There are two major causes of Eyelid drooping:
Eyelid drooping caused by sagging skin
and Eyelid drooping caused by muscle weakness.
The key is to perform surgery according to the cause of the Eyelid drooping.
目次
I am an ophthalmologist by training. After becoming an ophthalmologist, I studied oculoplastics and have developed it to the highest standards in the world.
Most of the doctors in our clinic are also
originally ophthalmologists.
In cosmetic surgery, the goal is to “make the eyes as bright as possible,” but for us ophthalmologists, the goal is to “create eyelids that are as natural and functional as possible.
This is not only because of the shape, but also because without natural blinking, the eye can be damaged.
We try to design without interfering with the shape and function that we have been given in this world.
A condition in which the upper eyelid becomes droopy and covers the eye is called ptosis. When this condition occurs, the above symptoms appear.
「眼瞼下垂になると、
どんな症状が起こるの？」を詳しく見る
「眼瞼下垂の
セルフチェックリストと
なりやすい人の特徴」を詳しく見る
「眼瞼下垂について
よくある質問」を詳しく見る
We have many patients who have been told by other clinics that they cannot be cured, and we also have many patients who have had droopy eyelid surgery at other clinics and were not satisfied with the results.
Even for those who have been judged by other clinics to be difficult to correct, most of the patients who have come to our clinic can be treated, so please contact us first for a consultation.
「眼瞼下垂手術後の
修正手術」を詳しく見る
There are two main types of causes of droopy eyelids.
The first is due to sagging skin. This is due to the gradual stretching and sagging of the skin with age.
It is more likely to occur in people who have always had a single eyelid, and deep wrinkles appear on the forehead and the shape of the eyes becomes a figure of eight, giving the face an illustration-like appearance. This is called a drooping eyelid.
On the other hand, there is also a type of droopy eyelid in which the muscles that raise the eyelid become weak. With age, the muscles become elongated, and the eyebrows rise to compensate.
People who wear or have worn hard contact lenses in the past are more prone to this type of drooping eyelid.
「生まれつきの
眼瞼下垂
(先天性眼瞼下垂)」を詳しく見る
「眼瞼下垂について
よくある質問」を詳しく見る
The treatment is surgery for each cause.
「眼瞼下垂の手術は
痛くない？」を詳しく見る
「眼瞼下垂手術は何時間かかる？」を詳しく見る
Our clinic uses our experience and techniques based on a vast number of surgical cases to provide treatment tailored to the individual condition of each patient’s eyelids. We hope that you will feel at ease during your visit to our clinic.
Contact us
In Eyelid drooping caused by sagging skin, the goal is to remove excess skin and to create a double eyelid.
An incision is made in the eyelid skin about 5 to 6 mm above the eyelashes, and the excess skin is removed.
The double eyelid is then created and the skin is sutured. Fat may be removed at the same time.
The advantage of this method is that the skin is removed and the double eyelid can be remade. If the patient has always had a unilidery or a double folded eyelid, it will be more beautiful if the eyelid is remolded.
Another method of skin excision is to make an incision under the eyebrow and remove the skin (subhyperbrow dermabrasion). If you have thick eyelid skin and anticipate that an incision above the eyelashes will result in a thick and unnatural double eyelid, a subbrow dermabrasion is preferable.
This method exposes your own double eyelids, giving you the natural look of your own eyes about 10 years ago when the skin was sagging. Because the flaws in a subbrow dermabrasion are on the surface of the body, basic competence in the basics of incision and suture technique, in addition to design, is of paramount importance. Without skill, the flaws will be conspicuous. At our clinic, we take the utmost care to make the flaws inconspicuous.
Although it is a simple cut and sew technique, there are tricks to the design and sewing method. Because sagging gradually increases with age, the older one gets, the more the skin around the eyes must be removed to the extent that it exceeds the width of the eye, or the wrinkles around the eyes may appear to have increased after the surgery, conversely.
