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2025.12.10

Specialist-Guided Selection and Applicability of the BIANCA Method Buried Suture Technique

幡手 亜梨子
Supervising Physician
Hatate, Ariko

As a plastic surgeon, I have gained extensive experience through numerous cases, cultivating precise techniques and a deep understanding of anatomy. Currently, I combine plastic surgery expertise with the latest techniques to provide aesthetic medicine addressing aging concerns like skin, contours, and sagging. "Natural beauty" isn't about doing nothing and leaving it to chance; it lies beyond the will to choose how you want to be. My experience as an idol during medical school made me realize the power appearance holds over the heart, and I focus on supporting patients in achieving "days where they can like themselves more." I also offer consultations in English and prioritize creating a comfortable environment for open discussion.

Hello, everyone!

Natural and elegant rejuvenationpropose,plastic surgeonMs. Aliceis.

 

 

The eyes are the most delicate feature that defines the overall impression of the face. That's precisely why, beyond just deciding on the type of double eyelid, "how it's created" significantly impacts the final result and satisfaction.

This time, among the various double eyelid procedures,buried methodI would like to focus on introducing.

 

At Bianca Clinic,

・Two-point fixation ・Four-point fixation ・B TWICE (back fixation) ・Natural adhesion method There are four main buried menus.

At first glance, the names might not seem very different. However, the truth is that these surgical techniques naturally determine which one is right for you based on your eyelid type and your priorities.

This article will help you choose the method best suited to your eyelid type without hesitation.Carefully explained from a specialist's perspectiveI'll get started!

 

 

■ First, you should know: The buried suture method is suitable or unsuitable depending on the “individual characteristics of the eyelid.”

The buried suture method is a procedure that creates a double eyelid line using fine medical-grade thread without using a scalpel.

However, the method of threading, fixation technique, and approach to the tissue vary depending on the surgical procedure.

That's precisely why,

"Swollen-looking eyes" "Excess fat" "Desire for a wider shape" "Prioritize durability"

The best choice will vary depending on your specific requirements.

Now, let's take a look at each surgical procedure.

 


■ 1. Double Buried Method: 2-Point Fixation / 4-Point Fixation

The most basic method involves tying an extremely fine thread to the “tarsal plate” on the inner side of the eyelid to create double eyelids.

The procedure time is short, and downtime is minimal. This is a popular choice for first-time double eyelid surgery.

 

● How do you decide whether it's 2 points or 4 points?

This is determined by "how stable the line tends to be."

 ・Thin eyelids・Less fat → 2 points provide sufficient stability

 ・Thick eyelids・Seems prone to slipping → Securely fixed with 4 points

We will determine how much is needed while running a double simulation.

 

● Recommended for people like this

 ・I prefer a natural finish

 ・Keep the width modest

 ・It's better to have something that's easy to grab when you really need it.

 ・First, I want to try the most standard method.

 

 

■ 2. B TWICE ― "Hidden Fastening" that leaves no marks on the surface

B TWICE is Bianca's unique “hidden suture” buried method.

Without creating the traditional needle holes from the front side,Approach from the conjunctival side (inside of the eyelid)This method involves attaching the suture to the levator palpebrae superioris muscle (levator method) to create the ideal double eyelid line, ensuring absolutely no scarring on the eyelid surface.

 

● Charm

 ・No needle holes appear on the surface

 ・Minimal swelling and bruising

 ・Immediately after surgery, so it's hard to tell

 ・Easy to create wide designs and provides greater stability

● Types that are particularly compatible

 ・People who prioritize durability

 ・“Not wanting to be found out” is the top priority

 ・Prefer a wide, parallel-style line

 

↑Cross-section diagram

 

■ 3. Natural Adhesion Method — Excellent Balance of Durability and Aesthetics

The natural adhesion method involves making several tiny holes in the eyelid and securing a single thread by crossing it through multiple layers.

By promoting natural internal adhesions (connections between tissues),Long-lasting results close to incision surgery + minimal downtime of buried suturesThis treatment combines both.

Fat can also be removed as needed,

Thick eyelids × Natural double eyelids

Perfect match for those who want to balance both.

 

● Features

 ・Resistant to removal and highly durable

 ・More natural than incision, longer-lasting among buried sutures

 ・Suitable even for those with thick eyelids or excess fat

 ・The lines are extremely natural, and even when blinking, there is no unnaturalness.

● Recommended for people like this

 ・I have thick eyelids but want to avoid surgery

 ・Natural yet long-lasting

 ・I have failed in past attempts at burial

 

↑Cross-section diagram

■ 4. Which One Should I Choose? — From a Specialist's Perspective

Even with the same “buried suture method,” the results will be completely different depending on the purpose and the condition of the eyelid.

Which one you should choose depends on...It is determined by the following three factors:

 

① Thickness of the eyelid

Thin → 2 points or 4 points

Slightly thick → B TWICE

Thick/High-fat → Natural adhesion method

 

② Desired line

・Natural → 2 points / 4 points

・Secure → B TWICE or natural adhesion

 

③ Things I want to prioritize

・Minimal downtime → B TWICE

・Durability → Natural adhesion method

・Modifiability → 2 points / 4 points

・Naturalness × Stability → Natural Adhesion Method

 


 

■ What I Want to Tell You as a Specialist

 

The buried suture method may appear simple, but the final result is actually determined by “anatomical knowledge specific to the eye area” and “the precision of threading the suture.”

But what's important is“Effortless design” and “sustainability that fits your life”

During consultations, we meticulously examine every detail—from the way your eyes open and skin texture to fat volume, eyelash direction, and how easily lines form—while also considering your age and lifestyle to propose the optimal approach.

The buried method can be a life-changing step.

I would be delighted to carefully understand your vision of how you want to look and work together to create natural, beautiful, and long-lasting results for your eyes!

 

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 love traveling and gourmet food, and I share information about beauty and lifestyle on Instagram.

 

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career

 Graduated from the School of Medicine, Kyushu University

 New Tokyo Hospital Initial Training

 Jichi Medical University Hospital, Department of Plastic Surgery

 Luce Clinic Employment

 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

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