Could the spontaneous adhesion method have been removed? Thorough explanation of how it works, risks, and how to deal with it.

The natural adhesion method is becoming increasingly popular because it is "less swollen and less noticeable" than the conventional implantation method. It is particularly popular among patients who prefer natural-looking results and short downtime.

However, after a few months to a few years, some people complain of discomfort, such as, "Maybe it came off? After a few months to a few years, however, some people complain of discomfort, such as, "It might have come off," or "The line has become thinner. In fact, it takes specialized knowledge to correctly determine whether this is due to the loss of adhesion or a temporary change in the condition of the eyelid.

Here, we provide a detailed explanation based on reliable information, from the surgical structure of the spontaneous adhesion method, to the causes of the appearance of removal, to the decision to reapply the procedure.

 

What is the Natural Adhesion Method? How it differs from other implantation methods and how it works.

The natural adhesion method is a type of implantation technique that is attracting attention in the cosmetic medical industry for its resistance to detection and swelling. It is important to first correctly understand the basics of this technique, which is different from the conventional eyelid plate and elevator techniques, and how the lines are formed.

In this section, we will explain the definition and characteristics of the natural adhesion method, as well as provide a detailed comparison with other implantation methods and the conditions of the eyelid for which the method is indicated.

Definition of spontaneous adhesion method and surgical structure

The Natural Adhesion Method is an implantation technique that forms a double-lid line while promoting natural adhesion inside the eyelid by using the "Takatorikata × Line Fastening × Back Fastening" technique. Unlike the conventional point-fixation implantation technique, the threads are applied in a linear fashion, bringing a wide area of tissue into contact with each other and creating a natural adhesion on the backside of the eyelid.

This "adhesion" is a physiological phenomenon caused by friction and pressure between tissues via threads, and the results depend on the technique of the physician and the condition of the individual eyelid. In other words, it is not an artificial adhesion, but rather a design in which the tissues bond themselves, which leads to a natural-looking result and minimal postoperative discomfort.

In particular, the "back clamping" structure keeps the knot from showing on the surface of the skin, which is a major advantage in that it reduces the appearance of postoperative bumps and bumps.

Comparison with other implantation methods (eyelid plate and elevator)

Conventional implantation methods are mainly classified into the following two systems

• Eyelid plate method: A thread is placed over the hard tissue called the "eyelid plate" at the edge of the eyelid to fix the eyelid in place.
• Elevator technique: A method of forming a double fold by applying threads to the "upper eyelid elevator muscle" that pulls the eyelid up.

The spontaneous fixation method, while based on the "elevator muscle method," employs an advanced design that uses a "line clamping" fixation method and a "back clamping" structure.

Below is a comparison chart of typical implantation structures.

fixed site	How to thread	ligature site	Main Characteristics and Trends
blepharoplasty	gratuity	registration (e.g. of mail)	Traditional method. Convenient and simple, but lumps and bumps (balls) are easily visible.
blepharoplasty	gratuity	backstitch	The knot is placed on the conjunctival side and looks natural. However, the risk of discomfort and inflammation is slightly higher because the threads are in contact with the eyelid plate.
blepharoplasty	linchpin	registration (e.g. of mail)	Rare combination. Rarely performed today due to high risk of conjunctival irritation and pocking.
blepharoplasty	linchpin	backstitch	Linear, adhesion-promoting structure. Although somewhat complex, the line is stable because it provides extensive support to the eyelid plate.
method of raising muscles	gratuity	registration (e.g. of mail)	Technically possible, but somewhat unnatural to tie at the skin surface to apply to the elevator muscles. The line can be easily removed.
method of raising muscles	gratuity	backstitch	One of the current mainstream structures. Natural finish, minimal postoperative discomfort, and relatively light swelling.
method of raising muscles	linchpin	registration (e.g. of mail)	Rarely seen today, but structurally possible. Knots are a bottleneck.
method of raising muscles	linchpin	backstitch	Adopted in natural adhesion method, secret method, etc. A high-end type that emphasizes a balance between sustainability, naturalness, and swelling.

The natural adhesion method is the high-end design of this method that combines the naturalness of the result with minimal swelling, and while it requires a high degree of skill on the part of the physician, it tends to result in a high degree of postoperative satisfaction.

Difference between point and line clamping and extent of adhesion

The "point fixation" and "line fixation" in the implantation technique indicate the difference in the basic structure of how the threads are applied to secure the double-layer line.

(a) stop (e.g. in a race)

• A method in which the thread is fixed at several "points".
• Simple, short surgery time and relatively little swelling
• However, the fixed range is narrower, so the line tends to be easier to remove.

(b) wire rope fastening

• A method in which thread is applied in a "linear" fashion along a wide area of the eyelid.
• Creating multiple contact surfaces helps stabilize adhesions.
• Requires delicate design and treatment by a skilled physician.

The natural adhesion method is one of the few high-end techniques that employ this line clamping and is based on a design that is both natural and sustainable after surgery.

