{"id":11966,"date":"2026-09-14T15:41:08","date_gmt":"2026-09-14T06:41:08","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=11966"},"modified":"2026-09-16T15:39:10","modified_gmt":"2026-09-16T06:39:10","slug":"dutasteride-japan-prescription-guide","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/","title":{"rendered":"Dutasteride in Japan: Approval, Prescription &#038; English Care"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/#webpage\",\"url\":\"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/\",\"name\":\"Dutasteride in Japan: Approval, Prescription & English Care\",\"inLanguage\":\"en\",\"isPartOf\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#website\"},\"about\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#clinic-biotope\"},\"reviewedBy\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#physician-karibe\"},\"lastReviewed\":\"2026-09-11\"},{\"@type\":[\"Article\",\"MedicalWebPage\"],\"@id\":\"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/#webpage\"},\"headline\":\"Dutasteride in Japan: Approval, Prescription & English Care\",\"url\":\"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/\",\"inLanguage\":\"en\",\"author\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#physician-karibe\"},\"reviewedBy\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#physician-karibe\"},\"publisher\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#organization\"},\"mainEntityOfPage\":{\"@id\":\"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/#webpage\"},\"description\":\"Dutasteride in Japan: Zagallo vs Avodart, how to get a prescription in Tokyo, self-pay costs and risks. Book an English-language consultation at our clinic.\",\"datePublished\":\"2026-09-11\",\"dateModified\":\"2026-09-11\",\"lastReviewed\":\"2026-09-11\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/kojihifu.com\/english\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Skin & Dermatology\",\"item\":\"https:\/\/kojihifu.com\/english\/column\/skin-dermatology\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Dutasteride in Japan: Approval, Prescription & English Care\",\"item\":\"https:\/\/kojihifu.com\/english\/dutasteride-japan-prescription-guide\/\"}]}]}<\/script><br \/>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Can I get dutasteride in Japan if I am not Japanese?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Dutasteride is a prescription medicine in Japan, so you need a consultation with a doctor, who will decide whether it is appropriate for you. Both clinics in our group offer consultations in English.\"}}, {\"@type\": \"Question\", \"name\": \"Is dutasteride for hair loss covered by Japanese health insurance?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"No. Zagallo and its generics are not listed on the national insurance drug price list. Insurance for Avolve, the BPH product, specifically excludes prescriptions for male pattern hair loss.\"}}, {\"@type\": \"Question\", \"name\": \"How long does it take to see results?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"The Japanese package insert states that about six months of treatment is usually needed to evaluate the effect. Taking the capsule every day during that period matters.\"}}, {\"@type\": \"Question\", \"name\": \"Can I donate blood while taking dutasteride?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"No. Japanese Red Cross guidance asks donors to wait six months after their last dose, and the FDA label also advises waiting at least six months. This is to avoid exposing a pregnant recipient to the drug.\"}}, {\"@type\": \"Question\", \"name\": \"Should I switch from finasteride to dutasteride?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Both drugs carry a grade A recommendation in the Japanese guideline. The clinic's own guidance notes that if finasteride or minoxidil is already giving satisfactory results, there is no particular need to switch. A doctor can review your progress with you.\"}}]}<\/script><\/p>\n<h2>Dutasteride in Japan: Availability, Prescription and English-Speaking Clinics<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Dutasteride in Japan: availability, prescription a \u2014 Dutasteride in Japan: Availability, Prescription and English\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_4058104_1789133301.webp\" alt=\"Dutasteride in Japan: availability, prescription a \u2014 Dutasteride in Japan: Availability, Prescription and English\" \/><\/figure>\n<p><strong>Finding hair-loss treatment<\/strong> in a new country is stressful, particularly when the medicine names, rules and pricing differ from what you know at home. If you have used dutasteride elsewhere, or are thinking of starting it in Tokyo, it helps to know how the drug is regulated in Japan before you book an appointment.<\/p>\n<p>This guide explains how dutasteride is approved and prescribed in Japan, what the clinical evidence shows, what it costs in Tokyo, and where you can discuss it in English.<\/p>\n<p><strong>What you&#8217;ll learn in this article:<\/strong><\/p>\n<ul>\n<li>Which dutasteride products are approved in Japan, and for which conditions<\/li>\n<li>How dutasteride works and what published studies report about results<\/li>\n<li>How to get a prescription in Tokyo, and why personal import carries risks<\/li>\n<li>Current self-pay prices at our clinic group, and who should avoid the drug<\/li>\n<li>Where to get an English-language consultation in Tokyo<\/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 Dutasteride, and Is It Approved in Japan?