatically added.
Main risks: Swelling, bruising, pain, infection, hematoma, seroma, fat necrosis, lumps, contour irregularities, asymmetry, resorption of grafted fat, altered sensation and additional surgery, among others. Serious complications include fat embolism, deep vein thrombosis and pulmonary embolism, which can be fatal. Ask for an individual explanation of suitability and safety measures.
Choosing liposuction or breast augmentation according to your goals and anatomy
| Procedure | What you can discuss | Points to assess |
|---|---|---|
| Liposuction | Subcutaneous fat and contours of the upper arms, abdomen, lower back, thighs, male chest and other areas | Fat thickness, skin laxity, muscles, skeletal structure and appropriate treatment extent |
| Fat transfer breast augmentation | Breast volume and shape using your own fat | Available donor fat, injection volume, individual variation in retention, and risks such as lumps |
| Silicone implant breast augmentation | Breast volume and shape using implants | Chest dimensions, skin and tissue thickness, implant type and size, and long-term monitoring |
| Hybrid breast augmentation | Contouring using implants combined with fat grafting | Donor areas, contour around the implants, risks of both procedures and the total cost |
Implant exchange, breast reduction and breast lift require a different assessment from first-time augmentation. If you have records of previous surgery, implant product details or test results, please tell us during your consultation.
Procedure details: Liposuction / Fat transfer breast augmentation / Silicone implant breast augmentation
The treatment process for overseas visitors and residents of Japan
If you are traveling to Japan from overseas
- Consult before traveling: Tell us your desired procedure, preferred language, possible travel dates and how long you can stay. The doctor discusses your goals and condition online.
- Preoperative blood tests, estimate and advance payment: Confirm the required tests and submission deadline. We assess whether overseas test results can be used by reviewing the items tested, date and findings. Confirm the itemized costs, payment deadline and terms for changes or cancellation before paying.
- Travel and in-person examination: After arrival, the doctor examines you and gives the final explanation of the treatment areas, method, anesthesia and postoperative plan. The plan may change depending on examination and test results.
- Surgery and checkups during your stay: Rest as directed by the doctor and attend checks of your wounds, swelling and other concerns. If you need transport, confirm the arrangements before surgery.
- Predeparture review and follow-up after returning home: We review your recovery, flight and access to medical care at home. After returning, you can contact us through LINE, email, WhatsApp and other agreed methods.
Fitting surgery into a short trip before the required tests and appointment dates are settled may leave insufficient time for postoperative checks or schedule changes. Plan time for consultations, testing, rest and follow-up visits.
If you live in Japan and would like to consult in English
Consultations in English are available to international residents of Japan as well as visitors. Tell us your preferred language when booking, then arrange the consultation, required blood tests, surgery and postoperative appointments in sequence. Returning to work, childcare, transport for appointments and trips to your home country are also important parts of treatment planning.
If you live outside Tokyo, we also confirm where you will recover and whether you can attend follow-up appointments. Living in Japan does not mean you can resume your usual routine the day after surgery. Arrange time off according to your work and the extent of treatment.
Your stay in Japan, flying and postoperative care
For extensive liposuction or breast augmentation, we discuss your schedule before surgery, using a stay of around 10 days as an initial planning guide. Plan the days needed for preoperative examinations and tests separately from the period needed for postoperative checkups and observation. Your actual total stay depends on the procedure, recovery and flight duration, and may exceed 10 days. Allow sufficient time for postoperative assessment and make arrangements that can be extended if needed.
This does not mean everyone is fit to fly after 10 days. Long journeys after surgery can increase the risk of blood clots. Discuss your return flight and any long-distance travel with the doctor. Even when airport transport is available, fitness to fly is assessed separately.
| Stage | Main points to confirm |
|---|---|
| Before surgery | Blood tests, medical conditions, medications, allergies, fasting and other instructions, accommodation, an accompanying person, transport, payment and cancellation terms |
| After surgery and during your stay | Pain, swelling, bruising, wounds, compression and medication instructions, resuming bathing, exercise and work, and appointment dates |
| Before returning home | In-person examination, discussion of departure and fitness to fly, emergency medical facilities, contact methods and necessary medical information |
| After returning home or resuming daily life | Recovery questions through LINE, email or WhatsApp; in-person review or care at a local medical facility when necessary |
Fever, worsening redness or pain, and bleeding also need prompt medical assessment. Online communication does not replace an in-person examination or emergency care.
