{"id":12249,"date":"2026-09-16T12:10:47","date_gmt":"2026-09-16T03:10:47","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=12249"},"modified":"2026-09-16T12:10:48","modified_gmt":"2026-09-16T03:10:48","slug":"buried-suture-vs-incision-eyelid-tokyo","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/","title":{"rendered":"Buried Suture vs Incision: Fit for Chinese-American Eyes"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/#webpage\",\"url\":\"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/\",\"name\":\"Buried Suture vs Incision: Fit for Chinese-American Eyes\",\"inLanguage\":\"en\",\"isPartOf\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#website\"},\"about\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#clinic-biotope\"},\"reviewedBy\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#physician-karibe\"},\"lastReviewed\":\"2026-09-15\"},{\"@type\":[\"Article\",\"MedicalWebPage\"],\"@id\":\"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/#webpage\"},\"headline\":\"Buried Suture vs Incision: Fit for Chinese-American Eyes\",\"url\":\"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/\",\"inLanguage\":\"en\",\"author\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#physician-karibe\"},\"reviewedBy\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#physician-karibe\"},\"publisher\":{\"@id\":\"https:\/\/kojihifu.com\/english\/#organization\"},\"mainEntityOfPage\":{\"@id\":\"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/#webpage\"},\"description\":\"Compare buried suture and incisional double eyelid surgery in Tokyo, and see which fits Chinese-American eyelid anatomy best. Book your Tokyo consultation now.\",\"datePublished\":\"2026-09-15\",\"dateModified\":\"2026-09-15\",\"lastReviewed\":\"2026-09-15\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/kojihifu.com\/english\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Skin & Dermatology\",\"item\":\"https:\/\/kojihifu.com\/english\/column\/skin-dermatology\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Buried Suture vs Incision: Fit for Chinese-American Eyes\",\"item\":\"https:\/\/kojihifu.com\/english\/buried-suture-vs-incision-eyelid-tokyo\/\"}]}]}<\/script><br \/>\n<script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Can I switch from buried suture to incisional surgery later if the crease fades?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Yes, this is a common path. Many patients start with the suture method and move to an incisional procedure later if they want a more permanent result or if the crease has become uneven over time.\"}}, {\"@type\": \"Question\", \"name\": \"Will double eyelid surgery get rid of my epicanthal fold?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Not on its own. Crease surgery only shapes the eyelid fold itself; a separate procedure called medial epicanthoplasty is used if the inner-corner fold needs to be softened or reduced.\"}}, {\"@type\": \"Question\", \"name\": \"How do I know if my eyelid has too much fat for the suture method?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"This needs a physical examination rather than a self-assessment, since pretarsal and preseptal fat thickness can be difficult to judge by eye. A surgeon will typically test how the crease behaves with a temporary trial fold before recommending a technique.\"}}, {\"@type\": \"Question\", \"name\": \"Is one method more painful than the other?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Both are performed under local anaesthesia and are generally well tolerated during the procedure. The incisional method tends to involve more discomfort and swelling in the days afterward simply because more tissue is manipulated.\"}}]}<\/script><\/p>\n<h2>What Is Buried Suture and Incisional Double Eyelid Surgery?<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 What Is Buried Suture and Incisional Double Eyelid Surgery\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_36704138_1789451132.webp\" alt=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 What Is Buried Suture and Incisional Double Eyelid Surgery\" \/><\/figure>\n<p>Both procedures aim to create a permanent upper eyelid crease (a &#8220;double eyelid&#8221;) in eyes that currently have a single, uncreased lid.<\/p>\n<p>The difference lies in how that crease is engineered. The buried suture method places a small number of sutures beneath the skin to tack the skin down to the deeper eyelid structures \u2014 the tarsal plate or levator aponeurosis \u2014 without cutting the skin open.