Difference between front and back clamping and appearance, swelling, and discomfort

Next, "Omote-dome" and "Ura-dome" differ in that the knot of the thread is on the front side of the eyelid or the back side (conjunctival side).

① ① retaining the same address as the current address

• The knot of the thread is on the skin side, so it is easy to get bumps after the surgery.
• Fixation is high and also tends to be relatively long-lasting
• May feel uncomfortable during makeup or when touched.

(2) Back clasp

• Thread knots are placed on the back of the eyelid for a natural appearance
• Less postoperative discomfort and swelling, and shorter downtime
• However, it is technically challenging and requires a physician's skill level.

The natural adhesion method uses a back clamping, and the surgical structure is designed for a natural appearance, light swelling, and minimal discomfort.

What are the conditions for whom the natural adhesion method is suitable and unsuitable?

The spontaneous adhesion method is not universal for all people. The nature of the technique must be taken into account to accurately determine if it is indicated.

The characteristics of a suitable candidate are as follows

• Thin eyelids or standard thickness
• People with firm eye opening and no problems with eyelid opening power.
• People who want natural-looking results and minimal postoperative downtime.
• People with eyelids that are structurally prone to adhesions without ptosis or other symptoms

In addition, the following are characteristics of unsuitable people

• People with thick subcutaneous fat in the eyelids and a structure that is difficult to adhere to.
• People with hard skin and who are prone to take time for adhesion
• People with severe eye rubbing habits, allergic conjunctivitis, or other repeated inflammation.
• Those who have a strong desire for secure fixation and are considering incisional techniques.

Thus, the natural adhesion method is a technique that can be selected by those who are suitable for the conditions to maximize the effect. While it is particularly suitable for those who want to minimize swelling and internal bleeding and for those who want a natural look, it should be noted that there is a risk of reduced durability with thicker types of fatty eyelids.

 

Could the natural adhesion method double layer have been removed? Possible Causes and How to Check

The natural adhesion method is an elaborate implantation technique that forms a double fold by promoting gentle adhesion to the internal tissues of the eyelid. As explained in the previous article, it is structurally designed to be "difficult to remove," but even so, some people may have concerns that the line has become thin or that a left-right difference has appeared.

In this section, we will organize the causes that should be checked before the eyelid is actually considered removed, the illusions caused by the condition of the eyelid, and the criteria for determining the need for reapplication.

Is it really "taken"? Common Misconceptions and Criteria

First of all, as a premise, it is premature to assume that lines formed by the natural adhesion method have become difficult to see = "removed" immediately. Even if the adhesion itself is maintained, it is quite possible that the line may appear visually weakened due to changes in the eyelid caused by postoperative course, lifestyle, or even aging.

The following are examples of common cases that can easily be misinterpreted as "taken".

situation	Actual diagnostic trends
The line looks thinner.	Temporary swelling and sagging skin filled in.
Only one eye is thin.	Visual errors due to left-right facial differences or age-related changes
Makeup application has deteriorated.	Decreased skin tension due to residual eye tape/makeup
Double width is different in the morning and at night	Temporary changes due to edema or fluctuations in water content

Thus, changes in appearance do not necessarily correspond to the presence or absence of internal adhesions. When in doubt, it is important to see a physician who can evaluate "structural changes in the eyelid" rather than "appearance.

Causes of thinning lines? Lifestyle, aging, etc.

Several physical and physiological factors may be involved in the complexities behind the difficulty in seeing the line.

(1) Lifestyle influences

• Edema" due to lack of sleep or excessive water intake
• Habit of rubbing the eyelids hard when washing or cleansing the face
• Loose skin due to long-term use of eye tapes or eye patches
• Frequent eye rubbing due to hay fever or allergies

All of these factors place uneven stress on the skin and muscles of the eyelid and lead to a shallowing of the line.

(2) Age-related changes

• Decreased skin elasticity
• Quantitative changes in subcutaneous and orbital fat
• The skin of the eyelid droops and becomes covered by the line

Especially after one's thirties, age-related changes in the eyelids tend to be more pronounced, and the lines of the natural fixation method may "hide" over time.

What are the characteristics and risks of eyelids that are easily removed?

The natural adhesion method is designed for "adhesion-prone" eyelids. Therefore, there is a risk of line instability depending on the original structure of the eyelid.

feature	Trends in removability
High fat in the eyelids.	Thread tension tends to be distributed and adhesion tends to be lax.
Hard skin	Adhesion is difficult to establish and adhesion between tissues is weak.
Strong single eyelid	Strong original folding habit and slow formation of adhesions
Wider eyelid width desired	Longer lines require more adhesion area and are more prone to destabilization.

For those who fall into the above types, "increasing the number of threads" or "changing to another technique" may be suggested at the time of reoperation with the natural adhesion method.

 

Has the natural adhesion method really been removed? What is its condition?

In the previous chapter, we discussed possible temporary factors and illusions when you feel "maybe it's removed?" However, if you still feel uneasy, the final critical juncture is whether or not you are diagnosed as having "medically removed" the adhesion.

In this section, we will define what is considered "truly removed" in the structure of the spontaneous fixation method, the possibility of reattachment, and guidelines for dealing with this situation.

