Double Eyelid Surgery: Incision Method (with Excess Skin Removal)
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.
- Are concerned about sagging skin on the upper eyelids.
Before & After Photos
▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions
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Double Eyelid Surgery: Incision Method (with Excess Skin Removal)This procedure is recommended for patients with sagging upper eyelids. Excess skin is surgically removed, and the remaining skin is sutured to create a defined double eyelid 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 (with Excess Skin Removal)- 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 (with Excess Skin Removal)- 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 (with Excess Skin Removal)This procedure is recommended for patients with sagging upper eyelids. Excess skin is surgically removed, and the remaining skin is sutured to create a defined double eyelid 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 (with Excess Skin Removal)- 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 (with Excess Skin Removal)- 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.
▼名称▼料金▼施術の説明▼リスク▼施術後の注意点
▶
目頭切開法目頭切開法は、局所麻酔をしてから目頭にある蒙古襞(もうこひだ)を切除し、平行型に近い二重ラインを作ったり、目と目の間の距離を縮めたりする手術です。
保障期間：1年間
保障内容：左右差等の修正手術、術後トラブルが生じた場合のアフターケア
※当初、目的とした形で仕上がり、さらに形を変えたい等は保障対象外とさせていただきます。
再手術をご希望でも半年は承れません（感染、縫合不全、拘縮等のリスクが高くなるため）。
▶
目頭切開法- 腫れ…個人差はありますが、1週間で概ね落ち着きます。自然な感じになるのには1～2か月かかることがあります。術後少なくとも1か月は経過をみてください。
- 内出血…内出血(青あざ)が生じることがあります。通常はそのまま様子みていただくと2週間程度で消失します。
- 傷…切開線の傷は3～6か月かけて落ち着きますが、傷の残り方には個人差があります。稀に肥厚性瘢痕やケロイドを生じることがあります。
- その他…眼瞼痙攣、ドライアイ、羞明（まぶしさ）、流涙、稗粒腫、霰粒腫。
▶
目頭切開法- 軽く洗顔、洗髪、シャワーは当日から可能です。傷口に洗剤が付いても濡れても大丈夫ですが、傷口のお化粧は抜糸の翌日からにしてください。ただし痛みがある場合は数日おいてからにしてください。入浴は3日後からでお願いします。飲酒は1週間後からでお願いします。
- 少なくとも施術当日は、車・バイク・自転車等の運転はお控えください。
- コンタクトレンズは抜糸の翌日から可能です。
- 目薬は1日に3回使用してください。
- 塗り薬を傷口に膜が張る程度に薄く、1日2～3回塗付してください。
- 化膿止めは1日分服用してください。痛み止めは必要なければ飲まなくて構いません。
- 7日後に抜糸に来院してください。
- 強い力での洗顔やお顔のマッサージは1か月間お控えください。
- その他分からない事や、異常を生じた場合はご連絡ください。
▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions
▶
Double Eyelid Surgery: Incision Method (with Excess Skin Removal)This procedure is recommended for patients with sagging upper eyelids. Excess skin is surgically removed, and the remaining skin is sutured to create a defined double eyelid 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 (with Excess Skin Removal)- 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 (with Excess Skin Removal)- 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.
▼名称▼料金▼施術の説明▼リスク▼施術後の注意点
▶
目頭切開法目頭切開法は、局所麻酔をしてから目頭にある蒙古襞(もうこひだ)を切除し、平行型に近い二重ラインを作ったり、目と目の間の距離を縮めたりする手術です。
保障期間：1年間
保障内容：左右差等の修正手術、術後トラブルが生じた場合のアフターケア
※当初、目的とした形で仕上がり、さらに形を変えたい等は保障対象外とさせていただきます。
再手術をご希望でも半年は承れません（感染、縫合不全、拘縮等のリスクが高くなるため）。
▶
目頭切開法- 腫れ…個人差はありますが、1週間で概ね落ち着きます。自然な感じになるのには1～2か月かかることがあります。術後少なくとも1か月は経過をみてください。
- 内出血…内出血(青あざ)が生じることがあります。通常はそのまま様子みていただくと2週間程度で消失します。
- 傷…切開線の傷は3～6か月かけて落ち着きますが、傷の残り方には個人差があります。稀に肥厚性瘢痕やケロイドを生じることがあります。
- その他…眼瞼痙攣、ドライアイ、羞明（まぶしさ）、流涙、稗粒腫、霰粒腫。
▶
目頭切開法- 軽く洗顔、洗髪、シャワーは当日から可能です。傷口に洗剤が付いても濡れても大丈夫ですが、傷口のお化粧は抜糸の翌日からにしてください。ただし痛みがある場合は数日おいてからにしてください。入浴は3日後からでお願いします。飲酒は1週間後からでお願いします。
- 少なくとも施術当日は、車・バイク・自転車等の運転はお控えください。
- コンタクトレンズは抜糸の翌日から可能です。
- 目薬は1日に3回使用してください。
- 塗り薬を傷口に膜が張る程度に薄く、1日2～3回塗付してください。
- 化膿止めは1日分服用してください。痛み止めは必要なければ飲まなくて構いません。
- 7日後に抜糸に来院してください。
- 強い力での洗顔やお顔のマッサージは1か月間お控えください。
- その他分からない事や、異常を生じた場合はご連絡ください。
What Is Double Eyelid Surgery (Incision Method with Excess Skin Removal)?
This procedure is recommended for patients who may not achieve ideal results with standard incision method—such as those who still have sagging skin, a less-defined crease, triple eyelids, or inward-turning eyelashes (entropion).
Even younger patients may be good candidates, especially if the skin has stretched from using eyelid tape or glue.
For patients with significant sagging extending toward the outer corners of the eyes due to aging, we often recommend the “Long-type” Incision Method with Excess Skin Removal for more comprehensive correction.
Features of Double Eyelid Surgery (Incision Method with Excess Skin Removal)
- Permanent results – no risk of the crease disappearing!
- More defined and dramatic double eyelids compared to the non-incisional method!
- Effectively removes sagging skin on the upper eyelids!
Case Blog
Treatment Details
| Procedure Time | Approximately 60 minutes. |
| Pain | Varies depending on eyelid thickness and crease width. Discomfort usually subsides by about 50% within 1 week. Full recovery may take at least 1 month. |
| Swelling | Varies 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. |
| Bruising | Temporary bruising (blue discoloration) on the eyelids may occur, usually resolving naturally within about 2 weeks. |
| Scarring | The incision scar will gradually fade over 3–6 months, though healing varies by individual. In rare cases, hypertrophic scarring or keloids may develop. |
| Anesthesia | Local anesthesia is used. Nitrous oxide (laughing gas) can be added if desired. |
| Suture Removal | Necessary. |
| Follow-up Visits | Please return for suture removal 7 days after the procedure. |
| Hospitalization | Not necessary. |
| Makeup | Eye area: From the day after suture removal.
*Other areas: From the same day. |
| Face Washing | Permitted from the same day.
*Avoid strong pressure on the face for 1 month. |
| Hair Washing | Permitted from the same day. |
| Showering | Permitted from the same day. |
| Bathing | Permitted from the 3rd day onward. |
| Alcohol Consumption | Best to avoid for at least 1 week. |
| Driving | Avoid at least on the same day. |
| Contact Lenses | Can be worn from the day after suture removal. |
| Massage | Avoid 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)
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
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.
This website is published in accordance with medical advertising guidelines under the supervision of medical doctors.
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