{"id":11218,"date":"2026-08-24T16:17:06","date_gmt":"2026-08-24T07:17:06","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=11218"},"modified":"2026-08-24T16:17:07","modified_gmt":"2026-08-24T07:17:07","slug":"dvt-prevention-medical-tourism-japan","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/dvt-prevention-medical-tourism-japan\/","title":{"rendered":"DVT Prevention for Medical Tourism: Long-Haul Flying After Surgery in Japan"},"content":{"rendered":"<p><em><strong>Deep vein thrombosis (DVT)<\/strong><\/em> is one of the small number of medical risks that combines two of the situations a Tokyo medical tourist commonly encounters: recent surgery and a long-haul flight. On their own, each carries a modest DVT risk.<\/p>\n<p>Combined, they multiply. This guide covers what DVT actually is, why medical tourists face elevated risk, and the practical steps that reduce it \u2014 including specific timing rules for flying after common cosmetic procedures.<\/p>\n<h2>What DVT Is (and Why It Matters)<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"DVT prevention travel \u2014 What DVT Is (and Why It Matters)\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_6613572_1787545553.webp\" alt=\"DVT prevention travel \u2014 What DVT Is (and Why It Matters)\" \/><\/figure>\n<p><strong>Deep vein thrombosis<\/strong> is a blood clot that forms in a deep vein, most commonly in the calf or thigh. Its danger is not local \u2014 a leg clot itself is painful but rarely disabling. The danger is that a fragment of the clot can break free, travel through the venous system to the lungs, and cause a pulmonary embolism (PE). PE is a medical emergency with meaningful mortality, particularly when it happens far from prompt medical care such as mid-flight.<\/p>\n<p>Classic warning signs of DVT:<\/p>\n<ul>\n<li>Calf pain, tenderness, or cramp-like sensation on one side<\/li>\n<li>Swelling of the affected leg, usually below the knee<\/li>\n<li>Warmth or redness over the affected area<\/li>\n<li>Discomfort when flexing the ankle<\/li>\n<\/ul>\n<p>Warning signs of pulmonary embolism (medical emergency \u2014 call 119 in Japan):<\/p>\n<ul>\n<li>Sudden shortness of breath<\/li>\n<li>Sharp chest pain, often worse with deep breathing<\/li>\n<li>Rapid heart rate<\/li>\n<li>Coughing up blood<\/li>\n<li>Sudden dizziness or fainting<\/li>\n<\/ul>\n<h2>Why Long-Haul Flights Elevate DVT Risk<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"DVT prevention travel \u2014 Why Long-Haul Flights Elevate DVT Risk\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_8495967_1787545554.webp\" alt=\"DVT prevention travel \u2014 Why Long-Haul Flights Elevate DVT Risk\" \/><\/figure>\n<p>Three factors combine in cabin conditions:<\/p>\n<ul>\n<li><strong>Immobility:<\/strong> Sitting still for many hours slows venous return from the legs. Blood pools in the calf veins.<\/li>\n<li><strong>Reduced cabin pressure:<\/strong> Cabins pressurise to roughly 2,400 metres altitude, which mildly reduces available oxygen and can subtly promote coagulation.<\/li>\n<li><strong>Dehydration:<\/strong> Low cabin humidity (typically 10 to 20%) accelerates dehydration, thickening the blood.<\/li>\n<\/ul>\n<p>Published data from the World Health Organization and travel medicine bodies estimate a baseline DVT risk of roughly 1 in 4,000 to 1 in 6,000 for a healthy adult on a flight over 4 hours. Risk climbs sharply with flight duration \u2014 flights over 8 hours may carry two to four times the baseline risk.<\/p>\n<h2>Why Surgery Elevates DVT Risk<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"DVT prevention travel \u2014 Why Surgery Elevates DVT Risk\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_33999745_1787545555.webp\" alt=\"DVT prevention travel \u2014 Why Surgery Elevates DVT Risk\" \/><\/figure>\n<p>Any surgery \u2014 cosmetic included \u2014 triggers a temporary &#8220;hypercoagulable&#8221; state as the body prepares to seal wounds. The magnitude depends on:<\/p>\n<ul>\n<li><strong>Type of surgery:<\/strong> Larger, longer operations create more inflammation and higher risk. Facial contouring and rhinoplasty carry more risk than injectables or minor procedures.<\/li>\n<li><strong>Duration under general anaesthesia:<\/strong> Longer procedures with immobilisation extend the hypercoagulable window.<\/li>\n<li><strong>Post-operative mobility:<\/strong> Patients who move less in the first 48 hours (bed rest, compression bandaging, pain limiting walking) sit at higher risk.<\/li>\n<li><strong>Post-operative swelling:<\/strong> Systemic inflammatory response persists for days to weeks and modestly elevates baseline risk.<\/li>\n<\/ul>\n<p>The window of elevated post-surgical DVT risk is generally 2 to 6 weeks, with the highest risk in the first 7 to 14 days.