二重埋没法と二重切開法の違い | 日本を代表する美容健康再生医療のクリニック

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2025.11.04

The Difference Between the Double Buried Suture Method and the Double Incision Method

Supervising Physician

Masataka Fujihashi

As a board-certified plastic surgeon, I have handled numerous cases involving trauma, reconstruction, and congenital conditions, cultivating precise techniques and deep anatomical understanding. Driven by the desire to deliver the transformative power of beauty—where visible change uplifts the spirit—I pursued a career in cosmetic surgery. My areas of expertise include comprehensive eye treatments, injectable therapies, and anti-sagging procedures. Guided by a commitment to sincerely address each patient's aspirations, I provide meticulously crafted treatments focused on achieving beauty.

Hello!

Designing natural beauty with trust.

I am Masataka Fujihashi, a board-certified plastic surgeon.

"I want wide-open eyes..."

"I want to graduate from my daily eyelid tape routine!"

I want to eliminate the asymmetry in my double eyelid width that has developed with age.

I imagine everyone has their own reasons for wanting double eyelids.

"So which surgery should I get to create double eyelids?"

There are two main surgical methods for double eyelid surgery: the suture method and the incision method. Each has its own advantages and disadvantages, and each is suited to different individuals.

In this article, I will explain the differences between the suture method and the incision method in a clear and professional manner, drawing on my experience as a plastic surgeon and cosmetic surgeon who has treated numerous eye cases across all ages and genders.

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What is the double-stitch method?

The buried suture method creates a double eyelid line by making tiny needle-hole-like punctures in the skin or conjunctiva (the inner eyelid surface) and securing the eyelid at several points with fine medical thread. With a short procedure time of 10 to 20 minutes and relatively minimal swelling or bruising, it is widely recognized as a "casual cosmetic procedure."

Benefits

• Short downtime (recovery in about 1 to 3 days)

• Leaves almost no scar or, if any remains, it is completely unnoticeable

• Natural finish

• You can undo it by removing the thread.

• Lower cost compared to incision

Disadvantages

• The double eyelid line becomes less pronounced as the thread loosens.

• Not suitable for people with thick eyelids, as it may result in an unnatural finish

• Limited design flexibility

"I'd like to try double eyelids casually." "I might want to change the shape of my double eyelids in the future." "I'm not sure if double eyelids suit me yet..."For those who...buried methodIt can be said that this is suitable.

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What is the double eyelid incision method?

The incision method creates a double eyelid line by surgically reshaping the internal structures after making an incision in the eyelid skin with a scalpel. During the procedure, excess skin and fat can also be removed, making it a highly versatile technique that allows for significant changes and offers considerable design flexibility.

Compared to the buried method, downtime is slightly longer, but it excels in terms of stability and design quality.

Some clinics may list procedures as "Double Eyelid Full Incision" or "Upper Eyelid Sagging Removal."

Benefits

• The double eyelid does not become loose

• Can reduce skin sagging and decrease fat

• Offers considerable design flexibility

• Easily reproduces lines close to the ideal

• Capable of bringing about significant change

Disadvantages

• Long downtime (approximately 1 to 2 weeks)

• Risk of scarring (becomes less noticeable over time)

• The fix is difficult

• It cannot be restored to its original state.

• The price is higher than the buried method

Those with thick eyelid skinやThose with a higher body fat percentage、Those who have had their buried eyelashes come out multiple timesis, basicallyDouble incisionI often recommend.

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Buried or incision—which should I choose?

Actually, patients rarely ask me, "Which is better, buried sutures or incision?"

The reason is simple: if you can achieve your ideal with a procedure that has minimal downtime, you'd choose that method, wouldn't you?

In other words,Most patients come to our clinic requesting the buried suture method.

Among them, some patients who thoroughly research before visiting the clinic come in with concerns like, "Maybe I'm better suited for incision surgery."

Which one should I choose? The answer is simple:Current Condition of the Eyelidsと"The Ideal Double Eyelid"According to.

The following criteria may serve as a reference:

	buried methodPeople who are suited for	Incision methodPeople who are suited for
eyelid thickness	Thin~Normal	Thick / High in fat
Double Eyelids of Hope	Nature / Natural	Vivid and vibrant
Downtime	Prefer shorter	Someone who can handle things well
Cost estimate	約10〜20ten thousand yen	約30〜50ten thousand yen
Ease of modification	It can often be returned.	Basically irreversible

It is important to make a comprehensive decision, considering not only the condition of your eyelids but also factors such as "what kind of impression you want your eyes to make," "the impact on your work and daily life," "downtime," and "price."

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The Pitfalls of Choosing: A Doctor's Perspective

A common scenario in counseling is,Choosing the buried suture method solely because "I want to keep costs as low as possible" or "I want to do it with almost zero downtime"Case.

Of course, cost and convenience are important, butIf the final result differs significantly from your ideal, revision surgery may be necessary.There is. As a result,It may actually end up costing more time and money.。

Furthermore, the buried suture method is fundamentally a procedure that "creates a fold in the eyelid," and it cannot address underlying structural issues such as skin laxity or excess fat. It is best to avoid choosing it simply because it "seems easy."

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When is caution needed? Cases where incision methods are suitable

Individuals with the following characteristics may not be satisfied with the buried suture method:

• My eyelids feel heavy, and the line disappears quickly.

• The buried part keeps coming loose (more than once a year)

• Symptoms of ptosis (difficulty opening the eyelids)

• Significant skin laxity

• Significant asymmetry around the eyes

If these conditions apply, the incision method is well worth considering. It tends to provide long-term stability and higher satisfaction with the final result.

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Buried Method +Option α

Recently, procedures such as "buried suture method + micro-liposuction (fat removal)" and "buried suture method + ptosis surgery" have become popular.Hybrid TreatmentIt is also selected.

By combining the necessary procedures tailored to each individual's eyelid condition and desired line, a more natural and satisfying result can be expected.

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Finally｜“It's not just about ”creating double eyelids"—the essence of eye area plastic surgery

The purpose of double eyelid surgery is not merely to create a double eyelid line.buildnot that,With an emphasis on harmony with the entire faceDesigning beautiful eyesthingis.

What matters is,Not merely creating form,“Create” to bring them closer to their ideal face”from the perspective ofis.

The distance between the eyes and eyebrows, the thickness of the eyelids, the way the eyes open, and the overall facial bone structure—considering all these elements creates beauty that feels natural.

That's precisely why, rather than choosing between "buried or incised," it's crucial to focus on the perspective of "how can we create an eye area that's uniquely attractive to that individual?"

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Summary｜Buried sutures and incisions—each has its own merits

• The double-stitch method is simple and has minimal downtime, making it ideal for first-time double eyelid surgery.

• Double eyelid surgery is suitable for individuals with thick eyelids or those who wish to maintain a distinct line long-term.

• Clearly defining your current eyelid condition and your ideal image is the first step toward achieving a satisfying result.

First, consult a trusted doctor and choose a method that suits you without overdoing it.

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【Profile】

Masataka Fujihashi, MD, Plastic Surgeon

Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.

We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.

Designing natural beauty with trust.

We cherish that sentiment and apply it to our daily practice.

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【Career】

March 2015: Graduated from the School of Medicine, Showa University

April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training

April 2017 Showa University Hospital Department of Plastic Surgery

October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery