our medical services

Wellness clinic kagurazaka has integrated the most advanced medical therapies, expertise into fundamental disease resolution. Developed by a world-wide recognised functional medicine internist, our therapeutic skills and our sincere passion will steadily be leading you to the optimal comfortable health.

 

Medical Director

Profile: Dr. Linn Kaku graduated from the University of London in 1998 having received scholarships throughout her study. She was later to be accredited as a physician by the Royal College of Physicians (UK). She is also a fellow of the American Academy of Anti-aging Medicine since 2005. Dr. Linn Kaku was the first ever doctor in Japan to be a recognized specialist in anti-aging medicine by the American Board of Anti-Ageing Medicine and WSIAAM (World Society Interdisciplinary Anti-Aging Medicine) in France. She has been invited to speak and make presentations on numerous occasions at national and international congresses, as a keynote speaker and an educational speaker. She has been published in both international and local medical journals. She educates and leads medical professionals of the next generation in advanced functional medicine. Her practice encompasses internal medicine and functional medicine with a strong emphasis on individuality, cancer prevention, immunity, detoxification, and bio-identical hormone replacement.

primary care

internal medicine services

gynaecology and obstetrics

dermatology

cosmetic dermatology

 

Primary care services

We provide a full range of primary care health services for men, women and children. We will care for you when you are sick and help you stay healthy with disease prevention, lifestyle modification and specialist medical services. Some of the services we offer include: *Preventive medical care *Internal medicine diabetic care, cardiovascular care, metabolic care, gastrointestinal care, thyroid function, adrenal function, arthritis, autoimmune diseases, liver function, kidney function, infectious diseases, anaemia cancer, chronic fatigue syndrome, allergy, asthma, respiratory diseases, neurology *Pediatrics *health checkups *Immunizations *Nutrition counseling and health education Wellness Clinic Kagurazaka provides primary medical care and support services. Services include primary care, internal medicine, lifestyle education, functional medicine, bio-identical hormone replacement, cancer prevention, cancer management, gynaecology, obstetrics, dermatology, counseling and interpretation. The combination of advanced medical facilities and attentive staff means any visit to wellness clinic Kagurazaka will be a positive and invaluable one. Our passion is to provide you with excellence and reassurance across our full range of services including internal medicine, holistic functional medicine, environmental medicine, dermatology, and gynaecology.7 We recognise that every person has an individual set of genes. No matter what your circumstances, your goal or stage of life, our practitioners will provide comprehensive and compassionate care which personalised to your individual needs and your biochemical individuality. Wellness clinic Kagurazaka employs state of the art technology that is second to none, such as the latest ultrasound scanning equipment etc. What’s more, all our clinical staff are professionally specialised and undertake regular updates to ensure patients receive the utmost medical attention and comfort.

 

 

gynaecology and obstetrics

List of OBGY signs and diseases that we take care

adolescent medicine,

adolescent gynaelcology anaemia amenorrhrea bartholin's abscess breast cancer cervical cancer cervical cancer vaccine cervical polyp condylomata, warts cystitis depression, anxiety, irritability, sleeplessness discomfort on ovulation dysmenorrhorea endometrial cancer endometriosis fibrosis, fibroids Holistic infertility programme hypermenorrhorea hormone imbalance HPV (human papilloma virus) infection imbalanced autonomic nerve system infertility irregular menstruation lower abdominal pain mastitis menopause syndrome menorrhagea miscarriage mood swing ovarian cancer ovarian cyst ovulation disorder pelvic inflammatory disease pregnancy pre-menstural syndrome pre-menopause salpingitis sciatic pain and back pain sexually transmitted disease (warts, chlamydia, gonorrhorea, HIV, syphilis, genital herpes, hepatitis B, hepatitis C etc) sexual problem sleeplessness urinary disorder: urinary tract infection, incontinent, urinary stone, urinary retention etc. uterine adenomyosis uterine prolapse uterine sarcoma vaginitis, vaginal infection vaginal discharge vaginal bleeding vulvitis vulvodynia  

 

Obstetrics and Gynaecology consultation and screens

<O/G screening package ①> <Recommended for women 20~ 39 years> mini-consultation Blood pressure and weight (Body Mass Index provided) Examination of breast, abdomen and pelvic organs Transvaginal ultrasound scanning Full blood count Liver and kidney function Lipid profile inflammation profile HPV (human papilloma virus) cervical pap smear

Hormone balance evaluation by blood sample is an optional service. hormonal balance (estradiol, progesterone, thyroid profile, prolactin)  

<O/G screening package②>

Recommended for women between 40 to 55 years as well as for those suffered from premature ovarian dysfunction in 30's.. All the features of O/G screening package ① (see above) and: CA 125 for ovarian screen endmetrial pap smear.

