BIANCA CLINIC feminine care
Gynecological Aesthetics

  • The world’s only
    Medytox-certified physician
  • Board-certified
    Obstetrician and Gynecologist
  • Certified Menopause Educator
  • Experienced in infertility treatment,
    perinatal care, and general gynecology
  • Certified trainer for
    vaginal hyaluronic acid injections
  • Medical advisor for Mines

With feminine care medicine,
live a
life where you can
embrace being a
WOMEN,
Every step of the way.

All consultations and treatments are provided
by female doctors and staff only.
Your privacy is thoroughly protected.

  • Dr. Akiko Miyamoto

    Board-Certified Cosmetic
    Gynecologist

    Dr. Akiko Miyamoto

  • Dr. Yuu Okubo

    General Director /
    Omotesando Clinic Director

    Dr. Yuu Okubo

  • Dr. Sumi Minami

    Board-Certified Cosmetic
    Surgeon

    Dr. Sumi Minami

  • Dr. Yumi Hattori

    Board-Certified Cosmetic
    Surgeon

    Dr. Yumi Hattori

  • Dr. Senki Akashi

    GOURI KOL

    Dr. Senki Akashi

  • Dr. Ariko Hatate

    Board-Certified Plastic
    Surgeon

    Dr. Ariko Hatate

Bringing you
confidence, pride,
and your true beauty

What we offer is not just cosmetic treatment.

Through your encounter with us, we hope your life becomes a little more vibrant. And that your smile grows even more confident than before.

If we can support you in that way—That is our sincere wish.

Even concerns you feel unable to share with anyone else,

please feel safe discussing them with us.

We have witnessed countless women shine in their most radiant moments. Gently guarding your secrets, we watch your unique beauty gently blossom. We sincerely hope to be present for that special moment.

Do you have any of the following
concerns?

  • Appearance,
    functionality, etc.
    Labia minora reduction and excess skin removal case photo

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    Combination teatment Labia minora reduction
    + removal of excess skin
  • Appearance, functionality,
    sex life, etc.
    Combination feminine treatment case photo

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    Combination teatment Vaginal injection + vaginal tightening
    + hyaluronic acid injection into the labia majora
    + vaginal opening formation
  • Appearance / Pain /
    Discomfort, etc.
    Labia minora reduction case photo

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    Labia minora reduction Labia minora andLabia majora hyaluronic
    acid injection
  • Vaginal looseness /
    Postpartum discomfort due to
    friction or visible vaginal interior
    Vaginal wall reconstruction case photo

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    Vaginal Wall Reconstruction
    ×
    Vaginal Opening Reconstruction
  • Vaginal dryness, etc.
    Vaginal rejuvenation injection case photo

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    Vaginal Rejuvenation Injection
  • Vaginal looseness / Dryness /
    Tightness This content contains
    sensitive material
    Vaginal hyaluronic acid injection case photo

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    Vaginal Hyaluronic Acid Injection

Appearance

  • Wrinkles or sagging in the labia majora
    Wrinkles or
    sagging in
    the labia majora
    Hyaluronic acid injection
    for labia majora
  • Visible vaginal mucosa from the outside
    Visible vaginal
    mucosa
    from the outside
    Vaginal wall
    reconstruction
  • Scars from childbirth
    Scars from
    childbirth
    Vaginal opening
    reconstruction
  • Concerns about the appearance of the genital area
    Concerns about
    the appearance
    of the genital area
    Labia minora reduction /
    prepuce removal

Functional Issues

  • Vaginal dryness or irritation
    Vaginal dryness
    or irritation
    Vaginal hyaluronic acid injection /
    Vaginal rejuvenation injection
  • Water leakage from the vagina after bathing or swimming
    Water leakage from
    the vagina after
    bathing or swimming
    Vaginal HA injection /
    Vaginal wall reconstruction /
    Vaginal opening reconstruction
  • Labial pain/irritation from clothing friction.
    Labial pain / irritation
    from clothing friction.
    Labia minora reduction
  • Concerns about feminine moisture buildup, odor, and stuffiness.
    Concerns about
    feminine
    moisture buildup,
    odor, and stuffiness.
    Labia minora reduction /
    Prepuce removal

Sexual Concerns

  • Feeling a lack of vaginal tightness during intercourse.
    Feeling a lack of
    vaginal tightness
    during intercourse.
    Vaginal HA injection
  • Frequent bleeding during sex
    Frequent bleeding
    during sex
    Vaginal opening
    reconstruction
  • Pain during intercourse
    Pain during
    intercourse
    Labia minora reduction /
    Vaginal rejuvenation injection /
    Vaginal opening reconstruction
  • Enhance sexual satisfaction for both partners
    Enhance sexual
    satisfaction
    for both partners
    Labia majora HA injection /
    Vaginal wall reconstruction

Benefits

  • Enhanced sensation during intimacy through vaginal tightening

    Enhanced sensation during intimacy through vaginal tightening

    • Increased sensitivity during intercourse
    • Reduced water leakage from the vagina during bathing
    • Treatment options available through both surgical procedures and hyaluronic acid injections
  • Enhanced appearance of the feminine zone for increased confidence

    Enhanced appearance of the feminine zone for increased confidence

    • Relief from embarrassment when at hot springs or during intimate moments
    • Surgical correction of color, size, darkening, and shape
    • Injections to enhance moisture and firmness
  • Vaginal anti-aging care

    Vaginal anti-aging care

    • Enhanced vaginal moisture and elasticity
    • Reduction of uncomfortable symptoms
    • Recommended even for younger women undergoing treatments that suppress female hormones, such as birth control pills
  • More enjoyable intimate life

    More enjoyable intimate life

    • Relief from pain during intercourse and decreased sensation due to vaginal looseness
    • Potential for increased satisfaction for both you and your partner
    • Options for improving lubrication and tightness through hyaluronic acid injections, or surgically widening or narrowing the vagina as needed

BIANCA's Strengths

BIANCA CLINIC feminine care consultation room

BIANCA Method of Vaginal Care Advanced vaginal healthcare at global standards

We provide high-quality feminine care based on anatomical knowledge and medical evidence from the experienced gynecologist Dr. Akiko Miyamoto.

We offer treatments such as vaginal rejuvenation injections, vaginal hyaluronic acid injections, gynecological reconstructive surgeries, and treatments to control menstruation and contraception, addressing various concerns related to female genitalia.

Dr. Miyamoto, who specializes in gynecological reconstruction, is a Medytox certified vaginal hyaluronic acid injection instructor with advanced knowledge and skills in cutting-edge medical treatments. As a female doctor with extensive training in perinatal medicine and general obstetrics and gynecology, she addresses women's unique concerns while specializing in aesthetic gynecology.

Dedicated to sexual education, cervical cancer prevention, and improving women's quality of life, she responds compassionately to consultations about intimate life and vaginal anti-aging care. Please feel free to consult with BIANCA about intimate zone concerns that may be difficult to discuss elsewhere.

Treatments

Vaginal Hyaluronic Acid Injection

What is Vaginal Hyaluronic
Acid Injection?
What is Vaginal Hyaluronic Acid Injection?
  • A treatment gaining attention for intimate zone anti-aging care.
  • Staffed by Medytox certified vaginal hyaluronic acid injection instructors.
  • Hyaluronic acid is injected into the vaginal wall to make it plumper and thicker, narrowing the
    vaginal interior. It can also provide flexibility and moisture to the vagina.
  • Benefits include improved vaginal tightness, relief from vaginal dryness, and reduced pain
    during intercourse. The vaginal wall, which may have loosened with age, regains firmness
    and moisture.
  • This vaginal tightening procedure provides immediate results, and the injected hyaluronic acid is
    gradually absorbed by the body over time, making it a low-risk treatment. No surgical incisions are
    required, and anesthesia is used to minimize pain during the procedure.

Recommended for those who

  • Lack of tightness or sensation during intercourse
    Lack of tightness or sensation during intercourse
  • Vaginal dryness or irritation
    Vaginal dryness or irritation
  • Water leakage from the vagina after bathing or swimming
    Water leakage from the vagina after bathing or swimming
  • Enhance sexual satisfaction for both partners
    Enhance sexual satisfaction for both partners

What is BIANCA-Style Vaginal Hyaluronic Acid?

The world's only Medytox certified vaginal hyaluronic acid injection instructor.
Feature: The only method that incorporates men's opinions by surveying not only women but also men about "what makes a good va...

The only method that incorporates men's opinions by surveying not only women but also men about "what makes a good vagina."

Feature: We listen carefully to women's concerns and provide personalized recommendations and treatments.

We listen carefully to women's concerns and provide personalized recommendations and treatments.

Doctor's Key Point

Dr. Akiko Miyamoto

We conduct injections in anatomically safe and effective areas based on surveys targeting both women and men. The procedure enhances satisfaction for both the woman receiving the treatment and her partner.

Patient Testimonials

  • Patient testimonial: I'm enjoying the best intimate life after the procedure.

    I'm enjoying the best intimate life after the procedure.

  • Patient testimonial: No more urine or bath water leakage. It's truly been a relief!

    No more urine or bath water leakage. It's truly been a relief!

  • Patient testimonial: The vaginal tightness was amazing. I can feel moisture now.

    The vaginal tightness was amazing.
    I can feel moisture now.

Case Examples

  • Vaginal hyaluronic acid injection case photo 2

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    Vaginal Hyaluronic Acid Injection
  • Vaginal hyaluronic acid injection case photo 1

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    Vaginal Hyaluronic Acid Injection

YouTube

Pricing

Vaginal Hyaluronic
Acid
Injections
Vaginal Hyaluronic Acid Injections Up to 10cc ¥165,000
Vaginal Hyaluronic Acid Injections Up to 20cc ¥320,000
G-Shot (for enhanced sensitivity) ¥165,000 ※Maximum injection volume is 20cc.
※Customers who purchase the Forma V 3-session package receive 10% off vaginal hyaluronic acid injections.
Rolls Vaginal Hyaluronic Acid Up to 10cc ¥660,000
Rolls Vaginal Hyaluronic Acid Up to 20cc ¥1,100,000
Rolls Vaginal Hyaluronic Acid – G-Shot ¥200,000

※Maximum injection volume is 20cc.

Downtime

Shower
Allowed from the same day.
Sexual activity
Allowed approximately one week after treatment.
Side effects
Swelling, pain, puffiness, or bruising may occur after the procedure. These symptoms typically subside within a few days to a week, though recovery time may vary from person to person.

Labia Majora Hyaluronic Acid Injection

What is Labia Majora
Hyaluronic Acid Injection?
What is Labia Majora Hyaluronic Acid Injection?
  • A short procedure with minimal downtime.
  • Results in a youthful, well-shaped appearance with plump, firm intimate area
  • Immediate improvement in the appearance of the labia majora, resulting in a youthful,
    firm, and plump intimate zone.
  • Useful treatment for reshaping and improving the appearance of labia majora that have atrophied with age.
  • Also beneficial for those whose labia majora have become more exposed due to hair removal, making wrinkles and sagging in the feminine area more noticeable.

