If you've been comparing filler prices across Tokyo clinics, you've probably noticed numbers that make no sense. How can the same "hyaluronic acid filler" cost ¥8,000 at TCB and ¥110,000 at KAI CLINIC? The answer is that they're not the same product, not the same technique, and not the same risk profile — but both are legally called "hyaluronic acid filler."
This guide decodes filler pricing in Japan so you can compare apples to apples. For treatment details and clinic recommendations, see fillers Japan and fillers Tokyo. For specific areas, we have dedicated guides for lip filler, nose filler, and under-eye filler.
Price by Face Area: The Complete Table
| Area | Syringes | Budget | Mid-Range | Premium | Lasts |
|---|---|---|---|---|---|
| Lips | 0.5–1 | ¥8K–30K | ¥50K–80K | ¥80K–110K | 6–9 mo |
| Nasolabial folds | 1–2 | ¥10K–40K | ¥60K–100K | ¥100K–200K | 9–12 mo |
| Cheeks | 1–2 | ¥15K–50K | ¥70K–130K | ¥130K–260K | 12–18 mo |
| Under-eye | 0.5–1 | ¥15K–50K | ¥50K–80K | ¥70K–120K | 9–12 mo |
| Chin | 1–2 | ¥10K–40K | ¥60K–100K | ¥100K–200K | 12–18 mo |
| Nose | 0.5–1 | ¥10K–40K | ¥60K–100K | ¥80K–130K | 12–18 mo |
| Jawline | 2–4 | ¥20K–80K | ¥80K–200K | ¥200K–400K | 12–18 mo |
| Temples | 1–2 | ¥15K–40K | ¥60K–100K | ¥100K–200K | 12–18 mo |
| Forehead | 1–2 | ¥15K–50K | ¥60K–120K | ¥120K–240K | 12–18 mo |
| Marionette lines | 1–2 | ¥10K–40K | ¥60K–100K | ¥100K–200K | 9–12 mo |
Brand pricing: MHLW-approved products cost 3–5x more than unbranded imports. You get what you pay for.
Brand Pricing: What You're Actually Paying For
| Brand | Per Syringe (Japan) | Per Syringe (US) | MHLW | Best For |
|---|---|---|---|---|
| Juvederm Voluma | ¥80K–130K | $900–$1,300 | Yes | Cheeks, chin, jawline |
| Juvederm Volbella | ¥60K–100K | $650–$800 | Yes | Lips, under-eye |
| Restylane | ¥50K–100K | $650–$750 | Yes | Nasolabial, lips, versatile |
| Restylane Kysse | ¥60K–90K | $700–$1,000 | Yes | Lips (natural movement) |
| Belotero | ¥50K–80K | $500–$700 | No (Japan) | Thin skin areas, under-eye |
| Profhilo | ¥40K–60K | N/A (not in US) | No | Skin quality (not volume) |
| Budget HA | ¥8K–30K | N/A | No | Cost-conscious patients |
The Japan price advantage is real. Juvederm Voluma costs ¥80,000–130,000 ($550–$890) in Japan versus $900–$1,300 in the US. That's 30–50% savings on the exact same product from the same manufacturer. Factor in the yen's current weakness against the dollar, and Japan filler is at historically favorable pricing for foreign visitors.
As referenced on KAI CLINIC Tokyo's price list, their rate for Juvederm/Restylane is ¥110,000 per syringe with a ¥209,000 two-syringe package — essentially 5% off for buying two. According to BIANCA Clinic, their filler pricing varies by product and volume, with interpretation and counseling services included free of charge.
Hidden fees: consultation, cannula upgrade, dissolution guarantee, tax — always ask for 合計金額.
Hidden Fees: The Real Total
What the headline price may not include:
Consultation fee (カウンセリング料): ¥0–5,000. Free at most chains, ¥1,000–5,000 at some premium clinics. Often waived if you proceed with treatment.
Injection/treatment fee (施術料): Some premium clinics charge a separate base fee on top of per-syringe pricing. This can add ¥10,000–20,000.
