AGA & FAGA · Shimbashi & Ginza

Hair loss treatment in Shimbashi and Ginza, Tokyo

Finasteride and dutasteride are ¥4,800 a month and there is no consultation fee when medication is prescribed. No health insurance card and no ID are required. One minute from Shimbashi Station, one stop from Ginza on the Ginza line.

From ¥4,800 / monthHair Revival 3-month pack ¥18,000No consultation feeNo insurance card or ID1 min from ShimbashiAlso treats FAGA in womenOnline, nationwide

Hair loss treatment costs ¥4,800 a month at Shinbashi Ginza Swift Clinic, one minute on foot from Shimbashi Station and one stop from Ginza. Finasteride and dutasteride are both ¥4,800 for a month, minoxidil is ¥6,000 a bottle, and female pattern hair loss (FAGA) is treated with Hair Revival-FF at ¥13,800. There is no consultation fee when medication is prescribed, so ¥4,800 is the whole first-month cost. You are not asked for a Japanese health insurance card, a residence certificate or any ID. The option we most often recommend is Hair Revival, which combines finasteride 1mg and oral minoxidil 5mg in one daily tablet — currently ¥18,000 for a three-month pack, or ¥6,000 a month. The oral minoxidil in it is not approved as a medicine in Japan; please read the notice below. Treatment is ongoing rather than a fixed course, and online consultation with postal delivery is available anywhere in Japan.

Finasteride
¥4,800 / month
Dutasteride
¥4,800 / month
Minoxidil
¥6,000 / bottle
Hair Revival
¥13,800 / month
Hair Revival 3-month pack
¥18,000 (¥6,000 / month)
Women (FAGA)
¥13,800 / month
Consultation fee
¥0 when prescribed
Insurance card / ID
Not required
From Shimbashi
1 minute on foot
From Ginza
1 stop on the Ginza line
Pricing

What it costs

Every price is published. There is no separate consultation charge and no course to sign up to.

AGA and FAGA medication
MedicationWhat it doesQuantityPrice (incl. tax)
FinasterideBlocks the DHT that drives male pattern hair loss31 tablets¥4,800
DutasterideBlocks DHT more broadly than finasteride31 tablets¥4,800
MinoxidilImproves blood flow at the follicle to encourage growth1 bottle¥6,000
Hair Revival
BEST VALUE
Finasteride 1mg and oral minoxidil 5mg in one tablet. The option we most often recommend.30 tablets¥13,800
Hair Revival — 3-month packThe same tablet, three months at once
works out at ¥6,000 a month
90 tablets¥18,000
campaign price
Hair Revival-DDutasteride with oral minoxidil, blocking DHT more broadly30 tablets¥15,800
Hair Revival-FFFor female pattern hair loss (FAGA). Minoxidil-based, no finasteride30 tablets¥13,800
Best value — Hair Revival, three months at once¥18,000
What you are given

The medication we dispense

These are the preparations kept in stock. Which one you are given depends on what the doctor prescribes after the consultation.

Hair Revival bottle of 30 capsules containing finasteride and oral minoxidilHair RevivalFinasteride and oral minoxidil in one capsule. One bottle is a month.¥13,800 per month
Hair Revival-D bottle of capsules containing dutasteride and oral minoxidilHair Revival-DDutasteride instead of finasteride, blocking DHT more broadly.¥15,800 per month
Hair Revival-FF bottle, labelled finasteride free, for female pattern hair lossHair Revival-FFFor female pattern hair loss. Minoxidil-based, with no finasteride.¥13,800 per month
A 60ml bottle of 5% minoxidil topical solutionMinoxidil, topicalApplied to the scalp rather than taken. Often used alongside a tablet.¥6,000 per bottle

Finasteride and dutasteride on their own are dispensed as plain tablets. Medication is handed over at the clinic on the day in most cases.

Monthly prices, tax included. There is no consultation fee when medication is prescribed — the figure above is the whole amount, with nothing added for the first visit. A consultation that ends without any prescription is ¥3,000. The ¥18,000 three-month pack is a campaign price and can end without notice — the price confirmed at your consultation is the one that applies. The oral minoxidil in Hair Revival, Hair Revival-D and Hair Revival-FF is not approved as a medicine in Japan; please read about this unapproved medicine before booking. Prices for other treatments are on the pricing page.

If you already take something

Propecia, Avodart, Rogaine — what they are called here

If you started treatment in another country, you probably know your medication by its brand name. Japanese clinics generally prescribe by the active ingredient, which is why the names on this page may look unfamiliar. They are the same substances.

Brand names and what they correspond to here
You may know it asActive ingredientHerePrice
Propecia, ProscarFinasterideFinasteride¥4,800 / month
AvodartDutasterideDutasteride¥4,800 / month
Rogaine, RegaineMinoxidilMinoxidil¥6,000 / bottle

Bring the box or a photo of it. Strengths and formulations differ between countries, so the doctor will want to see what you have been taking before continuing it. Tell us at the consultation how long you have been on it and whether anything changed while you were.

