column (e.g. in newspaper)
2025.08.01
Want to widen your double eyelids? Learn the right approach to double eyelid surgery to avoid mistakes!
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,Image Designer/Plastic Surgeon Ryutaro Natsumeis

Want wider double eyelids? Here's how to approach double eyelid surgery without regret!
When widening the width, there is a significant difference in approach between burial and incision.There is.
If you have a misconception, especially in the case of incisions, unexpected results may occur.It ends up like that😱
It's important to establish a shared understanding with our patients, so I'll explain this first!

The buried suture method involves folding the skin, so to widen the double eyelid crease, the only option is to keep adjusting the crease line higher and higher.

Full incision surgery offers the advantage of removing excess skin above the incision, along with the orbicularis oculi muscle and fat.
Indicator for determining the height of the incision lineis, basicallyDo you like the shape of the double eyelid on the inner corner of the eye as designed?That's it!

around the middle of the eyelidDouble skin overlapInstead of adjusting by raising the incision line,Skin excision for adjustmentI will do so.

The case above did not elevate the double eyelid line.
Originally, the fold at the inner corner extended beyond the epicanthal fold, so the starting point for a double eyelid at the inner corner was already sufficiently parallel. Therefore, simply removing the skin overlapping the double eyelid fold was sufficient to transform it into a parallel double eyelid.

In other words,To achieve the same double eyelid width, the planned crease line differs between full incision and buried suture methods.That's why.
This was the most important thing I wanted to share with you today.
⸻
・Eyelashes - Double eyelid line <5mm
We will create a double eyelid line higher than your current one.
Whether to choose buried sutures or full incision is explained in a past blog post, so please be sure to read it!
"Double-stitch or full incision? Which eyelid surgery is right for you?"
https://biancaclinic.jp/blog/42926/
For those desiring a wide, parallel appearance, we recommend the buried suture method.
There are two reasons.
① Among those who request a wide width, a certain number later wish to have it corrected because the result differs from their envisioned image.
Correcting a narrow incision after surgery is very difficult.
②Because the buried suture method is less likely to cause a droopy-eyed appearance (※If fat is present, the buried suture method alone may not be sufficient, so it may be combined with upper eyelid fat removal).
・Eyelashes - Double eyelid line ≥ 5mm or more
If buried, create a double eyelid line higher than the current one.
For an incision procedure, the basic approach is to utilize the existing double eyelid line, either removing skin above the double eyelid or performing a brow lift incision.
※For those with a habit of raising their eyebrows, it occasionally happens that the eyebrows lower after surgery, resulting in little change to the double eyelid width. In such cases, we set the new double eyelid line slightly higher than the current one.
・I want to widen the inner width
Upper eyelid surgery is indicated.
If you're curious about "What is Upper Eyelid Surgery? Explaining Its Applications and Differences from Inner Corner Surgery!", please read on.
https://biancaclinic.jp/blog/43426/
⸻
Summary
This time, we explained how to widen the double eyelid crease.
To achieve the same double eyelid width post-surgery, the incision/thread placement height differs between full incision and buried suture techniques.。


When performing a full incision, remember that you can achieve a beautiful, wide double eyelid without raising the incision height!
⸻
Reservations can be made here.
Complete your reservation in 60 seconds ▶︎
https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
⸻
※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