Recommended for those who

  • Are concerned about the appearance of my intimate area.
    Are concerned about the appearance of my intimate area.
  • Have lost firmness and elasticity in the intimate area.
    Have lost firmness and elasticity in the intimate area.
  • Have wrinkles or sagging in the labia majora
    Have wrinkles or sagging in the labia majora
  • Want to enhance sexual satisfaction for both partners
    Want to enhance sexual satisfaction for both partners
  • Want to rejuvenate the intimate area without surgery/incisions.
    Want to rejuvenate the intimate area without surgery/incisions.

Procedure Method

Labia majora hyaluronic acid injection procedure diagram

Doctor's Key Point

Correcting asymmetry and wrinkles of the labia majora helps restore a youthful appearance while also reducing discomfort from underwear friction.

Dr. Sumi Sumi Minami

Patient Testimonials

  • Patient testimonial: Creates a plump, firm intimate zone

    Creates a plump, firm intimate zone

  • Patient testimonial: When I go to public baths, I no longer feel I need to hide myself out of embarrassment.

    When I go to public baths, I no longer feel
    I need to hide myself out of
    embarrassment.

Case Examples

  • Labia minora reduction, clitoral hood reduction, and labia majora hyaluronic acid injection case photo

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    Bilateral Labiaplasty + Bilateral Clitoral Hood Reduction
    + Labia Majora Hyaluronic Acid Injection
  • Vaginal rejuvenation, tightening, labia majora hyaluronic acid, and vaginal opening formation case photo

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    Vaginal rejuvenation injection + vaginal tightening +
    hyaluronic acid injection into the labia majora + vaginal
    opening formation
  • Vaginal rejuvenation, tightening, labia majora hyaluronic acid, and vaginal opening formation case photo

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    Vaginal rejuvenation injection + vaginal tightening +
    hyaluronic acid injection into the labia majora + vaginal
    opening formation
  • Labia majora GOURI and labia majora hyaluronic acid injection case photo

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    Labia Majora GOURI +
    Labia Majora Hyaluronic Acid Injection
  • Labia majora GOURI and labia majora hyaluronic acid injection case photo

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    Labia Majora GOURI +
    Labia Majora Hyaluronic Acid Injection

Pricing

Labia Majora Hyaluronic Acid Injection
Labia Majora Hyaluronic Acid Injection
Up to 10cc
¥250,000 ※Additional 2cc ¥33,000

Downtime

Shower
Allowed from the same day.
Sexual activity
Allowed approximately one week after treatment.
Side effects
Swelling, pain, puffiness, or bruising may occur after the procedure. These symptoms typically subside within a few days to a week, though recovery time may vary from person to person.

Vaginal Rejuvenation Injection

What is Vaginal
Rejuvenation Injection?
What is Vaginal Rejuvenation Injection?
  • Treatment every 2-3 weeks, 3 times per course.
  • Exosome injection combination available.
  • A procedure that injects skin booster formulations into the vaginal mucosa to enhance moisture and elasticity, improving vaginal condition. At BIANCA Clinic, we use Sunecos Intimcare, containing six types of amino acids* and non-cross-linked hyaluronic acid, which is expected to provide various vaginal rejuvenation effects such as vaginal tissue activation and anti-aging care.
  • Continuing vaginal rejuvenation injections can lead to a plump, youthful vagina, even if there are concerns about sagging, atrophy, or dryness due to aging. Additionally, as vaginal conditions improve, the effectiveness of vaginal hyaluronic acid injections is enhanced, making this treatment useful as a preparatory treatment.
  • Hormonal imbalances due to long-term birth control pill use, dieting, stress, etc., can cause vaginal mucosa thinning even in younger women. Vaginal care is essential for maintaining vaginal health regardless of age.

Recommended for those who

  • Are concerned about vaginal dryness or atrophy
    Are concerned about vaginal dryness or atrophy
  • Have GSM* (Genitourinary Syndrome of Menopause) after menopause
    Have GSM* (Genitourinary Syndrome of Menopause) after menopause
  • Pain during intercourse
    Pain during intercourse
  • Want to incorporate vaginal anti-aging care
    Want to incorporate vaginal anti-aging care
  • Want to improve the effect of vaginal hyaluronic acid injections?
    Want to improve the effect of vaginal hyaluronic acid injections?

*GSM...Genitourinary Syndrome of Menopause.
Intimate zone discomfort in menopausal women such as vaginal pain, itching, discomfort, and frequent urination due to decreased female hormones.

Procedure Method

Vaginal rejuvenation injection procedure diagram

Doctor's Key Point

Dr. Ariko Hatate

A treatment that makes the vaginal mucosa soft and moist without applying heat. Improves vaginitis, dryness, and pain during intercourse. Not just for visible skin rejuvenation, but for vaginal rejuvenation and anti-aging too!

Patient Testimonials

  • Patient testimonial: My pain during intercourse improved. The moisture is amazing!

    My pain during intercourse improved. The moisture is amazing!

  • Patient testimonial: I'm so happy that I don't tear during intercourse anymore!

    I'm so happy that I don't tear during intercourse anymore!

Case Examples

  • Vaginal hyaluronic acid injection case photo

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    Vaginal Hyaluronic Acid Injection
  • Vaginal rejuvenation injection, vaginal tightening, labia majora hyaluronic acid injection, and vaginal opening formation case photo

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    Vaginal rejuvenation injection + vaginal tightening + hyaluronic acid injection into the labia majora
    + vaginal opening formation
  • Vaginal hyaluronic acid injection case photo

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    Vaginal Hyaluronic Acid Injection

YouTube

Pricing

Vaginal Rejuvenation
Injections
Standard Vaginal Rejuvenation (1 session) ¥88,000
Standard Vaginal Rejuvenation (3 sessions) ¥247,000
Exosome Vaginal Rejuvenation (1 session) ¥176,000
Exosome Vaginal Rejuvenation (3 sessions) ¥511,000

Downtime

Shower
Allowed from the same day.
Sexual activity
Allowed approximately one week after treatment.
Side effects
Swelling, pain, puffiness, or bruising may occur after the procedure. These symptoms typically subside within a few days to a week, though recovery time may vary from person to person.

Labia Majora GOURI

What is Labia
Majora GOURI?
What is Labia Majora GOURI?
  • Want to improve the firmness and elasticity of the labia majora
  • Want to feel more confident in your intimate life with your partner
  • Labia Majora GOURI is a regenerative filler treatment that restores natural firmness to the external genital area affected by loss of skin elasticity and volume, addressing sagging and deflation.
  • The collagen-stimulating action of liquid PCLA (polycaprolactone) reconstructs the skin structure from within, restoring plump volume and youthful texture.
  • It also addresses discomfort from dryness and friction due to aging, as well as asymmetry. The results are natural, with a soft texture and minimal foreign sensation.

Recommended for those who

  • Are concerned about volume loss and deflation of the labia majora
    Are concerned about volume loss and deflation of the labia majora
  • Wish to improve discomfort from dryness, friction, and underwear chafing
    Wish to improve discomfort from dryness, friction, and underwear chafing
  • Want to naturally correct asymmetry and irregular shape
    Want to naturally correct asymmetry and irregular shape

Treatment Process

Treatment step: During consultation, we carefully examine loss of firmness, asymmetry, and shape to determine the design.

During consultation, we carefully examine loss of firmness, asymmetry, and shape to determine the design.

Treatment step: Using topical or local anesthesia, GOURI is evenly injected into the labia majora using cannula or fine needles.

Using topical or local anesthesia, GOURI is evenly injected into the labia majora using cannula or fine needles.

Treatment step: We fill deep layers with volume in areas with significant deflation. Asymmetry is also naturally corrected for improv...

We fill deep layers with volume in areas with significant deflation. Asymmetry is also naturally corrected for improved contour.

Treatment step: After treatment, we perform gentle massage to refine the shape and confirm balance.

After treatment, we perform gentle massage to refine the shape and confirm balance.

Treatment step: Mild swelling may occur but subsides quickly. Normal daily activities are possible from the same day if strenuous exe...

Mild swelling may occur but subsides quickly. Normal daily activities are possible from the same day if strenuous exercise is avoided.

Procedure Method

GOURI injection into the labia majora and plump, firm intimate areas

Doctor's Key Point

Unlike simple fillers, GOURI promotes your own collagen production, so the post-treatment texture is extremely soft with minimal foreign-body sensation. This is the optimal choice for patients who fear 'hardening from injections' or 'unnatural appearance.' It's a fundamental anti-aging treatment that restores fullness to the external genital area.

Dr. Senki Akashi

Patient Testimonials

  • Patient testimonial: I no longer notice the wrinkles.

    I no longer notice the wrinkles.

  • Patient testimonial: The restored fullness has boosted my confidence.

    The restored fullness has boosted my confidence.

  • Patient testimonial: The volume is balanced and underwear chafing no longer bothers me.

    The volume is balanced and underwear chafing no longer bothers me.

Case Examples

  • Labia majora GOURI and labia majora hyaluronic acid injection case photo

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    Labia Majora GOURI +
    Labia Majora Hyaluronic Acid Injection
  • Labia majora GOURI and labia majora hyaluronic acid injection case photo

    This content contains sensitive material.
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    Labia Majora GOURI +
    Labia Majora Hyaluronic Acid Injection
  • Labia majora GOURI and labia majora hyaluronic acid injection case photo

    This content contains sensitive material.
    Would you like to proceed?

    Labia Majora GOURI +
    Labia Majora Hyaluronic Acid Injection

Pricing

Labia Majora GOURI
1 vial ¥110,000
2 vials ¥209,000

We recommend a total of 2 vials, one for each side (left and right).

※Additional 10% discount when combined with labia majora hyaluronic acid treatment.

Downtime

Shower
Allowed from the next day.
Sexual activity
After approximately 1 week
Side effects
Swelling, pain, edema, and bruising naturally resolve within several days to 1 week.

※Individual variation applies

Vaginal GOURI

What is Vaginal GOURI?
What is Vaginal GOURI?
  • Concerned about vaginal laxity
  • Looking for a non-surgical treatment option
  • Similar to vaginal rejuvenation injections, this regenerative treatment involves fine injections of GOURI into the vaginal walls like a skin booster.
  • The collagen-stimulating action of liquid PCLA (polycaprolactone) naturally enhances vaginal firmness, moisture, and thickness.
  • It improves dryness, reduced friction, discomfort, and mild laxity caused by aging, childbirth, and hormonal changes by addressing the quality of the mucosa itself.
  • Collagen production increases over time, resulting in a natural, soft outcome.

