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2025.09.14

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

幡手 亜梨子
Supervising Physician
Board Certified Plastic Surgeon, Japanese Society of Plastic Surgery Hatate, Ariko

As a plastic surgeon, he has experienced many cases and has developed precise techniques and a deep anatomical understanding. Currently, combining his knowledge of plastic surgery with the latest technology, he provides a wide range of cosmetic treatments for skin, contouring, sagging, and other concerns of aging. He has also shared the responsibility of writing Japan's first textbook on gynecological cosmetic surgery, "Basic Techniques of Gynecological Cosmetic and Plastic Surgery. From her experience as an idol during medical school, she realized that "natural beauty" goes beyond the will to choose how you want to be, and she focuses on supporting her patients to "love yourself more every day". We are English-speaking and value counseling that is easy to talk to.

Hello, I'm Ariko Hatate from BIANCA CLINIC.

 

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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※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.

 

▽幡手 亜梨子のプロフィールはこちらから

https://biancaclinic.jp/doctor/hatade/

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