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Hello.Plastic Surgeon Dr. Natsumeis.

"I don't know which is right for me—double-stitch or full incision..."

"And a full incision... won't that look unnatural?" I imagine many people are worried about that.

 

First4 questionsPlease bear with me!Double Buried or Full Incision: Which One? Quizis👁

 

Problem 1　Double-stitch or full incision?

Surgeon: Ryutaro Natsume (Before → After 3 months post-surgery)

A:Full incision(We also perform procedures to improve eye opening, including epicanthoplasty.)

 

Problem 2　Double-stitch or full incision?

Surgeon: Ryutaro Natsume (Before → After 3 months post-surgery)

A:Double Buried

 

Problem 3　Double-stitch or full incision?

Surgeon: Ryutaro Natsume (Before → After 3 months post-surgery)

A:Double Buried

 

Question 4　Double-stitch or full incision?

Surgeon: Ryutaro Natsume (Before → After 3 months post-surgery)

A:Full incision(We also perform procedures to improve eye opening, including epicanthoplasty.)

 

Huh? I didn't realize... Is that what you thought? 😏

Many reasons for feeling discomfort after double eyelid surgery include asymmetry and "ham-eye" (※a type of double eyelid where the skin between the crease and the lash line bulges).

Whether it's double eyelid suture or full incision, the result will look natural if the optimal double eyelid is tailored to each patient's unique bone structure.

However, the optimal double eyelid width may not necessarily match the patient's ideal, making thorough preoperative consultation crucial.

As a cosmetic surgeon, while I do propose double eyelids that suit the patient's bone structure, I consider it my mission to strive to bring them closer to the ideal eyelids they have envisioned.

(In cases where it is clearly evident that the surgery would lead to an unfortunate outcome due to an extreme mismatch with the skeletal structure, we may point this out.)

 

Here, we'll clearly explain the differences and features of each treatment while guiding you on which one is best suited for whom.

 

👁Double Buried Suture Method

Medical-grade thread finer than hair is used to suture the eyelid to create double eyelids.

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

◎Benefits:

・Wide parallel double eyelids are possibleFull incision can achieve even the width that would result in a ham-shaped eye.

・Short downtimeSince it only involves threading the suture, tissue damage is minimal.

・Less likely to leave marksOnly a small pinprick that heals within a few days.

・Can be restoredRecommended for those concerned about the final shape

・Short surgery time(10-20 minutes), low price: perfect for beginners

△Disadvantages：

・Not for lifeEventually, when the thread ball comes off, the double layer will loosen.

・Not suitable for those with poor eye openingWhen ptosis is severe enough that non-surgical treatment is difficult, buried suture procedures may further worsen the opening.

・Not suitable for those with thick eyelids or significant skin laxityIf the double eyelid crease doesn't form properly and comes undone with the Buji method, it may come undone quickly with the double eyelid suture method.

To prevent recurrence, orbital fat can be removed through a small incision. However, individuals with significant fat deposits often have thicker skin, making the sutures prone to coming undone. In such cases, I recommend a full incision from the outset.

 

There are various surgical techniques for the buried method, but I will omit them for now.The greatest advantage of the buried method is that it can be removed and restored to its original state.Personally, I believe that's the case, so I prefer simple rituals.

 

👁Full Incision Method

An incision is made in the eyelid, excess fat and skin are removed, and the eyelid tissue is used to recreate the double eyelid structure.

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

◎Benefits:

・High durability：You can draw clear lines.

・Adjustable eye openingEyelid ptosis surgery can improve eye opening. In fact, creating a wide double eyelid crease using full incision alone can sometimes result in poor eye opening. This can be prevented by slightly improving eye opening beforehand.

・Suitable for those with thick eyelids or sagging skin：The skin, orbicularis oculi muscle, ROOF fat, orbital fat, and other internal structures can be directly observed while excising unnecessary portions.

 

△Disadvantages:

・Longer downtimeBy the time of suture removal one week later, the swelling will have subsided to some extent. The final double eyelid width stabilizes in about one month and is fully established by three months.

This case underwent a full incision + droopy eye correction (glamorous line incision) + dark circle treatment (fat removal) simultaneously. As you can see, even one week post-op, the swelling is remarkably minimal.

Surgeon: Ryutaro Natsume (Immediately after surgery → 1 week post-op at suture removal)

・Cannot restore the original eyelidWe do offer procedures to narrow double eyelids or create single eyelids. We also perform revision surgery for procedures done at other clinics, so please consult with us.

 

Summary✏️

Choosing Between the Double Buried Suture Method and Full Incision Method

It is important to choose the best method based on eyelid shape, the ideal double eyelid form, and lifestyle.

If you're unsure which option is right for you, we encourage you to consult with us.

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Fees and Risks

FeesDouble Eyelid Surgery (Buried Method): ¥108,900~ Double Eyelid Surgery (Full Incision): ¥360,580 Ptosis Surgery: ¥602,580 (tax included)

RiskSwelling, bruising, asymmetry, scarring, etc.

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Reservations can be made here.

Complete your reservation in 60 seconds ▶︎

👉 https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15

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※There are various approaches to aesthetic medicine, and opinions and practices may differ among physicians. Please consider the information provided here as one reference only, and we hope you will choose medical care that suits you and meets your expectations.

We apologize if any unintended inaccuracies or misleading expressions were included. In such cases, we will make appropriate corrections or additions.

【Profile】

Plastic Surgeon Dr. Ryutaro Natsume

https://biancaclinic.jp/doctor/natsume/

Performed numerous facial surgeries, particularly focusing on the eye area and facial bones, in the field of plastic surgery.

Regarding treatments for the eye area, I believe that not only aesthetic appearance but also ophthalmic functionality is extremely important. To provide safer and more reliable treatments, I am currently deepening my expertise as an ophthalmologist.

We actively incorporate non-surgical procedures such as hyaluronic acid injections, in addition to treatments requiring surgical instruments.

From a multifaceted professional perspective encompassing cosmetic surgery, cosmetic dermatology, reconstructive surgery, and ophthalmology

BIANCA CLINIC, a leading Japanese clinic specializing in beauty and regenerative medicine, provides the latest aesthetic treatments.

【Career】

2020: Graduated from Tokyo Medical University Tokyo Metropolitan Saiseikai Central Hospital

2022 Jikei University Hospital Department of Plastic Surgery

2023 Department of Plastic Surgery Jikei University School of Medicine Kashiwa Hospital

2024 BIANCA CLINIC

【Professional Affiliations/Qualifications】

Japanese Society of Aesthetic Surgery (JSAS)

Full Member of the Japan Society of Plastic and Reconstructive Surgery

Full Member of the Japanese Society of Craniofacial Surgery

Full Member of the Japanese Ophthalmological Society

【SNS】

Instagram account　

 https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr