For clear double eyelids.The incision method is more permanent than the buried suture method.
Who is the incision method of double eyelid surgery suitable for?
- For those who wish to have permanent double eyelids.
- For those who wish to have clear and gorgeous double eyelid lines.
- For those who widh to treat both sagging skin and fat at the same time.
An explanation of the incision method.
With the incision method, the desired double eyelid line is incised from the inside to the outside of the eyelid, and the subcutaneous tissue is sutured and fixed to the deep tissue to form a permanent double eyelid.This creates double eyelids that are neatly processed from the inside to the outside of the eyelid.
The incision method is good for lines that are difficult to achieve with the buried suture method, or when you want to create double eyelids for swollen eyelids, or when you have a lot of sagging skin.Obstructive tissue such as the orbicularis oculi muscle, anterior eyelid tissue, and submuscular connective tissue are removed, and then we create permanent double eyelids.Orbital fat removal and ROOF resection can be performed at the same surgery.The incision method can also be used to remove any sagging skin above the eyelashes.
Features of our double eyelid surgery incision method
- 34G ultra-fine needles are used for local anesthesia (with a needle thickness of 0.2mm), resulting in minimal pain.
- Anesthetic cream and intravenous anesthesia are additionally used for those who are afraid of even the slightest pain.
- The line is firmly fixed on the aponeurosis of the levator palpebrae superioris muscle to form clear double eyelids.
- Orbital fat removal is also available upon request.
- Day after surgery, you can shower, wash your face, and apply makeup as usual, except for the eyelid area.
- Skin sutures can be removed early on the fourth or fifth day. Because we use the buried suture method with 7-0 ultra-fine absorbable thread (plastic surgical sutures).Scarring will be minimal.
- Skin suturing with transparent thread is also available.
- You can apply makeup to your eyelids the day after stitches are removed.
Incision method explained
An incision is made along the desired line.Depending on the patient’s condition and wishes, a skin incision can be made using a CO2 laser.If there is a lot of sagging, the excess skin will be removed.
The orbicularis oculi muscle, anterior eyelid tissue, and submuscular connective tissue will also be removed, if necessary.Any excess orbital fat will be removed.The incision method may be combined with ROOF resection depending on the case.
Suturing the incision area with 7-0 ultra-fine absorbable thread minimizes scarring.
We use the best plastic surgical sutures for wound healing, which are internally sutured with high-performance absorbable ultra-fine thread and externally sutured with non-absorbable ultra-fine thread.
We also offer skin suturing with ultra-fine transparent thread.
Aftercare for the incision method
《After surgery》
Condition of the affected area
The double eyelid line is sutured with a very fine black thread.The stitches are removed in 4-7 days.
The double eyelid is a little wider and tighter than expected. This is due to temporary edema.Bruising may occur around the eye.The bruising will disappear in 1-2 weeks.
Post-operative checkup and aftercare
You will be examined by the doctor after surgery just before you go home.
Antibiotics, painkillers (the pain is usually mild, but we prescribe them just in case), and gastric medicine will be prescribed for 3 days after surgery.
Lifestyle advice
You can wash your hair and take a shower on the same day after surgery.
Please only wash your face with water, not soap.You can use soap or facial cleansing foam from the next day onwards.However, please do not rub the wound.If the thread gets stuck or it tears, it may bleed.Please do not pick the scab or any other part of the wound, and try to rest.
Please do not apply any cosmetics to the affected area until the stitches are removed.
Please refrain from taking a bath and doing strenuous exercise for about a week.
Make-up can be applied from the day of surgery except around the eyes.
When sleeping, please use cushions to elevate your upper body and head.
Please refrain from drinking alcohol and smoking for about a week.
Contact lenses can be worn from the third day after surgery if there is no discomfort.They certainly can’t be worn 2-3 hours after surgery due to the effects of anesthesia.
《Days 4-7 after surgery》【Book an appointment for stitches removal】
Condition of the affected area
The swelling will go down in a week or two.The double eyelid is a little wider and tighter than expected. This is due to temporary edema.Things will completely settle down in about 6 months.
Initially, the scar will be red.The redness varies from person to person, but it will subside in about 1-2 months.In rare cases, there may be a slight bump, due to edema.
There may be bruising around the eye.Any bruising will disappear in 1-2 weeks.
Decreased sensation may occur on the eyelash side of the incision.This usually takes a few months to recover.
Post-operative checkup and aftercare
You will be examined by a doctor 4-7 days after surgery.
Your stitches will be removed.
Lifestyle advice
Skin lotion and creams can be applied after stitches removal.
Eye makeup is also OK, once the stitches are removed.
Please avoid rubbing the eye area too much.
From the 7th day after the day of surgery, you will be able to take a bath and exercise as usual.
After removal of stitches, please keep the scar moisturized and UV protected.Our wound cream (1,100 yen inc. tax) can be applied to make the wound less prominent.
《1-3 months after surgery》【 It is recommended that you visit for a checkup at this time.】
Condition of the affected area
The wound will gradually heal completely, but there will be some swelling for a while.
The redness and elevation of the scars will vary from person to person, but this will settle down in 1-2 months.
In rare cases, the suture thread may come out.Since it is a fine absorbable thread, it can usually be left untreated, but if you are concerned about it, we will remove the stitches.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative procedure.
Lifestyle advice
Please continue to moisturize and UV-care your scars.
