Double eyelids with a natural look and no scars
Who is the buried suture method of double eyelid surgery suitable for?
- For those who want double eyelids without incisions.
- For those who wish to have double eyelids in a less invasion way.
- For those who wish for shorter recovery time.
An explanation of the suture method.
The buried suture method of double eyelid surgery creates a double eyelid by implanting a safe, non-absorbable thin nylon thread through a small needle hole along the line to create a double eyelid of a desired width.
The needle holes in the eyelids will become almost invisible.
We tie 2-6 small knots in the skin, making it hard for the double eyelid to loosen or lose shape.
When the thread is passed through the conjunctival side, it does not affect the function of the eyelid because the thread clears the area where the eyelid opening muscles attach. The mybomian glands are also unaffected because the thread dose not pass through the tarsal plate.
The thread is not exposed on the back of the eyelid, it is buried, so there will be no damage to the eye.
Features of our buried suture method
- Our double eyelid lasts longer.This method can be used for a variety of eyelid widths.
- We will use 7-0 Nylon which is specially designed for the buried suture method.It minimizes damage to eyelid tissue.
- You can also choose 7-0 ASFLEX, which is also exclusively designed for the buried suture method.The size of the knot is smaller, it is less likely to loosen, and the thread is very durable.
- The knots in the thread are tiny and unnoticeable.
- For local anesthesia, we use 34G ultra-fine needles (needle thickness 0.2mm) to minimize pain.
- Surface anesthesia and intravenous anesthesia are used for those who are afraid of even the slightest pain.
- The buried suture method is minimally invasive, as all the threads are buried within the eyelid.
- You can wash your face and take a shower on the same day after surgery.
- 6-point fixation double eyelid surgery comes with a 3-year free warranty.
50% off same surgery revision after the warranty period, 20% off any new additional surgery (2, 4, or 6-point fixation)
Surgery method
Our buried suture method is available in 2, 4, and 6-point fixation.
Illustrations of the three fixations
In our clinic, the fixations are done as a loop, which is stronger.The 2-point fixation method is only suitable for those who have modest surgery or partial reinforcement.
4点式埋线法
The 4-point fixation method is our standard method.It creates a more defined line from the inside to the outside of the eyelid crease.This method can be used for both modest and fancy lines, and is very difficult to dislodge.
6点式埋线法
The 4-point and 6-point fixation method use double loops for reinforcement.The 6-point fixation method is the longest lasting, and is suitable for people with thick eyelids, or for people who want a wider line, or for people who had double eyelid surgery unsuccessfully at another clinic.
An additional two knots will be added in the middle of the outer loop of the 4-point fixation.There are six knots, four of which are fixed in the middle of the line for maximum anchoring power.
ASFLEX – Polyvinylidene fluoride synthetic non-absorbable suture
This suture is made of a new material, polyvinylidene fluoride (PVDF).
These sutures have almost no deterioration in vivo.
This suture minimizes tissue damage.
The knot of the thread is small and unnoticeable.
The knot doesn’t loosen easily, and the thread is very durable, both of which are advantageous for sustained double eyelid form.
Aftercare for buried suture method
《After surgery》
Condition of the affected area
There is a slight punctate scar in the double eyelid area.
After surgery, you may experience some discomfort and tightness in your eyes, but this will gradually subside.
At first, the double eyelid is a little wider than expected and you may feel a tightness due to temporary edema.
There may be bruising around the eye.Any bruising will usually disappear in 1-2 weeks.
Post-operative checkup and aftercare
You will be examined by the doctor after surgery just before you go home.
Lifestyle advice
You can wash your hair and take a shower on the same day after surgery.
Please try to rest and not disturb the wound.
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.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 third day after surgery.
Please refrain from taking a bath or doing any 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.
《Days 7-14 after surgery》【 If you wish, you can come in for a checkup.】
Condition of the affected area
The swelling will subside in 7-10 days.At first, the double eyelid is a little wider than expected and you may feel a tightness 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.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative medical procedure.
Lifestyle advice
Skin lotions and creams can be applied from the third day after surgery.Eye makeup is also OK.