<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Dutasteride in Japan: availability, prescription a \u2014 What Is Dutasteride, and Is It Approved in Japan\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_13534601_1789133301.webp\" alt=\"Dutasteride in Japan: availability, prescription a \u2014 What Is Dutasteride, and Is It Approved in Japan\" \/><\/figure>\n<p><strong>Dutasteride<\/strong> is an oral medicine that lowers levels of dihydrotestosterone (DHT), a male hormone that plays a central role in male pattern hair loss, known medically as androgenetic alopecia (AGA).<\/p>\n<p>According to the Japanese Dermatological Association&#8217;s guideline, AGA affects around 30% of Japanese men overall. The same guideline reports rates of about 10% in men in their 20s, rising to over 40% from their 50s onwards.<\/p>\n<p>In Japan, dutasteride is available under more than one approval, and the distinction matters.<\/p>\n<ul>\n<li><strong>Avolve (0.5 mg)<\/strong> has been used in Japan since September 2009 for benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate.<\/li>\n<li><strong>Zagallo (0.1 mg and 0.5 mg capsules)<\/strong> received Japanese marketing approval on 28 September 2015, specifically for male pattern hair loss in men.<\/li>\n<li><strong>Generic dutasteride for hair loss<\/strong> followed, with the first approvals granted in October 2020 as generics of Zagallo 0.5 mg.<\/li>\n<\/ul>\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;\">Product<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Approved use in Japan<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Strengths<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Insurance cover for hair loss<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Zagallo (brand)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Male pattern hair loss in men<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">0.1 mg, 0.5 mg<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">No (self-pay)<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Generic dutasteride &#8220;ZA&#8221;<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Male pattern hair loss in men<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">0.5 mg<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">No (self-pay)<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Avolve (brand)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Benign prostatic hyperplasia<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">0.5 mg<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">No: insurance is explicitly excluded when prescribed for hair loss<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>In the United States, the situation is different. The US Food and Drug Administration (FDA) label for Avodart covers only symptomatic BPH, so dutasteride is not FDA-approved for hair loss. In Japan, by contrast, dutasteride holds a formal approval for male pattern hair loss.<\/p>\n<h2>How Dutasteride Works and What Results to Expect<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Dutasteride in Japan: availability, prescription a \u2014 How Dutasteride Works and What Results to Expect\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_9742781_1789133303.webp\" alt=\"Dutasteride in Japan: availability, prescription a \u2014 How Dutasteride Works and What Results to Expect\" \/><\/figure>\n<p><strong>Testosterone<\/strong> is converted into the more potent DHT by an enzyme called 5-alpha-reductase, which exists in two forms (type I and type II). In hair follicles on the scalp, DHT shortens the growth phase, so hairs become progressively thinner and shorter.<\/p>\n<p>Finasteride blocks only the type II enzyme. Dutasteride blocks both type I and type II, which is why it is described as a &#8220;dual&#8221; inhibitor. It also stays in the body for a long time: the FDA label gives a terminal half-life of about five weeks at steady state, and blood levels can remain detectable for four to six months after stopping.<\/p>\n<h3>What the evidence shows<\/h3>\n<p>The Japanese Dermatological Association&#8217;s 2017 guideline, still the current published version, gives oral dutasteride its highest recommendation (grade A) for male pattern hair loss. It rates the drug grade D, meaning it should not be used, for female pattern hair loss.<\/p>\n<ul>\n<li>A systematic review cited in the guideline analysed 16 randomised trials involving 4,950 men. For improvement on scalp photographs, dutasteride 0.5 mg\/day outperformed placebo with an odds ratio of 16.38.<\/li>\n<li>In an international trial of 917 men aged 20 to 50, dutasteride 0.5 mg\/day significantly increased hair count and hair width at 24 weeks compared with finasteride 1 mg\/day (P = .003 for hair count) and placebo. Adverse events were similar across groups.<\/li>\n<li>In a 52-week Japanese study of 120 men taking 0.5 mg\/day, clinical reports indicate the density of non-vellus hairs rose by 13.5 per cm\u00b2 and terminal hairs by 15.2 per cm\u00b2.<\/li>\n<\/ul>\n<p>Results take time. The Japanese package insert states that about six months of treatment is usually needed to judge whether the medicine is working. Dutasteride controls AGA rather than curing it, and the guideline notes that trials did not examine efficacy beyond one year or hair changes after stopping.