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2025.09.14
Which is better for droopy-eye surgery: skin incision or conjunctival incision?
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.

I want to make my eyes look wide and bright, eliminate the upturned look, and create a softer impression.
We recommend droopy-eye surgery.
The image of droopy-eyed surgery is that it makes eyes look too doll-like and unnatural,
Adjustments can create a natural look or a more sculpted eye.
Personally, I prefer a natural and elegant finish.
Droopy eyelid correction can be performed either through a skin incision or a conjunctival incision (from the inside of the eyelid).
This time, I'll talk about that adaptation.
◯Conjunctival Incision Cases

Since the incision is made inside the eyelid, no scar will be visible on the outside.
This can be performed simultaneously with fat removal and subcutaneous liposuction.
Since the conjunctiva is manipulated, the eye may remain swollen for about a month.
◯ Skin Incision Cases

An incision is made near the eyelashes. Sutures will need to be removed approximately one week after surgery.
Scars on the lower eyelid often become less noticeable.
In cases where the eyelashes are naturally inverted before surgery, creating droopy eyes can worsen the condition. To prevent this, we partially remove excess skin from the lower eyelid.
Additionally, the approach using skin incisions is said to provide stronger pulling force, so skin incisions are used when significant changes are desired.
In cases where previous fat removal has been performed, the CPF muscle—which lowers the eyelid—is often cut and scarred, so the procedure may be performed from the front.
Individuals seeking droopy eye surgery often prefer tear troughs and may undergo surgical tear trough augmentation simultaneously.
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Reservations can be made here.
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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