column (e.g. in newspaper)
2024.07.15
Explaining the Difference Between Inner and Upper Eyelid Surgery! Which One Suits Your Eye Shape?
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.
I am Dr. Hime of BIANCA CLINIC, also known as Senki Akashi.
"I have double eyelids, but somehow my eyes don't look defined."
"I want to create a cool and cute impression."
For such concerns, we recommend procedures like epicanthoplasty or upper eyelid surgery.
Both procedures can dramatically change the appearance of your eyes, but while they may seem similar, their purposes and effects are actually quite different!
This time, we'll clearly explain the characteristics of each treatment, the types of people they suit, and the differences in results from a doctor's perspective.
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 is epicanthoplasty? — Improving wide-set eyes for a more defined look
Top: Pre-operative / Bottom: 1 week post-operative, before suture removal
💴 Inner Corner Blepharoplasty: ¥248,000
😷Swelling and bruising: Approximately 10 days
🤕Suture removal: 1 week later
⚠️Risks: Infection, scarring, etc.
Inner corner blepharoplasty is,Surgery to widen the eye by incising the epicanthal fold at the inner corner of the eyeis.
This is suitable for those with widely spaced eyes or pronounced inner eye corners.
Mongolian folds are a common feature among East Asians, and when pronounced, they can obscure the double eyelid line at the inner corner of the eye or make the eyes appear smaller.
In such cases, performing an epicanthoplasty will
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The eyes appear wider and more defined.
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The rounded corners of the eyes become less pronounced, creating a more refined impression.
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The double line (inline) transforms into an in-outline, creating a more vibrant appearance.
Such changes can be expected.
What is Upper Blepharoplasty? ― A procedure that refines the double eyelid line without altering the inner corner of the eye.
On the other hand, "upper eyelid surgery" involves removing the epicanthal fold.Surgery to open at a 45-degree upward angleis.
The goal is not to pull the inner corners of the eyes themselves closer together, but to make the double eyelid line appear natural.
For those who feel their eyes look too close together or appear harsh after an epicanthoplasty, or for those who don't want to change the distance between their inner corners but wish for a slightly more refined look, we may suggest this procedure.
The incision line is designed to follow the natural crease of the double eyelid, so the postoperative scar will look natural and become almost unnoticeable over time.
Refine your eye area elegantly without altering the double eyelid width.
That is arguably the most distinctive feature of the upper eyelid incision.
Which one suits you? — Choosing based on your eye shape is the right way to go.
Both procedures can achieve cute yet cool-looking eyes, but depending on your bone structure and the shape of your epicanthal folds,The right surgery varies from person to person.
| Finished look | craniotomy | Upper eyelid incision |
|---|---|---|
| Impression | I want my eyes to appear wider and more defined. | I want to make the double eyelid line look natural. |
| Adaptive Type | Wide-set eyes / Prominent epicanthic folds | Close-set eyes / Eyes that appear close together |
| Downtime | Approximately 1 week (swelling and redness) | Approximately 3 to 5 days (relatively mild) |
| Scar | inner corner | Less noticeable because it follows the natural crease of the eyelid |
To find out which type your eyes are,The shape of the epicanthal fold and the distance between the inner corners of the eyesThat's the key point.
That said, I imagine it's quite difficult to judge for yourself, so please consult your doctor.
Summary: Cool and cute eyes start with the “right double eyelid line”
Both epicanthoplasty and upper eyelid surgery are attractive procedures, but the goal is to create a natural and ideal double eyelid line.
By comprehensively considering factors such as eyelid thickness, the shape of the epicanthal fold, and the way the eyes open, achieving a natural balance is the surest path to beautiful eyes.
At Bianca Clinic, we offer custom designs tailored to your desired look and facial structure, whether you want "parallel double eyelids," "improved eye opening," or "a softer impression."
Please find the “cool and cute” that suits you best.
We look forward to seeing you for counseling.
▼Specialist in Eye Area Treatments! Be sure to check out Dr. Natsume's blog here as well.
https://biancaclinic.jp/blog/44902/