{"id":10772,"date":"2026-08-24T15:53:53","date_gmt":"2026-08-24T06:53:53","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=10772"},"modified":"2026-08-24T15:53:54","modified_gmt":"2026-08-24T06:53:54","slug":"scar-revision-surgery-tokyo-2","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/scar-revision-surgery-tokyo-2\/","title":{"rendered":"Scar Revision Surgery Tokyo: Options, Cost &#038; Recovery"},"content":{"rendered":"<p><!-- kjmc-en-layout-preview:start --><\/p>\n<div class=\"kjmc-layout-override\" style=\"display: contents;\">\n<style>#main_col{max-width:980px !important;width:auto !important;}#left_col{width:100% !important;float:none !important;}.post_content{font-size:19px !important;line-height:1.9 !important;color:#222 !important;}.post_content p{margin:0 0 1.4em !important;font-size:19px !important;}.post_content li{font-size:19px !important;line-height:1.8 !important;margin-bottom:.4em;}.post_content strong{color:#111;}.post_content h2{font-size:30px !important;line-height:1.4 !important;margin:2.4em 0 1em !important;color:#1e2b3d !important;}.post_content h3{font-size:22px !important;line-height:1.5 !important;margin:1.8em 0 .8em !important;color:#1e2b3d !important;}#post_title{font-size:34px !important;line-height:1.35 !important;}@media (max-width:767px){.post_content{font-size:16px !important;line-height:1.65 !important;}.post_content p{font-size:16px !important;margin:0 0 1em !important;}.post_content li{font-size:16px !important;line-height:1.6 !important;margin-bottom:.25em !important;}.post_content h2{font-size:20px !important;line-height:1.35 !important;margin:1.6em 0 .7em !important;}.post_content h3{font-size:17px !important;line-height:1.4 !important;margin:1.4em 0 .6em !important;}#post_title{font-size:22px !important;line-height:1.3 !important;}}<\/style>\n<\/div>\n<p><!-- kjmc-en-layout-preview:end --><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Will my scar revision be covered by Japanese health insurance?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Only if it meets the clinical criteria \u2014 for scar contracture surgery, the fee schedule requires restriction of movement, not appearance alone. Treatment sought purely for cosmetic reasons is self-pay. The distinction is assessed at examination.\"}}, {\"@type\": \"Question\", \"name\": \"How long should I wait after an injury before considering revision?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Surgeons generally prefer a scar to have settled \u2014 stable in colour and thickness \u2014 before revising it, while early conservative measures such as taping or silicone sheeting can begin much sooner. The right timing depends on the site and scar type, so it is worth being assessed early even if surgery is later.\"}}, {\"@type\": \"Question\", \"name\": \"Is scar revision painful?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Most procedures are performed under local anaesthesia, so the operation itself is not typically painful, though soreness afterwards is normal. Discomfort management is discussed as part of the pre-operative plan.\"}}, {\"@type\": \"Question\", \"name\": \"Can laser treatment replace surgery?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Resurfacing devices address surface texture and atrophic scarring rather than tethering, width or contracture. For some scars laser is the appropriate first choice; for others it is used after surgery to refine the result.\"}}]}<\/script><\/p>\n<h2>Scar Revision Surgery in Tokyo: Options and Cost<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Scar revision surgery Tokyo: options and cost \u2014 Scar Revision Surgery in Tokyo: Options and Cost\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_6642979_1787354674.webp\" alt=\"Scar revision surgery Tokyo: options and cost \u2014 Scar Revision Surgery in Tokyo: Options and Cost\" \/><\/figure>\n<p><em><strong>A scar<\/strong> <\/em>that pulls, itches, thickens or simply catches your eye every morning in the mirror can weigh on you far more than its size suggests \u2014 and navigating the Japanese medical system in a second language makes it harder to know where to start.<\/p>\n<p>This article explains what <strong>scar revision surgery<\/strong> actually involves, which non-surgical options exist alongside it, and how cost works in Tokyo when a scar falls under national health insurance versus when it is treated as self-pay care.