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2025.08.28
Which should come first: double eyelid surgery or ICL?
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 plastic surgeon.
In recent years, more people are opting for ICL (Intraocular Contact Lens) surgery.
Should I get double eyelid surgery or ICL first?
ConclusionIn my opinion,
Ptosis Surgery (Surgery to Improve Eye Opening) → ICL
ICL → Full incision/buried suture method
I think this order is best.
I will explain the reason.
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Having eyelid surgery can worsen astigmatism.
In ptosis surgery (surgery to improve eye opening), the shape of the cornea changes due to alterations in eyelid movement itself.
Therefore, there are changes in the astigmatism prescription.
The more difficult the initial opening, the more likely postoperative astigmatism may progress.
After ICL implantation, if astigmatism progresses, you may experience difficulty seeing clearly. However, correcting astigmatism requires replacing the ICL.
It is said that changes in postoperative astigmatism are minimal with buried sutures or full incision techniques.
Therefore, especially for ptosis surgery (surgery to improve eye opening), where postoperative astigmatism is prone to change, we recommend performing the ptosis surgery first, then waiting at least three months for the corneal astigmatism to stabilize before proceeding with ICL implantation.
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Use an eyelid speculum during ICL surgery
During ICL surgery, a device is used to keep the eyelids wide open. This can cause the eyelids to be pulled, potentially causing sutures to come loose.
Therefore, for procedures like the sutureless method or full-incision technique that have minimal impact on postoperative astigmatism, we recommend undergoing them after ICL implantation.
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We recommend consulting both your scheduled double-surgery doctor and your scheduled ICL surgeon to decide which procedure should be performed first.
If possible, we recommend consulting a doctor who possesses knowledge of both double eyelid surgery and ICL.
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Reservations can be made here.
Complete your reservation in 60 seconds ▶︎
https://reservation.medical-force.com/b/d7bb811e-ebd5-4b93-93f8-588864b24f15
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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
Full Member of the Japanese Society of Aesthetic Medicine
【SNS】
Instagram account
https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr
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