<\/p>\n<p>The incisional method instead opens the eyelid along the planned crease line, allows the surgeon to trim excess skin, fat, or muscle as needed, and closes the incision in a way that fuses the skin to the underlying tissue as it heals. Clinical descriptions place the two techniques on a spectrum: non-incisional suture ligation at one end, and full external incision at the other, with the choice largely driven by how much tissue needs to be addressed and how permanent the patient wants the result to be.<\/p>\n<h2>How Each Method Works<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 How Each Method Works\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_18459390_1789451133.webp\" alt=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 How Each Method Works\" \/><\/figure>\n<h3>Buried Suture Method<\/h3>\n<p>A fine needle passes a suture through several small entry points in the eyelid skin, looping it around the tarsal plate or levator aponeurosis before tying it off internally. No skin or fat is removed. Because the tissue is not cut open, swelling tends to be more limited and settles faster than after an incisional procedure.<\/p>\n<p>The trade-off is that the crease depends on scar tissue forming around the suture track rather than a full surgical adhesion. In eyelids with thicker skin or more fat \u2014 a pattern that is common, though not universal, among Chinese-American patients \u2014 that tension can loosen over time, and the crease can soften, become asymmetric, or disappear.<\/p>\n<h3>Incisional Method<\/h3>\n<p>The surgeon opens the eyelid along the crease line, removes the amount of excess skin, orbicularis muscle, or fat that is contributing to a heavy, unlined lid, and then closes the incision so the skin adheres directly to the tarsal plate or levator aponeurosis.<\/p>\n<p>This method is also referred to as a passive, static approach because the crease forms through direct tissue fusion rather than suture tension alone, which is one reason it is generally considered more stable, particularly in eyelids with more fat or looser skin.<\/p>\n<p>The visible cost is a fine scar along the crease line, which typically fades over months but is not entirely eliminated. Recovery is also longer, since tissue has genuinely been cut and needs to heal.<\/p>\n<h2>Chinese-American Eyelid Anatomy: What Makes It Different<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 Chinese-American Eyelid Anatomy: What Makes It Different\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_13697730_1789451134.webp\" alt=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 Chinese-American Eyelid Anatomy: What Makes It Different\" \/><\/figure>\n<p>Not every East Asian eyelid is anatomically the same, and this matters for treatment planning. Chinese eyelids very commonly retain a prominent epicanthal fold \u2014 the small skin fold that covers the inner corner of the eye \u2014 which can visually shorten the eye and, if untreated, cause the medial portion of a surgically created crease to disappear behind the fold. Anatomical reviews attribute this fold to redundant preseptal orbicularis oculi muscle rather than a lack of skin, which is why simply creating a crease without addressing the fold can leave an uneven, &#8220;outer-only&#8221; result.<\/p>\n<p><strong>Asian eyelids<\/strong> as a group have also been described as having up to four distinct fat compartments \u2014 subcutaneous, pretarsal, preseptal (submuscular), and orbital fat \u2014 with the pretarsal and preseptal layers tending to be thicker than in eyelids without an epicanthal fold.<\/p>\n<p>This extra fat is a physical obstacle to the levator aponeurosis reaching the skin, which is part of why a single eyelid forms in the first place. Structurally, the tarsal plate itself also tends to be shorter: one clinical reference source puts the average tarsal plate height at roughly 8.2 mm in Japanese eyelids compared with about 10.1 mm in Caucasian eyelids, with the crease sitting lower and closer to the lash line as a result of weaker skin attachments from the levator aponeurosis. Chinese eyelids generally follow this same broader East Asian pattern.<\/p>\n<p>In practice, this means two things for treatment choice. First, eyelids with a heavier epicanthal fold or thicker pretarsal fat are mechanically harder for a buried suture alone to hold long-term, since there is more tissue weight pulling against the suture tension.