<\/p>\n<p><strong>What you&#8217;ll learn in this article:<\/strong><\/p>\n<ul>\n<li>The difference between a mature scar, a hypertrophic scar, a keloid and a scar contracture \u2014 and why the label changes the treatment plan<\/li>\n<li>The main scar revision options available in Tokyo, surgical and non-surgical, with a side-by-side comparison<\/li>\n<li>How cost is structured in Japan: the insurance-covered route, its strict eligibility rule, and what self-pay treatment involves<\/li>\n<li>What recovery realistically looks like, and who is a good candidate<\/li>\n<li>Two common misconceptions about scars that lead people to seek treatment at the wrong time<\/li>\n<\/ul>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>What Is Scar Revision Surgery?<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Scar revision surgery Tokyo: options and cost \u2014 What Is Scar Revision Surgery\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_7588575_1787354674.webp\" alt=\"Scar revision surgery Tokyo: options and cost \u2014 What Is Scar Revision Surgery\" \/><\/figure>\n<p><strong>Scar revision surgery<\/strong> is a procedure that removes or re-shapes an existing scar and closes the wound in a more favourable way. The aim is not erasure \u2014 a scar is permanent tissue \u2014 but conversion of a conspicuous, raised, wide or tethering scar into a flatter, narrower, better-oriented one.<\/p>\n<p>Much of the technique is about tension. The Japan Scar Workshop consensus document notes that when an incision line runs along the direction of predominant skin tension, surgeons are advised to add one or more z-plasties \u2014 small triangular flaps that redirect and disperse that tension across the wound.<\/p>\n<h3>Not all scars are the same<\/h3>\n<p>Getting the diagnosis right matters, because the four common categories behave differently:<\/p>\n<ul>\n<li><strong>Mature scar<\/strong> \u2014 flat, pale, stable. Often best left alone or treated with resurfacing rather than surgery.<\/li>\n<li><strong>Hypertrophic scar<\/strong> \u2014 raised and red, but stays within the borders of the original wound.<\/li>\n<li><strong>Keloid<\/strong> \u2014 raised tissue that grows laterally beyond the original wound border. This lateral spread is the defining distinction from a hypertrophic scar.<\/li>\n<li><strong>Scar contracture<\/strong> \u2014 a scar that tightens across a joint or feature and physically restricts movement.<\/li>\n<\/ul>\n<p>The Japan Scar Workshop developed the JSW Scar Scale to make this distinction objective rather than impressionistic: under the JSS 2015 scoring system, a score of 5 or below indicates a mature scar, 6 to 15 a hypertrophic scar, and 16 or above a keloid.<\/p>\n<h2>Scar Revision Options in Tokyo<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Scar revision surgery Tokyo: options and cost \u2014 Scar Revision Options in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_7588270_1787354675.webp\" alt=\"Scar revision surgery Tokyo: options and cost \u2014 Scar Revision Options in Tokyo\" \/><\/figure>\n<p>Surgery is one tool among several, and for many scars it is not the first one. The table below summarises the main approaches.<\/p>\n<table style=\"border-collapse: collapse; width: 100%; margin: 20px 0; font-size: 0.95em; border: 1px solid #ccc;\">\n<thead>\n<tr>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Option<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Best suited to<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">How it works<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Key considerations<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Surgical excision and re-closure (with z-plasty where indicated)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Wide, depressed or poorly oriented scars; scar contracture restricting movement<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">The scar is excised and the wound re-closed along more favourable tension lines<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Creates a new wound that must heal; tension control afterwards is critical<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Excision plus postoperative radiotherapy<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Keloids in selected patients<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Radiotherapy