{"id":9228,"date":"2026-07-26T09:24:04","date_gmt":"2026-07-26T00:24:04","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=9228"},"modified":"2026-09-16T15:39:06","modified_gmt":"2026-09-16T06:39:06","slug":"english-speaking-dermatologist-tokyo-hair-loss-aga","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/","title":{"rendered":"English-Speaking Dermatologist Tokyo: Hair Loss &#038; AGA"},"content":{"rendered":"<p><script type=\"application\/ld+json\" data-kjmc-en-jsonld=\"v1\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/#webpage\",\"url\":\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/\",\"name\":\"English-Speaking Dermatologist Tokyo: Hair Loss &#038; AGA\",\"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\":\"2026-08-22\"},{\"@type\":[\"Article\",\"MedicalWebPage\"],\"@id\":\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/#webpage\"},\"headline\":\"English-Speaking Dermatologist Tokyo: Hair Loss &#038; AGA\",\"url\":\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/\",\"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\/english-speaking-dermatologist-tokyo-hair-loss-aga\/#webpage\"},\"description\":\"Find an English-speaking dermatologist in Tokyo for AGA and hair loss treatment. Learn diagnosis, available treatments, realistic costs, and how to book your consultation today.\",\"image\":\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/kjmc-en-eyecatch-20260723-194331.webp\",\"datePublished\":\"2026-07-26\",\"dateModified\":\"2026-08-22\",\"lastReviewed\":\"2026-08-22\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/kojihifu.com\/english\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Cosmetic Treatments\",\"item\":\"https:\/\/kojihifu.com\/english\/column\/cosmetic-treatments\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"English-Speaking Dermatologist Tokyo: Hair Loss &#038; AGA\",\"item\":\"https:\/\/kojihifu.com\/english\/english-speaking-dermatologist-tokyo-hair-loss-aga\/\"}]}]}<\/script><br \/>\n<!-- kjmc-en-layout-preview:start --><\/p>\n<div class=\"kjmc-layout-override\" style=\"display:contents;\">\n<style>#main_col{max-width:980px !important;width:auto !important;}#left_col{width:100% !important;float:none !important;}.post_content{font-size:19px !important;line-height:1.9 !important;color:#222 !important;}.post_content p{margin:0 0 1.4em !important;font-size:19px !important;}.post_content li{font-size:19px !important;line-height:1.8 !important;margin-bottom:.4em;}.post_content strong{color:#111;}.post_content h2{font-size:30px !important;line-height:1.4 !important;margin:2.4em 0 1em !important;color:#1e2b3d !important;}.post_content h3{font-size:22px !important;line-height:1.5 !important;margin:1.8em 0 .8em !important;color:#1e2b3d !important;}#post_title{font-size:34px !important;line-height:1.35 !important;}@media (max-width:767px){.post_content{font-size:16px !important;line-height:1.65 !important;}.post_content p{font-size:16px !important;margin:0 0 1em !important;}.post_content li{font-size:16px !important;line-height:1.6 !important;margin-bottom:.25em !important;}.post_content h2{font-size:20px !important;line-height:1.35 !important;margin:1.6em 0 .7em !important;}.post_content h3{font-size:17px !important;line-height:1.4 !important;margin:1.4em 0 .6em !important;}#post_title{font-size:22px !important;line-height:1.3 !important;}}<\/style>\n<\/div>\n<p><!-- kjmc-en-layout-preview:end --><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Can I get AGA medication prescribed in English at a clinic in Tokyo?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes. At BIOTOPE CLINIC in Shirokanedai, Dr. Karibe conducts consultations in English and can evaluate whether prescription AGA medication is appropriate for your situation. Finasteride, dutasteride, and topical minoxidil are available in Japan on a self-pay basis and can be discussed during your appointment.\"}}, {\"@type\": \"Question\", \"name\": \"How long does AGA treatment take to show results?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Most evidence-based AGA treatments require a minimum of three to six months of consistent use before noticeable improvement occurs, with the most meaningful results typically assessed at the 12-month mark. Early treatment initiation generally produces better and faster responses, as follicles that have already miniaturised significantly are harder to reactivate.\"}}, {\"@type\": \"Question\", \"name\": \"Is AGA treatment covered by Japanese health insurance?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"AGA medications and device-based treatments are generally classified as cosmetic (self-pay) in Japan and are not covered by the national health insurance system. However, if a related condition \u2014 such as scalp inflammation or a hormonal disorder contributing to hair loss \u2014 is identified, that aspect of treatment may be covered separately. This distinction is best clarified during your consultation.