<\/p>\n<p>Second, some patients benefit from combining crease surgery with a separate, smaller procedure \u2014 medial epicanthoplasty \u2014 to soften the fold rather than expecting the crease surgery alone to correct it.<\/p>\n<p>At BIOTOPE CLINIC in Shirokanedai, we frequently see patients who assumed a suture-only procedure would suit their eyelid shape, when an examination shows enough pretarsal fat that an incisional or fat-reducing approach is likely to hold its result more predictably.<\/p>\n<h2>Cost of Double Eyelid Surgery in Tokyo<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 Cost of Double Eyelid Surgery in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_27867809_1789451135.webp\" alt=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 Cost of Double Eyelid Surgery in Tokyo\" \/><\/figure>\n<p>Pricing depends on the technique, the number of suture points (for buried suture), and whether fat or tissue removal is included. As a general guide from current published clinic pricing in Tokyo:<\/p>\n<ul>\n<li>Buried suture, 2-point: roughly in the low tens of thousands of yen per eye, and modestly more for both eyes<\/li>\n<li>Buried suture, 4-point: a step up from 2-point pricing, reflecting the additional fixation points<\/li>\n<li>Buried suture, 6-point: priced higher again, generally chosen for less stable eyelid shapes<\/li>\n<li>Incisional method (full incision): the highest of the listed options, reflecting the longer procedure and tissue removal involved<\/li>\n<\/ul>\n<p>Please see the clinic&#8217;s official price page or contact us for a current quote, since pricing is reviewed periodically and can vary based on individual anatomy and whether fat removal or epicanthoplasty is added. For an accurate quote, please book a consultation.<\/p>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>What to Expect: Before, During and After<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 What to Expect: Before, During and After\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_29616420_1789451136.webp\" alt=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 What to Expect: Before, During and After\" \/><\/figure>\n<p>A pre-operative consultation should include a physical assessment of skin thickness, fat volume, epicanthal fold severity, and any pre-existing eyelid asymmetry or ptosis (drooping), since all of these affect which technique is realistic. Photographs and, often, a temporary &#8220;trial crease&#8221; using tape or a thin suture help the patient and surgeon agree on the intended height and shape before committing to either method.<\/p>\n<p>Both procedures are typically performed under local anaesthesia as outpatient surgery, usually completed within 30 to 60 minutes depending on complexity. For the buried suture method, most swelling and bruising noticeably improve within three to five days, though residual puffiness can linger for a few weeks. For the incisional method, initial swelling is more pronounced and visible bruising can last one to two weeks, with the fine scar continuing to soften and fade over several months.<\/p>\n<p>Aftercare for both techniques generally involves cold compresses in the first 48 hours, avoiding rubbing the eyes, sleeping with the head elevated, and attending follow-up visits to check healing and, for incisional surgery, timing of suture removal.<\/p>\n<h2>Who Is a Good Candidate?<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 Who Is a Good Candidate\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/09\/pexels_7585308_1789451137.webp\" alt=\"Buried suture vs incision double eyelid Tokyo: whi \u2014 Who Is a Good Candidate\" \/><\/figure>\n<p>Candidacy is not simply a matter of preference \u2014 it depends on how much your eyelid anatomy is working with or against the technique you want.<\/p>\n<table style=\"border-collapse: collapse; width: 100%; margin: 20px 0; font-size: 0.95em; border: 1px solid #ccc;\">\n<thead>\n<tr>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Factor<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Buried Suture (Non-Incisional)<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Incisional Method<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Best suited for<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Thin to moderate skin, minimal excess fat, patients wanting a subtle or reversible-leaning first step<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Thicker skin, noticeable excess fat, a prominent epicanthal fold, or a desired deep, well-defined