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2025.07.20
What is Upper Blepharoplasty? Explaining Indications and Differences from Inner Canthoplasty!
As a plastic surgeon certified by the Japanese Society of Plastic and Reconstructive Surgery, I have been involved in many cases of trauma, reconstruction, and congenital diseases, and have cultivated precise techniques and a deep understanding of anatomy. He entered the field of cosmetic surgery out of a desire to bring the power of cosmetics to his patients, as a change in one's appearance can also make one's mind more positive. Her specialties include general treatment of the eye area, injections, and sagging skin. I provide treatments that focus on beauty with the medical stance of "sincerely addressing the ideals of the patient.
Hello,Masataka Fujihashi, BIANCACLINICis

Good news for those hesitating about inner corner eyelid surgery due to slightly crossed eyes!
If you're interested in eye surgery, you may have come across the term ”eyelid surgery” on Instagram.
”Upper eyelid incision,” which is still only performed at some facilities, is an excellent procedure when indicated, and I prefer to use it!
What is Upper Blepharoplasty? Explaining the Difference from Inner Canthus SurgeryI will do so.
・Superior incision

Upper eyelid incisionSurgery to remove skin inside the double eyelid line to widen the inner double eyelid widthis.
Advantages: Allows modification of the inner corner double eyelid shape, such as changing from a fan-shaped to a mixed-type double eyelid.
Epicanthoplasty can certainly achieve the above results.

Inner corner eyelid surgery is explained here. https://biancaclinic.jp/blog/43375/
However,When the distance between the inner corners of the eyes is close (eyes are close-set), with an epicanthoplastyThe eyes appear even more crossed, creating an unnatural look.It is known that it occurs.
In that case, an upper eyelid incision can solve the problem instead of an inner corner incision!
Wide-set eyes → Inner canthoplasty
Crossed eyes → Upper eyelid incision
Also, when you hear about widening the double eyelid crease, you might think of a brow lift.

Brow lift surgery primarily involves removing excess skin from the outer part of the eyelid.is suitable for doing.
In other words, you can widen the outer double line, butI'm not good at adjusting the amount of inner skin.is.
Q: Can it be used in combination with buried sutures or full incision?
Yes, it can be combined by extending the upper incision line into the full incision design.
It can also be used in combination with burial.
Q: What is the downtime?
A single upper eyelid incision is shorter than a full incision.
Two days after surgery, swelling peaks around the inner incision site.
Swelling typically subsides within about 7 days after surgery.
The double eyelid width will gradually stabilize over the two weeks following surgery.
Q: What about the scars?

The scar remains virtually invisible and leaves little trace since it lies along the double eyelid line without showing on the surface.
By designing the incision to have equal upper and lower lengths, we ensure that the edges align perfectly during suturing.
・Summary
This time, we explained upper eyelid surgery.
For patients who have hesitated to undergo epicanthoplasty due to concerns about their eyes appearing close-set, a new option called epicanthoplasty is now available.
Please feel free to come in for a consultation.
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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.
Click here for a profile of Masataka Fujihashi.