shortly after resection suppresses recurrence<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Studies suggest recurrence falls markedly compared with surgery alone; requires a facility with radiation oncology<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Steroid (triamcinolone) injection<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Keloids and hypertrophic scars<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Injected into the scar to soften and flatten it over repeated sessions<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Reported side effects include menstrual irregularity at higher doses and reduced bone density in elderly patients<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Silicone gel sheeting, taping and oral tranilast<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Prevention and early conservative management<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Gel sheets reduce local skin tension; randomised trials report tranilast improves symptoms<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Non-invasive and low-risk, but requires months of consistent use<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Fractional CO2 laser or RF microneedling (Morpheus8)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Atrophic acne scarring, texture irregularity, surface unevenness<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Controlled micro-injury stimulates dermal remodelling<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Resurfacing addresses texture, not tethering or contracture; multiple sessions typical<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>What results are realistic<\/h3>\n<p>For keloids specifically, the evidence on combined treatment is striking. The Japan Scar Workshop consensus document reports that where radiation with a biologically effective dose of at least 30 Gy is completed within one week of keloid resection, the recurrence rate improves to 10% or less, compared with 50\u201380% after surgery alone. The most common postoperative regimen cited is 15 Gy in 3 fractions over 3 days, varying by body site.<\/p>\n<p>For conservative prevention, expectations should be more measured. A Cochrane review of silicone gel sheeting found a reduced incidence of hypertrophic scarring in people prone to scarring (risk ratio 0.46, 95% CI 0.21 to 0.98), but the reviewers judged the underlying studies highly susceptible to bias and described the evidence as weak.<\/p>\n<h2>Cost of Scar Revision in Tokyo: Insurance-Covered vs Self-Pay<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Scar revision surgery Tokyo: options and cost \u2014 Cost of Scar Revision in Tokyo: Insurance-Covered vs Self-Pa\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_7588644_1787354676.webp\" alt=\"Scar revision surgery Tokyo: options and cost \u2014 Cost of Scar Revision in Tokyo: Insurance-Covered vs Self-Pa\" \/><\/figure>\n<p>Japan has two separate cost worlds, and which one your scar falls into is a clinical decision, not a preference.<\/p>\n<h3>The insurance-covered route<\/h3>\n<p>Under the Japanese national medical fee schedule, scar contracture surgery is listed as procedure.<\/p>\n<p>The eligibility rule is narrow and explicit. The fee schedule states the procedure may be claimed only where the condition goes beyond simple contracture and involves restriction of movement. Scars on the fingers and toes are billed under a separate code (K099). A scar you dislike the appearance of, but which does not restrict function, does not meet this criterion.<\/p>\n<h3>The self-pay route<\/h3>\n<p>Purely aesthetic scar revision, resurfacing lasers, RF microneedling and cosmetic-indication injections are self-pay (\u81ea\u7531\u8a3a\u7642) and priced by the clinic rather than by the state. Cost varies with scar length, site, technique and the number of sessions required, so a single headline figure would be misleading. Please see the clinic&#8217;s official price page or contact us for a current quote.<\/p>\n<p>At <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai, we frequently see patients who are unsure which category their scar falls into \u2014 and that question is usually settled in the first few minutes of an examination rather than online. For an accurate quote, please book a consultation.