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TOP - MENU - Eye (Blephaloplasty) -Total Incision Bifocal incision / Double incision (total incision)

Bifocal incision / Double incision (total incision)

In the double eyelid incision technique, an incision is made in the upper eyelid along the desired double fold line, and unnecessary tissue (fat, muscle, and skin) is removed to create a beautiful double folded eyelid.
The line and width of the double eyelid are decided after a thorough consultation with the patient.

Recommended for this type of person

I want to create a semi-permanent line.
. Very thick eyelids.
I want to make a wide double fold.
I want to narrow the width of my current double fold.

Features of this hospital

Before surgery, we will have a thorough consultation to determine the "ideal double-layer". Although it depends on the current condition of the eyelids, we hope to make suggestions that will bring you as close to your ideal as possible. Not only can we clear away swollen eyelid fat, but we can also design a double fold to be either wide or parallel, a narrow double fold to be wide or narrow, or a wide fold to be parallel.
The goal is to achieve a beautiful finish, whether the eyelids are open or closed. We perform the surgery with the greatest possible care to achieve a natural-looking result, avoiding too much line penetration and visible scarring.

Anatomy of an eyelid section

-surgery art of war

  • I. Design

  • II. Local anesthetic injection

  • III. Skin incision

  • IV. Resection of intraocular fat and ROOF as needed

  • V. Expose the transected end of the levator tendon membrane for internal processing to create a heavy eyelid line

  • VI. Fixation with absorbable sutures to create a double eyelid line

  • VII. Carefully suture the skin together to complete the process.

-Image of completion Completion image

  • Before

  • After

(medical) case

-Development of the bifurcation Bifurcation / Double incision (total incision)

  • Upper: before surgery Lower: 3 months later

  • very day

  • 1 week later

  • After 1 month

  • After 3 months

-Development of the bifurcation Bifurcation / Double incision (total incision)

  • Upper: before surgery Lower: 3 months later

  • very day

  • 1 week later

  • After 1 month

  • After 3 months

-Development of the bifurcation Bifurcation / Double incision (total incision)

  • Upper: before surgery Lower: 3 months later

  • very day

  • 1 week later

  • After 1 month

  • After 3 months

Related Videos

-Thanks for your interest Bifurcation / Double incision

  • Double Eyelid Surgery Dialogue] From the basics of double eyelid surgery to the maniacal talk for advanced users - A must-see for those who are worried about double eyelid surgery.

  • R O clinic - For those who have trouble with double-exposed eyelids! 〜R.O.clinic

  • Double incision conversation] What is a double incision without swelling? How to spend time after the surgery to avoid swelling! and more - For those who are considering a double incision, this is a must-see!

  • Double Eyelid Revision] For those who are considering a revision after incisional surgery - Explanation of the risks of revision and the double eyelid design after revision.

Postoperative course and follow-up

Treatment Time
30 - 40 minutes
Postoperative hospital visit
Required 1 week after surgery Suture removal 1 week after surgery
Postoperative swelling
Noticeable swelling is about 1 to 2 weeks.
Approximately 3 months to settle down (individual differences)
Treatment on the day of counseling
possible
anesthesia
Cream anesthesia, combined with local anesthesia
Laughing anesthesia is available upon request.
shower
Possible from the same day; wounds from the next day
make
Eye makeup can be applied 1 week after surgery
face-washing
Available from the next day

Charge

Bifurcation / Double incision (both sides)
352,000 yen
Bifurcation / Bifurcation incision + ROOF excision
407,000 yen
Bifurcation / Bifurcation incision, bilateral incision correction at other clinics
From ¥462,000
*Prices are subject to change depending on the contents.
Inverted eyelash addition
+¥55,000
Forehead botulinum toxin injection after double incision
26,400 yen
ROOF excision option (not available as a stand-alone procedure)
+55,000 Yen
All prices include tax.

Postoperative risks and side effects

-Internal hemorrhage internal hemorrhage
Internal bleeding will take 1-2 weeks to disappear, but eye makeup can be applied after the stitches are removed on the seventh postoperative day and can be concealed with foundation or concealer.
-Philadelphia swelling
The swelling will subside considerably after about 1-2 weeks, but it will take about 3 months for the swelling to go down completely.
-Postoperative Postoperative left-right difference
If you are concerned about the left-right difference in the width of the bifold after surgery, we will correct it after 3 months.
Perfect symmetry can be difficult to achieve.
-Double bite Double bite
The incisional double fold line will be deeper because the scar will be firmly adhered to the incision to prevent the line from disappearing. 4-6 months later, as swelling subsides and the scar softens, the incision will become shallower.
-Redness of scars Scar redness
Scars will be slightly reddish until about 3 to 6 months. Thereafter, it will gradually settle to the color of the skin over time. Depending on the skin type, there is a slight possibility of scarring. If it is too bothersome, we will correct it.

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  • 2026.06.18 Notice Regarding the Doctors' Schedule for July
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  • 2026.05.23 Media Coverage Why is Takeru Sato's ”facial change“ not leading to a firestorm? / Cosmetic Surgery: The Realities of 2025.”
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R.O. clinic

Specialty: Plastic surgery / Cosmetic surgery / Cosmetic dermatology
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〒150-0001
5-46-7 Jingumae, Shibuya-ku, Tokyo
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face

eye

  • Bifocal Augmentation / Embedding Method
  • Bifocal incision / Double incision (total incision)
  • Bifid surgery / Bifid incision (upper eyelid sagging excision)
  • Bifocal Surgery / Blepharoplasty
  • Bifidus surgery/revision of other hospital's treatment
  • Correction after mongolian fold formation and craniotomy
  • Brow lift (upper brow incision) and eyelift (lower brow incision)
  • craniotomy
  • Eye incision and suspension eye correction
  • glamorous line formation
  • Lower eyelid sagging excision (hamula method)
  • Lower eyelid blepharoplasty
  • Upper eyelid hollow
  • Lower eyelid inverted eyelash surgery
  • Tear pouch formation
  • Under-eye dark circles treatment

nose

  • rhinoplasty
  • rhinoplasty
  • rhinoplasty
  • auricular cartilage graft
  • rhinoplasty
  • Nasal bone osteotomy widening
  • nasal septum extension
  • hump osteotomy
  • osteotomy for correcting an oblique nose
  • rhinoplasty
  • rhinotomy
  • Nasal wing base (laugh lines)
  • foreign-body removal
  • reduction left ventriculoplasty

ear

  • standing ear
  • Judo ear
  • Eustachian cleft/piercing hole
  • reduction of an earlobe

mouth

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  • lip enlargement
  • raising one's tone of voice (in response to a request for help)
  • Gummy smile surgery (auricular cartilage graft)
face line / contour
  • Mastoid augmentation (chin augmentation)
  • Mastoid augmentation (chin augmentation)
  • mandibular mussel osteotomy
  • Mandible gill osteotomy
  • Zygomatic osteotomy
  • liposuction
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  • Bacal Fat Removal
  • facelift
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  • thread-lift
breast
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    - eye

    • Bifocal Augmentation / Embedding Method
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    • Bifid surgery / Bifid incision (upper eyelid sagging excision)
    • Bifocal Surgery / Blepharoplasty
    • Bifidus surgery/revision of other hospital's treatment
    • Correction after mongolian fold formation and craniotomy
    • Brow lift (upper brow incision) and eyelift (lower brow incision)
    • craniotomy
    • Eye incision and suspension eye correction
    • glamorous line formation
    • Lower eyelid sagging excision (hamula method)
    • Lower eyelid blepharoplasty
    • Upper eyelid hollow
    • Lower eyelid inverted eyelash surgery
    • Tear pouch formation
    • Under-eye dark circles treatment

    - nose

    • rhinoplasty
    • rhinoplasty
    • rhinoplasty
    • auricular cartilage graft
    • rhinoplasty
    • Nasal bone osteotomy widening
    • nasal septum extension
    • hump osteotomy
    • osteotomy for correcting an oblique nose
    • rhinoplasty
    • rhinotomy
    • Nasal wing base (laugh lines)
    • foreign-body removal
    • reduction left ventriculoplasty

    - ear

    • standing ear
    • Judo ear
    • Eustachian cleft/piercing hole
    • reduction of an earlobe

    - mouth (of a bottle)

    • lip reduction
    • lip enlargement
    • raising one's tone of voice (in response to a request for help)
    • Gummy smile surgery (auricular cartilage graft)
  • - all

    • Mastoid augmentation (chin augmentation)
    • Mastoid augmentation (chin augmentation)
    • mandibular mussel osteotomy
    • Mandible gill osteotomy
    • Zygomatic osteotomy
    • liposuction
    • Facial Fat Injection
    • Bacal Fat Removal
    • facelift
    • frontal lift
    • thread-lift
  • - all

    • breast augmentation
    • breast augmentation
    • breast augmentation
    • breast augmentation
    • sunken nipple
    • nipple reduction
    • areola reduction
    • Breast Lifting / Breast Reduction
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    • gynecomastia
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    • liposuction
    • Abdominal Reduction
    • hip enhancement surgery

    - female genitalia

    • Labia minora and labia majora reduction
    • vaginal reduction
  • - all

    • lipolytic injection
    • rejuran
    • hyaluronic acid injection
    • Wrinkle removal injection (botulinum toxin injection)
    • Japan unique process
  • - all