\"}}, {\"@type\": \"Question\", \"name\": \"I am a woman experiencing hair thinning. Can I also be seen for this?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Absolutely. Female-pattern hair loss is a recognised medical condition that responds to treatment, though the approach differs from that used in men. Dr. Karibe assesses both male and female patients for hair loss at BIOTOPE CLINIC, and consultations include evaluation for contributing factors such as iron deficiency, thyroid function, and hormonal changes.\"}}, {\"@type\": \"Question\", \"name\": \"Do I need to speak Japanese to be seen at this clinic?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"No. BIOTOPE CLINIC in Shirokanedai is specifically equipped for English-speaking patients, and both the doctor and the front-desk team can communicate in English. Enquiries can also be made in advance via LINE or WhatsApp in English before your appointment.\"}}]}<\/script><\/p>\n<h2>Finding an English-Speaking Dermatologist in Tokyo for Hair Loss and AGA<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"English speaking dermatologist Tokyo for hair loss \u2014 Finding an English-Speaking Dermatologist in Tokyo for Hair \" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_7446684_1784803382.webp\" alt=\"English speaking dermatologist Tokyo for hair loss \u2014 Finding an English-Speaking Dermatologist in Tokyo for Hair \" \/><\/figure>\n<p>Noticing your hair thinning or a receding hairline is unsettling at any age, and navigating the Japanese healthcare system without fluent Japanese can make the experience feel even more isolating.<\/p>\n<p>This guide explains what to expect when consulting an English-speaking dermatologist in Tokyo for hair loss and androgenetic alopecia (AGA) \u2014 covering how AGA is diagnosed, what treatments are available, realistic costs, and where to find a doctor who can communicate with you clearly in English.<\/p>\n<p><strong>What you&#8217;ll learn in this article:<\/strong><\/p>\n<ul>\n<li>What androgenetic alopecia (AGA) is and how it differs from other types of hair loss<\/li>\n<li>How AGA is diagnosed during a clinical consultation in Tokyo<\/li>\n<li>Which treatments are available in Japan, and what the evidence says about them<\/li>\n<li>Approximate costs for AGA treatment in Tokyo<\/li>\n<li>Where to book an English-speaking consultation at a qualified clinic<\/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 Androgenetic Alopecia (AGA)?<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"English speaking dermatologist Tokyo for hair loss \u2014 What Is Androgenetic Alopecia (AGA)\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_9755382_1784803383.webp\" alt=\"English speaking dermatologist Tokyo for hair loss \u2014 What Is Androgenetic Alopecia (AGA)\" \/><\/figure>\n<p>Androgenetic alopecia \u2014 commonly called male-pattern or female-pattern hair loss \u2014 is the most prevalent form of hair loss worldwide. It is driven by a combination of genetic predisposition and the hormone dihydrotestosterone (DHT), which causes hair follicles to miniaturise progressively until they can no longer produce visible hair.<\/p>\n<p>In men, AGA typically presents as a receding hairline at the temples and thinning at the crown. In women, the pattern is different: diffuse thinning across the top and mid-scalp, usually with the hairline preserved. Distinguishing AGA from other causes of hair loss \u2014 such as alopecia areata (an autoimmune condition), telogen effluvium (stress or nutritional-related shedding), or scalp conditions \u2014 is an essential first step that requires a proper clinical assessment, not self-diagnosis.<\/p>\n<h3>How Common Is AGA?<\/h3>\n<p>AGA is far more widespread than many people realise.<\/p>\n<p>Clinical studies suggest that <strong>approximately 50% of men<\/strong> over the age of 50 experience some degree of androgenetic alopecia, and research published in dermatology literature indicates that female-pattern hair loss affects roughly <strong>40% of women<\/strong> by the age of 70. Early intervention consistently produces better outcomes than waiting until significant follicle loss has occurred.<\/p>\n<h2>What People Often Get Wrong About Hair Loss<\/h2>\n<p><strong>Misconception 1: &#8220;Shedding means my hair is falling out permanently.&#8221;<\/strong> Not all hair shedding is AGA. Telogen effluvium \u2014 a temporary, stress-induced or nutritionally related shedding phase \u2014 can cause dramatic short-term hair loss that resolves on its own or with minor intervention. A dermatologist can distinguish between these conditions through examination and blood tests, preventing unnecessary anxiety or inappropriate treatment.