For clear, double eyelids
For those who did not like the buried line
Who is removal of buried sutures suitable for?
- For those who want to remove the visible double eyelid threads from buried suture method.
- For those who wish to change the line of the double eyelid from buried suture method.
An explanation of removal of buried sutures
Removal of buried sutures is a procedure to remove the buried threads that form the double eyelid when the double eyelid line is not as desired, when the line needs to be changed, when the knot is noticeable and bothersome, or when the eyes feel rougher and more foreign.
A needle hole is made in the skin directly above the knot, and the knot is removed using a loupe and microsurgical instruments.
This is expected to result in the disappearance of the formed double eyelid.
If the stitches are removed shortly after the buried suture method of double eyelid surgery, rapid disappearance of swelling is also expected.
Features of our removal of buried sutures
- 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.
- We remove threads from minimal needle holes using a loupe.
- The day after surgery, you can shower, wash your face, and apply make-up except for on your eyelids.
Procedure details
Using a loupe, the internal thread is removed through a minimal needle hole along the double eyelid line or just above the knot.
The threads are removed using a special instrument used in microsurgery.
Stitches may be difficult to remove if the threads are brittle or have become depigmented and clear after sutures have been buried for a long time.
Even after all the threads are removed, the line may not return to normal.
Aftercare for removal of buried sutures
《After surgery》
Condition of the affected area
There is a needle hole where the thread was removed, but this will become less noticeable over time.
Even if all the threads are removed, the line may not disappear immediately.
Discomfort in the eyelids may occur after surgery. It will ease over time.
Bruising may occur around the eye, but it will usually disappear in 1-2 weeks.
Post-operative checkup and aftercare
You will be examined by the doctor just before you go home 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.
Please do not pick the scab or any other part of the wound, and try to rest.
Please do not apply any make-up to the affected area until the third day after surgery.
However, make-up can be applied after surgery except around the eyes.
Please refrain from taking a bath or doing any strenuous exercise for about a week.
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 7-14 after surgery》【If you wish, you can come in for a checkup.】
Condition of the affected area
The swelling will subside in days.
Initially, the scar will be red. The redness varies from person to person, but it will subside in 1-2 months.
In rare cases, there may be a slight bump.
Bruising may occur around the eye, but it will usually disappear in 1-2 weeks.
Post-operative checkup and aftercare
You will be examined by a doctor.
There is no post-operative procedure.
Lifestyle advice
Eye make-up, skin lotions and creams can be applied from the third day after surgery.
Please avoid rubbing the eye area too much.
From the 7th day after the day of surgery, you will be able to 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.
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-protect your scars.
《6 months after surgery》【If you wish, you can come in 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 procedure.
Lifestyle advice
You can resume all of your daily activities.
FAQ
In our method, the amount of anesthesia injected is kept to a minimum.
Depending on how long it takes for the threads to be removed, the swelling around the eyelid caused by the procedure will generally subside in two to three days.
Make-up can be applied immediately after surgery except for the eyelids.
Eyelid make-up can be applied on the third day after surgery.
If it is shortly after the thread is fastened, it seems likely to return to normal quickly.
If time has passed, the line may still take some time to disappear.
In rare cases, the line may remain after the thread is removed.
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.
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, and by administering the local anesthetic very slowly.
For those who are still afraid of pain, we offer intravenous anesthesia, where you will be unconscious and breathing as usual.
Fees
| Removal of Buried Sutures | Threads from our clinic | ￥55,000 |
|---|---|---|
| Threads from other clinics (per point) If performed at the same time as full incision method or ptosis surgery, the cost will be ¥11,000 per point. |
￥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 will always improve your symptoms.
Normal post-operative symptoms
Swelling
Major swelling will improve quickly in 1-3 days after surgery.
Bruising after surgery
There may be bruising around the eye, but it will disappear in a week or two.
Eyelid discomfort
Immediately after removal of buried sutures, the eyelids may feel uncomfortable.
This will disappear over time.
Scars
Initially, the needle holes from which the thread was extracted can be seen.
It will become less noticeable over time.
Risks and complications
Inability to remove buried threads
In rare cases, threads that have been in for a long time cannot be removed.
Infection
We perform a small incisional drainage and remove the source of infection.
If the double eyelid becomes unstable, we will reapply a reinforcing thread.
Double eyelid line remains
The line may not return after removal of the buried threads.
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, 2003-2005
Daito Central Hospital Plastic and Reconstructive Surgery, 2003-2005
Ritz Cosmetic Surgery Tokyo Clinic, 2005-2008
Primo Azabujuban Clinic, 2009~
Head Director, Primo Medical Corporation, 2011~
Head Director/Director, Primo Azabujuban Clinic, 2020~
