Operation Procedure
Glamorous Line Formation, Transconjunctival Lower Eyelid Blepharoplasty
施術内容The patient wants to make her eyes look bigger and obtain a gentle impression.
Many, especially female, patients want to make their eyes look bigger, but when doing so, it’s important to consider both the upper and lower directions separately.
To widen the upper eyelid, you can create a double eyelid crease through double eyelid suture or incision surgery. Improving the eye opening can be achieved through ptosis surgery. In some cases, removing excess skin with a sub-brow incision might also be beneficial.
In cases like this patient, where you want to make your eyes look bigger by lowering the lower edge of the eyse, procedures such as Glamorous Line formation or lower eyelid blepharoplasty are appropriate. Simply put, it’s a surgery that lowers the lower eyelid. By lowering it in a balanced way, both the iris and the sclera are exposed more, resulting in a softer and more charming appearance. The position to lower the eyelid is determined based on the patient’s desired shape, starting from the center of the pupil to the outer edge.
When lowering the lower eyelid, it is essential to ensure that the lower eyelid line is aesthetically pleasing.
This surgery tends to revert, so we usually lower the eyelid a bit more than desired initially. After about three months, the eye shape stabilizes.
The surgery can be performed either from the skin side or from the conjunctiva, which is the inner side of the eyelid. Even if the surgery is done from the skin side, if it is done carefully, the scars are not too noticeable. However, if done from the conjunctiva, there will be no scars on the skin. The differences between the two approaches are as follows:
1. Skin Side:
• Advantages: Excess skin can be adjusted, less likelihood of developing entropion (inward turning of eyelashes).
• Disadvantages: Scars will be on the skin surface.
2. Conjunctiva Side:
• Advantages: No visible scars on the surface.
• Disadvantages: There is a possibility of developing entropion.
For younger patients, performing the surgery from the conjunctiva side can avoid visible scars. For those with sagging skin or those who may develop entropion when the lower eyelid is lowered, the skin-side approach may be better.
As a board-certified cosmetic surgeon by Japan Society of Aesthetic Plastic Surgery (JSAPS), which is only available to certified plastic surgeons, I handle a wide range of procedures from initial surgeries to revision surgeries. Please feel free to consult with me anytime.
Risks and Side Effects:
Swelling, bruising, infection, asymmetry, reversion, entropion, difference from the expected image, discomfort, scarring, hypertrophic scars, keloids, etc.
日本形成外科学会専門医
日本美容外科学会専門医 (JSAPS)
日本頭蓋顎顔面外科専門医
形成外科領域指導医
元大学病院助教、元CZEN GINZA CLINIC院長。現在はVeriteクリニック銀座院・名古屋院にて勤務。過去には札幌医科大学附属病院、がん研有明病院形成外科などの大病院において形成外科・再建外科医として勤務。先天異常、乳房再建、美容外科から再生医療にいたるまで幅広い臨床経験を持つ。専門は顔面・乳房の美容外科、形成外科。
Akiyo Suzuki M.D.
Board-Certified Plastic Surgeon
Board-Certified Cosmetic Surgeon (JSAPS)
Board-Certified Cranio-Maxillo-Facial Surgeon
Certified Instructor in Plastic Surgery
Former Assistant Professor at a Sapporo Medical University Hospital, Former Director of CZEN GINZA CLINIC, Previously worked as a plastic and reconstructive surgeon at major hospitals, including Cancer Institute Hospital JFCR, Ariake. Currently practicing at Verite Clinic in Ginza and Nagoya.
Has extensive clinical experience ranging from congenital abnormalities and breast reconstruction to aesthetic surgery. Specializes in facial and breast aesthetic and plastic surgery.
