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Hello, everyone!

Natural and elegant rejuvenationpropose,plastic surgeonのMs. Aliceis.

 

 

As you get older, you start to notice things like..."Eyelid drooping"。

When you look in the mirror, you might feel a bit tired or find your eye makeup just isn't sitting right...

Or perhaps many of you experience heavy eyelids or a sensation of the upper part of your vision becoming obscured.

Sometimes, the prolonged effort to keep your eyes open can actually cause headaches.

 

Actually, when we talk about “eyelid drooping,” the causes can vary.

There is excess skin.or,The strength to open my eyes is weakeningorThe weight of fatDepending on the cause, the effective treatment can vary significantly.

This time,The Perspective of a Plastic SurgeonTherefore, IWhat I think about during regular examinationsI've simplified it into a flowchart.

I hope this helps you choose the treatment that's right for you!

 

～Eyelid Sagging Procedure Selection Flowchart～

STEP 1: First, check whether your eyes are difficult to open.

① Can your eyes open normally without raising your eyebrows?

　・YES → Proceed to STEP 2 (For concerns primarily about sagging)

　・NO (Hard to open without raising eyebrows / Gets tiring quickly) → Type A

 

👉 ※Since this can be determined by a doctor's examination, you don't need to make an accurate self-assessment. If you can easily open your eyes even when pressing down on your eyebrows, considering it Type A is sufficient.

 

 

Type A: Difficulty opening the eyes (suspected levator-related ptosis)

Your main concern is not so much “skin sagging” as it is "heavy eyelids that are difficult to open."

⇒ Recommended treatment is

　Elevator Advancement (Surgery to ensure proper function of the muscle that opens the eyelid)

　The incision method for so-called ptosis.

　If there is significant skin laxity

　→ Elevator advancement + upper eyelid skin excision

　・Scars are less noticeable with a double line

💡 Even if you only want to remove skin without altering your double eyelids, if there's levator muscle-related ptosis, simply cutting the skin won't give a clean result, so treatment for that issue will also be necessary.

 

 

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STEP 2: Eyes open, but concerned about "skin laxity" (Type B)

 

From here on Appearance, preference, and finish are the top priorities. Selection.

 

Question: Do you want to keep your current double eyelids as they are?

① I don't want to alter my current double eyelids or prefer to keep them as single eyelids.

　→ Brow Lift (Surgery to remove skin below the eyebrows)

　・While it cannot be said that the scar will completely disappear, it will become less noticeable within about a year.

　・Do not alter the double eyelid line at all; it will appear slightly wider and shallower.

　・The thickness of the eyelids may become lighter

　・For those who want to rejuvenate naturally while keeping their original facial features

 

However, note: For individuals with a narrow space between the eyes and eyebrows, a brow lift may make this area appear even narrower and unnatural, making it unsuitable.

　→ In that caseForehead lift (involves a scar along the hairline to lift the eyebrows)

　・The distance between the eyes and eyebrows widens

　・The scar is at the hairline, so it's easy to hide with bangs.

　・Overall reduction in eyelid sagging

　・Do not alter the double eyelid line at all; it will appear slightly wider and shallower.

　・Less prone to developing wrinkles between the eyebrows or on the forehead

 

 

② It's okay if your double eyelids change, and it's okay if you go from single to double eyelids.

　If simulation using Buji can improve it

　→buried method

　・Removing the stitches will restore it

　・If skin laxity is mild, it will look natural.

　・Scars are barely noticeable

 

　→If sagging remains Upper Eyelid Blepharoplasty (Full Incision)

　・Scars become less noticeable with double-line sutures

　・People with single eyelids become double eyelids

　・Double eyelid width is adjustable

　・May cause thickening of the eyelids

 

　Depending on the application

　　→Forehead LiftやBrow Liftis also possible

 

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STEP 3: For those afraid of surgery or who want to try it first

　→ Botox

　・Reduces the feeling of heaviness on the eyelids

　・It won't dramatically lift your skin, but it's effective enough for mild sagging.

　・For better or worse, the effects last only about six months, so it can be used as a trial before committing to surgery.

 

　If the cause is the feeling of a hollow

　→Hyaluronic acidImprovements may also be possible.

 

 

 

It's natural to start noticing drooping eyelids as you age. That's precisely why there are personalized improvement methods for eyelid drooping, tailored to each individual's excess skin and muscle condition.

In addition to surgery, there are also methods such as injections that can make you look naturally youthful.

 

The flowchart introduced here is merely a simplified representation of general guidelines.

In addition to the above,During the examination, it is also possible to determine the presence of fat.If necessary, we will add upper eyelid fat removal.

After examining your eyelids in person, I will propose the method that best achieves your ideal eye contour.

Depending on the surgical procedureSimulation is also possibleis.

Understanding which treatment suits you best—including factors like downtime and cost—is the first step toward achieving a youthful eye area with peace of mind.

 

If you're unsure, please feel free to ask for advice.

Let's discover your unique beauty together and achieve your ideal rejuvenation!

 

 

Author: Arisu Hatade

Board-Certified Plastic Surgeon / Cosmetic Surgeon

After graduating from Kyushu University School of Medicine, he worked in plastic and reconstructive surgery and cosmetic surgery at university hospitals and affiliated facilities, obtaining board certification in plastic surgery.

With extensive experience in a wide range of cases, from facial and trunk reconstructive surgery to cosmetic surgery, I prioritize achieving natural and beautiful results based on anatomical knowledge.

Having worked as an idol during my student days, I possess a unique perspective that understands both “beauty for being seen” and “beauty as medicine.” This allows me to offer customized aesthetic medical treatments tailored to each individual patient.

In my personal life, I enjoy traveling and gourmet food, and I share information about beauty and lifestyle on Instagram.

https://www.instagram.com/p/DP5P123kUR8/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==

 

career

• Graduated from the School of Medicine, Kyushu University
• New Tokyo Hospital Initial Training
• Jichi Medical University Hospital Department of Plastic Surgery Employee
• Luce Clinic Employee
• Shin-Koyama Municipal Hospital Plastic Surgery Department Employee
• Teikyo University Hospital Department of Plastic Surgery
• JR Tokyo General Hospital Plastic Surgery and Reconstructive Surgery Department Employee
• Ariake Hifuka Clinic Employee

 

Professional Affiliations and Qualifications

• Board-Certified Specialist, Japanese Society of Plastic and Reconstructive Surgery

 

Field of expertise

• Cosmetic surgery (eyes, jawline, gynecological procedures, etc.)
• Injection Therapy (Hyaluronic Acid, Botox, Fat Grafting)
• Laser Skin Treatment
• Regenerative Medicine and Anti-Aging Care