crease<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Downtime<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Roughly three to five days for most visible swelling to settle<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">One to two weeks for bruising and swelling to substantially resolve<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Longevity<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Can last for years, but the crease may soften or fade over time, particularly with thicker tissue<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Generally considered more stable long-term, since the crease forms through direct tissue adhesion<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Visible scarring<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Minimal; small entry points only<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">A fine incision-line scar that typically fades but does not fully disappear<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Adjustability<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Sutures can sometimes be removed or redone, though not always cleanly<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Considered a more permanent, one-time correction<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Combines well with<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Minor crease adjustments<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Fat or skin removal, medial epicanthoplasty for a pronounced fold<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Patients who should be cautious with either method include those with active eye infections, uncontrolled bleeding disorders, significant pre-existing ptosis that needs separate correction, or unrealistic expectations about how much a crease alone can change overall eye shape.<\/p>\n<p>A qualified surgeon should assess these factors individually rather than applying a one-size-fits-all recommendation.<\/p>\n<h2>Common Misconceptions About Buried Suture vs Incisional Surgery<\/h2>\n<p><strong>Misconception 1: &#8220;The suture method is basically risk-free and fully reversible.&#8221;<\/strong><\/p>\n<p>In practice, once a buried suture crease has been in place for some time, simply removing the sutures does not reliably restore the original single eyelid. A case series examining patients who returned for treatment of suture-related complications after buried-suture surgery found that in about a quarter of cases where sutures were removed without any additional procedure, the double eyelid crease disappeared afterward anyway \u2014 and locating and fully removing the sutures was not always straightforward. This does not mean complications are common in first-time, uncomplicated procedures; it means &#8220;reversible&#8221; should not be treated as a guarantee.<\/p>\n<p><strong>Misconception 2: &#8220;Incisional surgery always leaves an obvious scar.&#8221;<\/strong><\/p>\n<p>The incision is deliberately placed along the natural crease line, and it is designed to be camouflaged by the fold itself once healed. Most incision-line scarring becomes faint within several months, though individual healing varies and a scar is never entirely eliminated.<\/p>\n<h2>Where to Get Double Eyelid Surgery in Tokyo<\/h2>\n<p>Within our clinic group, both <strong>BIOTOPE CLINIC<\/strong> (Shirokanedai, Minato-ku) and <strong>Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> (Ichigaya, Chiyoda-ku) offer English-language consultation with Dr. Jun Karibe&#8217;s team.<\/p>\n<p>Buried suture and incisional double eyelid surgery, along with related eyelid procedures such as transconjunctival blepharoplasty and ptosis correction, are handled at Kojimachi Dermatology &amp; Plastic Surgery Clinic, the group&#8217;s main office for general and aesthetic plastic surgery. If your consultation also touches on cosmetic dermatology or injectable treatments, those are based at <strong>BIOTOPE CLINIC<\/strong> in Shirokanedai. Bookings and enquiries in English: LINE or WhatsApp.<\/p>\n<h2>Frequently Asked Questions<\/h2>\n<dl class=\"kj-faq\">\n<dt>Q. Can I switch from buried suture to incisional surgery later if the crease fades?<\/dt>\n<dd>Yes, this is a common path. Many patients start with the suture method and move to an incisional procedure later if they want a more permanent result or if the crease has become uneven over time.<\/dd>\n<dd><\/dd>\n<dt>Q. Will double eyelid surgery get rid of my epicanthal fold?