<\/p>\n<h2>The Combined Risk: Surgery Plus Long-Haul Flight<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"DVT prevention travel \u2014 The Combined Risk: Surgery Plus Long-Haul Flight\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_27125556_1787545556.webp\" alt=\"DVT prevention travel \u2014 The Combined Risk: Surgery Plus Long-Haul Flight\" \/><\/figure>\n<p>The interaction is what makes medical tourism specifically worth planning around. A rhinoplasty patient flying long-haul at<strong> day 5<\/strong> is layering elevated surgical DVT risk on top of elevated aviation DVT risk.<\/p>\n<p>Neither factor alone is prohibitive, but the combination is why cosmetic surgery clinics that see international patients issue conservative flight-timing guidance.<\/p>\n<p>Risk multipliers to be aware of:<\/p>\n<ul>\n<li>Personal or family history of DVT or PE<\/li>\n<li>Known clotting disorder (Factor V Leiden, prothrombin mutation, others)<\/li>\n<li>Current use of oral contraceptives or hormone replacement therapy<\/li>\n<li>Recent childbirth (within 6 weeks)<\/li>\n<li>Active cancer or cancer treatment<\/li>\n<li>Age over 60<\/li>\n<li>Obesity (BMI &gt; 30)<\/li>\n<li>Smoking<\/li>\n<li>Recent leg injury or cast<\/li>\n<\/ul>\n<p>Any two or more of these compounding factors warrants a pre-trip discussion with the operating surgeon and, ideally, a primary-care physician in your home country.<\/p>\n<h2>Practical DVT Prevention on the Ground<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"DVT prevention travel \u2014 Practical DVT Prevention on the Ground\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/08\/pexels_3274832_1787545556.webp\" alt=\"DVT prevention travel \u2014 Practical DVT Prevention on the Ground\" \/><\/figure>\n<h3>Before you fly to Japan<\/h3>\n<ul>\n<li>Disclose your full medical history to the surgeon at pre-operative consultation, including any clotting risk factors.<\/li>\n<li>If you take oral contraceptives or hormone therapy and are undergoing a major procedure, ask about pausing them before surgery.<\/li>\n<li>Do not begin new medications (particularly aspirin or other anti-platelet agents) without medical guidance in the pre-op window.<\/li>\n<\/ul>\n<h3>In the days after surgery<\/h3>\n<ul>\n<li>Walk gently every 1 to 2 hours during waking hours \u2014 even short hallway walks matter.<\/li>\n<li>Perform calf pumps (repeated ankle flexion and extension) every 30 to 60 minutes while awake and seated.<\/li>\n<li>Elevate legs when resting.<\/li>\n<li>Stay well-hydrated. Aim for pale yellow urine as a rough guide.<\/li>\n<li>Avoid alcohol until the surgeon clears it (usually 48 to 72 hours minimum).<\/li>\n<li>Wear compression stockings if the surgeon prescribes them, particularly for the first 7 to 14 days.<\/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>Flying Home Safely \u2014 Practical Rules by Procedure<\/h2>\n<p>The following are conservative guidelines used by our clinical team for common procedures. Individual variation applies, and your surgeon&#8217;s specific instructions override general guidance.<\/p>\n<table style=\"width: 100%; border-collapse: collapse; margin: 24px 0; font-size: 0.95em;\">\n<tbody>\n<tr style=\"background: #f5f5f5;\">\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><strong>Procedure<\/strong><\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\"><strong>Recommended earliest long-haul flight<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Botox, HA filler<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">24 to 48 hours<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Thread lift<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">5 to 7 days<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Blepharoplasty (double eyelid \u2014 buried)<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">5 to 7 days<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Blepharoplasty (double eyelid \u2014 incisional)<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">7 to 10 days<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Rhinoplasty<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">10 to 14 days<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Facial contouring \/ V-line<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">21 to 28 days<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Liposuction (any area)<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">10 to 14 days<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">Breast augmentation<\/td>\n<td style=\"padding: 10px; border: 1px solid #ddd;\">10 to 14 days<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>For any patient with additional DVT risk factors (see risk multipliers above), extend the minimum by 3 to 7 days.