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2025.11.29
The Relationship Between Eyelid Tape and Double Eyelids ⸻ When Should You Choose Surgery? Considering the Structure of the Eyelid
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.
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Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.

When someone with monolids wants to try double eyelids, the first thing they reach for is probably eyelid tape. It's low-cost, easy to try, and has no downtime.
Because it's easy for students to use, it's a very common first choice.
The next step considered is the buried suture method; few people opt for the incision method right away.
There is a natural desire here to minimize the burden as much as possible, yet still achieve a double effect.
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■ Double-eyelid tape and double-eyelid surgery have “completely different structures”
First, I want you to understand that,The double eyelids created with eyelid tape and those created through surgery have fundamentally different structures.That's the situation.
Eye Putty adheres skin to skin to make it appear as if it's bent.“However, no structural changes have occurred within the eyelid itself.

On the other hand,In cases of buried or incisedCreate a connection (indentation) between the tarsal plate and the skin, causing the eyelid to fold inward on its own.Forms the structure.

Source: 'Facial Plastic Surgery, 1st Edition' (Nihon Iji Shinposha, 2021) p.5, Figure 3, reproduced with modifications
This difference results in,
• Eye Putty → Create wide lines with ease (simulated folds)
• Surgery → Can create lasting double eyelids (genuine fold), though wider ones carry the risk of ham-shaped eyes
This relationship is formed.
In other words, the “dramatic width” achievable with eyelid tape cannot be directly replicated with buried sutures.Double eyelids that form naturally can only be created through buried suture or incision techniques.That's the situation.
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■ Disadvantages of eyelid tape: The more you use it, the more your eyelids stretch.“
Eye Putty is a convenient item that even students can easily use, butUsing it daily over a long period will definitely put a strain on your eyelids.
The following cases are particularly common.
Using eyelid tape for long periods every day
→5 years or more to 10 years or more
→The skin gradually stretches
→The lines created with eyelid tape become unstable
→Coming in for your first consultation at a cosmetic surgery clinic
I see this cycle really often.
When the skin has been stretched to its limit,It becomes difficult to recreate the eyelid crease line using only the buried suture method.It is not uncommon for more invasive procedures such as incisional rhinoplasty or sub-brow incision combined with buried sutures to be required.
This tendency is particularly strong among those who have used eyelid tape for over five years,If only I'd consulted sooner, I could have achieved a natural look with just the buried sutures...This is also a common scenario.
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■ The shorter the history of eyelid tape use, the lower the tendency for surgical invasiveness.
From experience,
• Short eyelid tape history → High likelihood of achieving a clean look with buried sutures
• Long history of using eyelid tape → Higher surgical difficulty, greater likelihood of transitioning to incision surgery
There is a tendency for this.
Of course, there is an ethical debate about at what age cosmetic surgery should be performed.
However,If the skin stretches from the constant strain on the eyelids every day, eventually requiring surgery,Choosing minimally invasive buried sutures early on is the more reasonable approach when considering the future of the eyelid.It could also be said.
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■ A Crucial Perspective Precisely Because of the “Formative Years” of Middle and High School Students
Middle and high school years are a highly impressionable time, and concerns about appearance directly impact school life and self-confidence.
"I hate having monolids and don't want to go to school."
"Every morning, I spend so much time using eyelid tape to create double eyelids that I sometimes end up being late."
"On days when I can't get my double eyelids to look right with eyelid tape, I don't go to school."
I have actually had experience receiving such inquiries.
Of course, surgery should not be recommended for everyone,Accepting one's appearance and embracing student life—a once-in-a-lifetime experience—with a bright and positive outlook is crucial for mental well-being.is.
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■ Summary: Eye Putty is the “gateway to double eyelids,” not the final goal.
Eye Putty is a great item to try out double eyelids.
However, there are drawbacks to long-term use,Before the condition of your eyelids worsens, there is also the option to switch to surgery at the appropriate time.I would like you to understand that.
The treatment you should choose varies significantly depending on the condition of your eyelids and your history of using eyelid tape.
If you're concerned, please come in for an initial consultation to have your eyelids examined.
We'll work together to find the best approach 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.
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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)