BLOG

column (e.g. in newspaper)

2025.08.26

What is the ”non-incisional ptosis surgery (MT method)” that improves eye opening?

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, I'm Ryutaro Natsume, an image designer and cosmetic surgeon.

 

My eyes don't open fully, making me look sleepy, and I'm bothered by the wrinkles on my forehead. But I'm scared of eyelid ptosis surgery with incisions.

This is recommended for people like this:”Non-Incisional Ptosis Surgery (also known as Müller Muscle Tacking Method = MT Method)”is.

What is non-surgical ptosis?

Top: Pre-operative, Bottom: 1 month post-operative, Procedure: Non-incisional ptosis surgery

 

Similar to the buried suture method, a double eyelid is created by pulling the levator aponeurosis and Müller's muscle, which have the ability to open the eyelid, together with sutures.

Effective for mild ptosis.

Since it is not an incisional procedure, excess skin cannot be removed.

If you have double eyelids, try looking in the mirror: when you half-close your eyes, the visible double eyelid width appears wider, and when you open your eyes wide, the double eyelid width appears narrower.

In other words,When the eyes open more fully, the double eyelid width narrows if skin excision is not performed.That's the situation.

Performing non-incisional ptosis surgery results in a narrower double eyelid width compared to the Bougie simulation. To anticipate this, the suture points may be set slightly higher in advance.

However, setting the suture point too high can itself create resistance to opening the eyelid, so the suture point and tacking amount are set at an appropriate balance based on experience.

Individuals for whom non-surgical ptosis correction is suitable

Surgery is scary, and I can't afford the downtime.

I want to see what kind of change it makes (it will go back to normal once the stitches are removed).

Individuals with relatively little skin laxity (up to around age 50)

Desire wide double eyelids while maintaining eye opening after surgery

Individuals for whom non-surgical ptosis treatment is not suitable

Severe ptosis

Non-surgical ptosis treatment showed no improvement/relapsed immediately

Significant skin laxity

Pain, downtime, cost, etc., for non-surgical ptosis treatment

Pain: You may feel a slight sting when the local anesthetic is administered to the front and back of the eyelid, but you will feel no pain during the procedure. The anesthetic wears off in about 3 hours post-surgery, but any discomfort can be managed with oral pain medication. Nitrous oxide anesthesia can also be used concurrently. The procedure takes approximately 30 minutes.

Downtime: Bruising and swelling typically subside within about one week. The double eyelid crease approaches its final appearance around one month and is fully established by three months. Downtime is shorter than with incision surgery.

Price: ¥360,580

Summary

This time, we explained non-incisional ptosis surgery.

For those who are afraid of incisions, unable to take time off for recovery, or simply want to try out potential changes, we first recommend non-surgical eyelid ptosis correction.

The procedure time is short, so it can be performed simultaneously with other eye area treatments or thread lifts.

Feel free to contact us anytime.

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

Full Member of the Japanese Society of Aesthetic Medicine

【SNS】

Instagram account 

 https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr

 

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation
アイコン RESERVATION