Cannula fee: Cannula technique (safer for under-eye and nose) may cost ¥3,000–5,000 extra at clinics that default to needle.
Dissolution guarantee (溶解保証): If you're unhappy or have a complication, hyaluronidase dissolves the filler. Premium clinics typically include one dissolution session. Budget clinics may charge ¥10,000–30,000 separately.
Tax (消費税): 10%. Some clinics list prices with tax included (税込), others without (税抜). Always confirm.
The magic phrase: 合計金額を教えてください。溶解保証は含まれますか？ (Please tell me the total price. Is dissolution included?)
Annual Cost: Fillers Are Maintenance, Not One-Time
Unlike surgical procedures, fillers dissolve. Lips need touch-ups every 6–9 months. Cheeks every 12–18 months. If you're committing to fillers as an ongoing treatment, the annual cost matters more than the per-session cost.
| Treatment | Sessions/Year | Budget (Annual) | Premium (Annual) |
|---|---|---|---|
| Lips only | 1.5–2 | ¥12K–60K | ¥120K–220K |
| Nasolabial folds | 1–1.5 | ¥10K–60K | ¥100K–300K |
| Cheeks + under-eye | 1 | ¥30K–100K | ¥200K–380K |
| Full face maintenance | 1–2 | ¥50K–400K | ¥400K–900K |
Budget math trap: Getting ¥8,000 lip filler that lasts 4 months means 3 sessions/year = ¥24,000. Getting ¥80,000 Volbella that lasts 12 months means 1 session/year = ¥80,000. The budget option is cheaper but requires 3 clinic visits, 3 rounds of swelling, and 3 disruptions. The premium option costs more upfront but is genuinely "once a year." Factor in your time and the swelling downtime when comparing.
Japan vs Korea vs US: International Price Comparison
| Treatment | Japan | South Korea | United States |
|---|---|---|---|
| Lips (1 syringe, premium brand) | ¥60K–110K ($410–$750) | ₩300K–500K ($210–$350) | $650–$1,000 |
| Cheeks (2 syringes) | ¥140K–260K ($960–$1,780) | ₩600K–1M ($420–$700) | $1,800–$2,600 |
| Full face (6 syringes) | ¥400K–900K ($2,700–$6,200) | ₩1.5M–3M ($1,050–$2,100) | $4,000–$8,000 |
Korea is the cheapest for identical branded products. Japan is 30–50% cheaper than the US. If you're deciding between countries, see the full Korea vs Japan comparison. Short version: Korea for value maximization, Japan for conservative technique and precision.
How to Get the Best Value
Multi-syringe discounts: Many clinics offer 5–10% off when purchasing 2+ syringes. As referenced on KAI CLINIC's price list, their 2-syringe Juvederm package is ¥209,000 vs ¥220,000 if purchased separately.
Combination pricing: Booking Botox + fillers in the same session often comes with a package discount. The "liquid facelift" (Botox + fillers) is one of the most popular combo treatments in Tokyo.
Choose the right product for each area. You don't need Voluma (the most expensive) for lips — Volbella or Restylane Kysse is designed for that area and costs 20–30% less. Conversely, using a cheap thin filler in cheeks means it won't last and you'll pay twice. Ask your clinic to recommend the appropriate viscosity for each area.
Consider fewer syringes with strategic placement. Japanese clinics are known for using less product more precisely. A premium injector at ¥100,000 for 1 syringe may deliver better results than a budget injector at ¥30,000 for 2 syringes.