Liposuction and breast augmentation costs: procedure fees and the total estimate
Regardless of language or nationality, when comparing costs, confirm the same treatment areas, fat-harvesting sites, anesthesia, tests, compression garments and arrangements for postoperative appointments. The following standard prices include Japanese consumption tax and are shown in JPY. Photo/video-monitor and combined-procedure pricing, as well as adjustments for body size or BMI, may apply. The final total is determined through examination and an individual estimate.
| Item | Standard fee (JPY, tax included) | Included areas and notes |
|---|---|---|
| Circumferential upper-arm liposuction | 650,000 | Upper arms, shoulders and front of the upper arms. Underarm and accessory breast areas are separate |
| Whole-abdomen liposuction | 1,048,000 | Upper, lower and lateral abdomen. The lower back and other areas are separate |
| Fat transfer breast augmentation | 948,000 | Includes fat harvesting from 2 areas |
| Silicone implant breast augmentation | 980,000 | Confirm implant exchange, removal and other procedures separately |
| Hybrid breast augmentation | 1,480,000 | Includes fat harvesting from 1 area |
| Intravenous sedation | 55,000 | JPY 110,000 when managed by an anesthesiology specialist |
| General anesthesia managed by an anesthesiology specialist | 220,000 | Selected according to the procedure and overall health |
| Preoperative blood tests | 13,000 | Whether existing results can be used depends on the test items and date |
Compression garments, additional procedures or devices and other items may incur extra fees. Before booking, also confirm charges for transport, additional appointments and care at a local medical facility after returning home. Budget for travel expenses, including flights and accommodation, with flexibility for changes to your plans.
Information checked: November 10, 2026. Current official price list / Total cost estimates and combined-procedure pricing. Automatically adding liposuction fees for the same area to a breast augmentation package that includes fat harvesting may result in double-counting.
Main risks and precautions to understand before treatment
Liposuction and breast augmentation are surgical procedures and are not risk-free. Do not decide solely on the results in case photographs. Ask for an explanation relevant to your own health and anatomy before deciding whether to proceed.
- Liposuction: Swelling, bruising, pain, edema, tissue firmness or contracture, altered sensation, contour irregularities, asymmetry, skin laxity, pigmentation changes, scars, infection, hematoma, seroma and anemia, among others. Serious complications such as thromboembolism and fat embolism may occur.
- Fat transfer breast augmentation: Resorption or inadequate retention of grafted fat, lumps, fat necrosis, calcification, infection and asymmetry, among others. The desired increase in size cannot be guaranteed.
- Silicone implant and hybrid breast augmentation: Capsular contracture, implant displacement, rupture, altered sensation, infection and additional surgery, among others. Implants are not guaranteed to remain in place for life without replacement, and long-term monitoring is necessary. Ask about the product used and its risks, including rare implant-associated malignancies such as BIA-ALCL.
- Anesthesia: Nausea, vomiting, allergic reactions, and breathing or circulatory problems, among others. It is important to provide accurate medical and medication histories and follow preoperative instructions.
During the consultation, you can also confirm the Japanese regulatory approval status of implants, medicines and devices, alternative treatments, and what happens if further treatment is needed. Do not stop medicines or start medication to prevent blood clots on your own; consult your doctor.
General safety information: ASPS: Liposuction risks / FDA: Breast implant risks / CDC: Medical tourism and travel
FAQs: consultations in English, liposuction and breast augmentation for international patients
Q. Can I discuss liposuction or breast augmentation with a doctor in English in Ginza, Tokyo?
A. Yes. At AVAN TOKYO Ginza Liposuction Clinic, director Dr. Shin Moriwaki provides consultations in English. Both patients traveling to Japan and residents who would like an explanation in English are welcome. Please request English-language care when booking.
