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2026.02.27
How long is the downtime for the natural fixation method? Differences from other double implantation methods explained.
With deep medical insight cultivated as an internal medicine specialist, I bridge aesthetic surgery, dermatology, and internal medicine. Having spent my childhood in China, I communicate fluently in Japanese, Chinese, English, and Korean. Possessing an international perspective—evidenced by invitations to present at overseas conferences—I actively promote techniques as a Key Opinion Leader (KOL) for GOURI and REJURAN®. My specialty procedures include double eyelid surgery, skin-nurturing boosters, and body hyaluronic acid treatments. My approach leverages the holistic understanding of the body cultivated through internal medicine to guide patients toward natural, healthy beauty.
Hello, my name is Senhime Akashi! I am Senhime Akashi from Bianca Clinic.
In this issue, I would like to talk about my specialty, the double implantation method. There are various types of double implants, and among them, I would like to talk about the natural fixation method, which is still not very common in Japan. Even if you are interested in the natural fixation method, you may have many concerns such as "How long is the downtime? and "How long does it last?" There are probably some people who are interested in natural adhesion but are not ready to take the first step. We have compiled a list of points that you may be concerned about, so please take a look.
What kind of treatment is the natural adhesion method to achieve a natural result?
Some people who wish to have double-layered eyelids implanted may use Aipuchi on a regular basis. Although Aipuchi is an easy way to create a double-exposed eyelid, it can be troublesome because it takes time to apply makeup and can cause roughness to the skin of the eyelid. For those people, I sometimes talk about double implantation as an option. However, since there are several types of double implantation, you must be confused. First, let me briefly explain the different types of double implantation and the natural fixation method.
Natural fixation method is one of the double implantation methods that are becoming established in Korea
There are two main types of bifacial surgery: double implantation and double incision.
- Double implantation: A procedure that does not involve an incision and uses a special needle and thread to create a double line.
- Double incision: A double fold is formed by making an incision in the skin along the double fold line.
Because the double implantation technique does not involve skin incisions, it has less downtime than the double incision technique, but it is not a permanent procedure. The double incision method, on the other hand, is a bifacial plastic surgery technique that has long-term staying power, although downtime such as pain and swelling may occur. The natural fixation method is positioned as one of the double implantation methods in the bifacial plastic surgery.
Differences between the natural adhesion method and other double implantation methods
The natural adhesion method is a double implantation technique from South Korea that creates a double line by naturally crossing the eyelid skin and the muscle that lifts the eyelid. A tiny hole is made in the eyelid, the size of a needle hole, and a single thread is crossed and passed through the entire double fold line. The thread tends not to loosen easily because the natural adhesion between the tissues allows the entire line to support the double fold line. In addition, because the thread is fastened on the surface of the eyelid, there is little risk of damaging the cornea.
Therefore, it is said to be a procedure that successfully combines the advantages of both implantation and incision. However, not many clinics in Japan offer this procedure because it requires the skill of the doctor to thread the thread in the proper position.
So what is the difference from other double implantation methods? Other double implants, called two-point or four-point implants, use special threads to create a knot of threads to form a double line.
Bianca Clinic also offers a back-locking double implantation technique called B TWICE, which is unique to Bianca Clinic and is performed by threading the thread through the back of the eyelid, leaving no stitches or knots on the front side of the eyelid. However, this type of double implantation depends on the thickness and condition of the eyelid and the desired result, so you will have to choose the appropriate procedure after consultation with the doctor. Please feel free to contact us if you are looking for a double implantation procedure that is right for you.
The double eyelid-related procedures handled by the Bianca Clinic areHere
What are the downtime and risks of the natural adhesion method?
[Procedure Name] Double Implantation Natural Adhesion Method [Description of Pictures] Top: before the procedure Bottom: 1 month after the procedure [Cost] 239,580 yen [Risks and Side Effects] Internal bleeding, swelling, swelling, heat and lethargy around the eyes, and in rare cases, loosening or removal of the threads.
Some people who are looking for a natural-looking, scalpel-free, double-layered look with lasting power may be interested in trying the natural adhesion method. However, one point of concern is the downtime and risks of the procedure. Some of you may be concerned about the downtime of the natural fixation method, and may be checking blogs about the progress of various people. We have summarized the downtime and risks of the natural adhesion method in the hope that we can alleviate some of your concerns.