Recommended for those who

  • Wish to improve discomfort from dryness, friction, and underwear chafing
    Wish to improve discomfort from dryness, friction, and underwear chafing
  • Are concerned about volume loss and deflation of the labia majora
    Are concerned about volume loss and deflation of the labia majora
  • Want to naturally correct asymmetry and irregular shape
    Want to naturally correct asymmetry and irregular shape

Treatment Process

Treatment step: GOURI is injected in multiple fine points throughout the vaginal walls.

GOURI is injected in multiple fine points throughout the vaginal walls.

Treatment step: Small amounts are carefully injected into the mucosa to locally promote collagen production. Thickness, moisture, and...

Small amounts are carefully injected into the mucosa to locally promote collagen production. Thickness, moisture, and elasticity of vaginal mucosa improve.

Treatment step: Treatment time is relatively short with minimal post-treatment discomfort as a key feature.

Treatment time is relatively short with minimal post-treatment discomfort as a key feature.

Procedure Method

GOURI injection into the labia majora and plump, firm intimate areas

Doctor's Key Point

Vaginal GOURI supports collagen production in the vaginal mucosa and enhances firmness and moisture from within. It aims for natural improvement of dryness and changes that tend to occur with age or after childbirth. This is suitable for those seeking natural restoration rather than temporary volume correction.

Dr. Senki Akashi

Patient Testimonials

  • Patient testimonial: I feel the vaginal dryness has lessened.

    I feel the vaginal dryness has lessened.

  • Patient testimonial: Firmness seems restored and daily life is more comfortable.

    Firmness seems restored and daily life is more comfortable.

  • Patient testimonial: Age-related intimate discomfort has eased.

    Age-related intimate discomfort has eased.

Pricing

Vaginal GOURI
1 vial ¥110,000
3 vials ¥310,000

Downtime

Shower
Allowed from the next day.
Sexual activity
After approximately 1 week
Side effects
Swelling, pain, edema, and bruising naturally resolve within several days to 1 week.

※Individual variation applies

G-Shot Injection

What is G-Shot Injection
What is G-Shot Injection?
  • The G-Shot Injection is a treatment in which hyaluronic acid is injected directly into the G-spot — one of the key erogenous zones of the female body. In addition to enhancing sexual satisfaction, it may also help address vaginal dryness.
  • Gently augmenting the G-spot to create a fuller, more elevated profile, making it easier to achieve orgasm
  • Enhancing satisfaction in your intimate life, which can also lead to a deeper, more fulfilling connection with your partner
  • Leveraging the moisture-retaining properties of hyaluronic acid to soothe vaginal dryness and restore natural hydration

Recommended for those who

  • Feeling a decrease in sensitivity that has made sexual experience less satisfying
    Feeling a decrease in sensitivity that has made sexual experience less satisfying
  • Experiencing pain or discomfort during intercourse due to vaginal dryness
    Experiencing pain or discomfort during intercourse due to vaginal dryness
  • Wanting to improve vaginal condition with a treatment that involves minimal downtime
    Wanting to improve vaginal condition with a treatment that involves minimal downtime
  • Wanting to make intimate moments with a partner more fulfilling and deeply satisfying
    Wanting to make intimate moments with a partner more fulfilling and deeply satisfying

Doctor's Key Point

Dr. Akiko Miyamoto

The G-Shot Injection is completed with injections alone, featuring virtually no downtime and minimal impact on daily life. As the hyaluronic acid used is gradually absorbed by the body, re-injection is generally recommended every six months to one and a half years, depending on individual results. Thanks to hyaluronic acid's exceptional moisture-retaining properties, the G-Shot can also help restore hydration within the vaginal area and is expected to reduce irritation caused by dryness. Why not consider it as a way to reconnect with your body and embrace a more comfortable, fulfilling everyday life? No matter how sensitive your concern may be, please know that you are always welcome to reach out to us with confidence.

Patient Testimonials

  • Patient testimonial: After the treatment, I found myself able to enjoy my intimate life with a much more positive outlook.

    After the treatment, I found myself able to enjoy my intimate life with a much more positive outlook.

  • Patient testimonial: I felt completely at ease knowing my concerns were listened to with such care by a doctor well-versed in feminine wel...

    I felt completely at ease knowing my concerns were listened to with such care by a doctor well-versed in feminine wellness.

  • Patient testimonial: I was really pleased that there was virtually no downtime and it had very little impact on my daily routine.

    I was really pleased that there was virtually no downtime and it had very little impact on my daily routine.

Pricing

G-Shot Injection
1 session ¥165,000

Downtime

Shower
Allowed from the same day.
Sexual activity
Allowed from the same day.
Side effects
Swelling, pain, edema, bruising, etc.

※Individual variation applies

Dyspareunia Botox

What is Dyspareunia Botox
What is Dyspareunia Botox?
  • Dyspareunia Botox is a treatment that involves injecting Botox into the area near the vaginal opening (vestibule) and the pelvic floor muscles to relieve muscle tension, helping to address pain experienced during intercourse.
  • Directly targeting the muscles responsible for causing pain during intercourse
  • A non-surgical treatment completed quickly with injections alone
  • Minimal impact on daily life with virtually no downtime

Recommended for those who

  • Those who experience severe pain that makes it difficult to complete intercourse
    Those who experience severe pain that makes it difficult to complete intercourse
  • Those who have been told there are no abnormalities by a gynecologist, yet continue to experience pain during interco...
    Those who have been told there are no abnormalities by a gynecologist, yet continue to experience pain during intercourse
  • Those who find it difficult to relax the muscles during penetration
    Those who find it difficult to relax the muscles during penetration
  • Those who have tried various gynecological treatments in the past but have not experienced meaningful improvement in...
    Those who have tried various gynecological treatments in the past but have not experienced meaningful improvement in pain

Doctor's Key Point

Dr. Akiko Miyamoto

Sex is a vital form of communication between partners, and one of the most meaningful ways to express love and deepen connection. If pain stands in the way of that intimacy, it can become a barrier to the precious moments that bring two people closer together. Alleviating physical pain through Dyspareunia Botox is a first step toward healing both body and mind, and building a healthier, more fulfilling relationship.

Patient Testimonials

  • Patient testimonial: I was anxious about the injection, but the warmth and care of the female staff helped me relax throughout the entire...

    I was anxious about the injection, but the warmth and care of the female staff helped me relax throughout the entire procedure.

  • Patient testimonial: The sharp pain I used to feel during penetration has eased, and the emotional burden I had been carrying has lifted a...

    The sharp pain I used to feel during penetration has eased, and the emotional burden I had been carrying has lifted as well.

  • Patient testimonial: My fear of pain has diminished, and I've been able to approach intimate moments with my partner in a much more positi...

    My fear of pain has diminished, and I've been able to approach intimate moments with my partner in a much more positive way.

Pricing

Dyspareunia Botox
¥96,800

Downtime

Shower
Allowed from the next day.
Sexual activity
After approximately 1 week
Side effects
Some blood may appear in vaginal discharge for a few days following the procedure.

※Individual variation applies

Botox for Dyspareunia

What is
Botox for Dyspareunia
What is Botox for Dyspareunia?
  • Botox for Dyspareunia is a treatment that involves injecting Botox into the sweat glands of the pubic area. It works by suppressing the activity of the apocrine glands — a type of sweat gland — helping to prevent the growth of odor-causing bacteria responsible for genital bromhidrosis.
  • Non-surgical care for genital odor caused by genital bromhidrosis
  • An injection-only procedure with a short treatment time and minimal downtime
  • For your privacy and comfort, all treatments are performed by female doctors and female staff

Recommended for those who

  • Concerned about genital odor or stuffiness
    Concerned about genital odor or stuffiness
  • Unable to focus during intimacy due to worry about odor
    Unable to focus during intimacy due to worry about odor
  • Have been told by a partner that there is an odor
    Have been told by a partner that there is an odor
  • Odor persists even after washing underwear or clothing
    Odor persists even after washing underwear or clothing

Doctor's Key Point

Dr. Akiko Miyamoto

Genital bromhidrosis can be caused by hormonal fluctuations and the naturally moisture-retaining structure of the female anatomy. Because this is such a delicate and personal concern, we encourage you not to face it alone — please feel free to reach out to us. Through a medical approach, we are here to support you every step of the way, offering both treatment options and self-care guidance to help you feel comfortable and confident in your everyday life.

Patient Testimonials

  • Patient testimonial: I loved that it's just an injection — it had very little impact on my daily routine.

    I loved that it's just an injection — it had very little impact on my daily routine.

  • Patient testimonial: Because it's such an intimate concern, I felt so much more at ease knowing the procedure was performed by a female do...

    Because it's such an intimate concern, I felt so much more at ease knowing the procedure was performed by a female doctor.

  • Patient testimonial: After going out or exercising, I notice the odor much less than I used to.

    After going out or exercising, I notice the odor much less than I used to.

Pricing

Botox for Dyspareunia
Allergan (USA) ¥77,000
Korean Brand ¥44,000

Downtime

Shower
Available from the same day
Sexual activity
Available one week after the procedure
Side effects
Bruising, redness, swelling, and pain at the injection site, etc.

※Individual variation applies

Labia Minora Reduction

What is Labia Minora Reduction?
What is Labia Minora Reduction?
  • Improves size and asymmetry
  • Relieves discomfort from friction and improves hygiene
  • A surgical procedure that removes excess skin from enlarged labia minora and reshapes them. The labia minora is located inside the labia majora (the outer raised parts of the external genitalia) and surrounds the clitoris (glans) and vaginal opening.
  • Labia minora reduction improves the size and asymmetry of the labia minora, reducing discomfort from friction and improving hygiene.
  • The surgery uses local or intravenous anesthesia to minimize pain while removing excess tissue from the labia minora, then suturing to reshape them.

Recommended for those who

  • Seek options to improve the cosmetic appearance of my labia minora.
    Seek options to improve the cosmetic appearance of my labia minora.
  • Experience friction or pain from their labia minora rubbing against clothing or underwear.
    Experience friction or pain from their labia minora rubbing against clothing or underwear.
  • Experience pain during intercourse.
    Experience pain during intercourse.
  • Experience discomfort when riding bicycles.
    Experience discomfort when riding bicycles.
  • Have issues with discharge or menstrual blood accumulation causing moisture or odor.
    Have issues with discharge or menstrual blood accumulation causing moisture or odor.

Procedure Method

Labia minora reduction procedure diagram

Doctor's Key Point

With the suture-free procedure, the "insuture method" leaves no visible stitches on the outside, with less downtime and pain and a beautiful finish!

Dr. Yumi Hattori

Patient Testimonials

  • Patient testimonial: The protruding parts are gone, and I can walk confidently in my favorite public bath.

    The protruding parts are gone, and I can walk confidently in my favorite public bath.

  • Patient testimonial: No more friction when riding a bicycle!

