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The Author

DR. AKIKO MIYAMOTO

  • Board Certified Obstetrician and Gynecologist

Dr. Akiko Miyamoto is a leading expert in aesthetic gynecology, focusing on both gynecological care and female sexual wellness. With a compassionate approach, she is dedicated to helping women embrace every stage of life.At BIANCA CLINIC, she offers a wide range of services, from aesthetic treatments like vaginal rejuvenation and labiaplasty to routine gynecological care, including menstrual and contraceptive management. In March 2024, she achieved a significant milestone by being appointed the world's first and only Medytox-certified instructor for vaginal hyaluronic acid injection, highlighting her international leadership in the field.Her areas of expertise include vaginal hyaluronic acid injection, labiaplasty, and other advanced vaginal rejuvenation procedures.

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The New and Improved Female Wellness Clinic’s Taking Japan by Storm

At BIANCA CLINIC, we know how hard it can be to find a female wellness clinic that can provide you with the trust and service you desire. That is why we decided to make this clear and practical guide to explain how female wellness should be delivered in everyday settings in Tokyo, Japan. You will learn what services are available, which specialists to trust, and how to compare options without being easily misled. Our goal is simple: to help you choose safe, evidence-informed care that supports comfort, function, and confidence for a happier self.

 

What a Female Wellness Clinic Offers in Tokyo

In the past, a female wellness clinic focused mainly on pelvic health, sexual comfort, and bladder control across life stages. Though extremely important and assessed even today, clinics in Tokyo go one further, with services that address more specific issues such as dryness, laxity, mild stress urinary leakage, birth recovery, and perimenopausal changes. Also, female wellness is not only aesthetic. Often it prioritizes function, using everyday tools such as questionnaires, focused examinations, and when indicated, ultrasound. One thing is clear though, a reputable female wellness clinic in Tokyo, will include a board-certified obstetrician-gynecologist (OB-GYN), a female urologist, pelvic floor therapists, and experienced nurses. This is because many clinics in Japan pair medical care with practical coaching on lifestyle improvement, namely sleep, stress, and nutrition, to support lasting habits that support longevity goals.


How to Choose a Female Wellness Clinic in Tokyo

For safe, reliable results, choose clinics led by specialists in women’s health. In particular, look for an OB-GYN for reproductive and vaginal concerns, and a female urologist for bladder and pelvic floor issues. Asking the right questions is also very important especially before you commit to a female wellness program. Below are some questions and topics that you should either ask or consider, so that you get more familiar with the services that female wellness clinics provide in Tokyo.

 

  • Is an OB-GYN or female urologist directly assessing and treating you for all procedures?
  • Will you receive a thorough history, exam, and any needed tests before procedures?
  • Which technologies are used, and what peer-reviewed data supports them?
  • Will you receive ethically presented before & after galleries with typical timelines and ranges?
  • Do they have a clear plan to review outcomes and refine your female wellness program?
  • Do they have itemized pricing, including potential touch-ups or therapy sessions included in the cost?

BIANCA CLINIC’s Procedure Flow for Female Wellness in Tokyo


Though details vary from person to person, here is a typical BIANCA CLINIC procedure flow designed for privacy, safety, and the utmost clarity:

  • Step 1 — Booking and pre-visit: Reserve online or by phone, complete a brief questionnaire, and receive guidance on potential appointment dates and times.
  • Step 2 — Check-in and privacy: Discreet reception, consent forms, and chaperone options for patients with specific needs.
  • Step 3 — Specialist consultation: A board-certified OB-GYN discusses symptoms, goals, and goes through patient medical history in a clear and accessible language.
  • Step 4 — Diagnostic work-up: Focused pelvic examination, infection screening if indicated, and, when appropriate, ultrasound or pelvic floor testing.
  • Step 5 — Shared plan: Your clinician outlines your female wellness options (e.g., therapy, energy-based devices, medications) listing the benefits, limitations, and potential side effects (if any).
  • Step 6 — Treatment day: Preparation and cleansing, topical or local anesthesia if necessary, precise device settings, and a procedure typically lasting 15–30 minutes depending on location and depth.
  • Step 7 — Aftercare: Written instructions, what to expect in the short-term (e.g. mild warmth, light spotting), guidance on what activities you can continue and what you must be weary of, and most importantly a 24–72 hour check-in window to ensure patients have peace of mind.
  • Step 8 — Follow-up: Lastly, a review visit is scheduled 4–6 weeks after any procedure with progress tracking and adjustments. Some plans at female wellness clinics may include 2–3 sessions for a cumulative effect.

 

Comparing Commonly used Therapies in Japan

 Fractional lasers (CO2/Er:YAG)

This delivers tiny columns of heat to the mucosa to support lubrication and mild laxity improvement. Its effects are gradual with comfort gains over the following weeks. The downtime is roughly 1–3 days of temporary sensitivity. Briefly avoiding intercourse and hot baths is highly recommended.

 

Radiofrequency (RF)

This procedure heats deeper tissue to encourage tightening and blood flow. Its effects are subtle to moderate, with support for tone and moisture. The downtime is usually the same day, with mild warmth or swelling temporarily occurring in the following 48hrs post treatment.

 

Pelvic floor physical therapy

This treatment is the first line of action for stress-based leakage. It utilizes guided exercises and biofeedback, and its effects are improved control and strength, provided it is undertaken with consistency and diligence. There is no downtime with this treatment but usually requires a weekly commitment in Japan.

Topical therapies (e.g., moisturizers; local estrogen if appropriate)

The aim of this treatment is to relieve dryness and discomfort. Its effect is better lubrication that gradually improves over several weeks. There is also no downtime, but patients should be aware that medical screening is needed for hormone use.

 

ECM formulations (extracellular matrix–based injectables)

This is a biologic scaffold intended to support tissue repair by supplying structural proteins and signaling cues. Its early reports suggest improvements in lubrication and tissue quality for some, but robust comparative data still remains limited. Downtime is usually 1–3 days of mild swelling or tenderness and patients should be aware that product source and regulatory status does vary in Japan. Therefore, we always recommend discussing risks (e.g., allergy, infection) and expected maintenance before undergoing this treatment.

 

Surgical Options (e.g., labiaplasty or anti-incontinence procedures)

For structural concerns or moderate-to-severe stress incontinence, we would suggest aesthetic surgery or cosmetic surgery. This is because its effects are more definitive due to anatomical changes. That said the downtime is a lot longer than non-invasive treatments for obvious reasons, and we often consider 1–2 weeks as a normal downtime range. Patients should always remember that standard surgical risks apply though, so do inquire with your medical clinician before consenting to treatment.

 

Safety, Before & After, and Follow-up in Japan

No treatment should proceed without a proper evaluation by an OB-GYN or female urologist at a female wellness clinic. Patients should always avoid procedures during pregnancy, with an active infection, or when medical conditions are poorly controlled. Results also vary depending on individual anatomy, health status, and adherence to aftercare, with guaranteed results or permanent outcomes unrealistic. You should also ask how before & after images were obtained (whether the same lighting, timing, and device settings were used) and insist on scheduled follow-up to review progress. Remember female wellness is most effective when combined with lifestyle support and pelvic floor training wherever indicated.

 

How to Prepare for your First Visit to a Female Wellness Clinic

Female wellness is all about creating a lasting and positive plan that your body can comfortably follow. Before visiting a female wellness clinic, take a note of all your concerns. That means tracking symptoms (dryness, leakage, discomfort) and bringing a current medication list. You should avoid douching or new topical products for 24–48 hours before your examination, plan your timing around your menstrual cycle when possible and clarify your goals (comfort, function, confidence) to better understand your female wellness plan before discussing it with a medical professional. Lastly, you should not schedule any heavy activities before or after the appointment, especially if you anticipate a procedure. In fact, at BIANCA CLINIC over half of our patients go from consultation to procedure the very same day.

 

Evidence-based Female Wellness Clinics in Tokyo

Choosing a female wellness clinic is easier when you focus on qualified specialists, clear assessment, and realistic expectations. In Tokyo and across female wellness clinics in Japan, prioritize care led by an OB-GYN or female urologist, ask for transparent data, and follow a structured plan like the BIANCA CLINIC flow laid out above. With a thoughtful approach to female wellness, most people see steady improvements in comfort and function, all of which should fit seamlessly into a patient’s everyday lifestyle.

 

Biography

AKIKO MIYAMOTO

Dr. Akiko Miyamoto,
Board-Certified Obstetrician & Gynecologist / Certified Trainer in Aesthetic GynecologyDr. Akiko Miyamoto is a leading expert in aesthetic gynecology, specializing not only in gynecological care but also in vaginal rejuvenation and sexual wellness. With a compassionate and empowering approach, she is dedicated to helping women embrace and enjoy every stage of womanhood.
At BIANCA CLINIC, Dr. Miyamoto provides comprehensive women’s health and aesthetic treatments, including vaginal rejuvenation therapy, vaginal hyaluronic acid injections, and gynecological cosmetic surgery (such as labiaplasty and hood reduction). She also offers routine gynecological consultations, menstrual and contraceptive management with oral pills and levonorgestrel-releasing intrauterine systems (LNG-IUS), supporting women’s quality of life (QOL) from both medical and aesthetic perspectives.
In March 2024, she was appointed as the world’s first and only Medytox-certified instructor for vaginal hyaluronic acid injection, a prestigious recognition that underscores her international leadership in this field.
Areas of Expertise: Vaginal hyaluronic acid injection, Labiaplasty (labia minora reduction), Clitoral hood reduction, Vaginal rejuvenation injection and more…

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Clinic Locations

📍  Ginza Clinic

12F Ginza ONE, 1-8-19 Ginza, Chuo-ku, Tokyo, Japan

☎  050-3196-4834

🚇  Access:

🚶‍♀️ A 4-minute walk from  Ginza Station  on the Tokyo Metro Ginza Line.

🚶‍♀️ A 1-minute walk from  Exit 7 of Ginza-itchome Station  on the Tokyo Metro Yurakucho Line.

🚶‍♀️ A 3-minute walk from  Exit 3 of Kyobashi Station  on the Tokyo Metro Ginza Line.

🚶‍♀️ An 8-minute walk from the  Kyobashi Exit of JR Yurakucho Station .


📍  Omotesando Clinic

Minami-Aoyama 511 Building 2F, 5-11-10 Minami-Aoyama, Minato-ku, Tokyo, Japan

☎  050-1807-1593

🚇  Access:

🚶‍♀️ A 5-minute walk from  Exit B1 of Omotesando Station  on the Tokyo Metro Ginza Line, Hanzomon Line, and Chiyoda Line.


Consultation Hours:  10:00–19:00  Closed:  Irregular holidays


About BIANCA Clinic

At BIANCA, we redefine beauty care by offering a holistic approach that transcends traditional cosmetic surgery and dermatology. 20 specialized doctors in different fields including plastic surgery, dermatology, internal medicine, regenerative medicine, gynecology will carefully listen to your needs and help you to enhance your beauty and wellness from the inside out. We are committed to creating personalized treatment plans with precision and care, and ensuring you experience the true spirit of Japanese omotenashi and hospitality.