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2025.11.28

Droopy Outer Corner Blepharoplasty (Lateral Tarsal Ligament Transposition) vs Glamorous Line ⸻ A Thorough Comparison of Effects, Reversibility, and Suitability

藤橋 政尭
Supervising Physician
Board Certified Plastic Surgeon, Japanese Society of Plastic Surgery Masataka Fujihashi

As a plastic surgeon certified by the Japanese Society of Plastic and Reconstructive Surgery, I have been involved in many cases of trauma, reconstruction, and congenital diseases, and have cultivated precise techniques and a deep understanding of anatomy. He entered the field of cosmetic surgery out of a desire to bring the power of cosmetics to his patients, as a change in one's appearance can also make one's mind more positive. Her specialties include general treatment of the eye area, injections, and sagging skin. I provide treatments that focus on beauty with the medical stance of "sincerely addressing the ideals of the patient.

Hello!

Designing natural beauty with trust.

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

 

 

The "Glamorous Line Formation," renowned for creating droopy eyes, and the recently popular "Droopy Eye Corner Incision (Lateral Tarsal Ligament Transposition)."

Both procedures create a “gentle eye area,” but their areas of expertise, the intensity of the change they produce, and the ease of reversing the results are completely different.

This article clearly explains which option is better suited for you by comparing their respective features.

 

 

■ The Difference in Function Between Droopy Eye Corner Surgery and Glamorous Surgery“

First, simplifying these two points will help you grasp them more quickly.

Droopy Eye Corner Surgery Lower the position of the outer corner of the eye (and widen it outward)

 

Glamorous Line Lower the curve of the lower eyelid (while keeping the outer corner position unchanged)

 

When I ask clients who request a "glamorous line" during counseling why they want it,In fact, over half of them say it's because they're concerned about their upturned eyes.be presentImpressionis.

However, the most effective method for truly improving upturned eyes is “ligament transposition,” which changes the height of the outer corner of the eye itself.

 

 

■ How much regression?

In previous articles, I mentioned that all surgical procedures are reversible. I will now revisit and explain this point by comparing them again.

Droopy Eye Corner SurgeryThis treatment is said to have minimal setbacks, butBased on experienceAbout 10 to 20 percent will return.

Therefore, ILigament transfer may result in approximately 10% overcorrection.We will perform the procedure and adjust it so that it reaches the “just right position” after three months.

In contrast,Glamorous Lineis the change in quantity immediately afterreturning to about 50-60%I end up doing it.

Therefore,For a glamorous look, 30-40% overcorrection is necessary.Therefore, immediately after surgery, many people tend to look more deflated than they had imagined.

However, this “slight decline” is an appropriate progression,It will naturally settle down in about three months.

The actual progression when combining lateral canthoplasty with glamorous line surgery is as follows:Patients who felt their breasts were "a bit too low" at the one-month post-operative stage almost always report that they "look just right" by three months post-operatively.

On the other hand,Patients who reported "just right" one month post-surgery often feel "a bit unsatisfying, but within acceptable limits" three months post-surgery.That's the impression I get.

This judgment requires significant experience,The point where the practitioner's sense comes throughas well.

 

 

■ Which Should You Choose? Optimal Solutions by Purpose

I'm self-conscious about my upturned eyes (I want to give a gentler impression) Ligament Transfer

I want to make my eyes appear larger vertically. → Glamorous

I want to spread it outward and downward. Ligament Transfer

I want droopy eyes → Glamorous

I want to make a significant change. → Combination (Ligament Transfer + Glamorous)

I'm worried about backtracking → It depends on the practitioner's skill

I want to make my eyes as big as possible. → Combination (Ligament Transfer + Glamorous)

In actual consultations, over half of those seeking a glamorous look choose ligament transfer or a combination procedure.

 

 

■ Workflow and Downtime Until Completion

BothCompletion is 3 months post-surgery

Ligament transposition may cause slight conjunctival edema, and some patients are surprised by the “overcorrection” immediately after Glamorous surgery.

However, these are all part of the natural course of events and will eventually settle down on their own.

 

 

■ Summary

Is the goal to improve the upward slant of the eyes, or to lower the curve of the lower eyelid?

And precisely because it's difficult to assess the current condition of your own eyelids, a doctor's diagnosis is necessary.

After correctly assessing the situation,Ligament Transfer / Glamorous / concurrent use Let's work together to choose the best treatment for you.

 

 

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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.

 

Read other blog posts

https://biancaclinic.jp/author_cat/fujihashi/

 

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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

April 2019 Nishio Municipal Hospital Plastic Surgery Department

April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department

November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery

July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery  Department Head

July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)

April 2024 Deputy Director, Ginza TA Clinic

November 2025 BIANCA CLINIC

 

【Professional Affiliations and Qualifications】

Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon

Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)

Member of the Japanese Society of Aesthetic Surgery (JSAS)

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