<\/dt>\n<dd>Not on its own. Crease surgery only shapes the eyelid fold itself; a separate procedure called medial epicanthoplasty is used if the inner-corner fold needs to be softened or reduced.<\/dd>\n<dd><\/dd>\n<dt>Q. How do I know if my eyelid has too much fat for the suture method?<\/dt>\n<dd>This needs a physical examination rather than a self-assessment, since pretarsal and preseptal fat thickness can be difficult to judge by eye. A surgeon will typically test how the crease behaves with a temporary trial fold before recommending a technique.<\/dd>\n<dd><\/dd>\n<dt>Q. Is one method more painful than the other?<\/dt>\n<dd>Both are performed under local anaesthesia and are generally well tolerated during the procedure. The incisional method tends to involve more discomfort and swelling in the days afterward simply because more tissue is manipulated.<\/dd>\n<\/dl>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>Summary<\/h2>\n<p>For Chinese-American ,Asian eyelids, the choice between buried suture and incisional double eyelid surgery usually comes down to how much pretarsal fat and epicanthal fold tissue is present, not personal preference alone.<\/p>\n<p>Thinner eyelids with minimal fat often do well with the suture method, while eyelids with more fullness or a prominent inner fold tend to hold a more stable result with the incisional approach, sometimes paired with epicanthoplasty. If you have questions about buried suture vs incisional double eyelid surgery, both <strong>BIOTOPE CLINIC<\/strong> (Shirokanedai, Minato-ku) and<strong> Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> (Ichigaya, Chiyoda-ku) offer English-language consultation with Dr. Karibe and his team. Double eyelid surgery is primarily handled at Kojimachi Dermatology &amp; Plastic Surgery Clinic. English enquiries: LINE or WhatsApp.<\/p>\n<div class=\"kjmc-en-booking-box\" style=\"background: linear-gradient(135deg,#f1faf3 0%,#e6f3ea 100%); border-radius: 14px; padding: 32px 24px; margin: 36px 0 24px; border: 1px solid #c5dccd; text-align: center;\">\n<h3 style=\"margin: 0 0 8px; color: #3a6e3a; border: none; padding: 0; font-size: 1.3em;\">24\/7 Consultation &amp; Booking<\/h3>\n<div style=\"width: 48px; height: 2px; background: #3a6e3a; margin: 0 auto 22px;\"><\/div>\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 1.1em; font-weight: bold;\">Book a Consultation or Treatment<\/p>\n<p style=\"margin: 0 0 24px; color: #2c4a35; line-height: 1.75;\">Our English-speaking team responds via LINE or WhatsApp \u2014 usually the same day.<\/p>\n<p style=\"margin: 0 0 10px; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #06C755; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(6,199,85,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #25D366; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(37,211,102,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Mizuno T. Treatment of Suture-Related Complications of Buried-Suture Double-Eyelid Blepharoplasty in Asians. Plastic and Reconstructive Surgery Global Open. 2016.<\/li>\n<li>Mizuno T, Yamamoto A. Pretarsal Augmentation of the Lower Eyelids Using Fat Grafts in Asian Patients. Aesthetic Surgery Journal Open Forum. 2023.<\/li>\n<li>StatPearls Publishing. Upper Eyelid Blepharoplasty. StatPearls. 2023.<\/li>\n<\/ol>\n<h2>Related Articles<\/h2>\n<p>You may also find these articles useful.<\/p>\n<ul>\n<li><a href=\"https:\/\/kojihifu.com\/english\/double-eyelid-surgery-tokyo-guide\/\" target=\"_blank\" rel=\"noopener\">Double Eyelid Surgery Tokyo: English-Speaking Clinic Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/double-eyelid-surgery-tokyo-downtime-stay-flying\/\" target=\"_blank\" rel=\"noopener\">How Long Should You Stay in Tokyo for Double Eyelid Surgery? Downtime, Pain &amp; Flying Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/ptosis-correction-surgery-tokyo-2\/\" target=\"_blank\" rel=\"noopener\">Ptosis Correction Surgery Tokyo: Droopy Eyelid Treatment<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/under-eye-bags-surgery-tokyo-2\/\" target=\"_blank\" rel=\"noopener\">Under Eye Bags Surgery Tokyo: Transconjunctival Guide<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/scar-revision-surgery-tokyo-3\/\" target=\"_blank\" rel=\"noopener\">Scar Revision Surgery in Tokyo: Options and Cost Guide<\/a><\/li>\n<\/ul>\n<div style=\"margin: 2.5em 0 1em; padding: 1.5em; border: 1px solid #d5d5d5; border-radius: 10px; background: #fafafa; font-size: .9em;\">\n<p style=\"font-size: .72em; font-weight: bold; color: #888; margin: 0 0 1.2em; letter-spacing: .08em;\">SUPERVISED BY<\/p>\n<div style=\"display: flex; align-items: flex-start; gap: 1.2em; flex-wrap: wrap;\">\n<div style=\"flex-shrink: 0; text-align: center; min-width: 110px;\"><img decoding=\"async\" style=\"width: 100px; height: 100px; border-radius: 50%; object-fit: cover; object-position: top center; display: block; margin: 0 auto; border: 3px solid #e0e0e0;\" src=\"https:\/\/kojihifu.com\/hon\/wp-content\/uploads\/2022\/01\/photo-karibejun-400-3_re-300x300.jpg\" alt=\"Dr. Jun Karibe MD \u2014 Board-certified Plastic Surgeon, Director of Kojimachi Dermatology &amp; Plastic Surgery Clinic\" \/><\/p>\n<p style=\"margin: .6em 0 .1em; font-weight: bold; font-size: .95em; color: #222;\">Dr. Jun Karibe<\/p>\n<p style=\"margin: 0 0 .1em; font-size: .75em; color: #999;\">MD<\/p>\n<p style=\"margin: 0; font-size: .75em; color: #555; font-weight: bold;\">Director<\/p>\n<\/div>\n<div style=\"flex: 1; min-width: 200px;\">\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Education &amp; Career<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Juntendo University School of Medicine<\/div>\n<div>Department of Plastic Surgery, University of Tokyo Hospital<\/div>\n<div>Assistant Professor, Plastic &amp; Cosmetic Surgery, Saitama Medical University<\/div>\n<div>Assistant Professor &amp; Chief Resident, Yamanashi University Hospital<\/div>\n<div>2019: Founded Kojimachi Dermatology &amp; Plastic Surgery Clinic (Ichigaya, Tokyo)<\/div>\n<div>2021: Founded BIOTOPE CLINIC Shirokanedai (Minato-ku, Tokyo)<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Certifications<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Board-certified Plastic Surgeon \u2014 Japan Society of Plastic and Reconstructive Surgery<\/div>\n<div>Specialist \u2014 Japan Society of Anti-Aging Medicine<\/div>\n<div>Certified Industrial Physician \u2014 Japan Medical Association<\/div>\n<div>Allergan VST-certified Injector (Botox &amp; Hyaluronic Acid)<\/div>\n<\/div>\n<\/div>\n<div style=\"background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Awards<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Best Presentation Award \u2014 Dept. of Plastic Surgery, University of Tokyo (2016)<\/div>\n<div>Excellence Award \u2014 Japan Society of Plastic and Reconstructive Surgery (2018)<\/div>\n<div>Featured Presentation \u2014 ASPS Annual Scientific Meeting, USA (2018)<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-top: 1em; padding-top: .75em; border-top: 1px solid #e8e8e8; display: flex; flex-wrap: wrap; align-items: center; gap: .5em;\"><a style=\"display: inline-block; background: #e1306c; color: #fff; padding: .4em .9em; border-radius: 4px; text-decoration: none; font-size: .8em; font-weight: bold;\" href=\"https:\/\/www.instagram.com\/dr.jun_\/\" target=\"_blank\" rel=\"noopener noreferrer\">Instagram<\/a><\/p>\n<div style=\"margin-top: 1em; padding-top: .75em; border-top: 1px dashed #d5d5d5; font-size: .78em; color: #555; line-height: 1.7;\">\n<p style=\"margin: 0 0 .3em; font-size: .72em; font-weight: bold; color: #888; letter-spacing: .08em;\">MEDICAL REVIEW<\/p>\n<div><strong>Jun Karibe, MD<\/strong> \u2014 Board-certified Plastic Surgeon \u2014 Japan Society of Plastic and Reconstructive Surgery<\/div>\n<div>Medical Director, BIOTOPE CLINIC<\/div>\n<div>Last medically reviewed: 2026-09-15<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Compare buried suture and incisional double eyelid surgery in Tokyo, and see which fits Chinese-American eyelid anatomy best. Book your Tokyo consultation now.","protected":false},"author":4,"featured_media":12248,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,22],"tags":[1000,996,997,998,999],"class_list":["post-12249","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-dermatology","category-plastic-surgery-tokyo","tag-epicanthal-fold","tag-buried-suture-technique","tag-incisional-blepharoplasty","tag-asian-eyelid-surgery","tag-chinese-american-eyelids"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/12249","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/comments?post=12249"}],"version-history":[{"count":1,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/12249\/revisions"}],"predecessor-version":[{"id":12378,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/12249\/revisions\/12378"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/12248"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=12249"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=12249"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=12249"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}