<\/p>\n<p><strong>Misconception 2: &#8220;AGA only affects older men.&#8221;<\/strong> AGA can begin in the mid-twenties and affects people of all genders. Many international patients in Tokyo are surprised to learn that female-pattern hair loss is under-recognised and under-treated globally \u2014 yet it is both common and responsive to appropriate therapy when caught early.<\/p>\n<h2>How AGA Is Diagnosed in a Clinical Setting<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"English speaking dermatologist Tokyo for hair loss \u2014 How AGA Is Diagnosed in a Clinical Setting\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_7446674_1784803383.webp\" alt=\"English speaking dermatologist Tokyo for hair loss \u2014 How AGA Is Diagnosed in a Clinical Setting\" \/><\/figure>\n<p>A thorough consultation for hair loss typically involves several components. The doctor will review your personal and family medical history, assess your scalp and hair visually, and may use a dermatoscope \u2014 a magnifying instrument that allows close examination of individual follicles and scalp skin. This technique, called trichoscopy, can reveal follicular miniaturisation that is characteristic of AGA before it is visible to the naked eye.<\/p>\n<p>Blood tests are frequently requested to rule out contributing factors such as iron deficiency, thyroid dysfunction, or hormonal imbalances \u2014 all of which can cause or worsen hair thinning and must be addressed alongside any AGA-specific treatment. At BIOTOPE CLINIC in Shirokanedai, Dr. Karibe frequently sees international patients who have been self-treating for months without identifying an underlying contributing condition that was making their hair loss worse.<\/p>\n<blockquote style=\"border-left: 4px solid #5a8a5a; padding: .75em 1.1em; margin: 1.8em 0; background: #f7fbf7; border-radius: 0 6px 6px 0; font-size: .93em;\">\n<p style=\"margin: 0 0 .45em; font-weight: bold; color: #3a6e3a;\">Dr. Karibe&#8217;s Note<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">A common question I receive from international patients is whether they can simply continue the hair loss medication they started in their home country. In most cases, yes \u2014 but I always recommend a fresh scalp assessment and, where appropriate, updated bloodwork. Dosages, formulations, and the regulatory status of certain medications differ between countries, and a consultation ensures your current regimen is appropriate for your situation here in Japan.<\/p>\n<\/blockquote>\n<h2>AGA Treatments Available 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=\"English speaking dermatologist Tokyo for hair loss \u2014 AGA Treatments Available in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_32260065_1784803384.webp\" alt=\"English speaking dermatologist Tokyo for hair loss \u2014 AGA Treatments Available in Tokyo\" \/><\/figure>\n<h3>Oral and Topical Medications<\/h3>\n<p>The most evidence-supported medications for AGA are<strong> finasteride<\/strong> (oral, for men), <strong>dutasteride<\/strong> (oral, for men), and <strong>minoxidil<\/strong> (topical or oral, for men and women).<\/p>\n<p><strong>Finasteride<\/strong> and dutasteride work by inhibiting the enzyme that converts testosterone to DHT, thereby slowing follicle miniaturisation. Clinical reports indicate that finasteride produces measurable hair count improvement in approximately 80\u201390% of men who use it consistently for 12 months or longer.<\/p>\n<p>Minoxidil is a topical vasodilator that increases blood flow and nutrient delivery to the scalp. It is available over the counter in Japan but is often used alongside prescription DHT-blocking medications for a synergistic effect. In women with AGA, topical minoxidil is currently the most widely used pharmacological option.<\/p>\n<h3>Nutritional and Preventive Medicine Approaches<\/h3>\n<p>Nutritional deficiencies \u2014 particularly iron, zinc, biotin, and vitamin D \u2014 are frequently identified in patients with hair thinning. Orthomolecular (nutritional) therapy, which involves targeted supplementation based on individual blood analysis, is offered as part of BIOTOPE CLINIC&#8217;s preventive medicine programme. IV drip therapy containing glutathione and high-dose vitamin C may also be discussed as a supportive measure during a consultation with Dr. Karibe, depending on your individual profile.