    No more friction when riding a bicycle!

Case Examples

  • Labia minora reduction, clitoral hood reduction, and labia majora hyaluronic acid injection case photo

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    Bilateral Labia Minora Reduction + Bilateral Clitoral Hood
    Reduction + Labia Majora Hyaluronic Acid Injection
  • Labia minora reduction and labia majora hyaluronic acid injection case photo

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    Labia minora reduction
    + labia majora hyaluronic acid injection
  • Labia minora reduction and excess skin removal case photo

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    Labia minora reduction
    + removal of excess skin

Pricing

Vulvar Aesthetic Surgery
Labia Minora Reduction (with sutures) ¥275,000
Labia Minora Reduction (sutureless) ¥398,000
Clitoral Hood Reduction (with sutures) ¥152,000
Clitoral Hood Reduction (sutureless) ¥220,000
Clitoral Hood Excision (with sutures) ¥220,000
Clitoral Hood Excision (sutureless) ¥298,000
Labia Majora Reduction (with sutures) ¥330,000
Labia Majora Reduction (sutureless) ¥498,000
BIANCA METHOD
(Labia Minora Reduction + Clitoral Hood Reduction +
Clitoral Hood Excision)
¥481,580

Downtime

Shower
Allowed from the same day.
Sexual activity
Sutureless: After approximately 2 weeks, With sutures
: After approximately 4 weeks.
Side effects
Swelling, pain, puffiness, or bruising may occur after the procedure. These symptoms typically subside within about 2 weeks for sutureless procedures, and within about 4 weeks for procedures involving sutures. However, individual recovery may vary.

Hood Removal

What is Hood Removal?
What is Hood Removal?
  • Shape varies by individual and can cause odor
  • Removal is possible if appearance or function is a concern
  • A surgical procedure to remove excess skin from clitoral hood. The hood is a thin fold in front of the labia minora, not considered an essential organ with no particular functional role.
  • The shape of the hood varies widely—some people don't have one, some have a double hood, some have it only on one side—and any form is normal. However, residue can accumulate between the folds, causing odor. If appearance or function is a concern, removal is possible.
  • Surgery is performed using local or intravenous anesthesia to minimize pain while removing the hood and suturing to reshape the area.

Recommended for those who

  • Are concerned about the appearance of my vulva due to a prominent clitoral hood.
    Are concerned about the appearance of my vulva due to a prominent clitoral hood.
  • Want combined labiaplasty and clitoral hood reduction to improve the overall appearance of my vulva.
    Want combined labiaplasty and clitoral hood reduction to improve the overall appearance of my vulva.
  • Experience clitoral hood friction, rubbing causes pain and discomfort.
    Experience clitoral hood friction, rubbing causes pain and discomfort.
  • Feel a pulling sensation or discomfort in the clitoral hood during intercourse.
    Feel a pulling sensation or discomfort in the clitoral hood during intercourse.
  • Have issues with trapped moisture from discharge or period causing odor and discomfort.
    Have issues with trapped moisture from discharge or period causing odor and discomfort.

Procedure Method

Clitoral hood removal procedure diagram

Doctor's Key Point

With the suture-free procedure, the "insuture method" leaves no visible stitches on the outside, with less downtime and pain and a beautiful finish♪

Dr. Yumi Hattori

Patient Testimonials

  • Patient testimonial: The protruding parts are gone, and I can walk confidently in my favorite public bath.

    The protruding parts are gone, and I can walk confidently in my favorite public bath.

  • Patient testimonial: No more rubbing! I don't worry anymore when wearing tight clothes at the gym♪

    No more rubbing! I don't worry anymore when wearing tight clothes at the gym♪

Case Examples

  • Labia minora reduction, clitoral hood excision, and labia majora hyaluronic acid injection case photo

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    Bilateral Labia Minora Reduction + Bilateral Clitoral Hood Excision + Labia Majora Hyaluronic Acid Injection

Pricing

Vulvar Aesthetic Surgery
Labia Minora Reduction (with sutures) ¥275,000
Labia Minora Reduction (sutureless) ¥398,000
Clitoral Hood Reduction (with sutures) ¥152,000
Clitoral Hood Reduction (sutureless) ¥220,000
Clitoral Hood Excision (with sutures) ¥220,000
Clitoral Hood Excision (sutureless) ¥298,000
Labia Majora Reduction (with sutures) ¥330,000
Labia Majora Reduction (sutureless) ¥498,000
BIANCA METHOD
(Labia Minora Reduction + Clitoral Hood Reduction + Clitoral Hood Excision)
¥481,580

Downtime

Shower
Allowed from the next day.
Sexual activity
after approximately 2 weeks, With sutures: after approximately 4 weeks.
Side effects
Swelling, pain, puffiness, or bruising may occur after the procedure. These symptoms typically subside within about 2 weeks for sutureless procedures, and within about 4 weeks for sutured procedures. However, recovery times may vary from person to person.

Vaginal Wall Reconstruction

What is
Vaginal Wall Reconstruction?
What is Vaginal Wall Reconstruction?
  • For those whose vaginal mucosa is visible from the outside after childbirth or who want to improve vaginal tightness.
  • A surgery that removes part of the mucosa from inside the vaginal wall and sutures it together to reduce the size of the vaginal interior. This allows for tightening from the vaginal opening to the back of the vagina, improving vaginal tightness.
  • This is a useful treatment for those whose vaginal muscles have remained stretched after childbirth or those whose pelvic floor muscles have weakened with age.
  • By narrowing the vaginal interior, issues such as water leakage from the vagina, menstrual blood leakage when using tampons, and urinary incontinence are resolved. Additionally, increased vaginal tightness enhances sensitivity during intercourse for both partners, improving satisfaction with intimate life.

Recommended for those who

  • Are concerned about vaginal looseness due to childbirth or aging
    Are concerned about vaginal looseness due to childbirth or aging
  • Experience water leakage from the vagina after bathing or swimming
    Experience water leakage from the vagina after bathing or swimming
  • Have vaginal mucosa visible from the outside
    Have vaginal mucosa visible from the outside
  • Want to improve sensitivity and tightness during intercourse
    Want to improve sensitivity and tightness during intercourse

*GSM...Genitourinary Syndrome of Menopause.
Intimate zone discomfort in menopausal women such as vaginal pain, itching, discomfort, and frequent urination due to decreased female hormones.

Procedure Method

Vaginal wall reconstruction procedure diagram

Doctor's Key Point

Dr. Akiko Miyamoto

A gynecologist's vaginal wall reconstruction (vaginal reduction) thoroughly tightens the vagina while also preventing pelvic organ prolapse. We can also improve conditions where the vaginal opening is gaping and vaginal mucosa is visible.

Patient Testimonials

  • Patient testimonial: My mucosa doesn't dry out anymore! The vaginal mucosa is no longer visible from the opening!

    My mucosa doesn't dry out anymore! The vaginal mucosa is no longer visible from the opening!

  • Patient testimonial: My mucosa doesn't bulge out anymore♪ The feeling of vaginal mucosa bulging during bowel movements is gone!

    My mucosa doesn't bulge out anymore♪ The feeling of vaginal mucosa bulging during bowel movements is gone!

Case Examples

  • Vaginal wall reconstruction and vaginal opening reconstruction case photo

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    Vaginal Wall Reconstruction × Vaginal Opening

Pricing

Vaginal Wall Reconstruction ¥550,000

Downtime

Shower
Allowed from the next day.
Sexual activity
Allowed after 6 weeks.
Side effects
Swelling, pain, or bleeding may occur after the procedure. While individual recovery may vary, symptoms typically subside within approximately 6 weeks.
Sutures
None required.

Vaginal Opening Reconstruction

What is Vaginal Opening
Reconstruction?
What is Vaginal Opening Reconstruction?
  • Alleviates pain during intercourse and improves sensitivity.
  • Can also neatly repair cuts or tears from childbirth.
  • A procedure involving incision and suturing of the skin at the vaginal entrance or hardened vaginal mucosa to adjust the size of the vaginal opening. If the vaginal opening is narrow and causes pain during penetration, a procedure to widen the vaginal entrance is performed.
  • If the vaginal opening is loose due to congenital characteristics or other reasons, a procedure to narrow the vaginal entrance is performed. This gynecological reconstructive treatment provides benefits such as pain relief during intercourse and improved sensitivity by adjusting the size of the vaginal opening.
  • It's also possible to neatly repair scars from episiotomy or tears during childbirth. If you have concerns about the size or appearance of your vaginal opening, please consult with our doctor.

Recommended for those who

  • Experience pain during intercourse
    Experience pain during intercourse
  • Experience bleeding during intercourse
    Experience bleeding during intercourse
  • Are concerned about episiotomy scars
    Are concerned about episiotomy scars
  • Are concerned about vaginal looseness due to childbirth or aging
    Are concerned about vaginal looseness due to childbirth or aging
  • Are concerned about childbirth scarring
    Are concerned about childbirth scarring

Procedure Method

Vaginal opening reconstruction procedure diagram

Doctor's Key Point

Dr. Akiko Miyamoto

We neatly repair areas with episiotomy or perineal tears. We also improve conditions where the vaginal opening is gaping and vaginal mucosa is visible!

Patient Testimonials

  • Patient testimonial: The feeling that my vagina was open is gone, and the vaginal mucosa is no longer visible from the opening!

    The feeling that my vagina was open is gone, and the vaginal mucosa is no longer visible from the opening!

  • Patient testimonial: My mucosa doesn't dry out anymore.

    My mucosa doesn't dry out anymore.

Case Examples

  • Vaginal opening reconstruction case photo

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    Vaginal Opening Reconstruction
  • Vaginal rejuvenation, tightening, labia majora hyaluronic acid, and vaginal opening formation case photo

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    Vaginal rejuvenation injection + vaginal tightening
    + hyaluronic acid injection into the labia majora
    + vaginal opening formation

Pricing

Vaginal Opening Reconstruction ¥275,000

Downtime

Shower
Allowed from the next day.
Sexual activity
Allowed after the 1-month follow-up examination.
Side effects
Swelling, pain, or bleeding may occur after the procedure. Individual recovery may vary. Please monitor your condition until your 1-month follow-up. If you experience severe symptoms, contact the clinic promptly.
Sutures
None required.