Q. Can I have an online consultation while I am still overseas?
A. Yes. Tell us your desired procedure, planned travel dates and how long you can stay. We can discuss required tests, costs and scheduling, but final suitability and the procedure are determined through an in-person examination and preoperative testing.
Q. Do you have experience with liposuction and breast surgery for international patients?
A. We provide liposuction and breast surgery for international patients, including people traveling from Europe, the Americas and Asia. This article presents cases involving chest, abdominal and lower-back liposuction, implant exchange and other procedures. We plan treatment according to anatomy, skin condition and personal goals, rather than nationality alone.
Q. Can I have liposuction if my BMI is 25 or above?
A. You are welcome to consult us if your BMI is 25 or above. However, BMI alone does not determine suitability. We assess medical conditions, medications, test results, fat distribution, treatment extent and the demands of anesthesia. We may recommend separate procedures, a change in treatment area, or not proceeding with surgery.
Q. How many days should I stay in Japan?
A. For extensive surgery, a stay of around 10 days is an initial guide to discuss before treatment. Plan the time needed for preoperative testing separately from postoperative observation, then determine the total stay according to recovery and flight duration. More than 10 days may be needed. Returning home or flying after 10 days is not guaranteed; your schedule is decided individually with the doctor.
Q. Can I arrange transport to my hotel or the airport?
A. Postoperative transport can be discussed and booked in advance. The published service area is approximately a 1-hour drive from the clinic. Confirm hotel or airport eligibility, fees, dates, times and destinations in advance. Availability depends on arrangements.
Q. Can liposuction and breast augmentation be performed together?
A. If medically appropriate, liposuction may be combined with fat transfer breast augmentation, hybrid breast augmentation or other suitable options. We assess available donor fat, operating time, the demands on your body and your desired shape. Procedures may need to be performed on separate days.
Q. Can I contact you after returning home or going back to work in Japan?
A. You can discuss recovery through LINE, email or WhatsApp. Depending on your symptoms, you may need an in-person examination or assessment at a local medical facility. If you develop sudden shortness of breath, chest pain, altered consciousness or similar symptoms, seek emergency care without waiting for a reply.
Book a consultation in English in Ginza, Tokyo
Your doctor: Shin Moriwaki
Director of AVAN TOKYO Ginza Liposuction Clinic. Graduated from Tokushima University Faculty of Medicine in 2019. His procedures include liposuction, fat transfer breast augmentation, silicone implant breast augmentation and hybrid breast augmentation. He holds an ECFMG Certificate. He reviews your goals and physical condition and discusses suitability, limitations, costs and recovery.
View the doctor’s background, qualifications and approach to care
What to tell us at your first enquiry
- Your preferred consultation language, such as English or Japanese
- The areas that concern you, the procedure you are considering, and cases that resemble your desired result
- Your country or region of residence, travel plans, possible length of stay, or availability for appointments and time off
- Previous liposuction or breast surgery, medical conditions, medications and allergies, using the communication method advised by the clinic
- Transport needs, accommodation, plans for an accompanying person and your budget preferences
Turn concerns about language and distance into a clear treatment plan.
Whether you are traveling to Japan or already live here,
start by telling us the procedure and dates you are considering.
AVAN TOKYO Ginza Liposuction Clinic
DEAR GINZA 3F, 1-6-8 Ginza, Chuo-ku, Tokyo 104-0061
Telephone: 03-5915-4731 / Clinic hours: 10:00–19:00
A 1-minute walk from Exit 6 of Ginza-itchome Station
Access and directions
This article describes our services and provides general information about procedures. Individual suitability, the required stay, total costs and care after returning home are determined through examination and testing. Information is current as of the review date; prices, appointment availability and service conditions may change.