From the East to the West, or maybe around the world, bigger eyes
are more appreciated
than smaller ones.
Especially in Japan
、and to the rest in Asia, where the sizes of the eyes are relatively smaller
than the Westerners', the pursuit of
becoming someone with noticeable eyes
is a very common thing.
tend to like bigger eyes
、not to mention younger people、and most commonly the style observed in the aging society which is much bothered with droopy eyelids that consequently make eyes look tinier.
Furthermore, this trend appears on statistics of cosmetic cares
provided around the world, showing Japan
having eye cosmetic cares
as the number one
in mostly performed procedures, in the States
the second mostly acquired cares
, just after cosmetic cares for the body
Besides being favored as beautiful
outward aspects, bigger eyes also give younger
looks, and also let one able to express oneself more of inner feelings and emotions
during direct contact with others.
Even in a calm facial expression a person with smaller eyes
sometimes humiliates others, giving impressions that that person is always angry
of something、making this a very common complaint cosmetic surgeons hear
from patients seeking help for their small eyes.
The point is, eyes tell all
about one's self, and the bigger the eyes the more they can tell about
are not always attractive
In a widely opened eye, the exposed iris
（the colored portion of the eye）that slightly touching or barely hiding along the eyelids' edges
is commonly presumed a feature of a naturally beautiful
eye, while an eye with iris that shows wholly or more
is more like a ’frightened or feared eye’
that is not considered beautiful.
From here, while exploring the techniques of how to make eyes bigger
, we further discuss details about what beautiful eyes should look like:
１．Buried Suture Method Blepharoplasty Buried Suture Method Blepharoplasty
or Non-surgical Eyelid Lift
, is a procedure of widening upper eyelid folds
for the purpose of making the eye bigger
or look bigger
before suture method after suture method
is a technique born in Japan in 1920, for almost 100 years
it has played a significant role in cosmetic field of the country.
Nowadays it changes into various names(such as quick something method, natural something folds, etc.) that cause some confusions, but basically they are Buried Suture Methods that use nondissolvable nylon threads
that sew the front and back of the upper eyelid
to create a new fold or widen the narrow one.
Currently the superfine threads particularly used in microvascular surgeries
are applied to this procedure and bring out remarkable outcomes.
usually used 8-0 nylon
nylon used in microsurgery
'Petit Seikei or Petit Cosmetic Surgery'
is a very common slang circulating around Japan now, which refers to instant
cosmetic jobs that do not need any knives, and the actual original 'Petit
Seikei' is this method, the Buried Suture Upper Blepharoplasty
After 100 years
, uncountable improvements
have been considered to deal with the issue of how to make this thing long-lasting
Many approaches have been made to tackle this problem such as increasing the number of threads used
or modifying the knots made when binding
, but still these are all unclear to most patients whether they are helpful
The number of threads
needed to make a fold on one eyelid is 1 to 3
, and the more threads
are used the stronger
the support to hold is.
Some think of going for 4 or more threads, but this is not advisable because
the area to suture on the lid is not wide enough to accomodate 4 or more
The way of tying
the lid tissue is basically done as shown above, in a rectagular or square manner
to bind the subcutaneous layer（under skin layer）
and the tarsus(cartilage sheet at the lid back）
in order to hold the levator aponeurosis（tendon)
, which is necessary to produce a new fold
In any case, since buried sutures
do not last permanently
、fold lines may fade away
、and sometimes even without the help of a suture, a crease might be produced permanently
as a consequent of long holding by the thread.
To have a stronger hold of the fold, upon increasing the number of threads,
tying the thread to the adjoining one together
helps to strenghten
the bond and makes a long-lasting fold
produced by Buried Suture Method
have natural appearance
and do not give you the 'frightened or fearful looks'
Beside that, a naturally created fold
itself also is recognized as a part of the eye size
making the eye looks bigger, the reason why this procedure shows a dramatic
outcome even with its simple process that lasts only around 5 minutes.
However, when the fold line is made on the unnaturally high or wide level
, the eye will not open widely
, it contradictionally looks smaller
, and the fold on it looks like another thing
that is hard to discern as a part of that eye.
This is the state the eyes look unnaturally drowsy
, and eventually the created folds tend to fade easily or fast.
before buried suture after buried suture
should be around 20 to 30％
of the actual eye vertical width.
Buried Suture Blepharoplasty
is capable of making not only new folds but also widens narrow folds
and also tucks excess skin
to a new level to resurrect younger beautiful eyes
２．Incision Upper Blepharoplasty
While Suture Method makes eyelid folds with sutures, Incision Upper Blepharoplasty or Surgical Eyelid Lift
by allowing eyelid muscles to stick to each other
with the help of the incised wounds.
Wound scars hides deep in the crease when the eyes are open and later on
remains unnoticeable even when eyes are closed.
incision method illustration
By this procedure, bulging excess fats
and saggy skin
can be removed
, making the eyes look fit
or well-shaped ,and of course, bigger
before incision after incision
gained from Incision Blepharoplasty
, which are quite different from what are seen after Suture Method, are
the long-lasting and mostly permanent fold lines
This method is the first choice for cases that are bothered with saggy excess skin
include long downtime
, which is precisely not in the same level with the 1-week slight swelling
of the Suture Method, in Incision Method that takes 2 weeks
of severe swelling
and later changed into months
with appearance not to mention the feeling of heaviness on the upper lid.