<\/p>\n<h3>Platelet-Rich Plasma (PRP),Stem cell supertanat and Energy-Based Scalp Treatments<\/h3>\n<p>Platelet-rich plasma (PRP) or Stem cell supernatant therapy, in which the patient&#8217;s own blood is processed to concentrate growth factors and then injected into the scalp, has attracted considerable clinical interest for AGA. Studies suggest PRP produces statistically significant improvement in hair density and thickness after a course of treatments, with a favourable safety profile given that it uses the patient&#8217;s own biological material.<\/p>\n<p>Microneedling of the scalp \u2014 performed with devices such as the Dermapen \u2014 is a complementary technique that creates controlled micro-channels to enhance topical medication absorption and may independently stimulate the hair follicle environment. This is a treatment available at BIOTOPE CLINIC in Shirokanedai \u2014 feel free to ask about it during a consultation with Dr. Karibe.<\/p>\n<h2>Cost of AGA Treatment 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=\"English speaking dermatologist Tokyo for hair loss \u2014 Cost of AGA Treatment in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_4586740_1784803385.webp\" alt=\"English speaking dermatologist Tokyo for hair loss \u2014 Cost of AGA Treatment in Tokyo\" \/><\/figure>\n<p>Medication costs in Japan vary depending on whether treatment is prescribed through the insurance system or obtained privately (self-pay). AGA medications \u2014 finasteride, dutasteride, and minoxidil \u2014 are generally not covered by Japanese health insurance when used for cosmetic purposes and are typically self-pay.<\/p>\n<p>The following table provides a general overview of costs commonly associated with hair loss consultations and treatments in a Tokyo cosmetic\/dermatology setting. Prices at BIOTOPE CLINIC are indicated where applicable.<\/p>\n<table style=\"border-collapse: collapse; width: 100%; margin: 20px 0; font-size: 0.95em; border: 1px solid #ccc;\">\n<thead>\n<tr>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Item<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Approximate Cost (JPY)<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Initial consultation<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a53,300<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">English-speaking consultation at BIOTOPE CLINIC<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Dr. Karibe surgical \/ specialist consultation<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a52,200<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Applicable for in-depth AGA assessment<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Dermapen scalp microneedling<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a59,800 \u2013 \u00a5220,000<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Range reflects single session to course packages<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">IV drip therapy (vitamin C, glutathione)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Varies by formulation<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Part of preventive medicine programme; enquire at consultation<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Oral AGA medication (finasteride\/dutasteride)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Varies; self-pay<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Typically monthly cost; confirmed at consultation<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Bloodwork (pre-treatment)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a511,000<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Recommended to rule out contributing deficiencies<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>For an accurate quote tailored to your specific diagnosis and treatment plan, we recommend booking 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<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>What to Expect: Before, During and After Your Consultation<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"English speaking dermatologist Tokyo for hair loss \u2014 What to Expect: Before, During and After Your Consultation\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_7108264_1784803385.webp\" alt=\"English speaking dermatologist Tokyo for hair loss \u2014 What to Expect: Before, During and After Your Consultation\" \/><\/figure>\n<h3>Before Your Appointment<\/h3>\n<p>It is helpful to bring a record of any medications or supplements you are currently taking, as well as photographs of your hairline over the past few years if you have them. This gives the doctor a baseline and helps contextualise the rate of change. If you have had recent blood tests, bring those results as well.<\/p>\n<h3>During the Consultation<\/h3>\n<p>Expect the appointment to cover your medical and family history, a dermatoscopic scalp examination, and a discussion of suitable treatment options. At BIOTOPE CLINIC, consultations with Dr. Karibe are conducted in English, so there is no need for a translator or medical interpreter. The doctor will explain findings and recommendations clearly, and you are encouraged to ask questions.