<\/p>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>What to Expect: Before, During and After<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Scar revision surgery Tokyo: options and cost \u2014 What to Expect: Before, During and After\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_6643074_1787354678.webp\" alt=\"Scar revision surgery Tokyo: options and cost \u2014 What to Expect: Before, During and After\" \/><\/figure>\n<h3>Before<\/h3>\n<p>Consultation covers scar history, how the original wound healed, any family history of keloids, skin tone and your own tolerance for downtime. Where keloid is suspected, the plan may involve a combination of surgery, injection and postoperative measures rather than surgery alone \u2014 the timing of any adjuvant radiotherapy is tightly linked to the operation date, so it is planned in advance rather than added later.<\/p>\n<h3>During and after<\/h3>\n<p>Most scar revisions on the face and trunk are performed under local anaesthesia as day surgery. Afterwards, the emphasis shifts to protecting the new wound from tension and sun, typically with taping or silicone sheeting, sometimes with oral tranilast, and with follow-up appointments to catch early thickening while it is still easy to treat.<\/p>\n<h3>Who is a good candidate \u2014 and who should wait<\/h3>\n<p>Good candidates generally have a stable scar that is no longer changing in colour or thickness, realistic expectations, and the ability to commit to months of aftercare. People with active acne or infection at the site, those unable to attend follow-up, and anyone with a strong keloid tendency who is not prepared for a combined treatment plan should discuss timing carefully before proceeding. Pregnancy, certain medications and bleeding disorders also affect suitability and should be disclosed at consultation.<\/p>\n<h2>What People Often Get Wrong About Scars<\/h2>\n<p><strong>Misconception 1: &#8220;Cutting it out will make the scar disappear.&#8221;<\/strong><\/p>\n<p>Excision replaces one scar with another, better-planned one. In keloid-prone tissue, excision on its own carries a reported recurrence rate of 50\u201380% \u2014 which is precisely why adjuvant treatment, not surgery alone, is the standard approach for keloids.<\/p>\n<p><strong>Misconception 2: &#8220;Any raised scar is a keloid.&#8221;<\/strong><\/p>\n<p>Hypertrophic scars are raised but remain within the original wound outline; keloids extend past it. The distinction is clinically meaningful and is one reason the JSW Scar Scale exists \u2014 and it changes whether the plan leans towards conservative treatment or a combined surgical protocol.<\/p>\n<h2>Where to Get Scar Revision in Tokyo<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Scar revision surgery Tokyo: options and cost \u2014 Where to Get Scar Revision in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_17040762_1787354678.webp\" alt=\"Scar revision surgery Tokyo: options and cost \u2014 Where to Get Scar Revision in Tokyo\" \/><\/figure>\n<p>Within our clinic group, <strong>English-speaking consultations<\/strong> are handled at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai (Minato-ku, Tokyo) by Dr. Jun Karibe, a plastic surgeon certified by the Japan Society of Plastic and Reconstructive Surgery. Our sister clinic Kojimachi Dermatology &amp; Plastic Surgery Clinic in Ichigaya handles Japanese-language insurance dermatology. Bookings and enquiries in English: LINE or WhatsApp.<\/p>\n<p><strong>Scar revision<\/strong>, mole and cyst excision, CO2 fractional laser and Morpheus8 RF microneedling are all available at BIOTOPE CLINIC in Shirokanedai \u2014 feel free to ask which combination suits your scar during a consultation with Dr. Karibe.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<dl class=\"kj-faq\">\n<dt>Q. Will my scar revision be covered by Japanese health insurance?<\/dt>\n<dd>Only if it meets the clinical criteria \u2014 for scar contracture surgery, the fee schedule requires restriction of movement, not appearance alone. Treatment sought purely for cosmetic reasons is self-pay. The distinction is assessed at examination.<\/dd>\n<dd><\/dd>\n<dt>Q. How long should I wait after an injury before considering revision?<\/dt>\n<dd>Surgeons generally prefer a scar to have settled \u2014 stable in colour and thickness \u2014 before revising it, while early conservative measures such as taping or silicone sheeting can begin much sooner. The right timing depends on the site and scar type, so it is worth being assessed early even if surgery is later.