To deepen my understanding of rib remodeling surgery, I traveled once again to Colombia on a rapid, focused training trip. Overseas clinics offer something Japan rarely does: instead of mere observation, surgeons can actively perform the procedure under direct supervision, accelerating technical growth.

Under the guidance of Dr. Hugo Aguilar, I curved more than ten ribs with my own hands in a single day. This experience reaffirmed the profound depth of the technique and the level of precision required to perform it safely.

Rib remodeling surgery demands accuracy not only in aesthetics but also in handling bone. While Japan has relatively few complication cases, Dr. Hugo treats revision cases from all over the world—an indication of how challenging this surgery can be and how essential proper training truly is.

■ Surgery Is a Team Effort — This Is Why We Invest in People

Rib remodeling is never a “one-doctor” operation.

It requires the integrated expertise of:

• Orthopedic surgery
• Plastic and reconstructive surgery
• Anesthesiology

Understanding this, AVAN TOKYO will welcome a board-certified orthopedic surgeon to join our team in July. This strengthens our multidisciplinary structure and allows us to deliver surgical care that truly meets global standards.

■ Beyond Japan — Creating a Clinic Chosen by Patients Worldwide

We are beginning to see more patients not only from Japan, but also from overseas.

Each encounter reminds me of my original mission:

“To build a clinic trusted by people from all over the world.”

Training abroad consistently reawakens this vision.

No matter how advanced the technique, complacency has no place in surgery.

I will continue learning globally, refining my technique to a truly international level.

■ Reforming a Collapsing System — A Determination to Change Japanese Healthcare from the Private Sector

Japan’s medical system is strained.

Doctors who devote themselves honestly to patient care often end up exhausted, undervalued, and under-rewarded.

That is why I believe in:

“Reforming medicine through the power of independent, private practice.”

Just as private companies like SpaceX revolutionized aerospace,

I believe healthcare too can be reformed—and that the responsibility begins with us.

AVAN TOKYO is my starting point in building a model where:

• Ethical doctors are valued
• Proper compensation is ensured
• Safe, scientifically grounded medical care is delivered

This is not limited to cosmetic surgery.

My vision extends to the future of medical practice as a whole.

■ Finally — Every Transformation Begins With One Patient

Regardless of how large my mission becomes,

the foundation never changes:

I face each patient with complete sincerity.

• To become more beautiful
• To gain confidence
• To take control of one’s life

Your desire is something I take seriously.

My role is to guide you safely, ethically, and beautifully toward that goal.

This is the commitment of AVAN TOKYO.