Immediately after the surgery, swelling is quite strong, but 80% of the swelling will subside in two weeks. The remaining swelling will gradually subside over a period of about 6 months.
| Before surgery | The sagging skin causes the eyes to droop. The eyes also look darker. |
|---|---|
| After surgery | Sagging skin has been removed and double eyelids have been created. The eyes are now lit up and the appearance of the eyes has improved. |
| Before surgery | Eyelid drooping caused by sagging skin can also occur in young people. If a person is born with a single eyelid, the skin will sag and cover the eye. The eyes look and feel worse. |
|---|---|
| After surgery | The black eyes are now larger and more exposed, and you can open your eyes with ease. The eyes also seem to have improved. |
| Before surgery | Eyelid drooping caused by sagging skin has resulted in raised eyebrows and wrinkles on the forehead. |
|---|---|
| After surgery | The skin was removed to create a double eyelid. The eyebrows are lowered and the eyelid skin area is significantly reduced. The wrinkles on the forehead have disappeared and the facial expression has improved. There is still a little swelling and redness as it is only two weeks post-operatively. |
| Before surgery | Eyelid drooping caused by sagging skin, resulting in smaller black eyes. Eyelids are bulging due to fat. |
|---|---|
| After surgery | The skin and fat of the eyelid are removed to create a double eyelid. Double eyelid surgery is also performed at the same time, resulting in a much larger and clearer looking eye. |
| Before surgery | Eyelid drooping is caused by sagging skin, resulting in a left-right difference in eyelid shape. |
|---|---|
| After surgery | Created double eyelids with equal left and right sides for a beautiful look. |
| Before surgery | The patient came to our clinic because she had Eyelid drooping surgery at another clinic, but could not get rid of the heaviness of her eyelids. The black eye is exposed normally, but there is excess skin covering it. The incision line has become a fine crease and the eyelid is rattling. |
|---|---|
| After surgery | The eyelid skin was properly excised to create a double eyelid.自然な表情になっています。 このようにデザインには多くの経験が必要なのです。 |
「眼瞼下垂手術後の
修正手術」を詳しく見る
| Before surgery | Sagging skin, almost hiding the eyes in shadow around the eye line. |
|---|---|
| After surgery | The skin is sagging and the eyes are well open. Scratches are barely discernible. It will be even more beautiful in the future. |
| Before surgery | The skin sags with age, and the eyes appear to be barely open from the center to the edge of the eye. |
|---|---|
| After surgery | The skin was removed under the eyebrow so I can open my eyes; it’s been three months and the scar is barely noticeable. It will be even more beautiful in the future. |
| Before surgery |
There is skin laxity and sagging skin around the eye area. Since there is also fat on the eyelids, excision was an option, but since the patient wanted a natural result and did not want a large change, we opted for a subbrow skin excision. |
|---|---|
| After surgery | The sagging skin around the eye contour has been removed and the double width has been widened. The scar under the eyebrow has been cleaned up so well that it is almost imperceptible. |
| Before surgery | With age, the skin has sagged, resulting in a double-decker look. |
|---|---|
| After surgery | The sagging around the eyes has been removed and the eyes look refreshed. The wound is already barely noticeable. It will be even more beautiful in the future. |
| Before surgery | The outer eyebrows are raised because of sagging skin. |
|---|---|
| After surgery | The sagging skin has been removed and the position of the eyebrows has changed to where it should be. The amount of skin over the eyes has been reduced. |
| Before surgery | The outer eyebrows are raised because of sagging skin. |
|---|---|
| After surgery |
The eyebrows have returned to their natural position. The skin has been lifted and the position of the spots around the eyes has changed. The scars are still red but will gradually fade over the next few months. Scars may or may not be noticeable depending on the patient’s constitution. |
| Before surgery | Both sagging skin and sagging muscles are present, resulting in a poor view. Skin excision was performed under the eyebrows and muscle shortening was performed. |
|---|---|
| After surgery | The eyes are now open to see nicely and the sagging skin has been removed. The scars from the surgery are barely noticeable. |
| Before surgery | Both sagging skin and sagging muscles are present, resulting in poor viewing. |
|---|---|
| After surgery | The eyes can now be seen open nicely and the sagging skin has been removed. The scars from the surgery are barely noticeable and will look even better in the future. |
| Before surgery |
The sagging skin is like an umbrella and the eyes are almost hidden in shadow. Subbrow skin excision is a good indication for such thick eyelids. |
|---|---|
| After surgery | The sagging skin has been removed and the light is now in the eyes. Scratches are barely noticeable. |
| Before surgery | The sagging skin is like an umbrella, so that the eyes are almost hidden in shadow. |
|---|---|
| After surgery | The sagging skin was removed and light was allowed to enter the eyes. The original double layer of skin is now exposed. Scratches are barely noticeable. |
Surgery for tendinous ptosis can be improved by sewing the stretched tendon back into its youthful position (levator muscle resection).