Clitoral Hood Reduction

What is
Clitoral Hood Reduction
What is Clitoral Hood Reduction?
  • Clitoral hood reduction is a procedure that addresses the condition in which the clitoris is covered by excess prepuce (foreskin). By removing the excess skin, the treatment helps maintain better hygiene and addresses concerns related to odor, discomfort, and reduced sensation.
  • Trimming excess prepuce to reduce discomfort such as odor and stuffiness
  • Exposing the clitoris to support potential changes in sensitivity and sensation
  • A surgical technique designed to minimize visible scarring, for a natural and aesthetically refined result

Recommended for those who

  • Concerned about odor or stuffiness in the intimate area
    Concerned about odor or stuffiness in the intimate area
  • Prone to recurring itching or inflammation around the clitoris
    Prone to recurring itching or inflammation around the clitoris
  • Having concerns about the appearance or condition of the clitoris
    Having concerns about the appearance or condition of the clitoris
  • Experiencing anxiety or dissatisfaction related to sexual activity
    Experiencing anxiety or dissatisfaction related to sexual activity

Doctor's Key Point

Dr. Akiko Miyamoto

Clitoral hood redundancy can contribute to more than just aesthetic concerns — it may also lead to issues such as odor, itching, and sensory discomfort. That said, not every case requires a procedure, as the most appropriate approach varies depending on individual condition and physiology. Depending on your goals and condition, we may also suggest combining procedures such as labia minora reduction or accessory skin removal to achieve a more comprehensive refinement of the intimate area. We are committed to guiding you toward a treatment plan that thoughtfully balances both aesthetic and functional considerations, always at a pace that feels right for you.

Patient Testimonials

  • Patient testimonial: It had been a concern I had carried for a long time, but being able to speak with a female doctor made me feel comple...

    It had been a concern I had carried for a long time, but being able to speak with a female doctor made me feel completely at ease.

  • Patient testimonial: The discomfort in my intimate area has become much less noticeable, and my everyday life feels so much more comfortable.

    The discomfort in my intimate area has become much less noticeable, and my everyday life feels so much more comfortable.

  • Patient testimonial: I've gained a new sense of confidence in my intimate life with my partner.

    I've gained a new sense of confidence in my intimate life with my partner.

Pricing

Clitoral Hood Reduction
With stitch removal ¥152,020
No stitch removal required ¥220,000

Downtime

Shower
Available from the day after the procedure
Sexual activity
Available two weeks after the procedure for dissolvable sutures, or one month after the procedure for non-dissolvable sutures
Side effects
swelling, edema, bruising, pain during urination, etc.

※Individual variation applies

Empower RF(VTone+Morpheus8V)

What is Empower RF
What is Empower RF?
  • Approaching both the vagina and the pelvic floor muscles
  • For those who are concerned about vaginal looseness
  • VTone: Uses intravaginal applicator to deliver EMS electrical stimulation to pelvic floor muscles, improving urinary leakage and laxity through neuromuscular re-education.
  • Morpheus8V: Combines ultra-fine microneedling with RF energy to heat vaginal and external genital mucosa and subcutaneous tissue, promoting collagen remodeling.
  • This comprehensive treatment aims for overall improvement of vaginal firmness, moisture, thickness, and elasticity.

Recommended for those who

  • Are experiencing vaginal laxity, dryness, and texture deterioration due to aging or childbirth
    Are experiencing vaginal laxity, dryness, and texture deterioration due to aging or childbirth
  • Are concerned about mild to moderate urinary leakage (pelvic floor muscle weakness)
    Are concerned about mild to moderate urinary leakage (pelvic floor muscle weakness)
  • Wish to avoid surgery and comprehensively address 'laxity + mucosal quality decline' that injections alone cannot ful...
    Wish to avoid surgery and comprehensively address 'laxity + mucosal quality decline' that injections alone cannot fully correct

Treatment Process

VTone

Treatment step: Medical history, pelvic floor muscle function, and vaginal/external genital condition are examined. Intravaginal disi...

Medical history, pelvic floor muscle function, and vaginal/external genital condition are examined. Intravaginal disinfection as needed

Treatment step: Intravaginal applicator is inserted and EMS induces repeated pelvic floor muscle contractions for several minutes

Intravaginal applicator is inserted and EMS induces repeated pelvic floor muscle contractions for several minutes

Morpheus8V

Treatment step: Ultra-fine needle applicator is inserted into vagina and external genital area

Ultra-fine needle applicator is inserted into vagina and external genital area

Treatment step: Microneedles provide micro-stimulation to vaginal mucosa while delivering RF energy to promote vaginal rejuvenation.

Microneedles provide micro-stimulation to vaginal mucosa while delivering RF energy to promote vaginal rejuvenation.

Doctor's Key Point

This is a highly effective non-surgical plan that perfectly combines 'muscle training (VTone)' with 'mucosal tightening (Morpheus8V).' It not only tightens the vagina but also effectively improves the difficult-to-discuss issue of urinary leakage. If you want comprehensive and deep-layer intimate area rejuvenation without surgery, this is a well-balanced and reliable combined treatment.

Dr. Yuu Okubo

Patient Testimonials

  • Patient testimonial: I no longer notice the wrinkles.

    I no longer notice the wrinkles.

  • Patient testimonial: The restored fullness has boosted my confidence.

    The restored fullness has boosted my confidence.

  • Patient testimonial: The volume is balanced and underwear chafing no longer bothers me.

    The volume is balanced and underwear chafing no longer bothers me.

Case Examples

  • Empower RF case photo

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    Empower RF
  • Empower RF case photo

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    Empower RF
  • Empower RF case photo

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    Empower RF
  • Empower RF case photo

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    Empower RF

Pricing

Empower RF
VTone
Intravaginal
※Tip included / 1 session
¥55,000
Intravaginal
※Tip included / 6 sessions
¥150,000
Intravaginal
※Tip included / 12 sessions
¥264,000
Intravaginal
※For those with existing tips / 1 session
¥25,000
Intravaginal
※For those with existing tips / 6 sessions
-
Intravaginal
※For those with existing tips / 12 sessions
-
Empower RF
Morpheus8V
Intravaginal / 1 session ¥165,000
Intravaginal / 3 sessions ¥495,000※Tip included
External genital area / 1 session ¥165,000
External genital area / 3 sessions ¥495,000※Tip included
Intravaginal +
External genital area / 1 session
¥300,000
Intravaginal +
External genital area / 3 sessions
¥792,000※Tip included
Separate dedicated tip fee / 1 session ¥30,000
Separate topical anesthesia fee / 1 session ¥3,630
Additional Option
Sunekos Application / 1 session
¥66,000
Additional Option
Sunekos Application / 3 sessions
¥165,000
Additional Option
Exosome Application / 1 session
¥88,000
Additional Option
Exosome Application / 3 sessions
¥224,400
Additional Option
Sunekos + Exosome Application / 1 session
¥54,000
Additional Option
Sunekos + Exosome Application / 3 sessions
¥389,400

Downtime

Shower
Allowed from the next day.
Sexual activity
After approximately 1 week
Side effects
Swelling, pain, edema, and bruising naturally resolve within several days to 1 week

※Individual variation applies

Alma Duo

What is Alma Duo
What is Alma Duo?
  • For those experiencing pain or discomfort related to sexual function
  • For those who seek sexual wellness treatment with minimal pain and downtime
  • A non-invasive approach to support female sexual function with minimal pain and downtime.
  • By delivering shockwaves to the treatment area, new blood vessels are formed and blood flow is improved. The treatment aims to enhance sensitivity, improve lubrication, and restore natural function.
  • The procedure is brief, and results are often noticeable within a short treatment period.

Recommended for those who

  • Experience painful intercourse or vaginal dryness
    Experience painful intercourse or vaginal dryness
  • Have pain or discomfort related to sexual function
    Have pain or discomfort related to sexual function
  • Want to increase satisfaction and intimacy during intercourse
    Want to increase satisfaction and intimacy during intercourse
  • Suffer from chronic pelvic pain syndrome or vulvar vestibulitis
    Suffer from chronic pelvic pain syndrome or vulvar vestibulitis
  • Seek sexual wellness treatment with minimal pain and downtime
    Seek sexual wellness treatment with minimal pain and downtime

Treatment Process

Treatment step: During consultation, we determine whether Alma Duo treatment is appropriate for you.

During consultation, we determine whether Alma Duo treatment is appropriate for you.

Treatment step: The treatment area (external genital area) is disinfected. A probe is applied to the vulvar skin surface for approxim...

The treatment area (external genital area) is disinfected.
A probe is applied to the vulvar skin surface for approximately 15 minutes.

Doctor's Key Point

Dr. Akiko Miyamoto

Alma Duo is a “fourth-generation” shockwave therapy device with high penetration depth and efficient treatment delivery. At our clinic, the treatment is performed by physicians with extensive expertise in female sexual anatomy. A board-certified obstetrician-gynecologist is also on staff, allowing you to undergo advanced treatment with confidence and safety.

Patient Testimonials

  • Patient testimonial: After a few weeks, my sensitivity increased and time with my partner became more enjoyable.

    After a few weeks, my sensitivity increased and time with my partner became more enjoyable.

  • Patient testimonial: A painless 15-minute treatment. My painful intercourse improved, and I was surprised by the natural changes.

    A painless 15-minute treatment. My painful intercourse improved, and I was surprised by the natural changes.

Pricing

Alma Duo
Orgasmic dysfunction (800 shots)
1 session ¥32,000
6 sessions
(1 course)
¥172,800
Stress urinary incontinence
(1,200 shots)
1 session ¥48,000
6 sessions
(1 course)
¥259,220
Painful intercourse / decreased lubrication (1,200 shots)
1 session ¥48,000
6 sessions
(1 course)
¥259,220
Vestibulitis
(1,200 shots)
1 session ¥48,000
6 sessions
(1 course)
¥259,220
DM-related female sexual dysfunction (1,200 shots)
1 session ¥48,000
6 sessions
(1 course)
¥259,220
Chronic pelvic pain syndrome
1 session ¥72,000
6 sessions
(1 course)
¥388,800

Downtime

Shower
Allowed from the same day.
Sexual activity
Allowed from the same day.
In very rare cases, numbness or mild discomfort may remain at the treatment site, but no special treatment is required and symptoms usually subside within a few days.

※Individual variation applies

Intimate Area Chemical Peel

What is
Intimate Area Chemical Peel
What is Intimate Area Chemical Peel?
  • The Intimate Area Chemical Peel is a treatment that addresses hyperpigmentation, dullness, and loss of firmness in the intimate area (labia majora) caused by friction from underwear or sanitary pads, dryness, and hormonal imbalances. The procedure utilizes either Massage Peel or Lara Secret.
  • Targets hyperpigmentation and dullness without causing skin peeling
  • Works deep into the dermal layer to support skin restructuring, promoting collagen production for improved firmness
  • Smoothness and firmness can be felt in the skin immediately after the procedure

Recommended for those who

  • Concerned about hyperpigmentation or dullness in the intimate area
    Concerned about hyperpigmentation or dullness in the intimate area
  • Wanting to extend your skincare routine to include the intimate area
    Wanting to extend your skincare routine to include the intimate area
  • Wanting to wear a swimsuit with confidence
    Wanting to wear a swimsuit with confidence
  • Wanting to feel more confident during intimate moments
    Wanting to feel more confident during intimate moments

Doctor's Key Point

Dr. Akiko Miyamoto

While some patients notice smoother, firmer skin after just a single session, continuing with regular treatments is expected to deliver even greater results over time. For those concerned about hyperpigmentation, gradual improvement can be anticipated with each additional session.
At BIANCA CLINIC, same-day combination treatments with Forma V — a radiofrequency (RF) device known for its skin-tightening and elasticity-enhancing effects — are also available.

