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2025.09.27
Characteristics of People Prone to Double Eyelid Sutures Coming Undone
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.

Some people keep their results for over ten years even after the procedure, while others experience regression in less than a year.
If you're finally mustering the courage to get buried while taking downtime, you'll want it to last as long as possible, right?
This time, we'll explain which individuals are more prone to having their buried sutures come loose and introduce ways to prevent this.
The principle of buried double eyelids is to create the fold of the double eyelid line using a thread knot.
The more you blink, the easier it becomes for the thread ball to come loose.
① The skin on the eyelids is thick.

The skin of the eyelid is thinner on the side of the eyelashes and thicker on the side of the eyebrows.
Double eyelids that fold inward and thick eyelid skin are more prone to slipping.
Not only is the skin naturally thick, but if you desire wide double eyelids and opt for buried sutures on the thicker brow side, they are more likely to come undone.
② High in fat
When creating a fold, fat tissue can become entangled, creating resistance that makes it difficult to open the eyelid and increasing the likelihood of the fold detaching.
③ Poor eye opening
If your eyelids naturally open poorly, the strength to create double eyelids is also weak, and even with buried suture surgery, you may not achieve a beautiful double eyelid.
In that case, the double eyelids tend to disappear quickly.
In this case, it is necessary to add a procedure to improve the opening of the eyes in order to create double eyelids.
For mild cases, we recommend the MT method, a non-surgical procedure. For moderate to severe cases, we recommend surgical intervention involving an incision.
④ Rubbing your eyes frequently
If you have a habit of rubbing your eyes due to conditions like hay fever or atopic dermatitis, they are more likely to come off.
Since I believe I have a type prone to eyelid inflammation, when hard tissue called granulation forms around the thread knot due to inflammation, it can cause the lumpy thread knot to become palpable on the surface.
Therefore, when itching occurs, applying anti-itch eye drops or moisturizing if dryness is the cause is important for managing the itch.
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Countermeasures for cases where the implant is prone to dislodgement
In cases ①, ②, and ④, since the thread balls tend to come loose easily, it's important to prepare multiple thread balls so that even if one comes loose, you still have others to hold onto.
The popular natural adhesion method uses a single thread, so if it breaks, the wound will completely revert to its original state.
Therefore, I personally believe it is not well-suited for such cases.
When creating double eyelids, opt for a buried suture technique that incorporates multiple anchor points and crisscrossing stitches. This ensures that even if one suture point comes loose, the remaining threads will maintain the double eyelid line.
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Summary
This time, we explained which individuals are more prone to having their buried sutures come loose.
Particular caution is needed in cases where the eyelids are thick and the double eyelid crease is wide.
You can also make the sutures last longer with the buried suture method.
If the eyelid repeatedly folds outward, we also perform incisions when internal procedures are necessary to create double eyelids.
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