<O/G screening package ③>

Recommended for women above 50 years All the features of O/G screening package ② (see above) and: CA125 for ovarian screen Breast ultrasound scanning.

Optional additional specific screens We can also provide the following specific health screens:

<sexual transmitted diseases (STD)>

'At Wellness Clinic Kagurazaka, we offer comprehensive STD screens for both men and women'

Basic STD screen to check for: Chlamydia (pelvic or blood) Gonorrhoea pelvic examination trichomonas transvaginal ultrasound scan Fee 20000 For men, no pelvic exam but urinary test for gonorrhea, and blood test for chlamydia antibody and consultation.

Optional tests: HPV (human papilloma virus) and cervical pap smear HPV increases a risk of cervical cancer by 70%. HPV also causes genital warts. HPV test only:16000 Cervical smear test only:13000 A set of HPV, cervical smear and pelvic exam

 Full sexual health screen to check for: pelvic examination Chlamydia Gonorrhoea HIV (a cause of AIDS) HPV (account for cervical cancer) Hepatitis B Hepatitis C Syphilis mycoplasma candida Trichomonas cervical pap smear.

Option: genital herpes swab test/genital herpes antibody blood test

 The results are generally available within a week except for a smear test in 2 weeks. On follow-up consultation, our medical consultant will discuss you the test results followed by a suitable treatment and preventive care if necessary.

 

<Fertility screen>

A fertility screen involves pelvic examination, an ultrasound scan to check your cervix, uterus, follicles, mdetection of ovulation, vaginal swabs, full blood counts, general chemistry and the level of Anti-mullerian hormone (AMH). AMH is a responsible marker to evaluate ovarian reserve.

Ovulation: pelvic examination+transvaginal ultrasound scan+urinary test

endometrial thickness+cervical mucus examination

Follicle phase blood test: FSH, LH, PRL, Estradiol

Luteal phase blood test: progesterone, Estradiol

other: thyroid profile: It is prudent to evaluate thyroid profile as either hypo or hyper activity of thyroid function makes pregnancy difficult to achieve, also useful to check for your autoimmunity. Ultra scan, TSH, fT3, fT4, thyroid autoimmune antibodies, electrolytes and inflammation markers.

adrenal function: Adrenal hormone deficiency and adrenal dysfunction affect body's overall immunity, energy production and ovarian function, so that cause difficulty in getting pregnant. DHEA-s, cortisol, ACTH challenge test, IGF-1  DHEA-S  inflammation profile: full blood counts, ESR, Fe, CRP, ferritin, RF, urinary test rubella, chlamydia, candida, toxoplasma, delayed food allergy, hypersensitivity against metals and chemicals, functional nutritional assessment: please inquire us for details. Sperm test: The main contribution from the male partner is sperm . An early assessment is extremely useful.  Our consultant will explain you about your fertility level. We tailor solutions of individual fertility problems and further detailed evaluation if necessary.

<Prenatal screen> pregnancy confirmation: pelvic examination+ transvaginal ultra scan+urinary test

pregnancy scan for viability and dating . prenatal care+growth scan 

 <gynaecological cancer> cervical cancer screening: pelvic exam+cervical smear  Cervical pap smear is recommended for all women who have ever been sexually active and who have a cervix. ACOG has come to a consensus that cervical smear should start at age of 21 year old regardless of sexual history. endometrial cancer: pelvic exam+endometrial smear or pelvic exam+endometrial biopsy , pelvic exam+transvaginal ultra scan+CA125 tumor marker+inflammatory profile.

Economical at 25000 all inclusive Ovarian cancer is more common after menopause. An annual gynaecologic examination with a and annual pelvic examination is recommended for ovarian cancer prevention among asymptomatic women. With the aid of transvaginal ultrasound and a blood test it is able to visualize ovarian cysts and ascites , and predict cancer early. CA19-9, SCC , CA15-3 are optional tumor markers relevant to other female cancer.

