column (e.g. in newspaper)
2024.09.06
Can Double Eyelid Suture Surgery Fix Ptosis? A Doctor Explains by Type [Bianca Clinic]
With deep medical insight cultivated as an internal medicine specialist, I bridge aesthetic surgery, dermatology, and internal medicine. Having spent my childhood in China, I communicate fluently in Japanese, Chinese, English, and Korean. Possessing an international perspective—evidenced by invitations to present at overseas conferences—I actively promote techniques as a Key Opinion Leader (KOL) for GOURI and REJURAN®. My specialty procedures include double eyelid surgery, skin-nurturing boosters, and body hyaluronic acid treatments. My approach leverages the holistic understanding of the body cultivated through internal medicine to guide patients toward natural, healthy beauty.
Hello.
Dr. Hime of BIANCA CLINIC, also known as Senki Akashi.
Today, I'm going to talk about what I'm good at—and love—Double Buried MethodRegarding.
Recently, I've been getting a lot of questions asking, "Can double eyelid suture surgery fix ptosis (difficulty opening the double eyelid)?" So, I'll explain it clearly.
What's the difference between ptosis and having "heavy eyelids"?

To begin withPtosisThis refers to a condition in which the muscles that lift the eyelids (levator muscles and Müller's muscle) become weak, making it difficult to open the eyes.
Symptoms may include only half of the pupil being visible, appearing sleepy, or having a narrow field of vision.
On the other hand, among those who feel their "eyelids look heavy" or "their eyes don't open well," some actually have...Sagging skin and loosening of the double eyelid lineThis is often the cause.
In this case, even without undergoing ptosis surgery,Double-stitch sutures can resolve concerns in some cases.It exists.
There are various causes and types of ptosis!
Although it's all called “ptosis,” the causes vary.
Let's organize the representative types.
-
Aponeurotic ptosis(A state where the tendon membrane of the muscle that raises the eyelid is lax)
-
Upper Eyelid Skin Laxity Syndrome ((Skin that is excess and overlapping)
-
Type with shallow double indentation
-
The type with overly wide double eyelids (so-called "ham eyes")
Among these,Cases where buried double eyelid surgery can improve are those with "shallow double eyelid creases" and "wide double eyelid width."is.
Cases where ptosis can be improved with double eyelid suture surgery
We will continue with a more detailed explanation for each case.
Cases with shallow double indentation
If the double eyelid line is shallow and the skin is not properly folded, resulting in poor eye opening,By burying the suture to increase the “grip,” the eyelid opens more effectively.There are times when...
By securing the line in the proper position, the appearance of the pupil will also change naturally.
The type with excessively wide double eyelids that makes them look like "ham eyes"
In cases where the original double eyelid crease is wide and the eyelid skin overlaps,Adjusting the balance of eye opening by narrowing the double eyelid lineis possible.
As a result, the eye area may appear lighter, and the impression of ptosis can sometimes be improved.
In some cases, improving ptosis may be difficult with double eyelid suture alone.
On the other hand, muscle laxity (aponeurotic ptosis)やWhen skin laxity (upper eyelid ptosis) is the primary cause, suture-based procedures alone are unlikely to provide sufficient improvement.
In such cases,Levator aponeurosis advancement (ptosis surgery) and excess skin excisionThis type of incision technique is indicated.
To determine the appropriate treatment, a physician will examine the thickness of your eyelids, muscle movement, and skin condition before making a decision. If you have any concerns, please consult with us.
Summary|Depending on the type of ptosis, improvement may be possible with double eyelid suture surgery.
Not all cases of ptosis can be treated with double-stitch surgery,Adjusting the tightness or width of the double eyelid line often improves the impression of "poor eye opening."is.
If you're concerned about difficulty opening your eyelids or heaviness around your eyes, the first step is to correctly identify your eye type.
If you have any symptoms that concern you, please feel free to schedule a consultation.
https://biancaclinic.jp/blog/44619/