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2026.02.27
Why do you feel that the natural adhesion method "may have removed...? Senhime Akashi explains how to tell the difference and when to consult.
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, I am Senhime Akashi, aka Dr. Hime of BIANCA CLINIC.
After undergoing bifid surgery and natural adhesion, many people are actually worried, "Huh? After undergoing a double-lid surgery or natural fixation, many people feel uneasy, saying, "What's wrong? The natural fixation method is a natural-oriented double-layer surgery that has been attracting attention mainly in South Korea. It is a delicate procedure that creates a line by promoting the natural adhesion of the eyelid without using threads to hold it in place. Because of this, the line tends to fluctuate during the process of completion, and small changes can easily become bothersome.
In this issue, cosmetic surgeon Dr. Senhime Akashi explains in an easy-to-understand manner the changes that are likely to occur during the process of natural adhesion, the reasons for feeling that the adhesion has been removed, and the points that should be considered when consulting a doctor. We hope that this article will help alleviate some of the anxiety of patients and allow them to monitor the process with peace of mind!
Natural Adhesion Methods "removed?" Common reasons for feeling "removed?
The first thing I want you to know is that "could the spontaneous adhesion method have been removed?" is something that many people feel at one time or another. First, I would like to discuss some of the common reasons for this feeling of "Did it come off? I will first discuss some of the common reasons for this feeling.
The spontaneous adhesion method is a procedure that allows for adhesion rather than fixation, so it is easy to shake.

The natural adhesion method uses the natural adhesive power of the eyelid to create a double-layered line, rather than using threads to tie it tightly like the implantation method. Because of this characteristic, it is easily affected by postoperative swelling and puffiness, and the density of the line may vary depending on the condition of the eyelid until completion. Especially from immediately after the surgery to one month after the surgery, the condition of the eyelid can easily change from day to day, so it is common to see fluctuations such as "thinner than yesterday" or "only one side looks different".
▶For more information about the double implantation natural adhesion methodHere
Swelling and swelling during downtime makes it difficult to stabilize the line.
The completion of the natural adhesion method is not immediate, but proceeds gradually until the swelling of the eyelid subsides and the adhesion settles. Therefore, the line is likely to fluctuate, especially at the following times.
- Morning swelling: Immediately after waking up, water tends to accumulate in the eyelids, and the lines may appear thinner due to swelling.
- Changes in physical condition: Lack of sleep, stress, hormonal balance, etc. can cause swelling and change the appearance of the line.
- The process of swelling reduction: It is common for the swelling to vary from side to side for several days to several weeks after surgery, depending on how much the swelling has decreased.
These are not "removed" but are natural changes that occur during the process of eyelid finishing.
Lifestyle habits can strain the eyelids and make the lines appear thinner.
In fact, the lines can appear weak due to daily habits.
- Lack of sleep and water imbalance → Swelling
- Habit of rubbing eyelids hard when cleansing or washing face
- Frequent eye rubbing due to hay fever or allergies
Both of these tend to put stress on the eyelid skin and cause the double line to appear shallow. Thus, in many cases, it is not so much that the "natural adhesion method" has been removed, but rather that the appearance is only temporarily affected by the condition of the eyelid.
I think I got it." When you think "I think it might have come off," the first thing you should do is calm down and take a look at the following points.

Should I talk to you right away because I'm worried?" Many people are unsure. Of course, you can consult with us when you are worried, but it will be easier to make a calm decision if you first check the following points.
(i) Have the lines disappeared or do they just look thinner?
In the natural adhesion method, the line gradually blends toward completion. During this process, it is easy for the line to appear temporarily thin or to be hidden by swelling. It is important to distinguish whether the line has completely disappeared or is just thin.
(2) If only one side is thin, first observe for 2 to 3 weeks.
There are always individual differences in how the swelling goes down. It is not uncommon for swelling to remain on only one side. It is not the case that "the difference between the left and right side of the face is bothersome = the swelling is gone.
3) Check the difference in appearance with makeup and lighting.
- Eye shadow color
- How to draw eyeliner
- Smartphone lights
- Skin texture after cleansing
The appearance of the double layer is greatly affected by these factors. When you wonder, "Did I take it off?" Please check the appearance of the double-layered eyelids in natural light as well.
Which is better, natural adhesion or implantation? For those who are not sure
We really do get this question from our patients. Actually, it is not about which is better, it is all about whether or not it fits the person's eyelids.
People for whom the natural adhesion method is suitable

[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.
The spontaneous adhesion method is suitable for the following people
- I just want to have a natural double-exposed face.
- I want to maintain a double line as long as possible.
- I have had a double fold removed by implantation.
- I want to avoid the foreign body sensation of threads.
- Relatively thin eyelids or less likely to swell or swell
The natural adhesion method is a procedure that is compatible with natural results.
Those who are suitable for other implantation methods than the natural adhesion method.