<\/p>\n<p>Dutasteride is often combined with a topical treatment. Topical minoxidil also carries a grade A recommendation in the Japanese guideline. It is available at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai, so feel free to ask about it during a consultation with Dr. Karibe.<\/p>\n<p><!-- aga-cases:start --><\/p>\n<h2>Real Patient AGA Treatment Results \u2014 Before &amp; After<\/h2>\n<p>The following are actual AGA (androgenetic alopecia) treatment results from patients at Kojimachi Dermatology &amp; Plastic Surgery Clinic and its sister clinic BIOTOPE CLINIC (Shirokanedai, Minato-ku, Tokyo), both directed by Dr. Jun Karibe. Photos are shared with patient permission. Individual results vary depending on age, hair loss stage, adherence to medication, and treatment plan. Tap each case to view the full treatment disclosure required by the Japanese Medical Advertising Guidelines.<\/p>\n<style>\n.aga-case-wrap { margin: 1.5em 0; }\n.aga-case-marquee {\n  overflow: hidden;\n  width: 100%;\n  position: relative;\n  -webkit-mask-image: linear-gradient(90deg, transparent, #000 5%, #000 95%, transparent);\n          mask-image: linear-gradient(90deg, transparent, #000 5%, #000 95%, transparent);\n}\n.aga-case-track {\n  display: flex;\n  gap: 16px;\n  width: max-content;\n  animation: agaCaseScroll 90s linear infinite;\n}\n.aga-case-marquee:hover .aga-case-track { animation-play-state: paused; }\n.aga-case-item {\n  flex: 0 0 auto;\n  width: 280px;\n  margin: 0;\n  background: #fff;\n  border-radius: 8px;\n  box-shadow: 0 2px 8px rgba(0,0,0,0.08);\n  overflow: hidden;\n}\n.aga-case-link { display: block; color: inherit; text-decoration: none; }\n.aga-case-item img {\n  width: 100%;\n  height: 220px;\n  object-fit: cover;\n  display: block;\n  transition: opacity 0.2s;\n}\n.aga-case-item:hover img { opacity: 0.9; }\n.aga-case-item figcaption {\n  padding: 8px 12px;\n  font-size: 0.82em;\n  color: #555;\n  text-align: center;\n}\n@keyframes agaCaseScroll {\n  0%   { transform: translateX(0); }\n  100% { transform: translateX(-50%); }\n}\n@media (max-width: 600px) {\n  .aga-case-item { width: 220px; }\n  .aga-case-item img { height: 180px; }\n}\n@media (prefers-reduced-motion: reduce) {\n  .aga-case-track { animation: none; }\n  .aga-case-marquee { overflow-x: auto; -webkit-overflow-scrolling: touch; }\n}\n\/* Lightbox with per-case disclosure (pure CSS via :target) *\/\n.aga-lightbox {\n  display: none;\n  position: fixed;\n  inset: 0;\n  z-index: 99999;\n  background: rgba(0,0,0,0.88);\n  align-items: center;\n  justify-content: center;\n  padding: 4vh 4vw;\n}\n.aga-lightbox:target { display: flex; }\n.aga-lightbox-backdrop {\n  position: absolute;\n  inset: 0;\n  display: block;\n  cursor: zoom-out;\n}\n.aga-lightbox-inner {\n  position: relative;\n  max-width: min(720px, 94vw);\n  max-height: 92vh;\n  background: #fff;\n  border-radius: 10px;\n  overflow-y: auto;\n  display: flex;\n  flex-direction: column;\n}\n.aga-lightbox-inner img {\n  width: 100%;\n  height: auto;\n  max-height: 55vh;\n  object-fit: contain;\n  display: block;\n  background: #000;\n}\n.aga-lightbox-close {\n  position: absolute;\n  top: 8px;\n  right: 12px;\n  z-index: 2;\n  width: 36px;\n  height: 36px;\n  line-height: 36px;\n  text-align: center;\n  border-radius: 50%;\n  background: rgba(0,0,0,0.6);\n  color: #fff;\n  font-size: 22px;\n  text-decoration: none;\n  cursor: pointer;\n}\n.aga-lightbox-body {\n  padding: 16px 20px 24px;\n  font-size: 0.9em;\n  line-height: 1.6;\n  color: #222;\n}\n.aga-lightbox-body .case-spec {\n  margin: 0;\n  padding: 0;\n  display: grid;\n  grid-template-columns: 1fr;\n  gap: 0.4em 0;\n}\n.aga-lightbox-body .case-spec dt {\n  font-weight: 700;\n  margin-top: 0.6em;\n  color: #333;\n  font-size: 0.9em;\n}\n.aga-lightbox-body .case-spec dd {\n  margin: 0 0 0.2em;\n  color: #444;\n}\n<\/style>\n<div class=\"aga-case-wrap\">\n<div class=\"aga-case-marquee\">\n<div class=\"aga-case-track\">\n<figure class=\"aga-case-item\"><a href=\"#aga-case-1\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-b00350e7.jpg\" alt=\"AGA before and after \u2014 male pattern hair loss treatment result Tokyo\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 1 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-2\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-7ffc0ec4.jpg\" alt=\"AGA finasteride result \u2014 Kojimachi Dermatology Clinic Tokyo case photo\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 2 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-3\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-5debda68.jpg\" alt=\"AGA dutasteride treatment before and after \u2014 English-speaking Tokyo clinic\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 3 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-4\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-a19f8f17.jpg\" alt=\"AGA minoxidil hair regrowth result \u2014 Tokyo dermatology case study\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 4 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-5\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-32af0cd1.jpg\" alt=\"AGA combination therapy result \u2014 Dr. Jun Karibe, board-certified plastic surgeon\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 5 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-6\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-8efbf483.jpg\" alt=\"Androgenetic alopecia treatment before\/after \u2014 BIOTOPE Clinic Shirokanedai\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 6 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-7\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-00c3337c.jpg\" alt=\"AGA