Patient Testimonials

  • Patient testimonial: I'm so glad I can now take care of the dullness in my intimate area that I had been concerned about, and do so on a r...

    I'm so glad I can now take care of the dullness in my intimate area that I had been concerned about, and do so on a regular basis.

  • Patient testimonial: The staff provided such attentive, compassionate care that I never felt embarrassed at all.

    The staff provided such attentive, compassionate care that I never felt embarrassed at all.

  • Patient testimonial: I've gained a new sense of confidence during intimate moments.

    I've gained a new sense of confidence during intimate moments.

Pricing

Intimate Area Chemical Peel
1 Sessions ¥16,280
3 Sessions ¥43,780
6 Sessions ¥76,780

Downtime

Shower
Available from the same day
Sexual activity
Sexual activity can be resumed on the same day after the procedure.
Side effects
Redness, dryness, peeling, scabbing, etc.

※Individual variation applies

TriFill Pro for Intimate Area

What is
TriFill Pro for Intimate Area
What is TriFill Pro for Intimate Area?
  • TriFill Pro for Intimate Area is a treatment designed to give the labia majora a brighter appearance and a fuller, more youthful feel. Using a device that delivers a uniform combination of carbon dioxide gas and active ingredients, specially formulated agents aimed at brightening skin tone are carefully injected into the treatment area.
  • Improving the condition of the intimate area for a brighter, fuller appearance
  • Customizable combinations with skin boosters or exosomes available based on individual concerns and goals
  • Micro-cannulas are used to minimize discomfort throughout the procedure

Recommended for those who

  • Beginning to feel self-conscious about the color or appearance of the labia majora
    Beginning to feel self-conscious about the color or appearance of the labia majora
  • Noticing a loss of volume in the labia majora
    Noticing a loss of volume in the labia majora
  • Considering anti-aging care for the intimate area
    Considering anti-aging care for the intimate area
  • Drawn to the idea of a carefully performed injection treatment by a skilled physician
    Drawn to the idea of a carefully performed injection treatment by a skilled physician

Doctor's Key Point

Dr. Akiko Miyamoto

Many women find themselves concerned about the appearance of their intimate area, and we frequently hear from patients who feel they have reached the limits of what self-care alone can achieve. When that moment comes, it may be time to turn to the power of medicine.
A defining feature of BIANCA CLINIC's TriFill Pro for Intimate Area is that the injection procedure is performed directly by a physician with an in-depth understanding of female anatomy. Our team deeply empathizes with sensitive concerns such as hyperpigmentation and loss of volume — and as women ourselves, we are dedicated to helping each patient achieve her ideal.

Patient Testimonials

  • Patient testimonial: I had never been able to share this concern with anyone, but having it listened to with such care — and receiving the...

    I had never been able to share this concern with anyone, but having it listened to with such care — and receiving the right treatment — gave me a real sense of relief.

  • Patient testimonial: I've gained more confidence than before when it comes to intimate moments with my partner.

    I've gained more confidence than before when it comes to intimate moments with my partner.

  • Patient testimonial: What drew me in was the expertise of a physician performing something that simply isn't achievable through self-care...

    What drew me in was the expertise of a physician performing something that simply isn't achievable through self-care alone — and the results truly lived up to my expectations.

Pricing

TriFill Pro for Intimate Area
1 Sessions ¥99,000
3 Sessions ¥267,300

Downtime

Shower
Showering is allowed on the same day, but avoid hot water
and do not rub the treated area.
Sexual activity
Sexual intercourse is not allowed on the same day. Please wait approximately 7 days before resuming.
Side effects
Redness, dryness, peeling, scabbing, etc.

※Individual variation applies

Contraceptive Implant

What is
Contraceptive Implant
What is Contraceptive Implant?
  • A contraceptive implant is a small, thin, stick-shaped device inserted just beneath the skin of the upper arm for the purpose of birth control. Once in place, it can provide effective contraception for up to three years, and in some cases, may also help alleviate menstrual pain and heavy periods.
  • Protecting against unintended pregnancy to support women's health and life planning
  • Contraceptive effectiveness lasts up to three years, with routine check-ups recommended every six months to one year
  • A fully supported care environment for the procedure, regular check-ups, and any unexpected concerns that may arise

Recommended for those who

  • Looking for a contraceptive method that provides long-lasting effectiveness
    Looking for a contraceptive method that provides long-lasting effectiveness
  • Those who worry about forgetting to take the pill
    Those who worry about forgetting to take the pill
  • Those who are hesitant about having a device placed inside the uterus
    Those who are hesitant about having a device placed inside the uterus
  • Wanting to enjoy a fulfilling sex life with peace of mind
    Wanting to enjoy a fulfilling sex life with peace of mind

Doctor's Key Point

Dr. Akiko Miyamoto

The contraceptive implant is a "female-led" method of birth control that is becoming increasingly common around the world, particularly in Western countries. It is also a popular choice for those who feel anxious about taking the pill, tend to forget to take it, or are hesitant about having a device placed inside the uterus.
When it comes to contraceptive implants, proper assessment before the procedure and a reliable aftercare system are essential. Since changes such as irregular bleeding may occur, it is important to choose an environment where you can easily consult with a medical professional whenever concerns arise.

Patient Testimonials

  • Patient testimonial: Every step — from the internal examination to the consultation and the procedure itself — was carried out with such c...

    Every step — from the internal examination to the consultation and the procedure itself — was carried out with such care and thoroughness that I felt completely at ease.

  • Patient testimonial: The fluctuations in my mood and physical condition have become much more manageable, making it easier to plan both my...

    The fluctuations in my mood and physical condition have become much more manageable, making it easier to plan both my work and personal life.

  • Patient testimonial: They walked me through a comparison of several contraceptive options, which gave me the confidence to choose the impl...

    They walked me through a comparison of several contraceptive options, which gave me the confidence to choose the implant knowing it was the right fit for me.

Pricing

Contraceptive Implant
Insertion ¥88,000
Removal (In-house) ¥16,500
Removal (From another clinic) ¥49,500

Downtime

Shower
Available from the same day
Sexual activity
Contraceptive effect begins around day 7 after insertion
Side effects
Bruising, swelling, and pain in the arm, irregular bleeding, etc.

※Individual variation applies

Birth Control Pills

What is
Birth Control Pills
What is Birth Control Pills?
  • Birth control pills are oral contraceptives containing two synthetic female hormones — estrogen and progestin — as their primary active ingredients. By taking one pill every day at a consistent time, a high level of contraceptive effectiveness can be expected.
  • When taken correctly, up to 99% contraceptive effectiveness can be expected
  • Supports contraception by suppressing ovulation and preventing the conditions necessary for pregnancy to occur
  • Enables planned, lifestyle-friendly contraception that fits your individual routine

Recommended for those who

  • Those seeking a highly effective method of contraception
    Those seeking a highly effective method of contraception
  • Those troubled by monthly menstrual issues such as painful periods or heavy flow
    Those troubled by monthly menstrual issues such as painful periods or heavy flow
  • Those whose daily life is affected by PMS (premenstrual syndrome)
    Those whose daily life is affected by PMS (premenstrual syndrome)
  • Those who wish to manage contraception in a way that fits their lifestyle
    Those who wish to manage contraception in a way that fits their lifestyle

Doctor's Key Point

Dr. Akiko Miyamoto

Birth control pills are one of the options available to support the quality of life of women living in the modern world. At our clinic, we view them as an important part of everyday self-care — going beyond the purpose of contraception alone, and helping each woman live life on her own terms.
Whether you are taking the pill for the first time or continuing long-term use, we are here to support your health over time through prescriptions tailored to your physiology and attentive, personalized follow-up care.

Patient Testimonials

  • Patient testimonial: The irritability and skin breakouts I used to experience before my period have settled down, and my day-to-day life f...

    The irritability and skin breakouts I used to experience before my period have settled down, and my day-to-day life feels so much easier than before.

  • Patient testimonial: My flow has lightened, and I've finally been freed from the anxiety and discomfort of worrying about leaks during my...

    My flow has lightened, and I've finally been freed from the anxiety and discomfort of worrying about leaks during my period.

  • Patient testimonial: Without the constant worry of unintended pregnancy, I've been able to truly enjoy my time with my partner.

    Without the constant worry of unintended pregnancy, I've been able to truly enjoy my time with my partner.

Pricing

Birth Control Pills
Favore 28
1 sheet ¥2,800
Labelfeel 28
1 sheet ¥2,800

Downtime

Shower
Available from the same day
Sexual activity
Contraceptive effect begins around day 7 of continued use
Side effects
During the initial period of use, possible symptoms include nausea, headaches, irregular bleeding, breast tenderness, and mood changes. There is also a slight increase in the risk of thrombosis.

※Individual variation applies

Mirena®

What is Mirena®
What is Mirena?
  • Mirena® is a T-shaped intrauterine device (IUD) placed inside the uterus. It continuously releases progestin, making it an effective option for both contraception and the management of menstrual concerns.
  • A single insertion can provide contraceptive effectiveness for up to five years
  • No daily intake or management required, making it easy to incorporate into any lifestyle
  • A long-term option that also takes into account relief from menstrual-related discomfort

Recommended for those who

  • Not currently wishing to become pregnant
    Not currently wishing to become pregnant
  • Those who want to minimize the time and effort of regular clinic visits and ongoing management
    Those who want to minimize the time and effort of regular clinic visits and ongoing management
  • Those struggling with concerns such as menstrual pain or heavy periods
    Those struggling with concerns such as menstrual pain or heavy periods
  • Those who find it difficult to manage taking medication on a daily basis
    Those who find it difficult to manage taking medication on a daily basis

Doctor's Key Point

Dr. Akiko Miyamoto

There are many contraceptive options available, each with its own characteristics and suitability depending on the individual. What matters most is choosing a method that aligns with your lifestyle and physiology.
Mirena® offers long-term contraceptive effectiveness while reducing the burden of day-to-day management. Because it is placed inside the uterus and acts locally, it is sometimes chosen by those who are concerned about the risk of thrombosis associated with hormonal contraceptives.
Even those who have not experienced a vaginal delivery may be eligible for insertion depending on the condition of the uterus; however, as suitability varies from person to person, it is important to confirm this thoroughly during a pre-procedure consultation.

Patient Testimonials

  • Patient testimonial: Being able to consult with a female doctor gave me the reassurance I needed to make my decision with confidence.