《6 months after surgery》【It is recommended that you visit for a checkup at this time.】
Condition of the affected area
The wound has almost fully healed.
Numbness of the eyelash side and scar redness will both have improved.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative procedure.
Lifestyle advice
You can resume all of your daily activities.
FAQ
Questions answered about the incision method.
Click on each question to see the answer.
The swelling around the eyelids will go down in 4-5 days.
The swelling duration will vary depending on the width of the desired line.If the double eyelid is wider than 10mm, the swelling may last for 2-3 weeks.
Makeup can be applied immediately after surgery except for the eyelids.
Stitches are usually removed 4-5 days after surgery.The day after stitches are removed, you can apply makeup to your eyelids.
For 1-3 months after surgery, there will be some redness and stiffness. Redness can be concealed with make up.
We use sutures with absorbable thread (6-0 PDS), which results in a clean scar.
If you have persistent redness, we will provide appropriate treatment at the post-operative checkup (free of charge).
Post-operative pain is usually very mild.We will prescribe a mild analgesic and anti-inflammatory drugs just in case.
It will last about 60 minutes.
The excess fat can be removed during the incision method.This will improve any eyelid puffiness.
An advantage of the incision method is that it can remove sagging of the eyelids near the eyelashes.For those who have two or three double eyelid lines, the incision method can correct this.
Pain will be minimal, because our local anesthetic contains extra agents to reduce any discomfort.
To minimize injection pain, the amount of anesthetic used is kept to a minimum of 1-1.5 cc for both eyelids.
Pain is also minimized by using an ultra-fine 34G needle, as well as a new needle for each eyelid.The local anesthetic is administered very slowly which minimizes pain.
For those who are still afraid of pain, we offer general anesthesia.
Under general anesthesia, you will be comfortably unconscious and breathing as usual.
Fees
| Incision Method | Incision Method | ￥330,000 |
|---|---|---|
| Incision Method＋Lipectomy of the Upper Eyelid | Incision Method+￥55,000 |
All fees displayed include tax.
Risks and side effects
Underneath is a list of things that may occur.
In order to prevent any of these symptoms from occurring, we take safety measures and perform treatment with the utmost care.
We also have a solution for any symptoms should they occur.We will always improve your symptoms.
Post-operative course
Swelling
Major swelling will go down in 2-4 days after surgery.Mild swelling may be noticeable for a week or two.Things will completely settle down in about 6 months.
Bruising around the eye.
There may be bruising around the eye.It sometimes occurs, but it will disappear in a week or two.
Eyelid discomfort
Immediately after the incision method, the eyelids will feel strange.This will disappear over time.
Wound healing
You will see some redness for 1-2 months after surgery.It will become less noticeable over time.
Sensory abnormalities
The skin on the eyelash side of the incision line will become less sensitive.This will improve over time.
Risks, side effects, and complications
Exposure of buried absorbable sutures
Stitch removal.
Infection
Although rare, there is risk of infection with any surgery.
If infection occurs, it may be necessary to treat it with antibiotics or remove any pus by small incisional drainage.
Too wide / narrow double eyelids
After the swelling has subsided, we will evaluate the shape and perform revision double eyelid surgery to adjust the width.
Disappearance of the double eyelid line
In the case of the incision method, it is extremely rare for the lines to disappear, but if they do, we wil re-open the incision, remove the orbital fat, and apply internal treatments.
Changes in eyelid morphology
The angle of the eyelashes may change, and the mucous membrane at the eyelid margin may become more prominent.The incision method can reliably create a firm and deep double eyelid.
Click here for all other eye area surgeries.
Eye surgery list
Detailed information on each eye surgery procedure, including case photos, case progress photos, procedure duration, post-operative course, downtime, aftercare, risks, side effects, and complications.
Supervising Doctor
Under the supervision of our plastic surgeons, we operate our website in accordance with medical advertising guidelines.
NORIHIRO OHBA M.D. Ph.D.
HEAD DIRECTOR/DIRECTOR
Qualifications and Academic Affiliations
Doctor of Medicine
Board Certified Plastic Surgeon, Japan Society of Plastic and Reconstructive Surgery
Board Certified Aesthetic Plastic Surgeon, Japanese Society of Aesthetic Plastic Surgery
Board Certified Aesthetic Plastic Surgeon, Japanese Society of Aesthetic Surgery
Anesthesiologist certified by the Ministry of Health, Labor and Welfare
Member of International Society of Aesthetic Plastic Surgery (ISAPS)
International Member of American Society of Plastic Surgeons (ASPS)
Member of Japan Society of Cranio-Maxillo Facial Surgery
Member of Japan Society of Laser Surgery and Medicine
Career
Graduated from Osaka City University Faculty of Medicine, 1996
Osaka City University Hospital Plastic and Reconstructive Surgery, 1996-1999
Osaka City University Graduate School of Medicine, 1999-2003
Osaka City University Hospital Plastic and Reconstructive Surgery, 2003-2005
Sano Memorial Hospital Plastic and Reconstructive Surgery(part-time)
Daito Central Hospital Plastic and Reconstructive Surgery(part-time)
Ritz Cosmetic Surgery Tokyo Clinic, 2005-2008
Primo Azabujuban Clinic, 2009~
Head Director, Primo Medical Corporation, 2011~
Head Director/Director, Primo Azabujuban Clinic, 2020~
