Are people with thick eyelids less likely to get double eyelids? Dr. Bianca explains the truth
Hello.
This is Saiga Toshiyuki from BIANCA CLINIC.
"If I have thick eyelids, will I not get double eyelids?"
These are some of the questions we often get asked during counseling sessions.
In fact, even those with thick eyelidsIt is entirely possible to create the ideal double eyelidWhat is it?
However, it is important to take the “appropriate steps” according to the structure of your eyelids.
Basics of double eyelid surgery
There are two main types of double eyelid surgery.
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Buried suture method: A method of creating a line by fixing the inside of the eyelid with thread
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Incision method: A method of making an incision in the skin and trimming excess subcutaneous tissue to create a line
With either method, you can achieve a natural double eyelid by choosing a design that suits your eyelid conditions.
Why thick eyelids make it difficult to create double eyelids
The main cause of thick eyelids is the underlying skinA lot of fat (orbital fat and ROOF) and subcutaneous tissueこと.
Even if you use thread to secure the double eyelid line, it will not dig in and the line may become shallower over time.
Other factors that contribute to this include skeletal characteristics such as the eyes not being wide enough (tendency towards ptosis) and the distance between the eyebrows and eyes being narrow.
In such cases, double eyelid surgery alone may not achieve the desired result.
Approach thick eyelids with a complex treatment!

💴 Lower eyebrow lift (lower eyebrow incision) 421,080 yen
💴 Double incision method 360,580 yen
😷DT: Swelling and internal bleeding for about 2 weeks
⚠️Risks: Scars, left-right differences, contractures, etc.
The patient we are introducing this time wanted to "improve the thickness and sagging of her eyelids while creating a natural, wide, parallel double eyelid."
As a surgical plan, firsteyebrow incisionReduce the thickness of the eyelids and prepare the foundation, thendouble incisionThe we.
This order is very important.
Reset the "thickness of the eyelids" with subbrow incision
By removing excess skin and fat and reducing the volume of the eyelids, the base for the double eyelid line to appear clearly is prepared.
Just an incision under the eyebrows will make the eyes look clearer, giving a natural impression that makes the most of your original double eyelids.
Many people like it in this state, and it is beautiful enough as it is when finished.
Design your ideal line with double incision
For those who want to widen the line further, a parallel line can be created with double incisions.
Since the base is prepared, it can be used even for wide designs.A natural finish without any bulkiness will be important.
Finish and progress
It will take about six months to complete.
As the swelling in the eyelids subsided and the line stabilized, the ideal parallel double eyelid was achieved.
If you suddenly create double eyelids when your eyelids are thick, the line may end up being shallow or appear heavy.
That is whyPlan and design completed in stagesis important.
The patient was also pleased, saying that the results were more natural and gorgeous than she had expected.
Summary | Those with thick eyelids should choose a custom-made design
Even with the same "double eyelid surgery," the optimal method varies depending on the thickness of the eyelids, the amount of fat, and the quality of the skin.
At Bianca Clinic, we consider both anatomical structure and the aesthetics of the finished result, and propose a plan tailored to each individual's bone structure.
If you have given up because you think your eyelids are too thick, please feel free to contact us.