Background

What actually works

Treating it early is the whole game

Androgenetic alopecia is progressive. The follicles that have already closed do not reopen, so treatment is far better at keeping hair than at bringing it back. That is an unglamorous thing for a clinic to say, but it is the reason not to wait another year.

How the medication divides up

  • Finasteride and dutasteride attack the cause: they suppress DHT, the androgen that shrinks follicles. This is what slows or stops the loss.
  • Minoxidil works on the other side, improving blood flow at the follicle to push growth.
  • Hair Revival combines finasteride 1mg and oral minoxidil 5mg in a single tablet, so it covers both sides of the problem — slowing the loss and pushing growth — in one daily tablet instead of two separate prescriptions. Hair Revival-D uses dutasteride in place of the finasteride, with the same oral minoxidil, and Hair Revival-FF is the minoxidil-based version for women, without finasteride. The dose is confirmed by the doctor at your consultation. Oral minoxidil is not an approved medicine in Japan.

Why Hair Revival is the one we usually suggest

Finasteride slows the loss; minoxidil works on growth. Most people end up wanting both, which normally means two prescriptions. Hair Revival puts finasteride 1mg and oral minoxidil 5mg together in a single daily tablet, which is simpler to keep up — and keeping it up is the whole point, since these treatments only work while you take them.

On the three-month pack it comes to ¥6,000 a month, close to finasteride on its own at ¥4,800. Three months also fits how the treatment actually works: you need about six months before judging the result, so a three-month supply gets you halfway there without re-ordering. It is not the right choice for everyone — the doctor will say so if a single agent suits you better.

Women are treated differently, not less

Female pattern hair loss has a different mechanism and a different drug. Finasteride and dutasteride are not prescribed to women — women of childbearing age should not even handle broken tablets. Hair Revival-FF is minoxidil-based and contains no finasteride, which is why it can be prescribed to women. It must not be taken during pregnancy or while breastfeeding, or by anyone who may be pregnant, and it is not prescribed under the age of 20. As with the men's formulation, the oral minoxidil in it is not approved in Japan.

Timeline

What to expect, month by month

Hair grows slowly, and the drugs work by holding on to what you have before they add anything. Judging too early is the most common reason people give up on treatment that was working.

The first weeks: shedding can increase

Some people see more hair coming out in the first weeks, not less. This is usually temporary — follicles moving into a new growth phase push the old hair out first — and it is not a sign that the treatment is failing. It settles. Tell the doctor if it worries you rather than stopping on your own.

Around three months

Too early to judge the result. What people usually notice first is that the loss has slowed, rather than anything new appearing.

Around six months

This is the usual point to assess. Six months of consistent daily use is what most guidance suggests before deciding whether the treatment suits you.

A year and beyond

A fuller picture of what the treatment holds. Results vary between people, and no clinic can promise a particular outcome. Treatment is ongoing rather than a course — stopping usually means the loss resumes over the following months.

Using it

How to take it

  • Tablets — one tablet once a day, with water or lukewarm water. Taking it at roughly the same time each day makes it easier not to miss.
  • Minoxidil solution — applied twice a day, morning and evening, to a clean scalp. Wash your hands afterwards, and let it dry before using any styling product.
  • Consistency matters more than timing. Six months of daily use is the usual minimum before judging the result.

If your scalp becomes itchy or irritated where the solution is applied, stop and speak to the doctor rather than pushing through it. If you take medication for blood pressure, say so before minoxidil is prescribed — it can interact.

Safety

Side effects, and what to watch for

These are prescription medicines and the doctor will go through this with you before anything is prescribed. The short version:

  • Reduced libido and erectile difficulty are the side effects most often reported with finasteride and dutasteride. They are uncommon, and usually resolve if the medication is stopped.
  • Liver function changes are rare but recognised.
  • Treatment lowers PSA readings. If you are screened for prostate cancer, tell the doctor doing the screening that you take this — otherwise the result can be misread.
  • Minoxidil solution can cause scalp itching or irritation. Tell the doctor if you take blood pressure medication.

Finasteride and dutasteride are for men only. They must not be taken by women or by anyone under 20, and women who are or may become pregnant should not handle crushed or broken tablets. Women are treated with Hair Revival-FF instead, which must not be taken during pregnancy or while breastfeeding.

Tell the doctor everything you already take. Where it is not safe to prescribe, we will say so rather than prescribe anyway.

For international patients

Coming from abroad, or living here without national insurance

All treatment here is self-pay (自由診療), which means Japanese national health insurance is not used. For someone who is not on the national system — a short stay, a new arrival, a dependant, anyone between jobs — that turns out to be an advantage rather than an obstacle.