hair mesotherapy result \u2014 Tokyo scalp regenerative treatment case\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 7 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-8\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-e7b9aee2.jpg\" alt=\"AGA scalp coverage improvement \u2014 Kojimachi Clinic, English care\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 8 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-9\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-dc9ec5e0.jpg\" alt=\"AGA patient case \u2014 Tokyo cosmetic dermatology, board-certified physician\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 9 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-10\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-e958203c.jpg\" alt=\"Hair loss treatment result Tokyo \u2014 Dr. Karibe, English-speaking AGA clinic\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 10 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-11\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-9cfc5c94.jpg\" alt=\"AGA before and after \u2014 male pattern hair loss treatment result Tokyo\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 11 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-12\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-c743a12d.jpg\" alt=\"AGA finasteride result \u2014 Kojimachi Dermatology Clinic Tokyo case photo\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 12 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-13\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-005605ab.jpg\" alt=\"AGA dutasteride treatment before and after \u2014 English-speaking Tokyo clinic\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 13 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-14\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-df8c0151.jpg\" alt=\"AGA minoxidil hair regrowth result \u2014 Tokyo dermatology case study\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 14 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-15\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-c0a9c2fc.jpg\" alt=\"AGA combination therapy result \u2014 Dr. Jun Karibe, board-certified plastic surgeon\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 15 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-1\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-b00350e7.jpg\" alt=\"AGA before and after \u2014 male pattern hair loss treatment result Tokyo\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 1 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-2\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-7ffc0ec4.jpg\" alt=\"AGA finasteride result \u2014 Kojimachi Dermatology Clinic Tokyo case photo\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 2 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-3\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-5debda68.jpg\" alt=\"AGA dutasteride treatment before and after \u2014 English-speaking Tokyo clinic\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 3 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-4\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-a19f8f17.jpg\" alt=\"AGA minoxidil hair regrowth result \u2014 Tokyo dermatology case study\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 4 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-5\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-32af0cd1.jpg\" alt=\"AGA combination therapy result \u2014 Dr. Jun Karibe, board-certified plastic surgeon\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 5 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-6\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-8efbf483.jpg\" alt=\"Androgenetic alopecia treatment before\/after \u2014 BIOTOPE Clinic Shirokanedai\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 6 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-7\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-00c3337c.jpg\" alt=\"AGA hair mesotherapy result \u2014 Tokyo scalp regenerative treatment case\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 7 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-8\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-e7b9aee2.jpg\" alt=\"AGA scalp coverage improvement \u2014 Kojimachi Clinic, English care\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 8 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-9\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-dc9ec5e0.jpg\" alt=\"AGA patient case \u2014 Tokyo cosmetic dermatology, board-certified physician\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 9 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-10\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-e958203c.jpg\" alt=\"Hair loss treatment result Tokyo \u2014 Dr. Karibe, English-speaking AGA clinic\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 10 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-11\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-9cfc5c94.jpg\" alt=\"AGA before and after \u2014 male pattern hair loss treatment result Tokyo\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 11 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-12\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-c743a12d.jpg\" alt=\"AGA finasteride result \u2014 Kojimachi Dermatology Clinic Tokyo case photo\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 12 