Surgery may also include removal of excess skin and fat that is causing heaviness.
The surgery takes about 10 to 30 minutes per side depending on the severity of the surgery, but we use intravenous anesthesia sedation to ensure that the patient does not feel any pain or time.
| Before surgery | Eyelids do not open due to sagging muscles. The dark eyes are small and the eyebrows are raised, resulting in more wrinkles on the forehead. |
|---|---|
| After surgery | The black eyes are larger, the eyebrows are no longer raised, and the forehead wrinkles are gone. (Lower eyelid surgery was also performed at the same time.) |
| Before surgery | Due to ptosis, the double eyelid is very wide and the eyebrows are raised. Although it appears that only the right side is at fault, the left side also has a mild droopy eyelid, so surgery was performed on both sides at the same time. |
|---|---|
| After surgery | Eyelid drooping was improved on both sides, and the left-right difference was almost completely eliminated. |
| Before surgery | The droopy eyelid results in small black eyes, wide double lids, raised eyebrows, and wrinkles on the forehead. |
|---|---|
| After surgery | The black eyes are larger, the eyebrows are lower, the forehead wrinkles are reduced, and the double width is more natural. |
| Before surgery | Eyelid drooping caused by muscle weakness has resulted in smaller black eyes and a wider double fold. The entire face is sagging, making the patient look older than her age. |
|---|---|
| After surgery | Surgery for a droopy eyelid was performed, followed by hyaluronic acid injections into the entire face. Overall, the face looks great with more elasticity and luster. Thus, in addition to ptosis surgery, our clinic also offers cosmetic injections. |
| Before surgery | Eyelid drooping causes the black eye to be smaller and the double width to be wider. |
|---|---|
| After surgery | After surgery on both eyes, the left-right difference in the eyelids has disappeared and the black eyes are open normally. |
| Before surgery | Large left-right difference in eyelids. The left eye with a droopy eyelid is severely affected, and the width of the double fold differs greatly between the left and right eyes. |
|---|---|
| After surgery | By performing the same surgery on both sides, we were able to reduce the left-right difference. The width of the double fold was also almost the same on both sides. |
Our clinic is able to perform blepharoplasty (transconjunctival elevator shortening) without cutting the skin.
It is recommended for relatively young patients with little excess skin.
| both eyes | |
| Eyelid drooping surgery | Dr.kashima ¥1,210,000 Dr.Aikawa・Dr.Doi・Dr.Yamana・Dr.Kikuchi ¥770,000 Doctors not listed above ¥330,000 |
All prices above include tax.
In the case of an operation, the cost of the medical examination will be deducted from the surgical fee.
「眼瞼下垂手術における
自費診療と保険診療の違いとは？」を詳しく見る
「片目の眼瞼下垂手術の
費用の目安は？」を詳しく見る
「眼瞼下垂について
よくある質問」を詳しく見る
Over the past 10 years, we have performed more than 10,000 eye plastic surgeries in Japan and the United States.
I aim to provide the cutting-edge medical knowledge and experience I have gained to patients in need in Japan.
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|---|---|---|---|---|---|---|---|
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