  • No health insurance card. It is not used and not asked for.
  • No residence certificate, no My Number card, no residence card. We take your name and how to contact you.
  • Nothing is reported to an employer or a family insurance plan, because there is no insurance claim to file.
  • Longer supplies can be arranged. If you travel for work or expect to be out of Japan for a while, ask the doctor — more than six months at a time is possible, at their discretion.
  • We can write down the active ingredient names and doses in English for you to take to a doctor in your own country.

We are not able to advise on customs rules for carrying medication between countries — that is for the authorities of the country you are travelling to. What we can do is make sure you know exactly what you are taking, in English.

How it works

Getting a prescription

  1. Book a slot onlinePick a date and time on the booking page. Same-day slots are often open.
  2. Fill in the questionnaireThe pre-visit questionnaire covers your symptoms, medical history and any medication you already take.
  3. See the doctorConsultations are held in a private room. The doctor confirms what is suitable for you and explains the risks before anything is prescribed.
  4. Treatment or prescription the same dayMedication is dispensed at the clinic on the day in most cases, and procedures are usually done at the same visit.
  5. PaymentCash, credit card and QR payment at the clinic. Online consultations are paid by credit card or bank transfer.
Long term

Staying on treatment if you leave Tokyo

Hair loss treatment only works while you keep taking it, and most people are on it for years. Moving out of the city — or out of commuting range — should not be the thing that ends it.

  • Online consultation is available anywhere in Japan. The consultation fee is ¥0 and medication is posted for ¥550.
  • Most people on long-term treatment come in once and then continue online.
  • If you are leaving Japan altogether, ask about a longer supply and about having your ingredient names written in English before you go.

Everything about the online route — the prices, the three-month pack, and what arrives — is on the hair loss treatment online page.

Access

Getting here — Shimbashi and Ginza

One minute from Shimbashi Station

1-8-4 Shimbashi, Minato-ku, Tokyo 105-0004 — Maruchu Building 7F-B. Shimbashi Station is served by the JR lines, the Tokyo Metro Ginza line, the Toei Asakusa line and the Yurikamome, and the clinic is one minute on foot from all of them.

One stop from Ginza

From Ginza Station it is a single stop on the Ginza line, about two minutes. From Ginza 8-chōme it is around an eight-minute walk, so you can come on foot if you are already in the area.

Nearest stations
StationLinesOn foot
ShimbashiTokyo Metro Ginza line1 min
ShimbashiJR Yamanote, Keihin-Tohoku, Tokaido, Yokosuka1 min
ShimbashiToei Asakusa line1 min
ShimbashiYurikamomeapprox. 2 min
ShiodomeToei Oedo line, Yurikamomeapprox. 6 min
GinzaTokyo Metro Ginza, Marunouchi, Hibiyaapprox. 10 min

Open until 21:00 on weekdays, and at weekends

Weekdays 14:00–21:00, weekends and public holidays 10:00–18:00. Last booking for a first visit is 30 minutes before closing. You can come after work or at the weekend without taking time off.

Before you book

What you need to know

About this unapproved medicine

  • Oral minoxidil is not approved as a medicine in Japan. The oral (tablet) minoxidil in Hair Revival, Hair Revival-D and Hair Revival-FF has no Japanese pharmaceutical approval.
  • How we obtain it: through a domestic import agent in Japan.
  • Whether an approved equivalent exists: minoxidil is approved in Japan as a topical solution only — the oral form is not. Finasteride and dutasteride are both approved medicines in Japan.
  • Safety information from other countries: oral minoxidil was approved by the US FDA in 1979 as the blood pressure medicine Loniten, at 10–40mg. Hair loss is not an approved indication; low doses of 0.25–5mg are used off-label in many countries. A 2024 consensus paper in JAMA Dermatology supports low-dose oral minoxidil as one option for hair loss. The commonly reported adverse effects are hypertrichosis — hair growing where you did not want it — in around 15% of people, and fluid retention or swelling in 1.3–10%, with palpitations, headache and dizziness reported less often.
  • Japan's adverse drug reaction relief system does not cover it. Because the medicine is unapproved, that compensation scheme is unavailable even in the event of a serious adverse reaction.
  • Treatment here is self-pay. Japanese national health insurance does not apply and the full amount is charged at the clinic.