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-13\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-005605ab.jpg\" alt=\"AGA dutasteride treatment before and after \u2014 English-speaking Tokyo clinic\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 13 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-14\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-df8c0151.jpg\" alt=\"AGA minoxidil hair regrowth result \u2014 Tokyo dermatology case study\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 14 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<figure class=\"aga-case-item\"><a href=\"#aga-case-15\" class=\"aga-case-link\"><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-c0a9c2fc.jpg\" alt=\"AGA combination therapy result \u2014 Dr. Jun Karibe, board-certified plastic surgeon\" loading=\"lazy\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><figcaption>Case 15 \u2014 Before &amp; After (tap for details)<\/figcaption><\/a><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-1\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-b00350e7.jpg\" alt=\"AGA before and after \u2014 male pattern hair loss treatment result Tokyo\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 1 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-2\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-7ffc0ec4.jpg\" alt=\"AGA finasteride result \u2014 Kojimachi Dermatology Clinic Tokyo case photo\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 2 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-3\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-5debda68.jpg\" alt=\"AGA dutasteride treatment before and after \u2014 English-speaking Tokyo clinic\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 3 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-4\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-a19f8f17.jpg\" alt=\"AGA minoxidil hair regrowth result \u2014 Tokyo dermatology case study\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 4 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-5\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-32af0cd1.jpg\" alt=\"AGA combination therapy result \u2014 Dr. Jun Karibe, board-certified plastic surgeon\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 5 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-6\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-8efbf483.jpg\" alt=\"Androgenetic alopecia treatment before\/after \u2014 BIOTOPE Clinic Shirokanedai\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 6 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-7\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-00c3337c.jpg\" alt=\"AGA hair mesotherapy result \u2014 Tokyo scalp regenerative treatment case\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 7 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-8\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-e7b9aee2.jpg\" alt=\"AGA scalp coverage improvement \u2014 Kojimachi Clinic, English care\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 8 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-9\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-dc9ec5e0.jpg\" alt=\"AGA patient case \u2014 Tokyo cosmetic dermatology, board-certified physician\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 9 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-10\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-e958203c.jpg\" alt=\"Hair loss treatment result Tokyo \u2014 Dr. Karibe, English-speaking AGA clinic\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 10 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-11\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-9cfc5c94.jpg\" alt=\"AGA before and after \u2014 male pattern hair loss treatment result Tokyo\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 11 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-12\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-c743a12d.jpg\" alt=\"AGA finasteride result \u2014 Kojimachi Dermatology Clinic Tokyo case photo\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 12 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-13\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-005605ab.jpg\" alt=\"AGA dutasteride treatment before and after \u2014 English-speaking Tokyo clinic\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 13 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-14\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-df8c0151.jpg\" alt=\"AGA minoxidil hair regrowth result \u2014 Tokyo dermatology case study\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 14 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"aga-lightbox\" id=\"aga-case-15\"><a href=\"#!\" class=\"aga-lightbox-backdrop\" aria-label=\"Close\"><\/a><\/p>\n<div class=\"aga-lightbox-inner\"><a href=\"#!\" class=\"aga-lightbox-close\" aria-label=\"Close\">&times;<\/a><img decoding=\"async\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/aga-tokyo-case-c0a9c2fc.jpg\" alt=\"AGA combination therapy result \u2014 Dr. Jun Karibe, board-certified plastic surgeon\" loading=\"eager\" class=\"no-lazy\" data-no-lazy=\"1\" data-skip-lazy=\"1\" \/><\/p>\n<div class=\"aga-lightbox-body\">\n<h3 style=\"margin:0 0 0.6em;font-size:1.05em;\">Case 15 \u2014 Treatment disclosure<\/h3>\n<p style=\"margin:0 0 0.9em;color:#555;font-size:0.88em;\">Individual results vary. The information below is provided per the Japanese Medical Advertising Guidelines.