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2026.02.27
The Natural Adhesion Method is an “evolutionary implantation method“ born in Korea! Senhime Akashi of Bianca Clinic explains
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 from Bianca Clinic.
There are two main types of double-layered surgery: implantation and incision. When it comes time to get a double-exposed eyelid, many people ask themselves, “Which method is right for me?” There are so many people who are confused here. Among them, the natural fixation method, also known as the Korean method, has been attracting attention in recent years, especially in South Korea. In this issue, we will explain the "natural adhesion method born in Korea" from a doctor's point of view in an easy-to-understand manner.
The natural adhesion method is a double implantation method that originated in Korea!
In the traditional implantation method, a medical thread is used to hold a "point" in place, and the line is formed by its bite. On the other hand, the natural fixation method is a type of implantation method that uses threads in the same way, but there is a difference in the way the double-layer line is created.
<Procedure flow of the natural adhesion method
- Drill several small holes in the eyelids
- Threading threads in a “continuous and complex line
- Encourage natural adhesion of skin to muscle (or eyelid plate side)
- Double lines are completed by the power of natural healing.
This mechanism of "promoting adhesion" is the greatest feature of the natural adhesion method. The natural adhesion stabilizes the double-layer line without relying solely on threads, resulting in a natural and long-lasting result.
The natural fixation method is an advanced double-layer surgery that combines the "ease of implantation with the stability of an incision.
Which is better, natural fixation or implantation? What is the difference between incision and implantation?“ These are some of the questions that are often asked by people who are concerned about the double-exposed eyelid surgery. To sum up, the natural fixation method is ”an advanced double-exposed eyelid technique that is positioned between implantation and incision.
<Merits of the implantation method
No incision and short downtime! It is chosen as an easy double-exposed surgery.
<Advantages of incisional surgery
The line should be difficult to remove and stable! Because the tissue is cut and stitched together, the changes are clear and less likely to revert.
The spontaneous fixation method is a technique that inherits the “delicious aspects” of the two bifocal techniques.
<Attractiveness of Natural Adhesion Method
- The procedure can be performed without cutting through a small hole approach.
- Threads connect the skin and tissue and promote natural adhesion to secure the line.
- More stable than implantation and not as extensive as incision
The “ease” of implantation and the “stability” of incision. The natural fixation method is suitable for those who want both. The normal implantation method uses a “point” support structure, while the natural fixation method uses a “line” support structure, making it easier to stabilize the double-layered line. This is the very reason why this method has become popular in Korea.
Why the Natural Adhesion Method is Chosen--Three Major Advantages
[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 reason why people choose the natural adhesion method is that it offers a good balance of these three factors: difficulty in removal, naturalness of the finished product, and short downtime. Here, we will provide detailed information on the unique advantages of the natural adhesion method, based on our clinical experience.
Advantage 1: High staying power
The greatest advantage of the natural fixation method is that the threads supporting the double-layer line are not “dots” but “lines. In the general implantation method, the threads are held in place by a dot, which can loosen and make the double-layer line look thinner or cause the threads to fall out. In the natural adhesion method, on the other hand, the skin and muscles (or the eyelid plate side) “support” the line in a linear fashion, so even if the threads loosen, the adhesive fold is likely to remain. In some cases, the line may remain even if the threads loosen, and the risk of backfilling is lower than that of a standard implantation.
Advantage 2: Clear, natural double lines
The natural adhesion method is characterized by the fact that the line follows the natural movement of the eyelid. This is because the mechanism of the double fold line is not an “artificial fold” created by the threads digging into the eyelid as in the implantation method, but a “natural fold” created by the adhesion of tissue to each other. This is because of the difference in structure. This difference in structure has a great deal to do with the naturalness of the finished product. The most common comment from patients is, "It's so clear, yet so natural!" This is the most common comment we receive from our patients.
Advantage 3: Short downtime due to no incision
Since the natural fixation method is “implantation-based,” it requires less downtime than the incisional method. In addition, there is no need to remove stitches because the procedure does not involve cutting.
- The holes are extremely small and leave no scars.
- Most internal bleeding is at a level where it can be concealed with concealer.
- Swelling is about the same as normal implantation
It is also an easy choice for those who cannot take time off work or want to have the procedure done before an event. In South Korea, in particular, it has become common practice to have the procedure done during a short stay in the country, and this need has strongly encouraged the development of techniques to shorten the downtime. This need has strongly encouraged the development of techniques to shorten the downtime. The natural fixation method has spread widely in Korea because of its compatibility with this culture of “quick fixes.
If you choose without knowing, you can make a mistake. Three points to keep in mind with the natural adhesion method
The natural adhesion method is a procedure with many advantages, but there are caveats to any technique. We always inform you of these points carefully during the actual counseling.
Disadvantage 1. there is no possibility of getting it.
Because this is not a procedure that firmly stitches the tissue together like incisional surgery, it cannot be structurally guaranteed that it will never come off. However, unlike regular implantation, which relies solely on threads, the tissue is adhered to support the line, so the risk of backlash is lower than with implantation. It is easier to understand if you think of it as “more stable than implantation, but not as completely fixed as incision.
Disadvantage 2. not suitable for ptosis
If the eyelid is not strong enough to lift the eyelid, no matter how beautifully the double-lid line is created, the entire eyelid may droop and the line may not be fully utilized. Surgery that addresses the function of the eyelid itself (e.g., blepharoplasty incision, blepharoplasty MT) is appropriate, especially when accompanied by droopy eyelids.
▶ Ptosis For more information on incisional and MT methods, please see the followingHere
Diagnosis is very important in order to avoid the case of "trying to force width with the natural adhesion method, but it looks heavy and swollen.
Disadvantage 3. The number of clinics that can perform the procedure is limited.
The natural adhesion method is common in Korea, but not many clinics in Japan have introduced it yet. The reason is simple: threading is difficult, and an understanding of anatomy and design skills are essential.
It is not a matter of “just fixing the thread in a certain pattern,” as in the general implantation method, but rather requires careful adjustment of where and how deep to thread the thread based on the thickness of the eyelid skin, the amount of fat, the shape of the orbit, and the degree of muscle adhesion. This delicacy is the key to the beauty of the natural adhesion technique.
For Korean-style bifold surgery and natural fixation, Bianca Clinic is the place to go.
The natural fixation method is an “advanced implantation method” that was born in Korea. It is a natural and well balanced procedure that does not require an incision and is difficult to remove, and it is steadily spreading in Japan. It is an excellent new option for double-layered surgery. If you are interested in this procedure, please come in for a consultation. We will carefully examine your eyelids and suggest the best method for you. We would be happy to work with you to find a beautiful double eyelid with Bianca Clinic's natural adhesion method.
▶ Double implantation method: The natural adhesion method isHere
