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2025.08.02

I want to narrow my double eyelid crease! Learn the right approach to double eyelid surgery to avoid mistakes.

夏目 隆太郎
Supervising Physician
Ryutaro Natsume

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

 

If you want to fix the hamstring rather than the double width

Eyelid Skin ResectionIt's the right fit!

A few millimeters of excess skin above the eyelashes is removed to eliminate the bulge causing the droopy-eyed appearance.

 

If you want to narrow the double eyelid width
After burialAfter suture removal, re-implant at a lower position.

In cases following total excision:Re-incision along the lower line
Thoroughly separate the double eyelid structure until it extends beyond the original double eyelid line.
Then create the double layer.

Double lines are prone to breaking at high points, so there are two methods to prevent re-adhesion.
・Use fat as cushioning
・Using either suspension fixation or pocket stitching, keep the new double line folded to set the crease.

⚠️Points to note when correcting narrow width after incision
・The postoperative image cannot be expressed with a bougie.
Since it's already broken at a high point, even if you place the bushing in the narrow section, it won't double up at that location.

・Caution regarding combined use with ptosis surgery
Originally, my double eyelids were too wide, causing my eyes to open poorly.
Simply narrowing the width and reshaping the double eyelid often improves the appearance of the eyes slightly.
Therefore, if ptosis surgery to improve eyelid opening is performed at the same time, the eyelids may open more than expected after surgery,
You may end up with wide-eyed, startled-looking eyes.
Surprise eyes require two or more corrective procedures, making them a complication to avoid.

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Summary

We discussed the narrow width adjustment.

Full incision revision is particularly difficult.

The primary goal is to establish a new double eyelid crease in the narrower area.

Fine-tuning details like double eyelid width or eye opening may take a backseat. Therefore, it may require about two rounds of adjustments.

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Reservations can be made here.

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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

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