    Being able to consult with a female doctor gave me the reassurance I needed to make my decision with confidence.

  • Patient testimonial: Not having to manage anything on a daily basis means it fits seamlessly into my life and feels easy to maintain.

    Not having to manage anything on a daily basis means it fits seamlessly into my life and feels easy to maintain.

  • Patient testimonial: My anxiety about unintended pregnancy has eased, and I'm now able to enjoy time with my partner with a true sense of...

    My anxiety about unintended pregnancy has eased, and I'm now able to enjoy time with my partner with a true sense of peace of mind.

Pricing

Mirena®
Mirena Insertion (Self-pay) ¥66,000
Mirena Removal (In-house) ¥11,000
Mirena Removal (From another clinic) ¥16,500
Mirena Replacement Fee ¥5,500

Downtime

Shower
Available from the same day
Sexual activity
Available one week after the procedure
Side effects
Mild abdominal pain, bleeding, irregular bleeding, etc.

※Individual variation applies

Treatment Process

  • Consultation & Medical Examination

    Our female concierge will listen to your concerns and requests, followed by an examination by the doctor. We will also explain the treatment details, so please feel free to ask any questions or share any concerns you may have.

    Consultation & Medical Examination
  • Procedure

    Once you are satisfied with the explanation of the treatment, we will proceed with the procedure. Please rest assured that we use anesthesia and take other measures to minimize pain during treatments that might cause discomfort.

    Procedure
  • Aftercare

    We will explain the downtime and precautions regarding showering, intimate activity, etc. If you experience any concerning symptoms after returning home, please contact us promptly.

    Aftercare

Price List

View the price list for
hyaluronic acid injections
Vaginal Hyaluronic Acid Injections
Vaginal Hyaluronic Acid Injections Up to 10cc ¥165,000
Vaginal Hyaluronic Acid Injections Up to 20cc ¥320,000
G-Shot (for enhanced sensitivity) ¥165,000 ※ Maximum injection volume is 20cc.
※ Customers who purchase the Forma V 3-session package receive 10% off vaginal hyaluronic acid injections.
Rolls Vaginal Hyaluronic Acid Up to 10cc ¥660,000
Rolls Vaginal Hyaluronic Acid Up to 20cc ¥1,100,000
Rolls Vaginal Hyaluronic Acid – G-Shot ¥200,000

※ Maximum injection volume is 20cc.

Labia Majora Hyaluronic Acid Injection
Labia Majora Hyaluronic Acid Injection
Up to 10cc
¥250,000 ※Additional 2cc ¥33,000
Vaginal Rejuvenation
Injections
Standard Vaginal Rejuvenation (1 session) ¥88,000
Standard Vaginal Rejuvenation (3 sessions) ¥247,000
Exosome Vaginal Rejuvenation (1 session) ¥176,000
Exosome Vaginal Rejuvenation (3 sessions) ¥511,000
External Genital
Reconstruction
Labia Minora Reduction (with sutures) ¥275,000
Labia Minora Reduction (sutureless) ¥398,000
Clitoral Hood Reduction (with sutures) ¥152,000
Clitoral Hood Reduction (sutureless) ¥220,000
Clitoral Hood Excision (with sutures) ¥220,000
Clitoral Hood Excision (sutureless) ¥298,000
Labia Majora Reduction (with sutures) ¥330,000
Labia Majora Reduction (sutureless) ¥498,000
BIANCA METHOD
Labia Minora Reduction + Clitoral Hood Reduction +Clitoral Hood Excision
¥481,580
Vaginal Opening Reconstruction
¥275,000
Vaginal Wall Reconstruction
¥550,000
Labia Majora GOURI
1 vial ¥110,000
2 vials ¥209,000

We recommend a total of 2 vials, one for each side (left and right).

※Additional 10% discount when combined with labia majora hyaluronic acid treatment.

Vaginal GOURI
1 vial ¥110,000
3 vials ¥310,000
Empower RF
VTone
Intravaginal
※Tip included
1 session ¥55,000
6 sessions ¥150,000
12 sessions ¥264,000
Intravaginal
※For those with existing tips
1 session ¥25,000
6 sessions -
12 sessions -
Empower RF
Morpheus8V
Intravaginal
1 session ¥165,000
3 sessions ¥495,000※Tip included
External genital area
1 session ¥165,000
3 sessions ¥495,000※Tip included
Intravaginal +
External genital area
1 session ¥300,000
3 sessions ¥792,000※Tip included
Separate dedicated
tip fee
1 session ¥30,000
Separate topical anesthesia fee
1 session ¥3,630
Additional Option
Sunekos Application
1 session ¥66,000
3 sessions ¥165,000
Additional Option
Exosome Application
1 session ¥88,000
3 sessions ¥224,400
Additional Option
Sunekos + Exosome Application
1 session ¥54,000
3 sessions ¥389,400
Alma Duo
Orgasmic dysfunction (800 shots)
1 session ¥32,000
6 sessions
(1 course)
¥172,800
Stress urinary incontinence
(1,200 shots)
1 session ¥48,000
6 sessions
(1 course)
¥259,220
Painful intercourse / decreased lubrication (1,200 shots)
1 session ¥48,000
6 sessions
(1 course)
¥259,220
Vestibulitis
(1,200 shots)
1 session ¥48,000
6 sessions
(1 course)
¥259,220
DM-related female sexual dysfunction (1,200 shots)
1 session ¥48,000
6 sessions
(1 course)
¥259,220
Chronic pelvic pain syndrome
1 session ¥72,000
6 sessions
(1 course)
¥388,800
G-Shot Injection
1 session ¥165,000
Dyspareunia Botox
¥96,800
Botox for Dyspareunia
Allergan (USA) ¥77,000
Korean Brand ¥44,000
Clitoral Hood Reduction
With stitch removal ¥152,020
No stitch removal required ¥220,000
Intimate Area Chemical Peel
1 Sessions ¥16,280
3 Sessions ¥43,780
6 Sessions ¥76,780
TriFill Pro for Intimate Area
1 Sessions ¥99,000
3 Sessions ¥267,300
Contraceptive Implant
Insertion ¥88,000
Removal (In-house) ¥16,500
Removal (From another clinic) ¥49,500
Birth Control Pills
Favore 28
1 sheet ¥2,800
Labelfeel 28
1 sheet ¥2,800
Mirena®
Mirena Insertion (Self-pay) ¥66,000
Mirena Removal (In-house) ¥11,000
Mirena Removal (From another clinic) ¥16,500
Mirena Replacement Fee ¥5,500

FAQ

  • A1.

    The downtime for gynecological reconstruction varies depending on the procedure. When you can shower, bathe, use tampons, or resume intimate activity also varies by procedure, so the doctor will provide a detailed explanation during consultation and after treatment. If you have concerns or questions, please feel free to ask the doctor. Additionally, gynecological reconstruction treatments are performed using local or intravenous anesthesia. For those concerned about post-operative pain, we also offer anesthesia that suppresses pain for 72 hours after surgery. If you're worried about pain during gynecological reconstruction, please feel free to consult with the doctor.

  • A2.

    At BIANCA, we offer customized gynecological treatments. You can choose from multiple options such as vaginal hyaluronic acid injection and labia minora reduction. If you're unsure which options to choose, we can examine your condition and have the doctor make recommendations. Please feel free to consult with us.

  • A3.

    Gynecological reconstruction is not covered by insurance; it is a private medical service. The quality of intimate zone aesthetic procedures significantly impacts quality of life. At BIANCA, our procedures are performed by female doctors with extensive training in obstetrics and gynecology and experience in gynecological reconstruction. Please feel free to consult with us.

  • A4.

    Like hyaluronic acid injections in any area, the effects are not permanent. The hyaluronic acid formulation injected into the body is gradually absorbed over 1-2 years.

  • A5.

    At BIANCA, we use Sunekos Intimcare for vaginal rejuvenation injections. Sunekos Intimcare contains six types of amino acids and non-cross-linked hyaluronic acid, and has received European safety standard (CE mark) approval. At BIANCA, Dr. Miyamoto, who has been directly commissioned by the overseas manufacturer (Professional Dietetics S.p.A) for clinical research in Japan, performs the vaginal rejuvenation injections.
    *Six types of amino acids: Glycine, L-Proline, L-Lysine, L-Alanine, L-Valine, L-Leucine

  • A6.

    Gynecological reconstruction tailored to intimate zone concerns can enhance sensitivity and satisfaction during intercourse. For women experiencing pain during intercourse, widening the vagina through vaginal opening or wall reconstruction, or moisturizing the vagina through hyaluronic acid injections can reduce discomfort. Additionally, narrowing the vagina through vaginal opening or wall reconstruction, or plumping the vaginal interior through hyaluronic acid injections can enhance satisfaction for both partners during penetration. At BIANCA, we use Sunekos Intimcare as the skin booster for our vaginal rejuvenation injections. Sunekos Intimcare contains a unique blend of six amino acids and non-crosslinked hyaluronic acid. This product is CE-marked, meeting European safety standards.
    *Six types of amino acids: Glycine, L-Proline, L-Lysine, L-Alanine, L-Valine, L-Leucine

  • A7.

    The time required varies depending on the gynecological reconstruction surgery. For details, please ask the doctor or staff.

  • A8.

    BIANCA offers free health examinations. We measure vaginal health indices such as vaginal pressure measurement, vaginal moisture testing, and vaginal pH checks. Dr. Miyamoto, a Japan Obstetrics and Gynecology Society certified specialist, conducts the examinations, so please feel free to discuss any intimate zone concerns.

  • A9.

    The hood is the skin attached from the clitoris to the labia minora, and some people don't have it. Hood removal, as the name suggests, is a procedure to remove the hood. For those with large labia minora and a hood, removing the hood along with labia minora reduction during gynecological reconstruction creates a neat appearance.

  • A10.

    The gynecological reconstruction case photos can be viewed by clicking (tapping) on them, which removes the mosaic and allows you to view the case photos.

【Limited Release Requirements】

Vaginal Hyaluronic Acid Injection
Cost: ¥165,000–¥1,100,000
※Maximum hyaluronic acid injection volume is 20cc.
※This treatment is provided as a private medical service and is not covered by insurance.

Hyaluronic Acid Filler Injection into Labia Majora (Labia Majora Hyaluronic Acid Injection)
Cost: Up to 10cc per session ¥250,000 (Additional 2cc ¥33,000)
※This treatment is provided as a private medical service and is not covered by insurance.

