Plastic surgical care for the wounds

Non-cutting Double Eyelids for Asians

Liposuction

Fat Injection/Liposculpture

Other procedures

New York, NY - An improved non-incisional technique to create double eyelids in Asian patients is reported in the year 2000 issue of Aesthetic Surgery Journal (ASJ), the peer-reviewed publication of the American Society for Aesthetic Plastic Surgery (ASAPS).

Double-eyelid surgery is the most popular cosmetic surgical procedure in Japan. Whereas most surgeons in the United States perform cutting-type double eyelid surgery, Japanese women prefer non-incisional techniques. According to the authors of a study appearing in ASJ, current non-incisional techniques for creating double eyelids are either technically complex or do not produce lasting results.

Doctors in Japan and the USA describe an improved procedure that uses double sutures and twists (called DST technique) to create double eyelids in Asian patients. They say the non-incisional procedure is “simple, durable, and virtually scar free.” As described in the article, the method uses only two sutures on each upper eyelid, with the durability explained by the areas of ties and the central twists that result in more secure and therefore longer-lasting results.

The authors performed 1108 cases using the DST method during the past ten years, with no loss of double eyelid line after follow-up periods ranging from one month to seven years (with a mean follow-up time of 32 months). The average operative time ranged from 20 minutes (one side) to 60 minutes (bilateral). Most patients did not require sedation, and the surgeries were performed with only local anesthesia. Complications were minor and rare.

From ￥31,500 per site for 1　point fixation method.

(from top: "before",

"immediately after",

and "1 week later")

There are a few different ways to treat depressions in upper eyelids. The simplest and most effective way is to inject your own fat into the tissue under the skin of the upper lid. This is called "lipoinjection." The fat is harvested from the donor site (wherever you want), then injected into the upper lid depression. Approximately 60-70% of the fat will be naturally absorbed in a year, but the remainder will usually last for a long time (unlike other injectables such as Restylane).

Similarly, fat can be injected to correct smile lines (Nasolabial lines), Chin augmentation, Cheek augmentation, Marionette lines, and so forth. We prefer to use patients' own (autologous) fat in micro-particle form to correct these problems. The fat tissue is usually harvested from a tiny hole in the patients' umbilicus (lower abdomen) using a small syringe. The whole process is done under local anesthesia at an outpatient setting without any pain. The harvested fat is carefully processed into smaller particles, then injected to the target areas using a small 1 cc syringe. There is no incision involved. The recovery is quick and most patients go back to work next day. There is minimal swelling and almost no down time.

From ￥262,5000.