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2024.09.07
How to fix uneven double eyelids? The option of single-eye suture method
Driven by the belief of “bringing happiness to more people,” I pursued a career in aesthetic medicine after gaining experience in general internal medicine and emergency surgery, along with overseas training. As an internationally oriented doctor holding a UN English Proficiency Test Special Grade A, I treat a diverse range of patients. My goal is to become a true all-rounder, spanning cosmetic surgery, cosmetic medicine, and cosmetic dermatology. With a deep understanding of global beauty standards, I serve as a Key Opinion Leader (KOL) for TargetCool, NEAUVIA®, and CORETOX®. Known for my gentle manner, I provide accessible consultations in both Japanese and English. I pursue aesthetic medicine that transforms not just appearance, but also enhances overall happiness.

Concerned about asymmetry in my double eyelidsHave you ever felt that way?
Regarding such concerns, Dr. Yukitaro Ikeda explains what approaches are possible at BIANCA CLINIC.
What causes double eyelid asymmetry?
Hello, this is Yukitaro from Bianca Clinic⛄️
Double asymmetry refers toA condition where the width or shape of the double eyelids differs between the left and right eyes.。
When looking in the mirror or taking a photoMany people seem to notice the difference between the left and right sides.
The main causes are the following five:
Causes of Asymmetry in Double Eyelids ①|Differences in Facial Bone Structure
Human faces are not symmetrical.
Slight differences in bone structure can also affect the eye area, so natural asymmetry in double eyelids may occur.
Causes of Asymmetry in Double Eyelids ②|Strength of the levator palpebrae muscle (the muscle that lifts the eyelid)
If the strength of the levator palpebrae superioris muscle—which lifts the eyelid—differs between the left and right sides, this can also cause differences in the width and shape of the double eyelid.
If one muscle is weaker, the eyelid may droop, causing the double eyelid crease to become narrower.
Causes of Asymmetry in Double Eyelids ⓷|Skin sagging due to aging
As we age, the skin of the eyelids may sag, causing changes in the shape or width of the double eyelid. If the degree of sagging differs between the left and right sides, noticeable asymmetry may occur.
Cause ④ of Double Eyelid AsymmetryHabits in blinking and eye usage
In daily life, habits like unconsciously favoring one eye can easily lead to asymmetry in double eyelids.
For example, habits such as squinting or opening one eye more than the other can be a cause.
Causes of Asymmetry in Double Eyelids ⑤|Original double eyelid type
The type of double eyelid you naturally have (such as parallel or fan-shaped) may differ between your left and right eyes.
In this case, many people consider surgical treatment for improvement.
Even those born with double eyelids often struggle with asymmetry between the two eyes.
The patient we're introducing today also has such concerns.
Actual post-operative progress photosare also posted
Please be sure to read to the very end.
【Case Study】Addressing Asymmetry in Double Eyelids Using B TWICE (Double Eyelid Buried Suture Method)
The patient we're introducing this time originally had beautiful double eyelids, but...
・Left eye…Large parallel double eyelid
・Right eye… Small double eyelid with a fan-shaped crease
You consulted us because you were concerned about the balance between the left and right sides.

Preoperative eye area
When taking photos or doing makeup, I can't help but notice the asymmetry between my left and right sides.
"My friend's double eyelids look so pretty, but sometimes I get down because mine just look unbalanced..."he said.

The left eye had a very clean parallel double eyelid, soRight eye only B TWICE (double eyelid suture method)We performed a procedure to eliminate the difference between the left and right sides.
B What is TWICE?

B TWICE is a surgical procedure that uses a specialized technique to tie ultra-fine threads from the inner side of the eyelid to create the ideal double eyelid line.
Since it leaves absolutely no marks on the skin,Makeup is okay immediately after surgery.。
Even if I close my eyes, I can't see the knot in the thread.
B TWICE uses medical sutures for cardiovascular surgery.
Due to its minimal degradation within the body and extremely fine structure,It is characterized by its durability and the fact that knots are less noticeable.
Natural finishcan be expected.
【Benefits of B TWICE】
・Short treatment time
・Can apply makeup immediately afterward
・Hard to detect
・No need for suture removal
・Minimal downtime, such as post-operative swelling and bruising
・Creates a natural-looking eye area.
At Bianca Clinic, we simulate double eyelid lines using a virtual stick.
We'll adjust the design while confirming the double eyelid width and overall facial impression together, so please feel free to ask any questions about your preferences or concerns.
Actual postoperative course Immediately after surgery
Here are photos taken immediately after the procedure and two weeks post-op.