Vaginal Rejuvenation Injection
Cost: ¥88,000–¥176,000 per session
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: 1 course consists of 3 injections every 3–4 weeks
Side effects/risks: Swelling, pain, edema, bruising, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment includes the use of pharmaceuticals not approved in Japan or treatments that differ from approved indications.
The pharmaceuticals and medical devices used in treatment are imported individually under the judgment of our clinic physicians.
For information regarding pharmaceuticals requiring caution in personal importation, please refer to the following:https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there are no other domestically approved pharmaceuticals or medical devices with the same ingredients or performance.
Information regarding safety in other countries: -Obtained CE Mark certification for European safety standards
In the unlikely event of serious side effects, this treatment is not covered by Japan's Pharmaceutical and Medical Device Relief System.

GOURI Injection into Labia Majora (Labia Majora GOURI)
Cost: 1 vial ¥110,000, 2 vials ¥209,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: 3 sessions every 3 months, then resumption after 1 year following examination ※Varies depending on condition.
Side effects/risks: Redness, swelling, edema, bruising, papules, puffiness, itching, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use pharmaceuticals that have not received pharmaceutical approval in Japan.
The pharmaceuticals used in treatment are imported individually under the judgment of physicians. For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals with the same ingredients.
Information regarding safety in other countries: -"GOURI" has obtained CE Mark approval in Europe.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's Pharmaceutical and Medical Device Relief System.

GOURI Injection into Vagina (Vaginal GOURI)
Cost: 1 vial ¥110,000, 3 vials ¥310,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: 3 sessions every 3 months, then resumption after 1 year following examination ※Varies depending on condition.
Side effects/risks: Redness, swelling, edema, bruising, papules, puffiness, itching, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use pharmaceuticals that have not received pharmaceutical approval in Japan.
The pharmaceuticals used in treatment are imported individually under the judgment of physicians. For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals with the same ingredients.
Information regarding safety in other countries: -"GOURI" has obtained CE Mark approval in Europe.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's Pharmaceutical and Medical Device Relief System.

G-Shot Injection
Recommended treatment frequency : Once per session
May vary depending on individual condition.
Risks & Side Effects : Swelling, bruising, allergic reaction, embolism, infection, lidocaine allergy, etc.
Important Notice Regarding Unapproved Medications :
This treatment may involve the use of medications that have not received regulatory approval in Japan.
The medications used in this treatment are individually imported under the judgment of a physician.
For details, please refer to the Ministry of Health, Labour and Welfare's information on "Medications Requiring Caution Regarding Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained regulatory approval, there may be no other domestically approved medications containing the same ingredients.
Serious risks or side effects may not yet have been fully identified.
In the event of a serious adverse reaction, compensation may not be available under Japan's Adverse Drug Reaction Relief System.

Dyspareunia Botox
Cost: ¥110,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Typically 1 session ※Varies depending on condition.
Side effects/risks: Pain, swelling, infection, bleeding, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use pharmaceuticals that have not received pharmaceutical approval in Japan.
The pharmaceuticals used in treatment are imported individually under the judgment of physicians. For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals with the same ingredients.
Information regarding safety in other countries: -"BOTOX VISTA" has obtained FDA (U.S. Food and Drug Administration) approval.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's Pharmaceutical and Medical Device Relief System.

Botox for Dyspareunia
Cost: ¥110,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment frequency : Varies depending on the treatment site and condition.
Risks & Side Effects : Swelling, bruising, allergic reaction, infection, etc.
Important Notice Regarding Unapproved Medications :
This treatment may involve the use of medications that have not received regulatory approval in Japan.
The medications used in this treatment are individually imported under the judgment of a physician.
For details, please refer to the Ministry of Health, Labour and Welfare's information on "Medications Requiring Caution Regarding Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained regulatory approval, there may be no other domestically approved medications containing the same ingredients.
Information on overseas safety : Serious risks or side effects may not yet have been fully identified.
In the event of a serious adverse reaction, compensation may not be available under Japan's Adverse Drug Reaction Relief System.

Labia Minora Reduction Surgery
Cost: ¥341,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Typically 1 session
Side effects/risks: Pain, swelling, infection, bleeding, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use medical devices that have not received pharmaceutical approval in Japan.
The medical devices used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved medical devices with the same performance.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's relief system (Pharmaceutical and Medical Device Relief System).

Accessory Skin Removal Surgery
Cost: ¥220,000–¥330,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Typically 1 sessionSide effects/risks: Pain, swelling, infection, bleeding, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use medical devices that have not received pharmaceutical approval in Japan.
The medical devices used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved medical devices with the same performance.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's relief system (Pharmaceutical and Medical Device Relief System).

Vaginal Wall Reconstruction
Cost: ¥550,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Typically 1 session
Side effects/risks: Pain, bleeding, swelling, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use medical devices that have not received pharmaceutical approval in Japan.
The medical devices used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved medical devices with the same performance.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's relief system (Pharmaceutical and Medical Device Relief System).

Vaginal Opening Reconstruction (Perineoplasty)
Cost: ¥275,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Typically 1 session
Side effects/risks: Pain, bleeding, swelling, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use medical devices that have not received pharmaceutical approval in Japan.
The medical devices used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved medical devices with the same performance.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's relief system (Pharmaceutical and Medical Device Relief System).

Clitoral Hood Reduction
Recommended treatment frequency : Typically once
May varies depending on individual condition.
Risks & Side Effects : Infection, swelling, bruising, bleeding, scarring, pain, etc.

Empower RF (VTone, Morpheus8V)
Cost:VTone: ¥25,000–¥55,000 per session
Morpheus8V: ¥165,000–¥300,000 per session (Separate dedicated tip fee ¥30,000, topical anesthesia fee ¥3,630)
※Additional options available
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: VTone: Approximately twice weekly for the first 2 weeks, then once every 4 weeks for multiple sessions
Morpheus8V: Approximately 3 sessions every 3–6 weeks ※Varies depending on condition.
Side effects/risks: Swelling, pain, redness, abdominal pain, blistering, crust formation, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use medical devices that have not received pharmaceutical approval in Japan.
The medical devices used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved medical devices with the same performance.
Information regarding safety in other countries: -"EMPOWER RF" has obtained FDA (U.S. Food and Drug Administration) approval.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's relief system (Pharmaceutical and Medical Device Relief System).

Alma Duo
Cost: Estimated treatment schedule and number of sessions: twice per week for three weeks (approximately 6 sessions in total).
This may vary depending on the condition.
Risks and side effects: pain, numbness, or discomfort at the treatment site.
"Precautions: The following individuals may not be eligible for treatment:
・Those with tumors in the treatment area
・Those with skin diseases in the treatment area
・Those showing signs of infection in the treatment area
・Those with tumors in the treatment area
・Those who are pregnant or may be pregnant
・Those with blood clotting disorders or taking anticoagulant medication
・Those with unexplained uterine bleeding, uterine polyps, or symptomatic (or large) uterine fibroids
・Those with medically significant gynecological abnormalities other than vaginal atrophy
・Those with local infections in the treatment area or currently active sexually transmitted infections"
"Notice regarding unapproved medical devices:
・This treatment may involve the use of a medical device that has not been approved under Japan’s Pharmaceutical and Medical Device Act.
・The medical device used in this procedure is imported through a physician-managed personal import process. For details, please refer to the Ministry of Health, Labour and Welfare website regarding personal imports of medical devices:
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
・Except for products that have received official approval, there may be no equivalent approved medical device in Japan with the same performance.
・Regarding safety information overseas, Alma Duo® has received approval from the U.S. Food and Drug Administration (FDA).
・Serious risks or side effects may not yet be fully identified.
・In the event of severe adverse effects, this treatment may not be eligible for compensation under Japan’s national adverse drug reaction relief system."

Intimate Area Chemical Peel
Cost: ¥22,000–¥44,000 per session (Separate anesthesia fee ¥3,630)
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: 3 sessions once every 3–4 weeks ※Varies depending on condition.
Side effects/risks: Pain, redness, pigmentation, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use pharmaceuticals that have not received pharmaceutical approval in Japan.
The pharmaceuticals used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals with the same ingredients.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's Pharmaceutical and Medical Device Relief System.

TriFill Pro for Intimate Area
Cost: ¥165,000–¥330,000 per session (Separate anesthesia fee ¥3,630)
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Approximately 3 sessions every 3–6 weeks ※Varies depending on condition.
Side effects/risks: Swelling, pain, redness, abdominal pain, blistering, crust formation, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use medical devices that have not received pharmaceutical approval in Japan.
The medical devices used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved medical devices with the same performance.
Information regarding safety in other countries: -"TriFill Pro" has obtained FDA (U.S. Food and Drug Administration) approval.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's relief system (Pharmaceutical and Medical Device Relief System).

Contraceptive Implant (Implanon NXT®)
Cost: ¥100,000–¥200,000 (Removal ¥30,000)
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Once per insertion, effective for approximately 3 years
Side effects/risks: Pain, bleeding, swelling, infection, irregular bleeding, headache, nausea, mood changes, decreased libido, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use pharmaceuticals that have not received pharmaceutical approval in Japan.
The pharmaceuticals used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals with the same ingredients.
Information regarding safety in other countries: -"Implanon NXT®" has obtained approval from FDA (U.S. Food and Drug Administration) and CE Mark approval in Europe.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's Pharmaceutical and Medical Device Relief System.

Birth Control Pills
Cost: Favoir® 28 1 pack ¥2,420, MARVELON 28 1 pack ¥3,300
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Take 1 tablet orally each day starting on the first day of menstruation
Side effects/risks: Nausea, headache, breast tenderness, irregular bleeding, mood changes, thrombosis, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use pharmaceuticals that have not received pharmaceutical approval in Japan.
The pharmaceuticals used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals with the same ingredients.
Information regarding safety in other countries: -"Favoir® 28" has been approved in various countries including Europe and Asia.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's Pharmaceutical and Medical Device Relief System.

Mirena® (Levonorgestrel-Releasing Intrauterine System)
Cost: ¥55,000–¥77,000
※This treatment is provided as a private medical service and is not covered by insurance.
Recommended treatment period/frequency: Once per insertion, effective for approximately 5 years
Side effects/risks: Pain, bleeding, infection, device expulsion, perforation, irregular bleeding, amenorrhea, etc.
Regarding Treatment Using Unapproved Medical Devices and Pharmaceuticals
This treatment may use pharmaceuticals and medical devices that have not received pharmaceutical approval in Japan or may involve use outside approved indications.
The pharmaceuticals and medical devices used in treatment are imported individually under the judgment of physicians.
For details, please refer to the Ministry of Health, Labour and Welfare's "Information on Pharmaceuticals Requiring Caution in Personal Importation."
https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
Except for products that have obtained pharmaceutical approval, there may be no other domestically approved pharmaceuticals or medical devices with the same ingredients or performance.
Information regarding safety in other countries: -"Mirena®" has obtained FDA (U.S. Food and Drug Administration) approval and CE Mark approval in Europe.
Serious risks or side effects may not yet be known.
In the unlikely event of serious side effects, this may not be covered by Japan's relief system (Pharmaceutical and Medical Device Relief System).