How long is the downtime for spontaneous adhesion?
The natural adhesion method does not involve large incisions. Only four to six small needle holes are made. The procedure takes about 15 minutes, and there is no need to remove stitches. Showering is possible on the same day, and makeup and contact lenses can be used one week after the procedure.
Swelling and internal bleeding may occur, but swelling tends to subside within a few days and internal bleeding within 10 days.
What are the risks?
The natural adhesion method is said to be a procedure that combines the best aspects of the implantation and incision methods, but it is not completely risk-free. Swelling and internal bleeding may occur after the procedure, depending on the individual. Also, compared to other double implantation methods, it is not a permanent procedure, although it is expected to have long-term staying power. 10 years or more is possible, but the threads may loosen or come off as the years go by.
However, depending on the condition of the eye, revision surgery or modification may be possible. In other cases, the natural adhesion method may not be suitable for patients with droopy eyelids or sagging eyelids. Bianca Clinic has many different options and will suggest the appropriate approach.
The natural adhesion method is suitable for people like this!
Depending on the thickness and condition of the eyelids, the double implantation method may be suitable for some cases, while the incision method may be better for others. It also depends on what kind of result you are looking for, so it is difficult to make a general statement, but mainly, the following people are suitable for the natural fixation method among the double implantation methods.
- I don't want to make incisions around my eyes.
- Desire for a long-lasting treatment that can be kept for a long time
- I want to have a natural double-image.
- I want to reduce downtime.
If you are wondering whether you are better off with the natural fixation method or another double implantation method, please contact Bianca Clinic. Bianca offers a wide variety of double-layered surgery procedures. We will listen to your wishes, carefully check the condition of your eyelids and skeletal structure, and then suggest the appropriate procedure. During the consultation, we will simulate the double-exposed eyelids so that the patient can easily visualize the finished product. Please let us know your wishes, such as "I want a wide double fold" or "I want a natural spread of the double fold. Let's work together to create your ideal eyes. On my Instagram, I introduce various cases of double-layered implants including the natural fixation method.
Please check the actual cases and try to imagine your ideal double-image.
▶Dr. Senhime Akashi's Instagram isHere
▶ Bianca Clinic's natural adhesion method isHere
How to minimize downtime as much as possible with the natural adhesion method?
Since the natural adhesion method is a bifacial procedure that does not involve large incisions, it is a procedure with less downtime than the incision method. However, this does not mean that there is no downtime at all. As mentioned earlier, the main downtime may include swelling and internal bleeding. However, there are methods that reduce discomfort such as swelling and do not prolong downtime. Even if you choose a procedure with minimal downtime, depending on how you spend your time after the surgery, you may feel that the downtime is longer than expected. Therefore, we would like to share with you some tips on how to avoid prolonged downtime.
The main methods are as follows
- cool the eyelids
- Avoid strenuous exercise, saunas, and long baths.
- Avoid high-salt meals.
- Refrain from alcohol.
If you are concerned about eyelid swelling, cool your eyelids by icing them as much as possible. Strenuous exercise, saunas, and long baths promote blood flow, which can easily lead to eyelid swelling. A high-salt diet induces swelling, and alcohol promotes blood flow and prolongs eyelid swelling. Alcohol can also cause an imbalance of water in the body, leading to swelling. If you wish to minimize the downtime of the natural adhesion method, please refrain from exercise and alcohol for about a week after the procedure and try to stay at rest. If you have any other concerns or worries, please ask your doctor during your consultation.
More peace of mind if you know how to handle the downtime of the natural adhesion method.
The natural adhesion method, a type of double implantation, is one of the procedures that is expected to have long-term durability and downtime is taken into consideration. Since the knot of the thread is placed on the front of the eyelid, the risk of damaging the cornea is low, and the knot is designed to be less noticeable. The natural fixation method also requires some downtime, but it is also a procedure that produces a beautiful double-layered line immediately after the procedure. In order to increase patient satisfaction with the final result, we design the double-layer line through careful and meticulous consultation. We will also explain to you how to spend your downtime, so you can rest assured that you are in good hands. If you are interested in obtaining your ideal double-exposed eye, please contact Bianca Clinic.
▶Counseling appointments are available atHere
