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Double Eyelid Surgery: Incision Method

DescriptionA surgical procedure where the desired double eyelid line is created by making an incision along the line. Swelling may persist longer, but the results are generally permanent.
RisksSwelling, bruising, scarring, etc.
Price¥190,000

Recommended for People Who:

  • Want to create beautiful double eyelids from monolids or partial double eyelids.
  • Want to create a more defined double eyelid crease (line).
  • Wish to widen the existing double eyelid fold (width).
  • Have been told they are not a candidate for non-incisional methods (buried suture methods).
  • Have had previous non-incisional methods that did not hold.

Before & After Photos

▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions
Double Eyelid Surgery: Incision Method

  • Both eyes: ¥190,000 (tax incl.)
*Revision Surgery from Other Clinics: Additional ¥100,000 (tax incl.)
Double Eyelid Surgery: Incision Method

This procedure involves creating a desired double eyelid crease by making an incision along the planned eyelid line under local anesthesia. The skin is then sutured to form the crease. Fat may also be removed as needed to enhance the result.

Warranty Period: 1 year
Warranty Coverage: Corrections for asymmetry or noticeable irregularities (Note: Some cases may be difficult to revise and may be declined), Postoperative care for complications or unexpected issues.
*Requests to change the crease width (wider or narrower) for aesthetic reasons are not covered under the warranty.
*Revision requests within 6 months of the procedure are not accepted. (Due to higher risks of infection, suture failure, or scar contracture during this period)

Double Eyelid Surgery: Incision Method

  • Swelling: The degree of swelling after the surgery may vary depending on the individual double eyelid width and skin thickness. Typically, about half of the swelling subsides within a week. Please observe the healing process for at least 1 month after the surgery. In some cases, it may take 3-6 months for the eyelids to appear natural.
  • Bruising: Occasionally, bruising (blue discoloration) as subcutaneous hemorrhage may appear but usually resolves within approximately 2 weeks without the need for treatment.
  • Scarring: Surgical incision scars typically stabilize over a period of 3-6 months. However, the final appearance of the scar may vary among individuals. In rare cases, hypertrophic scar or keloid formation may occur.
  • Reduced Sensation: The area around the incision may experience temporary or prolonged numbness or decreased sensitivity.
  • Others: Possible symptoms may include blepharospasm (involuntary eyelid twitching), dry eyes, photophobia (sensitivity to light), excessive tearing, milia, or chalazion.
Double Eyelid Surgery: Incision Method

  • Cleansing and Makeup: You may gently wash your face, shampoo your hair, and take a shower starting from the day of the surgery. However, please refrain from taking a bath until 3 days after the surgery. It is okay if soap gets on the wound or if it gets wet. Please refrain from applying makeup to the wound until the day after the sutures are removed. If you have wound pain, please wait a few extra days before applying makeup. Please refrain from drinking alcohol for at least 1 week after the surgery.
  • Driving and Operating Vehicles: Please refrain from driving a car, riding a motorcycle, and operating a bicycle or any other vehicle at least on the day of the surgery.
  • Contact Lenses: You may resume wearing contact lenses the day after the sutures are removed.
  • Antibiotic Eye Drops: Please apply the prescribed antibiotic eye drops 3 times a day. If you are wearing contact lenses, make sure to remove them before applying the eye drops.
  • Ointment: Please apply the prescribed ointment to the wound lightly, enough to form a thin layer, 2-3 times a day.
  • Antibiotics and Painkillers: Please take the prescribed antibiotics for one day. Painkillers should be taken as needed.
  • Suture Removal: Please return to our clinic for suture removal7 days after the surgery.
  • Loss of Double Eyelid Line: To prevent the double eyelid line from fading or disappearing, please refrain from washing or massaging your face with strong pressure for 1 month.
  • Other Concerns: If you have any questions or notice anything unusual, please do not hesitate to contact us.

▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions
Double Eyelid Surgery: Incision Method

  • Both eyes: ¥190,000 (tax incl.)
*Revision Surgery from Other Clinics: Additional ¥100,000 (tax incl.)
Double Eyelid Surgery: Incision Method

This procedure involves creating a desired double eyelid crease by making an incision along the planned eyelid line under local anesthesia. The skin is then sutured to form the crease. Fat may also be removed as needed to enhance the result.

Warranty Period: 1 year
Warranty Coverage: Corrections for asymmetry or noticeable irregularities (Note: Some cases may be difficult to revise and may be declined), Postoperative care for complications or unexpected issues.
*Requests to change the crease width (wider or narrower) for aesthetic reasons are not covered under the warranty.
*Revision requests within 6 months of the procedure are not accepted. (Due to higher risks of infection, suture failure, or scar contracture during this period)

Double Eyelid Surgery: Incision Method

  • Swelling: The degree of swelling after the surgery may vary depending on the individual double eyelid width and skin thickness. Typically, about half of the swelling subsides within a week. Please observe the healing process for at least 1 month after the surgery. In some cases, it may take 3-6 months for the eyelids to appear natural.
  • Bruising: Occasionally, bruising (blue discoloration) as subcutaneous hemorrhage may appear but usually resolves within approximately 2 weeks without the need for treatment.
  • Scarring: Surgical incision scars typically stabilize over a period of 3-6 months. However, the final appearance of the scar may vary among individuals. In rare cases, hypertrophic scar or keloid formation may occur.
  • Reduced Sensation: The area around the incision may experience temporary or prolonged numbness or decreased sensitivity.
  • Others: Possible symptoms may include blepharospasm (involuntary eyelid twitching), dry eyes, photophobia (sensitivity to light), excessive tearing, milia, or chalazion.
Double Eyelid Surgery: Incision Method

  • Cleansing and Makeup: You may gently wash your face, shampoo your hair, and take a shower starting from the day of the surgery. However, please refrain from taking a bath until 3 days after the surgery. It is okay if soap gets on the wound or if it gets wet. Please refrain from applying makeup to the wound until the day after the sutures are removed. If you have wound pain, please wait a few extra days before applying makeup. Please refrain from drinking alcohol for at least 1 week after the surgery.
  • Driving and Operating Vehicles: Please refrain from driving a car, riding a motorcycle, and operating a bicycle or any other vehicle at least on the day of the surgery.
  • Contact Lenses: You may resume wearing contact lenses the day after the sutures are removed.
  • Antibiotic Eye Drops: Please apply the prescribed antibiotic eye drops 3 times a day. If you are wearing contact lenses, make sure to remove them before applying the eye drops.
  • Ointment: Please apply the prescribed ointment to the wound lightly, enough to form a thin layer, 2-3 times a day.
  • Antibiotics and Painkillers: Please take the prescribed antibiotics for one day. Painkillers should be taken as needed.
  • Suture Removal: Please return to our clinic for suture removal7 days after the surgery.
  • Loss of Double Eyelid Line: To prevent the double eyelid line from fading or disappearing, please refrain from washing or massaging your face with strong pressure for 1 month.
  • Other Concerns: If you have any questions or notice anything unusual, please do not hesitate to contact us.

What Is Double Eyelid Surgery (Incision Method)?

This procedure involves creating a desired double eyelid crease by making an incision along the planned eyelid line under local anesthesia. The skin is then sutured to form the crease. Fat may also be removed as needed to enhance the result.

Although some may hesitate due to the fact that this is a cutting procedure, it offers advantages that cannot be achieved with the non-incisional (buried suture) method—most notably, long-lasting and stable results. This technique is particularly recommended for those who have undergone the non-incisional method multiple times but experienced unsatisfactory durability.
The incision method also allows for the creation of wider or more defined double eyelid folds, which may be difficult or impossible to achieve with the non-incisional technique.

This procedure is ideal for individuals who:
・Wish to have a more wider double eyelid line.
・Have thick or puffy eyelids that make the non-incisional method unsuitable.

One of the main benefits of the incision method is the ability to achieve more clearly defined and lasting double eyelids compared to the non-incisional technique.

