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2025.07.17
Must-see for those concerned about upturned eyes! Droopy-eye surgery or lateral canthoplasty?
A dual-specialty doctor with a background in plastic surgery, bridging cosmetic surgery and ophthalmology. At the university hospital, he performed numerous high-difficulty cases, primarily focusing on eye and facial bone surgeries, cultivating precise techniques grounded in anatomy. He prioritizes achieving both aesthetic beauty and functional safety, offering customized treatments around the eyes that incorporate ophthalmological expertise. He actively utilizes not only incisional surgery but also non-invasive procedures like hyaluronic acid injections. By carefully assessing each individual's condition and unique appeal, he provides bespoke treatments that guide patients toward naturally harmonious, well-defined eyes.
Hello,Cosmetic Surgeon Natsume Ryutaro: Designing Your ImpressionThat's it!

"My eyes look harsh," "I want to give a gentler impression."
Many people with such concerns are worried about their "upward-slanted eyes."👁

Often mocked by Westerners as the ”slanted-eye pose,” this eye shape is so characteristic of Asians that it sometimes sparks racial discrimination issues and ignites controversy on social media.
This article introduces droopy-eye formation (Glamorous Line Formation) and lateral canthoplasty for those who wish to soften their upturned eyes.
We will clearly explain the differences and applications of each.
”Say goodbye to worries like ”droopy eye surgery regrets,” ”droopy eye surgery landmine risks,” and ”droopy eye surgery unnatural results"!
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First, please review the case.
The droopy eyes have improved without looking overdone! (The case below also combines ptosis surgery with an epicanthoplasty.)
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What causes upturned eyes?
First, "slanted eyes" refers to a condition where the outer corners of the eyes (the outer eye corners) point upward, making the entire eye appear sharp and slanted.
This is related to one's innate bone structure, muscle distribution, the position of the lateral canthal ligament, and the shape of the lower eyelid.
Almond-shaped eyes can sometimes give a harsh impression, but softening them can create a gentle and soft atmosphere.
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・Droopy Eye Surgery (also known as Glamorous Line Surgery)
Lowering the outer part of the lower eyelid (especially the outer corner) improves upturned eyes.
There are primarily three approaches.
・Transconjunctival approach (incision)
Advantage: No incision is made in the skin, so no scar remains.
Disadvantages: Tendency to regrow slightly, risk of inverted eyelashes
• Cutaneous approach (incision)
Advantages: Can be applied even if you naturally have inverted eyelashes, less likely to revert
Disadvantages:
A small incision is made under the eyelashes, leaving a barely noticeable scar.
Post-surgery tear troughs become smaller, making it harder to inject hyaluronic acid into the tear troughs.
・Non-incisional method (buried suture technique)
Advantage: Easy to revert
Disadvantage: Prone to regression
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・Lateral canthal tendon transfer
Lateral canthoplasty involves temporarily detaching the superficial portion of the lateral canthal ligament and repositioning it to correct upturned eyes.
Advantage: The angle of the upturned eyes themselves can be adjusted.
Disadvantage: The outer corners of the eyelids may appear slightly lifted.
Drilling holes into the facial bones and securing the implant deep within the eye socket eliminates this drawback, but it requires intravenous anesthesia or general anesthesia.
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・Are you considering droopy-eye surgery (also known as glamorous line surgery)? orLateral canthal ligament transposition?


There are such visual differences.
I think it's best to decide based on your preference.
I personally do not recommend combining these procedures. Droopy-eye correction surgery pulls downward, while lateral canthal tendon transfer pulls sideways.
Lateral canthoplasty inherently involves cutting the outer corner of the eye, so it is always performed in combination with lateral canthoplasty.
Combining droopy-eye surgery with lateral canthoplasty is recommended as it minimizes regression.
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・How to avoid regretting droopy-eye surgery?
Some people desire doll-like drooping eyelids, and this trend is gaining attention on social media,
”The perception that droopy-eyed surgery is ”dangerous” or ”unnatural" is prevalent.
While it's true that overdoing it can look unnatural, the amount of change can be adjusted.
By making only natural changes, you can achieve an elegant, soft, and natural impression!
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・Summary
"My eyes look harsh," "I want to give a gentler impression."
We've explained the "upward-slanted eyes" that many people with such concerns are worried about!
Each procedure—droopy-eye correction and lateral canthoplasty—has distinct characteristics and produces different results. We recommend choosing based on your personal preference.
Using natural increments of change can transform the impression into an elegant, natural, and soft one.
First, let's start with a consultation to assess your bone structure and overall balance, and together we'll aim for a natural and attractive look that's perfect for you!
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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