Important information

  • Finasteride and dutasteride are for men only. They must not be taken by women or by anyone under 20, and women who are or may become pregnant should not handle crushed or broken tablets.
  • Hair Revival-FF is prescribed to women, but not during pregnancy or breastfeeding, not to anyone who may be pregnant, and not under the age of 20.
  • Oral minoxidil can cause hair to grow where you did not want it, and can cause fluid retention. Tell the doctor if you take blood pressure medication or have a heart or kidney condition.
  • Reported side effects include reduced libido and erectile difficulty, and rarely liver function changes. Treatment lowers PSA readings, which matters if you are screened for prostate cancer — tell the doctor doing the screening that you take it.
  • All treatments on this page are self-pay (自由診療). Japanese national health insurance does not apply, and the full amount is charged at the clinic.
  • Prices shown include consumption tax and are the prices at the time of writing. They can change without notice — the price confirmed at your consultation is the one that applies.
  • Any medicine can cause side effects. A doctor reviews your history and current medication before prescribing, and will decline to prescribe where it is not safe to do so.

Coming as an English speaker

You can be seen here without speaking Japanese. There is no English-speaking doctor — consultations are handled with a translation app and written notes. That works well for a decision that is fairly contained, which hair loss treatment usually is, and it is slower where you have a complicated history to explain. Rather than leave it at that, here is how it actually goes:

  • Before you come — the booking system and the pre-visit questionnaire are in Japanese. Message us on LINE and we will help you through both.
  • In the room — the consultation runs through a translation app, with written notes for anything that needs to be exact.
  • Afterwards — ask and we will write down the active ingredient names and doses in English.

Treatment information, pricing and access details on these pages are in English.

FAQ

Common questions

What is Hair Revival, and why do you recommend it?

It combines finasteride 1mg and oral minoxidil 5mg in one daily tablet, so a single tablet does the work that would otherwise take two prescriptions — finasteride slows the loss, minoxidil pushes growth. It is ¥13,800 a month, or ¥18,000 for a three-month pack — ¥6,000 a month, which is close to finasteride on its own. The dose is confirmed by the doctor at your consultation, and it is not the right choice for everyone. Oral minoxidil is not approved as a medicine in Japan — please read about this unapproved medicine.

What does it cost in total for the first month?

¥4,800 for finasteride or dutasteride, and nothing on top. There is no consultation fee when medication is prescribed, and no first-visit surcharge. A consultation that ends without any prescription is ¥3,000. Minoxidil solution is ¥6,000 a bottle and the women's formulation is ¥13,800 a month.

Do I need a Japanese health insurance card or any ID?

No. Neither is required. This is self-pay treatment, so national health insurance is not used — and because there is no insurance claim, nothing is reported to an employer or a family plan. No residence certificate and no My Number card either. We take your name and how to contact you.

Can I be seen if I do not speak Japanese?

Yes. There is no English-speaking doctor here — the consultation is handled with a translation app and written notes, which works well for hair loss. The booking form and questionnaire are in Japanese, so message us on LINE beforehand and we will help you complete them.

How long before I see anything?

Hair grows slowly, and these drugs work by holding on to what you have before they add anything. Most people are advised to give it six months before judging, and treatment is ongoing rather than a one-off course — stopping usually means the loss resumes.

My hair is falling out more since I started. Is that normal?

It can be. Some people shed more in the first weeks as follicles move into a new growth phase and push the old hair out. It is usually temporary and settles. Tell the doctor rather than stopping on your own.

I already take Propecia / Avodart / Rogaine. Can I continue here?

In most cases yes — those are brand names for finasteride, dutasteride and minoxidil, which are all prescribed here. Bring the box or a photo of it, since strengths and formulations differ between countries and the doctor will want to see what you have been taking.

Finasteride or dutasteride?

Both block DHT, the hormone behind male pattern loss. Dutasteride blocks a wider range of it. They are the same price here (¥4,800 a month), so the choice is clinical rather than financial — the doctor decides with you.

Can women be treated?

Yes. Female pattern hair loss (FAGA) is treated with Hair Revival-FF at ¥13,800 a month. Finasteride and dutasteride are not prescribed to women.

What are the side effects?

The ones most often reported with finasteride and dutasteride are reduced libido and erectile difficulty; they are uncommon and usually resolve if the medication is stopped. Liver function changes are rare. Treatment also lowers PSA readings, so tell anyone screening you for prostate cancer that you take it.

Can I get more than one month at a time?

Yes — more than six months at a time is possible at the doctor's discretion. If you travel for work or expect to be out of Japan for a while, say so at the consultation.

Do I have to come to the clinic every month?

No. Online consultation is available and medication can be posted anywhere in Japan, which is what most people on long-term treatment do.

Can I be seen after work or at the weekend?

Yes. Weekdays 14:00–21:00, weekends and public holidays 10:00–18:00. Last booking for a first visit is 30 minutes before closing. The clinic is one minute from Shimbashi Station and one stop from Ginza.

Last updated . Information on this page was accurate at the time of writing. All treatment here is self-pay; Japanese national health insurance does not apply. Diagnosis and prescribing follow a consultation with a doctor.

Book a hair loss consultation

¥4,800 a month, no consultation fee, no insurance card needed. One minute from Shimbashi Station, one stop from Ginza.

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