<\/p>\n<h2>What to Do on the Flight Itself<\/h2>\n<h3>Seat selection<\/h3>\n<p>Aisle seat, so leg movement is not blocked by other passengers.<\/p>\n<h3>Movement schedule<\/h3>\n<ul>\n<li>Walk the aisle every 90 to 120 minutes, even for one lap.<\/li>\n<li>Perform seated calf pumps every 30 to 45 minutes.<\/li>\n<li>Rotate ankles in circles for 30 seconds each direction, every hour.<\/li>\n<li>Point and flex toes 20 times, every hour.<\/li>\n<\/ul>\n<h3>Compression stockings<\/h3>\n<p>Graduated-compression knee-high stockings (15 to 20 mmHg for most people, 20 to 30 mmHg for higher-risk patients) reduce DVT risk substantially on long flights. Wear them from the time you leave your hotel until you arrive at your destination hotel. Higher-compression medical-grade stockings should be fitted with a physician&#8217;s guidance.<\/p>\n<h3>Hydration<\/h3>\n<ul>\n<li>Water every hour, roughly 200 to 300 mL.<\/li>\n<li>Avoid alcohol and minimise caffeine \u2014 both are mildly dehydrating.<\/li>\n<li>Herbal tea and clear soups are net-positive.<\/li>\n<\/ul>\n<h3>Avoid<\/h3>\n<ul>\n<li>Sleeping pills that keep you immobile for extended periods.<\/li>\n<li>Crossing legs at the knee for long periods.<\/li>\n<li>Prolonged position without any leg movement.<\/li>\n<\/ul>\n<h2>When to Consider Pharmacological Prevention<\/h2>\n<p>For patients at meaningfully elevated risk, a physician may recommend prophylactic anticoagulation \u2014 typically low-molecular-weight heparin (LMWH) injections timed around the flight. This is not a routine measure; it is reserved for patients with:<\/p>\n<ul>\n<li>Personal or family history of DVT\/PE<\/li>\n<li>Known thrombophilia<\/li>\n<li>Multiple risk factors combining<\/li>\n<li>Very long-duration surgery combined with long-haul flight in the first 2 weeks post-op<\/li>\n<\/ul>\n<p>The decision is made in consultation with the surgeon and, ideally, a haematologist or your home-country primary-care physician. Do not self-medicate with aspirin or heparin without medical guidance \u2014 dosing errors carry their own risks.<\/p>\n<h2>Warning Signs During or After Your Flight<\/h2>\n<p>If any of the following develop during or within 4 weeks of a long-haul flight after surgery, seek medical evaluation without delay:<\/p>\n<ul>\n<li>Unilateral calf pain, tenderness, or cramp that persists at rest<\/li>\n<li>Unilateral leg swelling, especially with warmth or redness<\/li>\n<li>Unusual shortness of breath at rest or with mild activity<\/li>\n<li>Sharp chest pain, particularly with deep breathing<\/li>\n<li>Coughing up blood<\/li>\n<li>Sudden dizziness or fainting<\/li>\n<\/ul>\n<p>In flight, notify the cabin crew of any of the above symptoms. Most long-haul aircraft carry basic emergency medications and can request ground medical consultation.<\/p>\n<p>After landing in your home country, do not dismiss calf pain or unusual breathlessness as &#8220;post-flight fatigue&#8221; \u2014 err on the side of an ER visit for evaluation. DVT and PE are highly treatable when caught early and become dangerous when ignored.<\/p>\n<h2>Special Considerations for Older Travellers<\/h2>\n<p>Travellers over 60 have a baseline elevation of DVT risk, and this compounds with any surgical procedure. Additional practical steps for older medical tourists:<\/p>\n<ul>\n<li>Consider adding 3 to 5 days beyond the standard flight-timing recommendations for your procedure.<\/li>\n<li>Discuss compression stocking use with the surgeon at the pre-operative consultation.<\/li>\n<li>Book aisle seats and plan movement schedule in advance.<\/li>\n<li>Bring a copy of the operative summary and discharge instructions in a carry-on, in case you need to present them at a hospital during transit.<\/li>\n<\/ul>\n<h2>What BIOTOPE Provides for International Patients<\/h2>\n<p>For visitors to <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai (Minato-ku, Tokyo), directed by Dr. Jun Karibe, board-certified plastic surgeon, DVT-relevant care includes:<\/p>\n<ul>\n<li>Pre-operative screening for personal and family clotting history<\/li>\n<li>Post-operative mobility guidance specific to your procedure and flight timing<\/li>\n<li>Written flight-timing recommendation as part of the discharge instructions<\/li>\n<li>Compression stocking recommendation for higher-risk procedures<\/li>\n<li>English-language operative summary and discharge documents for onward medical care if needed<\/li>\n<\/ul>\n<p>Our English-speaking team is reachable by LINE and WhatsApp before, during, and after your trip, including remote assessment of any post-flight concerns.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<p><strong>Should I take aspirin before a long flight after surgery?<\/strong><br \/>\nOnly under medical guidance. Aspirin can also increase bruising and bleeding, so the risk\/benefit balance is procedure-specific.