<\/dd>\n<dd><\/dd>\n<dt>Q. Is scar revision painful?<\/dt>\n<dd>Most procedures are performed under local anaesthesia, so the operation itself is not typically painful, though soreness afterwards is normal. Discomfort management is discussed as part of the pre-operative plan.<\/dd>\n<dd><\/dd>\n<dt>Q. Can laser treatment replace surgery?<\/dt>\n<dd>Resurfacing devices address surface texture and atrophic scarring rather than tethering, width or contracture. For some scars laser is the appropriate first choice; for others it is used after surgery to refine the result.<\/dd>\n<\/dl>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>Summary<\/h2>\n<p><strong>Scar revision<\/strong> in Tokyo is best understood as a spectrum rather than a single operation: conservative measures, injections, resurfacing devices and surgery each address different scar behaviours, and keloids in particular usually call for a combined plan rather than excision alone. Cost follows the diagnosis \u2014 functional scar contracture can fall under insurance at published fee-schedule rates, while aesthetic revision is self-pay and quoted per case.<\/p>\n<p>If you have questions about scar revision surgery, English-speaking consultations are handled at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai (Minato-ku, Tokyo) by Dr. Karibe. Our sister clinic Kojimachi Dermatology &amp; Plastic Surgery Clinic in Ichigaya (Chiyoda-ku) handles Japanese-language insurance dermatology. English enquiries: LINE or WhatsApp.<\/p>\n<div class=\"kjmc-en-booking-box\" style=\"background: linear-gradient(135deg,#f1faf3 0%,#e6f3ea 100%); border-radius: 14px; padding: 32px 24px; margin: 36px 0 24px; border: 1px solid #c5dccd; text-align: center;\">\n<h3 style=\"margin: 0 0 8px; color: #3a6e3a; border: none; padding: 0; font-size: 1.3em;\">24\/7 Consultation &amp; Booking<\/h3>\n<div style=\"width: 48px; height: 2px; background: #3a6e3a; margin: 0 auto 22px;\"><\/div>\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 1.1em; font-weight: bold;\">Book a Consultation or Treatment<\/p>\n<p style=\"margin: 0 0 24px; color: #2c4a35; line-height: 1.75;\">Our English-speaking team responds via LINE or WhatsApp \u2014 usually the same day.<\/p>\n<p style=\"margin: 0 0 10px; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #06C755; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(6,199,85,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #25D366; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(37,211,102,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Ogawa R, et al. Diagnosis and Treatment of Keloids and Hypertrophic Scars \u2014 Japan Scar Workshop Consensus Document 2018. Burns &amp; Trauma. 2019;7:39.<\/li>\n<li>O&#8217;Brien L, Jones DJ. Silicone gel sheeting for preventing the development of hypertrophic and keloid scars and for treating existing hypertrophic and keloid scars. Cochrane Database of Systematic Reviews. 2013;(9):CD003826.<\/li>\n<li>Japanese medical fee schedule (\u533b\u79d1\u8a3a\u7642\u5831\u916c\u70b9\u6570\u8868), Reiwa 8 revision. Section K010, \u7622\u75d5\u62d8\u7e2e\u5f62\u6210\u624b\u8853, and associated claiming notes.<\/li>\n<li>BIOTOPE CLINIC \/ Kojimachi Dermatology &amp; Plastic Surgery Clinic. Official published price list. 2023.<\/li>\n<\/ol>\n<h2>Related Articles<\/h2>\n<p>You may also find these articles useful.<\/p>\n<ul>\n<li><a href=\"https:\/\/kojihifu.com\/english\/scar-revision-surgery-tokyo\/\" target=\"_blank\" rel=\"noopener\">Scar Revision Surgery Tokyo: Options and Cost<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/scar-revision-surgery-tokyo-options-cost\/\" target=\"_blank\" rel=\"noopener\">Scar Revision Surgery Tokyo: Options, Results &amp; Cost<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/acne-scar-laser-treatment-tokyo-cost-2\/\" target=\"_blank\" rel=\"noopener\">Acne Scar Laser Treatment Tokyo: Cost &amp; Results<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/mole-removal-tokyo-cost-procedure-3\/\" target=\"_blank\" rel=\"noopener\">Mole Removal Tokyo: Cost &amp; Procedure Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/english-speaking-plastic-surgeon-tokyo-3\/\" target=\"_blank\" rel=\"noopener\">English Speaking