<\/p>\n<dl class=\"case-spec\">\n<dt>Treatment category<\/dt>\n<dd>AGA (androgenetic alopecia) treatment &mdash; oral 5-alpha-reductase inhibitors (finasteride, dutasteride), topical or oral minoxidil, and optional regenerative scalp injection therapy.<\/dd>\n<dt>How it works<\/dt>\n<dd>Finasteride \/ dutasteride block DHT, the hormone that drives follicular miniaturization. Minoxidil prolongs the growth (anagen) phase and increases scalp blood flow. Stem-cell culture supernatant injections stimulate follicular regeneration. Visible improvement is typically observed after 3&ndash;6 months of continuous use.<\/dd>\n<dt>Number of sessions \/ duration<\/dt>\n<dd>Oral medications: daily use, results assessed at 3, 6, and 12 months.<br \/>Injection courses: typically 5 sessions.<br \/>Continued use is generally required to maintain results.<\/dd>\n<dt>Main side effects<\/dt>\n<dd>\n<strong>Finasteride \/ dutasteride:<\/strong> sexual dysfunction (decreased libido, erectile dysfunction, ejaculatory disorder), liver dysfunction, mood changes; dutasteride may also cause gastrointestinal symptoms.<br \/>\n<strong>Minoxidil:<\/strong> scalp irritation, itching, unwanted body hair; oral minoxidil may cause palpitations, dizziness, and lower-limb edema. Initial shedding may occur in the first 1&ndash;2 months.<br \/>\n<strong>Injection therapy:<\/strong> in rare cases, swelling, warmth, pain, or allergic reactions may occur; these typically subside over time.\n<\/dd>\n<dt>Precautions &amp; contraindications<\/dt>\n<dd>Finasteride and dutasteride must not be used by women &mdash; especially those pregnant, potentially pregnant, or breastfeeding &mdash; even physical contact with crushed or broken tablets should be avoided. Not for use in children. Patients with hepatic dysfunction, active prostate cancer, or a history of hypersensitivity should not use these medications. Oral minoxidil requires cardiovascular assessment before starting.<\/dd>\n<dt>Fees (Kojimachi Clinic \/ BIOTOPE CLINIC, tax included)<\/dt>\n<dd>\n<strong>Oral medications (per box):<\/strong><br \/>\n&bull; Finasteride, 28 tablets: <strong>&yen;4,800<\/strong><br \/>\n&bull; Zagallo (dutasteride), 30 capsules: <strong>&yen;9,000<\/strong><br \/>\n&bull; Minoxidil (in-clinic formulation), 28 tablets: <strong>&yen;8,800<\/strong><br \/>\n<strong>Regenerative injection therapy (stem-cell culture supernatant, whole scalp):<\/strong><br \/>\n&bull; Single session: <strong>&yen;80,000<\/strong><br \/>\n&bull; 5-session course: <strong>&yen;300,000<\/strong><br \/>\nOverall fee range: <strong>&yen;80,000&ndash;&yen;300,000<\/strong> for injection therapy. Oral medications add <strong>&yen;4,800&ndash;&yen;9,000<\/strong> per box. The exact plan and fee for each patient are confirmed at consultation.\n<\/dd>\n<dt>Insurance<\/dt>\n<dd>Not covered by Japanese public health insurance. AGA treatment is an elective self-pay treatment. Prices may change &mdash; please confirm at consultation.<\/dd>\n<\/dl>\n<\/div>\n<\/div>\n<\/div>\n<p><script>\n(function(){\n  function restore(root){\n    if(!root) return;\n    var imgs = root.querySelectorAll('img');\n    for(var i=0;i<imgs.length;i++){\n      var img = imgs[i];\n      var ds = img.getAttribute('data-src') || img.getAttribute('data-lazy-src');\n      if(ds &#038;&#038; img.src.indexOf('data:image\/svg') === 0){\n        img.src = ds;\n        img.classList.remove('lazy','lazyload');\n      }\n    }\n  }\n  function onHash(){\n    var el = document.querySelector('.aga-lightbox:target');\n    restore(el);\n  }\n  document.addEventListener('DOMContentLoaded', function(){\n    \/\/ \u30de\u30fc\u30ad\u30fc\u5185\u306e\u75c7\u4f8b\u30b5\u30e0\u30cd\u3082\u5373\u6642\u30ed\u30fc\u30c9\n    restore(document.querySelector('.aga-case-marquee'));\n    onHash();\n  });\n  window.addEventListener('hashchange', onHash);\n})();\n<\/script><br \/>\n<!-- aga-cases:end --><\/p>\n<h2>Getting a Prescription in Tokyo: 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=\"Dutasteride in Japan: availability, prescription a \u2014 Getting a Prescription in Tokyo: Before, During and After\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_9742749_1789133303.webp\" alt=\"Dutasteride in Japan: availability, prescription a \u2014 Getting a Prescription in Tokyo: Before, During and After\" \/><\/figure>\n<p>All dutasteride products in Japan are prescription medicines, so you need a consultation with a doctor. There is no downtime, because it is a daily capsule, but a few practical points are worth knowing.<\/p>\n<h3>Before your consultation<\/h3>\n<ul>\n<li>Bring details of any hair-loss medicine you have taken abroad, including the product name, dose and how long you took it.<\/li>\n<li>Mention any liver disease. Severe hepatic impairment is a contraindication, meaning the drug should not be used.<\/li>\n<li>Tell the doctor if you have had recent PSA (prostate-specific antigen) blood tests or are due for prostate screening.<\/li>\n<\/ul>\n<h3>During treatment<\/h3>\n<ul>\n<li>The standard starting dose for Zagallo is 0.1 mg once daily, which can be increased to 0.5 mg once daily if needed.<\/li>\n<li>Swallow capsules whole. Do not chew or open them.<\/li>\n<li>Dutasteride lowers PSA by roughly 50%. Japanese guidance advises doubling the measured value when comparing it with normal ranges, so always tell any doctor checking your PSA that you take it.<\/li>\n<li>Do not donate blood. Japanese Red Cross guidance defers donation until six months after stopping dutasteride, compared with one month for finasteride.