Fillers vs Botox: Where to Spend Your Budget
If you have a limited budget for your Japan trip, understanding where fillers and Botox each deliver the most value helps you prioritize.
| Botox | Fillers | |
|---|---|---|
| What it does | Relaxes muscles → reduces dynamic wrinkles | Adds volume → fills hollows and lines |
| Best for | Forehead lines, frown lines, crow's feet, jaw slimming | Cheeks, lips, under-eye, chin, nose |
| Cost per session | ¥4,000–80,000 | ¥8,000–150,000/syringe |
| Lasts | 3–6 months | 6–18 months |
| Best value combo | Botox upper face + filler lower face = "liquid facelift" | |
The smart budget allocation: If you're spending ¥100,000 total on your trip, consider: Botox forehead + frown + crow's feet (~¥30,000 at mid-range) + cheek or lip filler (~¥60,000–80,000). This covers the most visually impactful areas for the least money. The remaining ¥10,000–20,000 covers tax and consultation fees.
Trip Planning: Maximize Value During Your Japan Visit
Timing matters. If you're flying to Japan partly for cosmetic treatments, plan your filler session at the beginning of your trip. Swelling from filler (especially lips) peaks at 24–48 hours. Getting treatment on day 1–2 means you'll look normal by day 4–5 for the rest of your sightseeing.
Stack treatments intelligently. Same-day is fine for: fillers + Botox. Wait 2 weeks between fillers and thread lifts or laser treatments. If you're considering surgical options like rhinoplasty or eyelid surgery, do those first and save fillers for a follow-up trip.
Currency advantage: The yen has been historically weak against the dollar, euro, and pound. For foreigners, this means Japan filler prices — already 30–50% cheaper than the US — are even more favorable when converted from strong currencies. Check the exchange rate before booking; a 5% yen fluctuation on a ¥500,000 full-face treatment is ¥25,000 saved or lost.
Payment Reality Check
Credit cards: Premium clinics accept Visa and Mastercard. Budget chains may restrict card payments for promotional pricing or require minimum spend. Amex is hit-or-miss. Always confirm: クレジットカードは使えますか？
Cash discount: Some clinics offer 3–5% off for cash payment. On a ¥500,000 treatment that's ¥15,000–25,000 saved. Bring yen if possible. ATMs at 7-Eleven and post offices accept most international cards.
No insurance, no tax-free: Cosmetic fillers are not covered by Japanese health insurance. Unlike electronics or cosmetics products at duty-free shops, medical treatments are not eligible for tax-free purchase. The 10% consumption tax always applies.
Refund policy: Most clinics do not offer refunds for filler treatments since the product has already been injected. If you're unhappy with the result, the option is dissolution (hyaluronidase) — not a refund. This is why the dissolution guarantee matters: at premium clinics it's included, at budget clinics it may cost ¥10,000–30,000 additional. Ask upfront and factor it into your total budget.
FAQ
How much per syringe?
Budget: ¥8,000–30,000. Mid: ¥50,000–80,000. Premium: ¥80,000–150,000. Brand and clinic tier are the main cost drivers.
Why the huge price gap?
Brand (MHLW-approved vs import), injector certification, technique (cannula vs needle), and hidden fees (consultation, treatment fee, dissolution guarantee).
Cheaper than US?
Yes, 30–50% cheaper for same products. Juvederm Voluma: Japan ¥80K–130K vs US $900–$1,300. Korea is 20–40% cheaper than Japan.
How many syringes?
Lips: 0.5–1. Cheeks: 1–2. Chin: 1–2. Jawline: 2–4. Full face: 4–8. Japanese clinics use conservative amounts.
Hidden fees?
Consultation (¥0–5,000), treatment fee (¥0–20,000), cannula fee, dissolution guarantee (¥0–30,000), tax 10%. Always ask 合計金額.
Full-face cost?
Budget: ¥50,000–200,000. Premium: ¥400,000–900,000. Compares to $3,000–$8,000+ in the US.
Related Guides
Sources & references: Pricing data referenced from KAI CLINIC Tokyo, BIANCA Clinic, TCB, Azabu Skin Clinic, and US pricing from publicly available clinic data, accessed March 2026. Prices may change; verify directly with your chosen clinic.
Medical disclaimer: This content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Pricing is based on publicly available data and may not reflect current rates. Always confirm total pricing directly with the clinic before proceeding. ClinicJapan is an independent guide and is not affiliated with any clinic mentioned.