    • medicine taken internally
    • potenza
    • XERF
    • HIFU Therapy
    • R.O. Facial
    • R.O. Facial Spot⁺
    • photofacial
    • ruby fractional
    • picographic fractional
    • picogenesis
    • picot
    • picotoning
    • Tattoo Removal
    • Peeling treatment
    • medical hair removal
    • hydra-gentle
    • ein
    • Dermapen4
    • TrifilPro
    • CO2 Vampire
    • Dermapen4
    • Water light injections (Bella Vita)
    • Water light injection (MP gun)
    • Electroporation (Delmacio)
    • MiraDry (Japanese hair dryer)
    • indiva
    • PRP injection
    • beauty drip
    • Laser treatment of moles, warts, and birthmarks
    • piercing (hole) drilling
  • - all

    • Excision and suture of moles, warts, and birthmarks
    • Treatment for armpit cancer (pruning method)
  • - all

    • Injection of dermal fibroblasts
    • Combination of adipose stem cells and fat injections
    • intravenous drip infusion therapy
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カレンダー
カレンダー

Search for a treatment

MENU

face

eye

  • Bifocal Augmentation / Embedding Method
  • Bifocal incision / Double incision (total incision)
  • Bifid surgery / Bifid incision (upper eyelid sagging excision)
  • Bifocal Surgery / Blepharoplasty
  • Bifidus surgery/revision of other hospital's treatment
  • Correction after mongolian fold formation and craniotomy
  • Brow lift (upper brow incision) and eyelift (lower brow incision)
  • craniotomy
  • Eye incision and suspension eye correction
  • glamorous line formation
  • Lower eyelid sagging excision (hamula method)
  • Lower eyelid blepharoplasty
  • Upper eyelid hollow
  • Lower eyelid inverted eyelash surgery
  • Tear pouch formation
  • Under-eye dark circles treatment

nose

  • rhinoplasty
  • rhinoplasty
  • rhinoplasty
  • auricular cartilage graft
  • rhinoplasty
  • Nasal bone osteotomy widening
  • nasal septum extension
  • hump osteotomy
  • osteotomy for correcting an oblique nose
  • rhinoplasty
  • rhinotomy
  • Nasal wing base (laugh lines)
  • foreign-body removal
  • reduction left ventriculoplasty

ear

  • standing ear
  • Judo ear
  • Eustachian cleft/piercing hole
  • reduction of an earlobe

mouth

  • lip reduction
  • lip enlargement
  • raising one's tone of voice (in response to a request for help)
  • Gummy smile surgery (auricular cartilage graft)
face line / contour
  • Mastoid augmentation (chin augmentation)
  • Mastoid augmentation (chin augmentation)
  • mandibular mussel osteotomy
  • Mandible gill osteotomy
  • Zygomatic osteotomy
  • liposuction
  • Facial Fat Injection
  • Bacal Fat Removal
  • facelift
  • frontal lift
  • thread-lift
breast
  • breast augmentation
  • breast augmentation
  • breast augmentation
  • breast augmentation
  • sunken nipple
  • nipple reduction
  • areola reduction
  • Breast Lifting / Breast Reduction
  • side line
  • gynecomastia
body / Body & Others

Liposuction and sagging excision

  • liposuction
  • Abdominal Reduction
  • hip enhancement surgery

female genitalia

  • Labia minora and labia majora reduction
  • vaginal reduction
Injection / Injection Therapy
  • lipolytic injection
  • rejuran
  • hyaluronic acid injection
  • Wrinkle removal injection (botulinum toxin injection)
  • Japan unique process
skin care / cosmetic dermatology
  • medicine taken internally
  • potenza
  • XERF
  • HIFU Therapy
  • R.O. Facial
  • R.O. Facial Spot⁺
  • photofacial
  • ruby fractional
  • picographic fractional
  • picogenesis
  • picot
  • picotoning
  • Tattoo Removal
  • Peeling treatment
  • medical hair removal
  • hydra-gentle
  • ein
  • Dermapen4
  • TrifilPro
  • CO2 Vampire
  • Dermapen4
  • Water light injections (Bella Vita)
  • Water light injection (MP gun)
  • Electroporation (Delmacio)
  • MiraDry (Japanese hair dryer)
  • indiva
  • PRP injection
  • beauty drip
  • Laser treatment of moles, warts, and birthmarks
  • piercing (hole) drilling
plastic surgery
  • Excision and suture of moles, warts, and birthmarks
  • Treatment for armpit cancer (pruning method)
regenerative medicine
  • Injection of dermal fibroblasts
  • Combination of adipose stem cells and fat injections
  • intravenous drip infusion therapy
machine / medical equipment
  • XERF
  • POTENZA
  • Trifill PRO
  • Dermapen4
  • ULTRAFORMERIII
  • DISCOVERY PICO
  • EIEN
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