<cervical cancer vaccine>

In the past two years two vaccines against HPV have been developed – Gardasil and Cervarix. These vaccines help to protect against "some" of the types of HPV. Out of 90 types of HPV, HPV16 and HPV18 are associated with 70% of all the cervical cancer. Gardasil gives more than 90% protection against HPV 6, 11, 16 and 18, which are responsible for genital warts and cervical cancer. Cervarix gives more than 90% protection against HPV 16 and 18 responsible for cervical cancer. You will need to take 3 injections at 0, 1-2 and 6 months. We cannot stress how important it is to consider these vaccines seriously before becoming sexually active or if you are sexually active. Genital warts are the most common type of sexually transmitted disease. Genital warts tend to recur and sometimes difficult to resolve. HPV 6 and 11 infection cause genital warts.

3 doses to complete vaccination.  

 

About our service fee… The overall cost of treatment is dependent on your individual case. The service fee is informed prior to the start of the consultation.
 

 

 

dermatology

Wellness Clinic Kagurazaka offers a full range of diagnostic and therapeutic services for skin diseases, including: Acne (esthetic and/or fundamental treatment) Bullous diseases Cutaneous allergy environmental and occupational allergens sensitivity to chemicals, heavy metals, foods dermatology/genital-urinary problems Oral medicine for acute and chronic skin diseases (Chinese herbs. steroids, anti-histamine, hormones, bio-identical hormones, nutrition etc) hyperhidrosis=excess sweating (Chinese herbs, botox(see esthetic treatment menu), balancing autonomic nerve system) dermatitis allergy reaction insect bite mites eczema rash urticaria (hives) psoriasis (an auto-immune disease. We also look after your immune system and improve your immunity internally, which helps enhance the topical treatment of psoriasis.) lichen blister herpes (chicken pox, herpes zoster), post herpes pain post-operation and would camouflage service for special occasion

 

 

 

cosmetic dermatology

We focus on injectable treatment in cosmetic care, which we believe the best practice ever to provide literally natural beauty within.

Botox

BOTOX® injection relaxes your muscles, which results in lessening or eliminating the wrinkles and restoring youth. When injected directly into the muscle, the purified Botulinum toxin type A prevents the muscle from contracting by blocking the transmission of nerve impulses to the muscle. Because the muscle cannot contract, namely muscle gets relaxed, the wrinkle cannot form and it gradually diminishes within a week at the latest. BOTOX® Cosmetic is not as effective on static wrinkles. Static wrinkles are better treated surgically or with dermal fillers. Our favorites are fillers of hyarulonic acid such Resthylane® and Juvederm® . Injectable hyarulonic acid is identical to the hyarulonic acid that our body has. Although its effect does not last forever(lasts for 8 to10months averagely), which is the biggest advantage over the forever type synthetic fillers in terms of safety. Aged, damaged, rough, sagging and dehydrated skin gets dramatic benefit from combination of botox and dermal filler injection as most of our facial wrinkles are created by numerous causes including skin cell denature and dynamic muscles contraction. BOTOX® is mainly used to treat dynamic wrinkles in the upper part of the face. However, we use it to treat other areas of the face and neck as well, plus, we often treat migraine headaches and excessive underarm and palm sweating with botox injection. We are happy to provide you the newest aesthetic skill of botox injection to treat facial laxity and sagging cheeks and neck. This is called 'Nefertiti facial line treatment' . Nefertiti is well-known worldwide to be the most stunning beautiful woman. As you could see her bust, the picture-perfect facial contour enhances her inner beauty. It may not be difficult to imagine that 'Nefertiti treatment' is one of our popular cosmetic treatment. Last but not least, Botox is also used to treat neurological problems such as muscle contraction and muscle spasm. This promises substantial comfort for the patients. Botox injection to treat chronic migraine has been established over years. It does work This protocol is approved by the U.S. Food and Drug Administration (FDA) in 2010.  

 

Hyarulonic acid fillers: Restylane ® (made in Sweden) and Juvederm ® (made in France)

FAQ

what is restylane ®/Juvederm ® ? Restylane and Juvederm are non-animal stabilized hyaluronic acid based dermal filler.