Plastic Surgeon Tokyo: Complete Guide<\/a><\/li>\n<\/ul>\n<div style=\"margin: 2.5em 0 1em; padding: 1.5em; border: 1px solid #d5d5d5; border-radius: 10px; background: #fafafa; font-size: .9em;\">\n<p style=\"font-size: .72em; font-weight: bold; color: #888; margin: 0 0 1.2em; letter-spacing: .08em;\">SUPERVISED BY<\/p>\n<div style=\"display: flex; align-items: flex-start; gap: 1.2em; flex-wrap: wrap;\">\n<div style=\"flex-shrink: 0; text-align: center; min-width: 110px;\"><img decoding=\"async\" style=\"width: 100px; height: 100px; border-radius: 50%; object-fit: cover; object-position: top center; display: block; margin: 0 auto; border: 3px solid #e0e0e0;\" src=\"https:\/\/kojihifu.com\/hon\/wp-content\/uploads\/2022\/01\/photo-karibejun-400-3_re-300x300.jpg\" alt=\"Dr. Jun Karibe MD \u2014 Board-certified Plastic Surgeon, Director of Kojimachi Dermatology &amp; Plastic Surgery Clinic\" \/><\/p>\n<p style=\"margin: .6em 0 .1em; font-weight: bold; font-size: .95em; color: #222;\">Dr. Jun Karibe<\/p>\n<p style=\"margin: 0 0 .1em; font-size: .75em; color: #999;\">MD<\/p>\n<p style=\"margin: 0; font-size: .75em; color: #555; font-weight: bold;\">Director<\/p>\n<\/div>\n<div style=\"flex: 1; min-width: 200px;\">\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Education &amp; Career<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Juntendo University School of Medicine<\/div>\n<div>Department of Plastic Surgery, University of Tokyo Hospital<\/div>\n<div>Assistant Professor, Plastic &amp; Cosmetic Surgery, Saitama Medical University<\/div>\n<div>Assistant Professor &amp; Chief Resident, Yamanashi University Hospital<\/div>\n<div>2019: Founded Kojimachi Dermatology &amp; Plastic Surgery Clinic (Ichigaya, Tokyo)<\/div>\n<div>2021: Founded BIOTOPE CLINIC Shirokanedai (Minato-ku, Tokyo)<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Certifications<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Board-certified Plastic Surgeon \u2014 Japan Society of Plastic and Reconstructive Surgery<\/div>\n<div>Specialist \u2014 Japan Society of Anti-Aging Medicine<\/div>\n<div>Certified Industrial Physician \u2014 Japan Medical Association<\/div>\n<div>Allergan VST-certified Injector (Botox &amp; Hyaluronic Acid)<\/div>\n<\/div>\n<\/div>\n<div style=\"background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Awards<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Best Presentation Award \u2014 Dept. of Plastic Surgery, University of Tokyo (2016)<\/div>\n<div>Excellence Award \u2014 Japan Society of Plastic and Reconstructive Surgery (2018)<\/div>\n<div>Featured Presentation \u2014 ASPS Annual Scientific Meeting, USA (2018)<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-top: 1em; padding-top: .75em; border-top: 1px solid #e8e8e8; display: flex; flex-wrap: wrap; align-items: center; gap: .5em;\"><a style=\"display: inline-block; background: #e1306c; color: #fff; padding: .4em .9em; border-radius: 4px; text-decoration: none; font-size: .8em; font-weight: bold;\" href=\"https:\/\/www.instagram.com\/dr.jun_\/\" target=\"_blank\" rel=\"noopener noreferrer\">Instagram<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Scar revision surgery in Tokyo: compare surgical and non-surgical options, insurance vs self-pay cost, and recovery. Ask our English-speaking team today.","protected":false},"author":4,"featured_media":10771,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,22],"tags":[822,823,824,611,612,123,26],"class_list":["post-10772","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-dermatology","category-plastic-surgery-tokyo","tag-keloid","tag-hypertrophic-scar","tag-scar-contracture","tag-scar-revision","tag-scar-treatment","tag-plastic-surgery","tag-tokyo-clinic"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/10772","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/comments?post=10772"}],"version-history":[{"count":2,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/10772\/revisions"}],"predecessor-version":[{"id":11245,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/10772\/revisions\/11245"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/10771"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=10772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=10772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=10772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}