<\/li>\n<\/ul>\n<h3>Why personal import is risky<\/h3>\n<p>Japanese rules allow individuals to import prescription medicines for their own use without prior confirmation only up to one month's supply, based on the labelled dosage. The Ministry of Health, Labour and Welfare's regional bureau warns that products sold as medicines may include counterfeits or substandard items that are difficult for the public to identify. A domestically approved product prescribed after a medical consultation avoids that uncertainty.<\/p>\n<h3>Where to get dutasteride in Tokyo<\/h3>\n<p>Within our clinic group, both <strong>BIOTOPE CLINIC<\/strong> (Shirokanedai, Minato-ku) and <strong>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> (Ichigaya, Chiyoda-ku) offer English-language consultation with Dr. Jun Karibe's team. Dutasteride for male pattern hair loss is handled at BIOTOPE CLINIC, the group's cosmetic and men's health branch. Bookings and enquiries in English: LINE or WhatsApp.<\/p>\n<h2>Cost 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=\"Dutasteride in Japan: availability, prescription a \u2014 Cost in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_9742911_1789133304.webp\" alt=\"Dutasteride in Japan: availability, prescription a \u2014 Cost in Tokyo\" \/><\/figure>\n<p>AGA treatment in Japan is self-pay (jihi), so the full cost is paid by the patient. The following tax-inclusive prices appear on the clinic group's public price pages as of September 2026:<\/p>\n<ul>\n<li><strong>Consultation fee (initial or follow-up):<\/strong> \u00a53,300. A consultation with Dr. Karibe is listed at \u00a55,500.<\/li>\n<li><strong>Generic dutasteride:<\/strong> \u00a57,700 per prescription. Please confirm the quantity supplied at your consultation.<\/li>\n<li><strong>Zagallo (brand dutasteride), box of 30:<\/strong> \u00a511,000<\/li>\n<li><strong>Finasteride, box of 28 (for comparison):<\/strong> \u00a55,280<\/li>\n<li><strong>Topical minoxidil 5%:<\/strong> \u00a55,500<\/li>\n<\/ul>\n<p>Prices can change, so please check the clinic's official price page or contact us for a current quote. 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>Who Is a Good Candidate, and Who Should Avoid It?<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Dutasteride in Japan: availability, prescription a \u2014 Who Is a Good Candidate, and Who Should Avoid It\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_9742886_1789133305.webp\" alt=\"Dutasteride in Japan: availability, prescription a \u2014 Who Is a Good Candidate, and Who Should Avoid It\" \/><\/figure>\n<p>Dutasteride may suit adult men with a diagnosis of male pattern hair loss who want an oral treatment with strong guideline support. It may also suit men who have not had a satisfactory response to finasteride. A doctor will first rule out other causes of hair loss.<\/p>\n<h3>Who should not take it<\/h3>\n<ul>\n<li><strong>Women:<\/strong> contraindicated. Because lowering DHT may affect the normal development of a male foetus, women, especially those who are pregnant or may become pregnant, should not touch capsules that are leaking.<\/li>\n<li><strong>Children and under-20s:<\/strong> contraindicated in children, and safety in people under 20 has not been established in Japan.<\/li>\n<li><strong>People with severe liver impairment<\/strong> or a known allergy to dutasteride.<\/li>\n<\/ul>\n<h3>Side effects to discuss<\/h3>\n<p>Sexual side effects are the most common concern. In the international trial cited by the Japanese guideline, reduced libido occurred in 3.3% of men, erectile dysfunction in 5.4% and ejaculation disorder in 3.3%. The 52-week Japanese study reported higher rates of 8.3%, 11.7% and 5.0% respectively. Breast enlargement and liver dysfunction are also listed in the package insert.<\/p>\n<p>BIOTOPE CLINIC's men's health service also covers erectile dysfunction treatment, so you can raise any concerns about sexual function during a consultation with Dr. Karibe.<\/p>\n<h2>Common Misconceptions About Dutasteride<\/h2>\n<h3>\"It is FDA-approved for hair loss, so the rules are the same everywhere\"<\/h3>\n<p>This is not correct. The FDA label covers BPH only, whereas Japan approved dutasteride specifically for male pattern hair loss in 2015. Prescribing practice and product strengths therefore differ between countries.<\/p>\n<h3>\"Dutasteride is dramatically stronger than finasteride\"<\/h3>\n<p>The evidence is more nuanced than that. The Japanese guideline notes that in the 917-man trial, dutasteride was better for total hair count and hair diameter, but there was no significant difference in the number of thick terminal hairs (60 \u00b5m or more). Differences in expert photo scores were small, at 0.14 points for the crown and 0.24 for the front. The guideline concludes that the difference between the two drugs needs further study.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<dl class=\"kj-faq\">\n<dt>Q. Can I get dutasteride in Japan if I am not Japanese?<\/dt>\n<dd>Dutasteride is a prescription medicine in Japan, so you need a consultation with a doctor, who will decide whether it is appropriate for you. Both clinics in our group offer consultations in English.<\/dd>\n<dd><\/dd>\n<dt>Q. Is dutasteride for hair loss covered by Japanese health insurance?<\/dt>\n<dd>No. Zagallo and its generics are not listed on the national insurance drug price list. Insurance for Avolve, the BPH product, specifically excludes prescriptions for male pattern hair loss.