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2024.07.04

Double Buried Suture Downtime Explained in Detail|What's the Difference Between Back-Tied, Front-Tied, and Natural Adhesion Methods?

明石 仙姫
Supervising Physician
Senhime Akashi

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.

二重埋没の症例写真

The downtime for double eyelid surgery varies depending on the surgical technique.

Many people tend to schedule procedures requiring downtime before extended holidays like summer break or the year-end and New Year period.

 

This time, Dr. Senki Akashi of BIANCA CLINIC explains the differences between the back-tie, front-tie, and natural adhesion methods.

How much swelling can I expect? When can I start wearing makeup?We've also compiled important points to note regarding downtime.

BIANCA Akashi Senki, MD Profile

Spent childhood in China and is trilingual in Chinese, Korean, and Japanese. After graduating from Nagoya University School of Medicine, she specialized in internal medicine with a focus on diabetes and endocrinology, becoming a board-certified internist. Subsequently, she gained experience performing over 5,000 surgical procedures and injectable treatments at a major cosmetic surgery clinic, later serving as director of a clinic in central Tokyo. She specializes in eye area surgeries, particularly double eyelid suture procedures and dark circle treatments. Currently at BIANCA Clinic, he supports patients in achieving a naturally beautiful glow from the inside out, encompassing all aspects of cosmetic surgery, medical aesthetics, and cosmetic dermatology.

 

<Professional Affiliations and Qualifications>

・Japanese Society of Internal Medicine Board-Certified Internist

・Japanese Diabetes Society

・Japanese Society of Aesthetic Plastic Surgery

・Japanese Society of Anti-Aging Medicine

 

<Check out more information about Dr. Akashi Senki's Aesthetic Medicine here>

Dr. Akashi Senki's Instagram account isHere

The official Instagram account for BIANCA isHere

The official YouTube account for BIANCA isHere

 

What surgical techniques are available for double eyelid surgery?

The surgical procedures for double eyelid suture techniques can be broadly categorized into the following three types:

 

・Backstitch (method where the thread ball is placed on the underside of the eyelid)

・Surface suturing (traditional method where the knot is on the skin side)

・Natural Adhesion Method (A new surgical technique emphasizing design)

 

The length of downtime and the degree of freedom in the final result vary depending on the surgical procedure, making preoperative simulation extremely important.

Below, I'll explain each feature in detail.

 

 

Double Buried Suture: Procedure Features and Downtime | ① Hidden Suture

The subconjunctival suture technique involves placing the knot of the suture thread on the inner surface of the eyelid.

Features include:No needle marks appear on the skin surface, minimizing swelling and bruising.

In some cases, makeup can be applied immediately after surgery, making it a popular choice for those concerned about downtime.

Furthermore, by securing it at multiple points (e.g., 8 points),Free design from inner to outer corneris.

However, please understand that having the knot on the reverse side may make future procedures such as changing the suture line or removing the sutures slightly more difficult.

 

 

Double Buried Suture: Procedure Characteristics and Downtime | ② Surface Suture

The tab closure is a double-buried suture technique that has been widely used for a long time.

The most representative is the "tarsal plate method."

By connecting the skin to the tarsal plate, it creates a natural double eyelid.

The advantage of this method is that the thread knot is on the skin side, making it easier to handle if suture removal becomes necessary in the future.

Furthermore, it does not touch the muscle that lifts the eyelid (levator muscle),Low risk of ptosisIt is said that.

On the other hand, since it is essentially a two-point fastening, design freedom is somewhat limited, and as the number of thread loops increases, unevenness may become more noticeable.

 

 

Double Buried Suture Technique: Characteristics and Downtime|③ Natural Adhesion Method

Recently, a surgical technique known as the "natural adhesion method" has been gaining attention.

This method involves passing the needle through the skin while securing it with multiple points (e.g., 6 points) similar to backstitching.

Since only one thread ball is placed on the skin side,It can minimize the risk of unevenness while maintaining a natural finish.

It offers high design flexibility, making it easy to achieve your ideal lines.

Downtime tends to be slightly longer than back fastening, but it's often shorter than front fastening, making it a well-balanced choice.

 

 

Key points for minimizing downtime

I often hear people say, "I'm interested in double eyelid surgery, but I'm hesitant to take the plunge because I'm worried about the downtime."

In fact, even with the same double-stitch method, the degree of swelling and bruising varies depending on the surgical technique, butEven small adjustments can reduce downtime.is.

In particular, the internal suture method secures the thread on the inner side of the eyelid, leaving no needle holes on the surface and tending to cause less swelling.

If you still want to minimize puffiness and swelling as much as possible, keep the following points in mind.

 

  • Sleep with your head elevatedPrevents moisture from accumulating on your face while you sleep.

  • Limit salt and alcohol:Regulates the body's fluid balance and reduces swelling.

  • Incorporate light exercisePromotes blood flow and supports recovery.

  • Apply ample cooling for the first 3 days after surgery.Reduces inflammation and shortens the peak of swelling.

 

Simply practicing these steps can sometimes result in surprisingly less swelling after surgery.

Let's take it slow and steady, supporting your recovery while properly taking care of your body.

 

 

Compare the benefits and considerations to choose the double eyelid suture method that best suits you.

Every surgical procedure has its pros and cons.

The key is to run simulations beforehand, understand the pros and cons, and then choose the method that best suits you.

We recommend considering not only price and the length of downtime, but also the possibility of future retreatment and your ideal outcome.

At Bianca Clinic, our doctors take full responsibility for everything from proposing surgical procedures to providing aftercare.

If you have any questions, feel free to ask.

 

HerePlease also see ▼

https://biancaclinic.jp/treatment_category/eyes/double_eyelids/maibotsu/

 

 

 

 

※This article is intended for general informational purposes only and is not intended to diagnose, treat, or prevent any specific disease. If you have health concerns, please consult your physician.

 

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