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2025.07.20
What is Upper Blepharoplasty? Explaining Indications and Differences from Inner 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,Plastic Surgeon Shaping Impressions: Ryutaro Natsumeis

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.
【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