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2025.09.20

Can't close your eyes? Double eyelid width correction, lift fixation surgery

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.

 

This image shows someone with their eyes rolled back and unable to close them...

This is on purpose.

During revision surgery to narrow the width after double eyelid incision surgery, a technique called suspension fixation is performed.

Threads are used to lift the eyelids just enough to prevent them from closing completely, ensuring the skin folds back to form a double eyelid line even when the eyes are shut.

This results in a double conditioning.

This is the preoperative photo.

The double layer is partially detached.

This is the double eyelid line with eyes closed before surgery.

Preoperatively, there is asymmetry between the left and right sides, and the width is excessive.

In the past, parallel double eyelids were considered ideal, and patients would undergo such procedures at other clinics. But now, the trend is natural beauty.

You requested the Suehiro double-layered style.

To create a double eyelid with a wider crease, the incision line must be set closer to the lash line, requiring the double eyelid to be reshaped.

If the original double eyelid line adhesion is not released during the procedure, both the new double eyelid line and the previous one will appear post-surgery, resulting in what is known as a triple eyelid.

The procedure performed to prevent this is traction fixation.

The duration of the suspension fixation is approximately 3 to 7 days. The period may vary slightly depending on the case.

Important points to note: This treatment causes severe dry eye, so frequent eye drops are necessary to protect the eyes. Additionally, apply ointment to the surface of the eyes at bedtime to prevent drying.

In severe cases, corneal erosion may occur, so we recommend requesting revisions from a physician who is familiar with such treatment methods.

This is what it looks like immediately after being hoisted.

You can see that immediately afterward, it flares out, and the previous crease from the double line has disappeared, replaced by a clean fold along the new double line.

 

I'll keep you updated on the progress!

 

Summary

More and more people are requesting natural, flared double eyelids instead of wide, parallel double eyelids as times change.

This time, we explained the lifting fixation technique used during double eyelid width narrowing correction.

Feel free to contact us anytime.

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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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