<\/p>\n<h3>After Starting Treatment<\/h3>\n<p>Most pharmacological AGA treatments require consistent use for a minimum of three to six months before visible improvement is apparent \u2014 this is a biological reality, not a treatment failure. Patients are generally reviewed at regular intervals to assess response and adjust the approach. It is important to maintain realistic expectations: AGA treatments are most effective at slowing progression and, in many cases, achieving partial regrowth. Complete restoration of previous hair density is not a typical outcome, and any clinic promising otherwise should be regarded with caution.<\/p>\n<h2>Who Is a Good Candidate for AGA Treatment?<\/h2>\n<p>Most adults who are experiencing progressive hair thinning consistent with a genetic pattern are appropriate candidates for AGA assessment. Early-stage patients tend to respond better than those with long-standing, advanced hair loss where many follicles may be permanently inactive. Women of childbearing age should note that finasteride and dutasteride are contraindicated in pregnancy and are not prescribed for women who may become pregnant.<\/p>\n<p>Individuals with certain medical conditions \u2014 including liver disease, prostate conditions (for the relevant medications), or hypersensitivity to specific active ingredients \u2014 may not be candidates for standard AGA pharmacotherapy, and a thorough medical history review at consultation will identify this.<\/p>\n<h2>Where to Get Hair Loss Treatment in English in Tokyo<\/h2>\n<p>Within our clinic group, English-speaking consultations are handled at BIOTOPE CLINIC in Shirokanedai (Minato-ku, Tokyo) by Dr. Jun Karibe, a board-certified plastic surgeon certified by the Japan Society of Plastic and Reconstructive Surgery. Our sister clinic, Kojimachi Dermatology and Plastic Surgery Clinic in Ichigaya (Chiyoda-ku), serves as the group's main office and handles Japanese-language, insurance-covered dermatology \u2014 it is an excellent resource for Japanese-speaking patients but does not currently offer English-speaking doctor consultations. Bookings and enquiries in English for both hair loss assessment and any other cosmetic or dermatological concern should be directed to BIOTOPE CLINIC via LINE or WhatsApp.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<dl class=\"kj-faq\">\n<dt>Q. Can I get AGA medication prescribed in English at a clinic in Tokyo?<\/dt>\n<dd>Yes. At <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai, Dr. Karibe conducts consultations in English and can evaluate whether prescription AGA medication is appropriate for your situation. Finasteride, dutasteride, and topical minoxidil are available in Japan on a self-pay basis and can be discussed during your appointment.<\/dd>\n<dd><\/dd>\n<dt>Q. How long does AGA treatment take to show results?<\/dt>\n<dd>Most evidence-based AGA treatments require a minimum of<strong> three to six months<\/strong> of consistent use before noticeable improvement occurs, with the most meaningful results typically assessed at the 12-month mark. Early treatment initiation generally produces better and faster responses, as follicles that have already miniaturised significantly are harder to reactivate.<\/dd>\n<dd><\/dd>\n<dt>Q. Is AGA treatment covered by Japanese health insurance?<\/dt>\n<dd>AGA medications and device-based treatments are generally classified as cosmetic (self-pay) in Japan and are not covered by the national health insurance system. However, if a related condition \u2014 such as scalp inflammation or a hormonal disorder contributing to hair loss \u2014 is identified, that aspect of treatment may be covered separately. This distinction is best clarified during your consultation.<\/dd>\n<dd><\/dd>\n<dt>Q. I am a woman experiencing hair thinning. Can I also be seen for this?<\/dt>\n<dd>Absolutely.<strong> Female-pattern hair loss<\/strong> is a recognised medical condition that responds to treatment, though the approach differs from that used in men. <strong>Dr. Karibe<\/strong> assesses both male and female patients for hair loss at BIOTOPE CLINIC, and consultations include evaluation for contributing factors such as iron deficiency, thyroid function, and hormonal changes.<\/dd>\n<dd><\/dd>\n<dt>Q. Do I need to speak Japanese to be seen at this clinic?<\/dt>\n<dd>No. BIOTOPE CLINIC in Shirokanedai is specifically equipped for English-speaking patients, and both the doctor and the front-desk team can communicate in English. Enquiries can also be made in advance via LINE or WhatsApp in English before your appointment.