<\/dd>\n<dd><\/dd>\n<dt>Q. How long does it take to see results?<\/dt>\n<dd>The Japanese package insert states that about six months of treatment is usually needed to evaluate the effect. Taking the capsule every day during that period matters.<\/dd>\n<dd><\/dd>\n<dt>Q. Can I donate blood while taking dutasteride?<\/dt>\n<dd>No. Japanese Red Cross guidance asks donors to wait six months after their last dose, and the FDA label also advises waiting at least six months. This is to avoid exposing a pregnant recipient to the drug.<\/dd>\n<dd><\/dd>\n<dt>Q. Should I switch from finasteride to dutasteride?<\/dt>\n<dd>Both drugs carry a grade A recommendation in the Japanese guideline. The clinic's own guidance notes that if finasteride or minoxidil is already giving satisfactory results, there is no particular need to switch. A doctor can review your progress with you.<\/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>Dutasteride<\/strong> is formally approved in Japan for male pattern hair loss, both as the brand Zagallo and as generics, and it is recommended at the highest grade in the Japanese guideline. It requires a prescription, is not covered by insurance for hair loss, and takes around six months to show whether it is working. Women must avoid it, blood donation is deferred for six months after stopping, and PSA results need adjusting while you take it.<\/p>\n<p>If you have questions about dutasteride, both <strong>BIOTOPE CLINIC<\/strong> (Shirokanedai, Minato-ku) and <strong>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> (Ichigaya, Chiyoda-ku) offer English-language consultation with Dr. Karibe and his team. Dutasteride treatment for hair loss is primarily handled at BIOTOPE CLINIC. 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>Manabe M, Tsuboi R, Itami S, et al.; Guideline Committee for Male and Female Pattern Hair Loss. Guidelines for the diagnosis and treatment of male-pattern and female-pattern hair loss, 2017 version. Japanese Journal of Dermatology (Nippon Hifuka Gakkai Zasshi). 2017;127(13):2763-2777.<\/li>\n<li>Gubelin Harcha W, Barboza Mart\u00ednez J, Tsai TF, et al. A randomized, active- and placebo-controlled study of the efficacy and safety of different doses of dutasteride versus placebo and finasteride in the treatment of male subjects with androgenetic alopecia. Journal of the American Academy of Dermatology. 2014;70(3):489-498.e3.<\/li>\n<li>GSK. Zagallo Capsules 0.1 mg \/ 0.5 mg (dutasteride), Japanese package insert.<\/li>\n<li>GlaxoSmithKline. AVODART (dutasteride) soft gelatin capsules, US prescribing information. Revised October 2023.<\/li>\n<li>Kanto-Shinetsu Regional Bureau of Health and Welfare, Ministry of Health, Labour and Welfare. On the importation of pharmaceuticals and related products (Iyakuhin-to no yunyu ni tsuite).<\/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\/aga-finasteride-minoxidil-regenerative-tokyo-3\/\" target=\"_blank\" rel=\"noopener\">AGA vs Finasteride &amp; Minoxidil: Tokyo Regenerative Care<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/hair-loss-treatment-tokyo-aga-expats\/\" target=\"_blank\" rel=\"noopener\">Hair Loss Treatment Tokyo: AGA Options for Expats<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/\" target=\"_blank\" rel=\"noopener\">English-Speaking Dermatologist Tokyo: Hair Loss &amp; AGA<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/hair-mesotherapy-tokyo-aga\/\" target=\"_blank\" rel=\"noopener\">Hair Mesotherapy Tokyo: Manual vs Hydro-Injector AGA<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/faga-female-pattern-hair-loss-tokyo\/\" target=\"_blank\" rel=\"noopener\">FAGA Treatment Tokyo: Regenerative Hair Loss Solutions<\/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><\/p>\n<div style=\"margin-top: 1em; padding-top: .75em; border-top: 1px dashed #d5d5d5; font-size: .78em; color: #555; line-height: 1.7;\">\n<p style=\"margin: 0 0 .3em; font-size: .72em; font-weight: bold; color: #888; letter-spacing: .08em;\">MEDICAL REVIEW<\/p>\n<div><strong>Jun Karibe, MD<\/strong> \u2014 Board-certified Plastic Surgeon \u2014 Japan Society of Plastic and Reconstructive Surgery<\/div>\n<div>Medical Director, BIOTOPE CLINIC<\/div>\n<div>Last medically reviewed: 2026-09-11<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Dutasteride in Japan: Zagallo vs Avodart, how to get a prescription in Tokyo, self-pay costs and risks. Book an English-language consultation at our clinic.","protected":false},"author":4,"featured_media":11965,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,23],"tags":[937,938,935,936,263,242,26],"class_list":["post-11966","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-dermatology","category-guide-for-foreigners-in-tokyo","tag-male-pattern-hair-loss","tag-hair-loss-medication","tag-zagallo","tag-avodart","tag-english-speaking-clinic-2","tag-aga-treatment","tag-tokyo-clinic"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/11966","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=11966"}],"version-history":[{"count":3,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/11966\/revisions"}],"predecessor-version":[{"id":12432,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/11966\/revisions\/12432"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/11965"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=11966"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=11966"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=11966"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}