This, of course, is certainly affected by the desired width
of the fold. Narrower
lines show less swelling
can soon be covered with make-up
, while wider folds display opposite situation.
just after incision 1 month later
Another disadvantage appears when fold lines are done on overly wide levels
, in which eyes will not open widely and show unnatural larger folds
for a long period or maybe permanently and require another repairment surgery
that must be done after months of waiting, while Suture Method will just subside by itself and if not, Suture Method stitches can be replaced easily as repairment.
If Blepharoplasty(Eye Lift) is good for widening vertical palpebral
fissure(length between opened upper&lower lids), Canthoplasty
is for lengthening horizontal length
. Epicanthoplasty(Inner Canthoplasty)
is the procedure of choice in widening horizontal length, and this enlarges inner corner
of the eye.
It enlarges eyes by removing the Mongolian Folds
, the folds that hide the inner angles
of the eyes.
was the popular basic method when canthoplasty was beginning to break
out, a method that displace the Mongolian Fold by a W shaped incision
Uchida Method marking
Recently, Modified Uchida Method
is getting more popularity.
The lower half of the W
is simplified to minimize wound scar
Modified Uchida marking
after Modiified Uchida
does not only enlarge the actual inner corner of the eye but also widens inner edge of the upper eyelid fold line
, making it parallel
to the lid edge line.
By this effect, the eye opening
is more emphasized
, making it look more bigger and bright.
In Inner Canthoplasty
, the following 2 precautions
must be considered：
varies in every individual. Only few weeks
are needed for a person who has the outstanding recovery to see an outstanding
fading of the scar, while some who have issues with scar healing might
have to see years
to observe fair healing.
・Removed Mongolian Folds skin
cannot be revived. It is almost impossible to return to the previous you.
Especially when fold lines are paralleled, a considerable change in image
can be observed from the outcome that might bother some patients and also
sometimes worsen the length between eyes that originally have a short gap.
So consideration of these factors is a must before the treatment.
４．Lateral Canthoplasty Lateral Canthoplasty is the lengthening of the opposite edge of the eye where epicanthoplasty is done.
To be specific, Eye's outer edge is simply incised in horizontal slit and then trimmed accordingly to the shape of the palpebral fissure(edges of open upper and lower lids).
lateral canthoplasty marking
after lateral canthoplasty
Stitches are cut longer, then stretched for almost 1 week in vertical direction with tapes.
before lateral canthoplasty
after lateral canthoplsty
Excess saggy skin of the upper lid usually disturbs effect of canthoplasty, so conjunction with Upper Blepharoplasty is necessary for such cases.
before lat. canthoplasty+incision bleph.
after lat. canthoplasty＋incision bleph.
Even without skin issues, widening of the outer edge of folds with blepharoplasty helps lateral canthoplasty to express better effects.
Especially in upper lids with obvious fats, eye's outer edge tends to be hiden by this feature and certainly needs elevation with blepharoplasty.
before lat. canthoplasty＋suture bleph.
after lat. canthoplasty＋suture bleph.
Lateral Canthoplasty is not as effective as Inner Canthoplasty, but wound scar healing is not that bad, so returning to daily routine and observing a natural effect is faster.
Bigger eyes can be attained by blepharoplasty, is the theme of the statement above.
Unfortunately, eyelid that cannot be lifted with blepharoplasty
does exist as an abnormality caused by dysfunction. Being not able to
produce folds means that that eye cannot be enlarged
. This condition is called ptosis
, upper eyelids not opening up by itself
, leaving eyes look unattractively small.
is not a disease name but a symptom
caused by various diseases and injuries which have different period of
onsets that are the reason of a complicated naming of the kinds.
But from here explanation of the complicated types is omitted, and let
us just focus simply
in the symtom.
When levator muscle(muscle that lifts eyelid)
does not function well
, eye opening becomes limited
which is called ptosis
dysfunctional levator muscle
Ptosis observed in relatively young case
is usually unilateral or one-sided
is quite obvious
that the patient is much bothered with its cosmetic concerns beside other
discomfort such as upper lid heaviness or narrowed visual field..
Repairment(which is called Levator Advancement)
is usually done just at the affected side.
dysfunctional levator muscle shortened levator muscle
Dysfunctional levator muscle or its aponeurosis(tendon)
is folded and shortened
, then eyelid fold is made
before ptosis repair after ptosis repair
Ptosis seen in the elderly(senile ptosis)
usually is bilateral
and most of the time is combined with saggy excess skin
which requires removal and eyelid lifting(blepharoplasty)
together with Ptosis Repair
before repair 下垂修正後
Even in cases without ptosis but want to enlarge eye sizes but not with eyelid folds
, Levator Muscle Advancement
is effective, but not a procedure done in regular basis.
Someone who has senile ptosis
usually shows sunken upper eyelid
due to its raised brow.
Try to push upper lid with a tiny stick to make a fold
, and if fold can be produced without any problem lifting the lid
, this is not a ptosis case but the one that has atrophy(decrease) of orbital fat
, and can be treated with a simple filler(such as hyaluronic acid) injection
in order to see deepened eyelid fold
which can revive a bigger and brighter younger eye
This was all about bigger beautiful eyes and how to have them.
さらなる詳細 、 further details