Non-Incisional Method
The non-incisional double eyelid procedure uses fine medical sutures to create a double eyelid crease in a relatively short time, without the need for surgical incisions. As no incisions are required, the procedure generally involves a shorter recovery period and lower costs compared to incisional methods.
At Ginza Coquelicot Clinic, we use the Natural Adhesion Method, which is designed to help maintain the double eyelid crease and achieve a natural-looking appearance, even when looking downward.

3 Key Features of the Natural Adhesion Method
Smooth, Natural-Looking Double Eyelid Crease
By securing the sutures at six points on both the skin and conjunctival sides, the tension is evenly distributed, minimizing excessive pulling at any single point. This helps create a smooth, natural-looking double eyelid crease with less visible indentation or unevenness when looking downward or blinking.
Designed for Long-Lasting Double Eyelid Creases
By crossing the sutures and securing them at six points on both the skin and conjunctival sides, the technique enhances the stability of the double eyelid crease. The suture placement is also designed to promote tissue adhesion around the threads, helping prevent the crease from becoming shallower or reverting to its original appearance.
Designed to Minimize Stress on the Eyelids
By distributing the fixation force over a wider area, the technique helps prevent excessive stress from concentrating on any single point. This allows for the creation of a natural-looking double eyelid crease while minimizing unnecessary strain on the internal tissues of the eyelid.

Recommended For
✓ Your double eyelid crease has reverted after a previous non-incisional procedure.
✓ You want a long-lasting double eyelid crease that is less likely to fade or revert.
✓ You want a natural-looking crease without excessive indentation, even when closing your eyes or looking downward.
✓ You want to stop using eyelid glue or tape every morning.
✓ You want to minimize stress on your eyelids.
✓ You want a procedure with minimal downtime.
| Non-Incisional Method | |
|---|---|
| Natural Adhesion Method | ¥143,000 |

Swelling:
Swelling typically peaks 2–3 days after the procedure, with most noticeable swelling subsiding within approximately one week.
Bruising:
If bruising occurs, it usually fades gradually within 1–2 weeks.
Foreign Body Sensation from Sutures:
Some discomfort or a foreign body sensation may occur after the procedure, but it typically improves within about one week.
Other Possible Side Effects:
Eye redness, dry eyes, and asymmetry. In rare cases, sutures may become exposed or an infection may develop around the sutures.
*The severity of symptoms and recovery time may vary from person to person.
Incisional Double Eyelid Surgery
Incisional double eyelid surgery is a procedure that creates a long-lasting double eyelid crease by making an incision along the desired crease line and securing the skin to the underlying eyelid structures. Excess skin and fat can also be removed as needed, depending on the condition of the eyelids. This procedure is particularly suitable for individuals with thick eyelids or those who have difficulty maintaining a stable double eyelid crease with the non-incisional suture method.


3 Key Features of Incisional Double Eyelid Surgery
Long-Lasting, Semi-Permanent Double Eyelid Crease
By firmly securing the skin and underlying eyelid tissues together, a double eyelid crease is formed through tissue adhesion. Compared to the non-incisional suture method, this technique is less likely to reverse and provides a stable, long-lasting double eyelid crease.
Suitable for Thick or Puffy Eyelids
Excess fat and skin can be removed or adjusted as needed, depending on the condition of the eyelids. This procedure is suitable for thick or puffy eyelids, helping create a more defined and refined double eyelid crease.
Natural, Customized Double Eyelid Design
The width and shape of the double eyelid crease are carefully designed based on each individual’s eyelid thickness, skin condition, and eye-opening function. Special attention is given to achieving a smooth, natural-looking crease, even when the eyes are closed or looking downward, while minimizing unnatural indentation.
Recommended For
✓ Those whose double eyelid crease has disappeared after a previous suture procedure
✓ Those with thick eyelids that make the suture method less effective
✓ Those with excess fat in the upper eyelids
✓ Those with thick eyelid skin
✓ Those with weak eyelid-opening function
| Incisional Double Eyelid Surgery | |
|---|---|
| Incisional Double Eyelid Surgery | ¥385,000 |
| Incisional Double Eyelid Surgery + ROOF Resection | ¥495,000 |

Swelling:
Significant swelling subsides within approximately 2 weeks, overall swelling settles within about 1 month, and healing is largely complete after approximately 3 months.
Bruising:
If bruising occurs, it usually resolves within 1–2 weeks.
Scarring:
Redness and firmness around the incision gradually improve over several months, although some scarring may remain.
Other Possible Side Effects:
Pain, puffiness, asymmetry, tightness, infection, raised scars, and changes in the double eyelid crease may occur.
The degree of swelling and bruising, as well as the time required for complete healing, varies from person to person.