Please avoid rubbing the eye area too much.
From the 7th day after the day of surgery, you can bathe and exercise as usual.
Please keep the scar moisturized and UV protected.
《1-3 months after surgery》【 If you wish, you can come in for a checkup.】
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 thread used for double eyelid formation may become infected or exposed.If symptoms are recognized, appropriate measures will be taken immediately (free of charge).
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative medical procedure.
Lifestyle advice
Please continue to moisturize and UV-care your scars.
《6 months after surgery》【 If you wish, you can visit for a checkup】
Condition of the affected area
The wound has almost fully healed.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative medical procedure.
Lifestyle advice
There are no restrictions on exercise or other activities.
Your life can return to normal.
FAQ
Questions answered about buried suture method.
Click on each question to see the answer.
With our method, the amount of anesthesia is kept to a minimum of 0.4 ml for each eyelid.
The tension of the thread is not too strong nor too weak, it’s just right, so the swelling around the eyelid will go down in a few days.
The swelling duration will vary depending on the width of the desired line.If the double eyelid is wider than 10 mm, the swelling may last for 2-3 weeks.
Makeup can be applied immediately after surgery except for the eyelids.Eyelid makeup can be applied on the third day after surgery.
Some people buy adhesives or tape to make a double eyelid, but this method can damage the skin and cause a rash.Prolonged use of adhesives can loosen and stretch the skin.The thin, delicate skin of the eyelids can also harden and thicken due to chronic dermatitis.The buried suture method is preferable, both for the treatment of dermatitis and to free yourself from having to apply tape each morning.
With cheap and low-quality surgery, the double eyelid will not last as long.
Our method is based on the condition of each patient’s eyelids, and we choose from two to six points of fixation.The six-point fixation is the strongest method. It is used for thick or flabby eyelids.The double eyelid dosen’t last only for less than 1% of patients in 3 years.
At our clinic, we administer eye drop anesthesia and use a corneal protection plate during surgery.The plate completely separates the eyeball from the eyelid, so there is no damage to the eyeball.
Our methods do not expose the thread on the conjunctiva side, rather the thread is buried on the back side, so the possibility of the thread hitting the cornea after surgery is very small.
Our 6-point fixation method is a strong buried suture method that can accommodate very wide double eyelids.
However, if the double eyelid is too wide, the eyelid fat may get in the way, in which case it will be necessary to remove the fat with a very small incision.Fat removal will give a cleaner look.
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, and a new needle for each side.The injection is done slowly to minimize pain.
For those who are still afraid of pain, we offer general anesthesia.During general anesthesia, you will be completely painless and unconscious, but you will breathe as usual, so there will be no breathlessness.
Fees
| Buried Suture Method | 2 points | ￥88,000 |
|---|---|---|
| 4 points | ￥132,000 | |
| 6 points(3-year free warranty) | ￥176,000 |
Plus, 50% off same surgery revision after the warranty period, 20% off the next surgery if another technique is used. (2, 4, or 6-point fixation)
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 2-3 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 buried suture method, the eyelids will feel strange.This symptom will ease over time.
Scars
The needle hole in which the thread is buried will be visible at first, it will become less noticeable over time.
Risks, side effects, and complications
Exposure of the buried thread
If the buried thread is exposed, we will remove it.If the double eyelid becomes unstable, we will apply a reinforcing thread.
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.
If the double eyelid becomes unstable, we will apply a reinforcing thread.
Too wide / narrow double eyelids
The buried thread is removed and the desired line is revised.
Disappearance of the double eyelid line
In the case of double eyelid surgery by the buried suture method, the line may disappear.
Triple eyelid
If you undergo the buried suture method to widen a double eyelid, there may be too much skin under the line, resulting in a triple eyelid.
Inverted eyelashes
If you undergo the buried suture method to widen a double eyelid, there may be too much skin under the line, resulting in inverted eyelashes.It may be difficult to raise the eyelashes, and draw in eyeliner correctly.
Updates on buried suture method of double eyelid surgery
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Eye surgery list
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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~