<\/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>Androgenetic alopecia is a common, progressive condition that responds best to early, evidence-based intervention. An accurate diagnosis \u2014 distinguishing AGA from other causes of hair loss through clinical examination and bloodwork \u2014 is the essential first step. Treatments including DHT-blocking medications, minoxidil, scalp microneedling, nutritional therapy, and PRP can slow progression and support regrowth when used consistently and appropriately.<\/p>\n<p>For international residents and visitors in Tokyo, the barrier to accessing this kind of care in English has historically been high.<\/p>\n<p><strong>BIOTOPE CLINIC<\/strong> in Shirokanedai addresses this directly with a fully English-language consultation experience under the supervision of a board-certified plastic surgeon and dermatology specialist.<\/p>\n<p>If you have questions about hair loss or AGA assessment, English-speaking consultations are handled at BIOTOPE CLINIC in Shirokanedai (Minato-ku, Tokyo) by Dr. Karibe. Our sister clinic Kojimachi Dermatology and Plastic Surgery Clinic in Ichigaya (Chiyoda-ku) handles Japanese-language insurance dermatology. English enquiries: LINE or WhatsApp.<\/p>\n<div class=\"kjmc-en-booking-box\" style=\"background: linear-gradient(135deg,#f1faf3 0%,#e6f3ea 100%); border-radius: 14px; padding: 32px 24px; margin: 36px 0 24px; border: 1px solid #c5dccd; text-align: center;\">\n<h3 style=\"margin: 0 0 8px; color: #3a6e3a; border: none; padding: 0; font-size: 1.3em;\">24\/7 Consultation &amp; Booking<\/h3>\n<div style=\"width: 48px; height: 2px; background: #3a6e3a; margin: 0 auto 22px;\"><\/div>\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 1.1em; font-weight: bold;\">Book a Consultation or Treatment<\/p>\n<p style=\"margin: 0 0 24px; color: #2c4a35; line-height: 1.75;\">Our English-speaking team responds via LINE or WhatsApp \u2014 usually the same day.<\/p>\n<p style=\"margin: 0 0 10px; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #06C755; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(6,199,85,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #25D366; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(37,211,102,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Rossi A, Cantisani C, Melis L, Iorio A, Scali E, Calvieri S. Minoxidil use in dermatology, side effects and recent patents. Recent Patents on Inflammation and Allergy Drug Discovery. 2012.<\/li>\n<li>Mella JM, Perret MC, Manzotti M, Catalano HN, Guyatt G. Efficacy and safety of finasteride therapy for androgenetic alopecia: a systematic review. Archives of Dermatology. 2010.<\/li>\n<li>Gentile P, Garcovich S, Bielli A, Scioli MG, Orlandi A, Cervelli V. The effect of platelet-rich plasma in hair regrowth: a randomized placebo-controlled trial. Stem Cells Translational Medicine. 2015.<\/li>\n<li>Blume-Peytavi U, Blumeyer A, Tosti A, et al. S1 guideline for diagnostic evaluation in androgenetic alopecia in men, women and adolescents. British Journal of Dermatology. 2011.<\/li>\n<li>Sinclair R, Torkamani N, Jones L. Androgenetic alopecia: new insights into the pathogenesis and mechanism of hair loss. F1000Research. 2015.<\/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\/faga-female-pattern-hair-loss-tokyo\/\" target=\"_blank\" rel=\"noopener\">FAGA Treatment Tokyo: Regenerative Hair Loss Solutions<\/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<\/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> &mdash; 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: 2026-08-22<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Find an English-speaking dermatologist in Tokyo for AGA and hair loss treatment. Learn diagnosis, available treatments, realistic costs, and how to book your consultation today.","protected":false},"author":4,"featured_media":9227,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,21],"tags":[441,442,489,259,263,247,248],"class_list":["post-9228","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cosmetic-treatments","category-skin-dermatology","tag-hair-loss-treatment","tag-aga","tag-tokyo-healthcare","tag-dermatologist-tokyo","tag-english-speaking-clinic-2","tag-androgenetic-alopecia","tag-hair-restoration"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9228","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=9228"}],"version-history":[{"count":7,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9228\/revisions"}],"predecessor-version":[{"id":12429,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/9228\/revisions\/12429"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/9227"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=9228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=9228"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=9228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}