[Name of procedure] Double-layer implantation (back clamping) B.TWICE [Description of photos] Top: Before the procedure Bottom: One month after the procedure [Cost] ¥239,580 [Risks and side effects] Internal bleeding, swelling, swelling, heat and lethargy around the eyes, and in rare cases, loosening or removal of the threads.
The implantation method is suitable for the following people
- I want to make a wider design.
- I want to shorten the downtime.
- Lines have been hard to follow since the days of Aipuchi.
The implantation method uses thread to fix the eyelid in place, so while it has a high ability to maintain the line, in rare cases the thread ball may cause discomfort, and in some cases, if there is a problem, the thread may need to be removed. The natural fixation method also uses medical threads, but because the threads are placed in a linear pattern to maintain the line by utilizing the adhesive strength of the eyelid tissue, removal of the threads (stitches) is usually not necessary after the surgery. The threads are designed so that they do not cause any foreign body sensation, making this procedure suitable for those who are concerned about the feeling of a foreign body.
In addition, there are multiple methods of implantation. Since the appropriate procedure differs depending on the case, it is important to determine "what method is best" during the consultation and examination. At Bianca Clinic, we suggest a method that fits not only the patient's ideal, but also the structure of the eyelid.
▼For more information about double implantation, click here.
Double implantation: 2-point and 4-point fixation
Double Implantation (back clamping) B TWICE
If there is a droopy eyelid, the natural adhesion method may be difficult to change
In some cases, if the eyelid is not strong enough to open, the natural adhesion method does not allow the eyelid to fully open as it should, and it is easy to be misled into thinking that "the line is difficult to see = it has been removed". In this case, after consultation, we may suggest a different approach such as a blepharoplasty incision.
▶For more information about blepharoplasty incisionsHere
Changes that can be confusing in the course of the natural adhesion method and how to deal with them

The natural adhesion method is a procedure that tends to produce small changes as the eyelid settles. Many people are concerned that they may look different from day to day, so we will discuss the common points of confusion we receive after the surgery and how to deal with them.
The day you get swollen is also the day you are more likely to feel like you might have "got it".
Women are susceptible to hormonal imbalance and are more likely to experience swelling at the following times
- premenstrual
- Days when you use your eyes a lot (e.g., working at a desk, spending a lot of time on your phone)
- Sleepless Days
- A day of high salt intake
Because the eyelid is a very delicate part of the eye, even a slight swelling can change the appearance of the line. This is not a problem with the natural adhesion method, but a temporary change.
Differences in the speed at which the swelling recedes may cause left-right differences.
The timing of the swelling going down is not always exactly the same on the left and right sides, and sometimes it settles down earlier on one side than the other. During this period, it is easy to become anxious because of the "left-right" difference in appearance, but most of the difference is due to the appearance of the difference in swelling. It takes a few weeks to a month for the left-right difference to settle down.
Why the natural adhesion method is prone to anxiety and what BIANCA CLINIC values
The natural adhesion method is a procedure that is easily affected by the condition of the eyelids and daily conditions, and many patients feel uneasy during the process. We would like to share with you some of the ideas that we at Bianca Clinic value in order to help our patients feel at ease about the completion of the procedure.
The eyelid is a delicate part with a different expression every day
Sleep, stress, swelling, makeup.... The slightest change can change the way a double fold looks. That is why it is natural for the way they look to change from day to day.
If you feel that the natural adhesion method "might" have taken, you don't have to keep it to yourself.
The natural adhesion method is a procedure that requires time to complete. If you have any concerns, please do not hesitate to consult with us. Many patients feel relieved just by checking the condition of their eyelids.
The beauty of the natural adhesion method is the double fold that is created with your eyelids
The natural adhesion method is attractive because the practitioner does not force the shape of the eyelid, but rather takes advantage of your eyelid's natural movement and characteristics.
When you feel that the spontaneous adhesion method has "come off?" If you feel that the natural adhesion method has "come off," you can rest assured that you have the correct knowledge to monitor the process.
The natural adhesion method is a procedure that is completed as the eyelid slowly changes. Therefore, even if there are days during the process when you feel that the eyelids look thinner or there is a difference between the left and right sides, it is mostly within the normal course of the procedure. However, because it is a part of the body that we face in the mirror every day, even the slightest change can make us feel uneasy. "Is everything all right?" If you have any doubts, please do not keep them to yourself, but consult us anytime. At Bianca Clinic, we carefully check the thickness of the eyelid, its mobility, and the state of adhesion, even in areas that cannot be seen from the surface, and provide support so that you can rest assured that you are in good hands. The natural adhesion method is a procedure that requires time to watch over without rushing. By having the correct knowledge, you will be able to walk the path to completion with more peace of mind.
▶Counseling appointments are available atHere