Features of Double Eyelid Surgery (Incision Method)

  • Permanent results – no risk of the crease disappearing!
  • More defined and dramatic double eyelids compared to the non-incisional method!

Case Blog

Treatment Details

Procedure TimeApproximately 60 minutes.
PainVaries depending on eyelid thickness and crease width. Discomfort usually subsides by about 50% within 1 week. Full recovery may take at least 1 month.
SwellingVaries depending on eyelid thickness and crease width. Swelling usually subsides by about 50% within 1 week. Full recovery may take at least 1 month. Complete natural appearance may take 3–6 months in some cases.
BruisingTemporary bruising (blue discoloration) on the eyelids may occur, usually resolving naturally within about 2 weeks.
ScarringThe incision scar will gradually fade over 3–6 months, though healing varies by individual. In rare cases, hypertrophic scarring or keloids may develop.
AnesthesiaLocal anesthesia is used. Nitrous oxide (laughing gas) can be added if desired.
Suture RemovalNecessary.
Follow-up VisitsPlease return for suture removal 7 days after the procedure.
HospitalizationNot necessary.
MakeupEye area: From the day after suture removal.
*Other areas: From the same day.
Face WashingPermitted from the same day.
*Avoid strong pressure on the face for 1 month.
Hair WashingPermitted from the same day.
ShoweringPermitted from the same day.
BathingPermitted from the 3rd day onward.
Alcohol ConsumptionBest to avoid for at least 1 week.
DrivingAvoid at least on the same day.
Contact LensesCan be worn from the day after suture removal.
MassageAvoid strong facial massage for at least 1 month.

Precautions

  • Reduced Sensation: The area around the incision may experience temporary or prolonged numbness or decreased sensitivity.

Price List (Tax Included)

Treatment NameDetails / AmountPriceNotes
Double Eyelid Surgery: Incision Method- ¥190,000

Warranty

Corrections for asymmetry or noticeable irregularities (Note: Some cases may be difficult to revise and may be declined), Postoperative care for complications or unexpected issues.

Requests to change the crease width (wider or narrower) for aesthetic reasons are not covered under the warranty.
Revision requests within 6 months of the procedure are not accepted. (Due to higher risks of infection, suture failure, or scar contracture during this period)

*Separate anesthesia fee applies.
*Warranty Period: 1 year

Anesthesia Fee

Local anesthesia will be used.
*It is included in the treatment fee.

Anesthesia may be added if necessary (optional).
If you are concerned about pain, please feel free to consult with us.

  • Nitrous Oxide Gas (Laughing Gas): ¥3,000

Treatment May Be Declined In Certain Cases

The procedure may not be performed in the following cases:
・Poorly controlled diabetes.
・Patients taking blood-thinning medications.
・Within 6 months after LASIK or other corneal surgery.
・If you are scheduled for corneal surgery in the near future.
 (Please consult your ophthalmologist for details.)

FAQ

What is the difference between buried suture method (non-incisional) and incisional method for double eyelid surgery?
The buried suture method creates a double eyelid line by using threads, while the incisional method involves making a cut with a scalpel to form the double eyelid line. Both have their own advantages and disadvantages, which will be explained in detail during your consultation.

Can I have double eyelid surgery on the same day as the consultation? Do I need to make a reservation?
Generally, it is possible to have the surgery on the same day as your consultation. However, depending on the length of the consultation and the schedule of other patients, the surgery may need to be scheduled for another day.
Please inform us when making your reservation if you wish to have the surgery on the same day. Our clinic operates by appointment only, so please be sure to mention your preference for same-day surgery when booking.


Can I have double eyelid surgery on each eye on separate days?
It is possible to have the procedure on each eye on different days. However, in this case, you will need to pay for each eye separately. The cost for one eye is 60% of the price for both eyes, so it will be more expensive than having both eyes done at the same time. Please understand this in advance.


Note: Our clinic provides only private (self-paid) medical services. Some treatments include unapproved pharmaceuticals and medical devices. Pharmaceuticals and medical devices used in treatments may be procured through personal importation under the discretion of our clinic’s physicians.





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