Eyes immediately after surgery
As you can see, there is almost no noticeable swelling immediately after the procedure.
The B TWICE I went to this time was,Makeup can be applied immediately after the procedure.Therefore, you should be able to continue your daily life without worrying about downtime.

↑Your eyes two weeks later
After two weeks, it blended in even more naturally.
Now let's compare it to the preoperative state.

Procedure Name: Double Eyelid Suture Method (Inner Fixation) B TWICE Procedure Details: Double Eyelid Suture Method (Inner Fixation) B TWICE Top: Before Surgery / Bottom: 2 Weeks After Surgery 💰¥217,800 (Includes all anesthesia and medication costs) 🤕Downtime: Approximately 2-3 days (varies by individual) ⚠️Risks: Bruising, infection, swelling
The asymmetry has improved, giving you more beautiful eyes!
What is the downtime for double eyelid surgery?
The downtime for double eyelid surgery is generally considered to be about 1 to 2 weeks.
During this period, noticeable swelling or bruising may occur after the procedure, but it rarely causes significant disruption to daily life.
The following recovery process is typical.
Treatment day ~ the following day
Immediately after the procedure, the eyelids may swell and appear slightly unnatural.
Some people may experience a tight or uncomfortable feeling in their eyelids.
During this season, keep your eyes cool to avoid putting strain on them.
Postoperative Day 3 to 1 Week
The swelling will gradually subside, but some mild puffiness or bruising may remain.
While makeup can often cover it up, it will take more time before it becomes completely natural-looking double eyelids.
2 weeks to 1 month after surgery
By this time, the swelling and bruising have become almost unnoticeable,Double lines are also stableI'll be right back.
The discomfort will fade away, leaving you with a natural-looking eye area.
Tips for Reducing Downtime After Double Eyelid Surgery
Finally.
What you can do to minimize downtimeI would like to introduce.
Point 1|Cool immediately after treatment
After treatment, cooling the area is effective for reducing swelling.
Gently applying a cold towel or ice pack to the eye area can help reduce swelling and bruising.
Aim for about 10 to 15 minutes per cooling session, and be careful not to apply direct cold for too long.
Point ②|Sleep with your head elevated
When sleeping, use a higher pillow to keep your head elevated above your heart.
This helps prevent blood from pooling in the face, reducing swelling.
Sleeping on your side may cause swelling on one side, so we recommend sleeping on your back.
Point 3|Proper Diet and Hydration
A diet high in salt can cause swelling, so please limit your salt intake for a while after surgery.
Drinking plenty of water helps promote circulation within the body and supports faster reduction of swelling.
Point 4|Avoid alcohol and tobacco
Alcohol can increase blood flow and worsen swelling.
It is ideal to refrain from alcohol for one week after surgery and also avoid tobacco, which affects blood flow.
Don't rub your eyes
Even if you experience swelling or discomfort, avoid rubbing or touching your eyes.
Providing stimulation increases the risk of worsening swelling or disrupting the double eyelid line created during the procedure.
Refrain from strenuous exercise
Exercise and strenuous activity may increase blood flow and worsen swelling.
Light walks are fine, but avoid strenuous exercise, long baths, saunas, and similar activities.
Get plenty of sleep
Getting sufficient sleep enhances the body's natural healing abilities and reduces recovery time.
It is especially important to get as much sleep as possible and relax your body for the first few days after surgery.
For concerns about asymmetry, take a gentle step forward.
"Whenever I take a photo, I can't stop noticing the asymmetry around my eyes." "Somehow, just one eye looks off-balance."
If you're feeling that kind of unease, why not consider the option of single-eye buried suture surgery?
At Bianca Clinic, we offer personalized treatments tailored to each individual's facial features and desired eye appearance.
Regain your confidence with eyes that don't worry you about asymmetry.
※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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