<\/p>\n<p><strong>How likely is DVT after cosmetic surgery in Tokyo?<\/strong><br \/>\nFor low-risk patients following flight-timing recommendations, DVT is uncommon. For higher-risk patients or those flying early, risk is meaningfully higher and warrants prevention discussion.<\/p>\n<p><strong>Are compression stockings really necessary?<\/strong><br \/>\nFor flights over 6 hours within 2 weeks of any surgery involving general anaesthesia \u2014 yes, strongly recommended. For injectables or minor procedures \u2014 optional.<\/p>\n<p><strong>Can I take my compression stockings off during the flight to sleep?<\/strong><br \/>\nOnly for short periods. They are most protective when worn continuously.<\/p>\n<p><strong>Does Japanese travel insurance cover DVT emergency care?<\/strong><br \/>\nAs unrelated emergency medical care, yes \u2014 but any DVT causally linked to the elective procedure may fall under the cosmetic exclusion. Verify with your insurer before travel.<\/p>\n<h2>Summary \u2014 The Realistic Plan<\/h2>\n<p>DVT is a small but meaningful risk when medical tourism combines surgery with long-haul flight. Prevention is straightforward: honest disclosure of risk factors at pre-op consultation, adherence to procedure-specific flight-timing rules, aisle seat with movement every 90 minutes, compression stockings for higher-risk cases, and full hydration. For the great majority of patients following these steps, DVT does not occur. For the small number who develop warning symptoms, early evaluation matters more than the flight itself.<\/p>\n<p>Our English-speaking team at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai plans post-operative recovery and flight timing around individual risk profiles. Message us on LINE or WhatsApp before your trip with any relevant history (personal or family DVT\/PE, thrombophilia, hormone therapy), and we will build the recommendations into the pre-op plan.<\/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<ul>\n<li>World Health Organization. Travel and Health \u2014 WHO Research Into Global Hazards of Travel (WRIGHT) project. <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241547574\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.who.int\/publications\/i\/item\/9789241547574<\/a><\/li>\n<li>Centers for Disease Control and Prevention (CDC). Deep Vein Thrombosis and Pulmonary Embolism in Travelers. <a href=\"https:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2024\/preparing\/deep-vein-thrombosis-pulmonary-embolism\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2024\/preparing\/deep-vein-thrombosis-pulmonary-embolism<\/a><\/li>\n<li>Watson HG, Baglin TP. Guidelines on travel-related venous thrombosis. Br J Haematol. 2011;152(1):31-34. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21083651\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/21083651\/<\/a><\/li>\n<li>Cesarone MR, Belcaro G, Nicolaides AN, et al. Venous thrombosis from air travel: the LONFLIT3 study \u2014 prevention with aspirin vs low-molecular-weight heparin (LMWH) in high-risk subjects. Angiology. 2002;53(1):1-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11863301\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/11863301\/<\/a><\/li>\n<li>National Heart, Lung, and Blood Institute (NIH). Venous Thromboembolism. <a href=\"https:\/\/www.nhlbi.nih.gov\/health\/venous-thromboembolism\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.nhlbi.nih.gov\/health\/venous-thromboembolism<\/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":"Practical guide to reducing deep vein thrombosis risk when combining cosmetic surgery in Japan with long-haul flights \u2014 flight-timing rules by procedure, compression stockings, in-flight movement, and warning signs to watch for.","protected":false},"author":4,"featured_media":11222,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[23],"tags":[847,848,849,846,702,127],"class_list":["post-11218","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guide-for-foreigners-in-tokyo","tag-deep-vein-thrombosis","tag-long-haul-flight","tag-post-surgery","tag-dvt","tag-japan","tag-medical-tourism"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/11218","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=11218"}],"version-history":[{"count":3,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/11218\/revisions"}],"predecessor-version":[{"id":11247,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/11218\/revisions\/11247"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/11222"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=11218"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=11218"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=11218"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}