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2025.08.12
A Comprehensive Guide to Double Eyelid Surgery: The Real Process from Procedure to Final Results
My journey into aesthetic medicine stems from a desire to help enrich and beautify lives beyond simply treating illness. My specialties include hyaluronic acid, Botox, and thread lifts. I provide treatments that enhance each individual's unique qualities and bring out an elegant, natural beauty. For concerns around the eyes that are difficult to improve with dermatology alone, I also perform surgical procedures. By integrating dermatology and surgery, I holistically balance the entire face. With three periods of overseas study, I am also able to provide consultations in English.
Hello!
I am Ayuri Yokoyama, a plastic surgeon and cosmetic dermatologist.
"I want double eyelids, but I'm worried about the recovery after surgery..."
Many people must feel that kind of anxiety.
Double Buried MethodThis popular procedure creates double eyelids without incisions, but you might be wondering how much swelling there will be and when it will start to look natural.
This time, we'll explain everything in detail, from the basics of the double eyelid suture method to the postoperative course and how to manage your downtime.
1. What is the double-buried method?
The double-stitch method is a procedure that creates a double eyelid line by threading a thin medical-grade thread through the inner side of the eyelid.
It is characterized by minimal scarring since the skin is not cut, and the procedure is completed in a short time.
It's also popular among those who want "natural double eyelids" or are considering "double eyelid surgery for the first time."
2. Course of the Double Buried Method
Postoperative ~ Same Day
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Once the anesthesia wears off, you may experience some pain or discomfort.
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Swelling begins immediately after the procedure, making the eyelids appear slightly thicker.
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Cooling helps reduce swelling.
- The double eyelid appears wide
Days 1–3 (Peak of swelling)
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The period when swelling and redness are most noticeable
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Opening and closing my eyelids feels somewhat heavy.
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When bruising occurs, it may appear purple to reddish.
Days 4–7
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The swelling gradually subsides, and the lines become more distinct.
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If there is internal bleeding, it will change to yellow to light brown.
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Many people find they can cover it up with eye makeup.
1 to 2 weeks later
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Looks quite natural
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The swelling has almost subsided, and the lines are stabilizing.
One month later
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approaching the final finish
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Blinking and eye movements become natural, making it difficult for others to notice the treatment.
- Swelling should completely subside in about three months.
3. Duration of Double Buried Method
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On average, about 2 to 5 years
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People with thin eyelids tend to have longer-lasting makeup.
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If you have thick eyelids or a habit of rubbing them vigorously, the sutures may come out sooner.
4. Tips for Reducing Downtime
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Ensure thorough cooling for 48 hours post-surgery.
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Avoid activities that increase blood flow (long baths, strenuous exercise, alcohol consumption).
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When going to bed, sleep with your head slightly elevated.
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Do not rub your eyelids hard.
5. Advantages of the Double Buried Method
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Since it doesn't cut, it's less likely to leave scars.
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Relatively short downtime
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It is also possible to revert to the original state.
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It tends to give a natural finish.
6. Important Notes
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If the thread comes loose, the double eyelid disappears.
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Duration may vary from person to person
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For those with thick eyelids, the incision method may be more suitable in some cases.
- You cannot undergo buried suture procedures repeatedly (if the sutures come loose after multiple buried suture procedures, you may need to switch to the incision method).
Summary
Double Buried Suture Method ProgressResults vary from person to person, but most people achieve a natural-looking eye area that doesn't interfere with daily life within 1 to 2 weeks.
This is an appealing method for creating natural double eyelids in a short period, but suitability and longevity vary depending on the condition of the eyelids.
To maintain your ideal double eyelids for the long term, consult an experienced doctor and choose a method suited to your eyelids.
Reservations can be made here.
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https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
【Profile】
Plastic Surgeon/Cosmetic Dermatologist Dr. Ayuri Yokoyama
Japan's Leading Clinic for Beauty and Health Regenerative Medicine｜BIANCA CLINIC GINZA/OMOTESANDO
In my previous role, I was involved in establishing a clinic as a cosmetic dermatologist, from its inception to opening, and served as its director for three years.
Having worked with approximately 20,000 patients' skin and faces, contributing to the clinic's development.
To further expand the scope of treatment, I have now transitioned to BIANCA CLINIC, a leading aesthetic and regenerative medicine clinic in Japan.
We provide the latest aesthetic medical treatments for well-aging, encompassing not only cosmetic dermatology but also cosmetic surgery and internal medicine.
【Career】
2020 Graduate of the School of Medicine, Hiroshima University
2020: Worked at JCHO Tokyo Shinjuku Medical Center and affiliated hospitals (National Center for Global Health and Medicine Hospital, Tokyo Yamate Medical Center)
2022: Joined ELM Medical Corporation Served as Director of Azabu Clinic
2025: BIANCA joins the company
【Professional Affiliations/Qualifications】
The Japanese Society of Aesthetic Dermatology
Japanese Society of Anti-Aging Medicine
Occupational Physician Certification
【SNS】
Instagram account
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