How restylane®/Juvederm ® (hyaluronic acid, HA) works? HA is used to replenish the dermal volume loss that allows wrinkles to form. It is also used to enhance lips and fill in acne scars. Because it is minimally modified, HA seldom comes across incidence of skin reactions and requires no skin testing prior to treatment. The chemically stabilized hyaluronic acid found in HA can remain in the dermis up to one year. The HA clear solution is injected using a very fine needle, which doesn't make you feel pain but as if mosquito bite only. Plus, we employ HA mixed with topical anasthesia, which even helps minimise the injection site discomfort during the treatment. It is injected into the deeper skin layer called dermis below the wrinkle. And HA lifts the wrinkle out to the desired correction. HA is able to be injected directly into the lip for lip remodelling as well as the nose for sharpening nose line. Topical or local anesthetic is used to anesthetize the injection sites. Mild to moderate stinging and burning is common during the injection, while redness and swelling can last for hours or days after the injection. Once injected, HA integrates into the dermis and binds water. The results are immediate. It does nothing to hinder the normal metabolism and movement of nutrients and oxygen. Over time, HA is gradually reabsorbed into the skin and fading out. For this reason, follow up treatments are needed to maintain your results at 8 to 12 month intervals. The amount of HA used during your treatment depends on the desired correction. Deeper wrinkles and folds in the cheek areas nasolabial, lines at the corners of the mouth, fine lines under the eyes and upper lips, thinning lips, nose line, nose tips, nose head, eye circle etc. restylane vital, vital light for under eye circle rejuvenation. Great for intense revitalization and hydration of tired or loose skin, treatment of wrinkles and restructuring of mature or slack skin. – face and neck Lifting – facial flaccidy – sagging skin (ex. Cheeks, eyes, forehead and neck) – neck folds – wrinkles and fine lines – skin hydration and moisturising -skin laxity – wound healing – acne scar  

 

Placenta treatment for facial rejuvenation meridian points acupuncture technique.

 

mesobotox for overall skin tightening up. mesotherapy for lipodissolve hydrolift (liquid lift): highly recommendable for sharpening facial contour and lifting up sagging skin without operation.

 

Dermaroller: hyperhidrosis/ excessive sweating of underarms, palms and soles of the foot. Botox injection is the one of the best effective and quickest treatment. Excessive sweating is socially and embarrassing and bothers his/her working and life. Cell therapy: Rich in Growth factors and skin stem cells to restructure where you want.

 

Thermage: Mono-poller radio frequency device that has the capability to tighten your skin without damaging the epidermis, or outer layer of your skin; which means that no visible wound is created. Each pulse of the Thermage precisely heats the tissue deeper underneath the surface of your skin, stimulation tightening and remodeling of collagen and tightening up of loosen or aged skin. Thermage is highly recommendable for skin tightening and its dramatic result from a single treatment lasts for over years.  

 

PRP(platelet-rich plasma)

The logic behind PRP treatment is the body’s natural self-healing ability. Our Blood is made of RBC (Red Blood Cells), WBC (White Blood Cells), Plasma, and Platelets. When in their resting state, platelets look like sea sponges and when activated form branches. Platelets were initially known to be responsible for blood clotting. In the last 20 years experts have learned that when activated in the body, platelets release healing proteins called growth factors. There are many growth factors with varying responsibilities, for instance, epidermal growth factor, hepatocellular growth factor, nerve growth factor, etc, cumulatively they accelerate tissue and wound healing. Therefore after increasing the baseline concentration of these platelets, we are able to deliver a powerful cocktail of numerous growth factors that can dramatically promote tissue recovery from degeneration or damage.

In Wellness Clinic Kagurazaka,  PRP is often employed to improve joint related structural problems, cosmetic skin or structural skin problems such as ageing skin, eczema and acne scar.  

In short, PRP works on overall rejuvenation of face and neck safely. Highly recommendable for enlarged pores, rough skin, photoaged skin, acne scar, sensitive skin, dry skin, fine lines and wrinkles.  

 

 

Fee example

cosmetic dermatology first consultation 5000

Hyarulonic acid filler injection 80000~

Botox injection 50000~ 

home use products    3500~

We carry selected medical products for home care: the full range of skin care products to enhance our aesthetic treatment as well as to meet the individual needs;

hydroquinone cream(whitening & bleaching),  tretinoic acid 0.025%~0.1% (Whitening, minimising pore size, photoageing) , azaleic acid cream (Whitening, acne, enlarged pore) , AHA lotion,  BHA lotion,  medical facial wash cream,  natural organic sunscreen for sensitive skin and post-procedure to name a few.  

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