Inverted Eyelash Surgery

Inverted Eyelash Surgery

Makes the eyelashes face outwards
For the treatment of corneal disorders
To make your eyes bigger

Who is inverted eyelash surgery suitable for?

  1. For those who want to improve inverted eyelashes.
  2. For those who wish to remove excess skin after widening of the lower eyelid.

Inverted eyelash surgery explained

Inverted eyelashes are more common in the deeper set eyes, where the lashes are pushed against the eyeball by thick and flabby eyelid skin. This condition is prone to damaging to the ocular cornea and requires early remediation.
Inverted eyelash surgery is a procedure in which excess skin of the eyelid is removed at the eyelash line to change the direction of the lashes so that they no longer hit the eyeball.

The appearance of the eyes can also be dark or lackluster because the lower eyelashes grow upwards and the upper eyelashes grow downwards, creating a barcode of eyelashes in the eye.
Inverted eyelashes on the upper eyelid are relatively common in people whose eyelid skin has sagged due to the use of double eyelid tape, etc. People who have had the Non incisional double eyelid surgery (buried suture method) performed extensively and can also have excess skin under the line that rides on their eyelashes.
With inverted eyelash surgery, both the upper and lower eyelid skin excesses can be removed at the eyelash line to improve inverted eyelash symptoms, protect the eyeball, and give the eyelashes a more glamorous appearance.

Features of our inverted eyelash surgery

  • 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 day after surgery, you can shower, wash your face, and apply make-up except for on your eyelids.
  • 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. Scarring will be minimal.
  • Skin suturing with transparent thread is also available.
  • You can apply make-up to your eyelids the day after stitches are removed.

Surgical method

A few millimeters of skin and orbicularis oculi muscle are removed at the eyelash line, and plastic surgical sutures are applied.
For optimal healing, the wound is 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.
Scars will be barely discernible. The surgery eliminates damage to the ocular cornea, and visually, provides an eyeliner-like effect as the eyes are more open and the eyelashes open outward.
Additionally, inverted eyelashes on the upper eyelid can be improved, with a surgical procedure that involves skin excision at the eyelash line. In this case, the double eyelid is not formed and the inverted eyelashes are improved.
If you wish to form a double eyelid, we can improve inverted eyelashes whilst forming a double eyelid by non-incisional double eyelid surgery (buried suture method) or incisional double eyelid surgery.
While creating a double eyelid, we are careful not to make it too wide, as this will make it difficult to improve inverted eyelashes.

Aftercare for inverted eyelash surgery

《After surgery》

Condition of the affected area

The eyelashes are sutured with an ultra fine black thread.
The stitches are removed in 5-7 days.
Bruising may occur around the eye, but it will disappear in 1-2 weeks.

Post-operative checkup and aftercare

You will be examined by the doctor just before you go home after surgery.
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 make-up to the affected area until the stitches are removed.
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 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 5-7 after surgery》【It is recommended that you visit for a checkup at this time】

Condition of the affected area

Swelling will go down in a week or two.
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, due to edema.
Bruising may occur around the eye, but it will disappear in 1-2 weeks.

Post-operative checkup and aftercare

You will be examined by a doctor, and your stitches will be removed.

Lifestyle advice

Eye make-up, skin lotions and creams can be applied after stitches removal.
Please avoid rubbing the eye area too much.
From the 7th day after surgery, you will be able to bathe 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 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 be left untreated in most cases, 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-protect 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, and redness of the scar has 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

Will the scars be noticeable?

For 1-3 months after surgery, there will be some redness and stiffness. Redness can be concealed with make-up.
If it becomes persistent, we will provide appropriate treatment at the post-operative checkup (free of charge).

I have always had inverted eyelashes. Will widening of the lower eyelid make them worse?

Yes, eyelashes become more inverted after widening of the lower eyelid.
Thus, we perform inverted eyelash surgery at the same time to correct this.
Alternatively, widening of the lower eyelid can be performed first, followed by inverted eyelash surgery at a later date.
Either way, if you have widening of the lower eyelid performed at our clinic, we will offer a 50% discount on inverted eyelash surgery.

When can I wear make-up again after surgery?

Make-up can be applied on the day of surgery except for the surgical site.
Stitches are usually removed 5 days after surgery.
After that, you can apply make-up to your lower eyelids.

How long will swelling last after surgery?

About a week, usually.

How long will surgery last?

About 1 hour.

How do you manage pain during surgery?

Intravenous anesthesia is used, so there will be no consciousness or pain, and you will be breathing as usual.

How do you manage pain after surgery?

Post-operative pain is usually very mild.
We will prescribe a mild analgesic and anti-inflammatory drugs just in case.

Will there be any bruising?

Bruising sometimes occurs.
If it appears on the skin, concealer can be used. If it appears on the sclera, it will take 1-2 weeks to clear.

Fees

Inverted Eyelash Surgery ¥220,000

All fees displayed include tax.

Risks and side effects of inverted eyelash surgery

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 go down in 2-4 days after surgery, then any mild swelling will be noticeable for another week or two.
Things will have completely normalized in about 6 months.

Bruising around the eye

There may be bruising around the eye, but it will disappear in a week or two.

Eyelid discomfort

Immediately after inverted eyelash surgery, the eyelids will feel strange, but this will disappear over time.

Scar redness

You will see some redness for 1-2 months after surgery, but 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 and complications

Exposure of buried absorbable sutures

If this happens, we will remove them.

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.

Changes in eyelid morphology

The angle of the eyelashes may change, and the mucous membrane at the eyelid margin may become more prominent.

Ectropion

Excessive excision of excess skin may cause ectropion.

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~