A condition medically diagnosed as a double "removed".

In the spontaneous adhesion method, the physician diagnoses "removed" when the following structural changes are clearly identified

• The double line has completely disappeared, returning to the preoperative state of the eyelid.
• Thread adhesion has been completely released and is not fulfilling its line forming function.
• Difficulty or persistent discomfort with eyelid opening and closing movements

In particular, if the physician determines by palpation or checking the condition of the eyelid opening that the adhesion line is not being maintained or that the thread tension has disappeared, the indication for revision surgery will be considered.

However, "faded appearance" alone is also a case of loosening of adhesions, which is a different condition from complete disappearance, so the decision to immediately perform the procedure again cannot be made.

Points to determine left-right difference, thinning, or disappearance of lines

The eyelid is a very delicate area, and the appearance of the line changes with daily swelling and muscle tension. Therefore, it is premature to assume that a blurred appearance means that it has been removed immediately.

The points of discernment are as follows

condition	Possible Cases	Basic Policy for Response
Lines blurred.	Mild loosening of adhesions or temporary edema	Progressive observation is fundamental. Consideration is also given to the effects of immediate post-procedure and aging changes.
Lines are not completely visible.	Possible loss of adhesion and thread dysfunction	Subject to consultation for revision surgery (implantation or incision)
Concerned about left-right difference	Individual differences in structure, eyelid asymmetry	Conduct a close examination and consider readjustment if necessary

In particular, the natural adhesion method is characterized by its back-fastening structure and low visibility from the surface, making it difficult to evaluate by appearance alone. Therefore, objective evaluation through consultation at a clinic is essential, rather than easy self-judgment.

Is there a possibility of reattachment during follow-up?

Several clinical reports suggest that a characteristic of the spontaneous adhesion method is that there are cases in which once-adhered tissue "temporarily loosens and then re-adheres. Especially in the following situations, there is a good possibility that reattachment can be avoided.

• Line shallowing is mild and only on one side
• Period within six months after surgery when the eyelid condition is not stable.
• Condition to eliminate external factors such as strong rubbing habits

This is based on the mechanism that re-adhesion occurs when the tissues inside the eyelid repeatedly come into contact and rub against each other again. However, this is a phenomenon similar to natural recovery, and a policy consultation with a physician is required if reliable maintenance of the line is desired.

 

Is the natural adhesion method easy to remove? Why is it often misunderstood and what is the truth?

In the previous issue, we explained in detail the medical criteria for a "removed" diagnosis and the possibility of reattachment in the spontaneous adhesion method. However, it is also true that the impression that "spontaneous adhesion method = easy to remove" has become the sole impression on social networking sites and through word of mouth.

In this section, we will discuss why such misconceptions have become widespread, the exact definition of the phenomenon of spontaneous adhesion, and how to make it more difficult to remove, from both a structural and medical perspective.

Background to the theory of easy removal?

It is true that a certain number of people have the impression that the natural adhesion method "came off immediately" or "the line disappeared in one eye," but the source of most of this information is often social networking sites, bulletin boards, or personal blogs, which often diverge from clinical evaluations.

The following factors contribute to this widespread impression.

• Cases in which postings that falsely claim that an unstable condition in the early postoperative period has been "removed" are prominent.
• Cases in which people with a long history of using eye shape tapes are more likely to feel uncomfortable with the postoperative line
• Cases in which the natural adhesion method is selected even when the eyelid conditions do not match.
• Cases in which false expectations such as "permanent fix" precede and overreact to changes after a few years.

In other words, there is a structure that is prone to misunderstanding in cases where the procedure was performed without the correct choice of technique, physician's judgment, and postoperative explanation meshing.

What is the phenomenon of "adhesion" in the natural adhesion method?

As mentioned briefly above, the "adhesion" of the natural adhesion technique refers to the mechanism by which the upper eyelid elevator muscle and subcutaneous tissue remain in stable contact on the backside of the eyelid (conjunctival surface) with the thread, causing a natural adhesion reaction (scar formation and fibrosis) that results in the establishment of a bifocal line.

This system differs from "suture adhesion," which is a strong surgical tie, or "scar fixation" in incisional techniques, in that the interaction of the tissues loosely forms a line.

Therefore, the following characteristics should be understood

• Not absolutely fixed, but dependent on physiological response in some aspects
• Individual differences also exist and are greatly influenced by the thickness and quality of the eyelid.
• The structure is somewhat vulnerable to strong external stimuli (rubbing, pressing)

In other words, it is a method that is inherently valuable when understood as a technique that assumes natural change without excessive expectations.

Is it possible to devise a way to make it structurally difficult to remove?

In order to achieve more stable results with the spontaneous adhesion method, it is important to optimize the procedure from three directions: the ingenuity of the technique, the skill of the surgeon, and care on the part of the patient.

The following is a summary of the measures that can be taken to improve stability.

• Design a wide range of line clamping to ensure a large adhesion area
• Back clasp avoids external exposure of knots and reduces frictional irritation.
• The physician inserts the thread at the proper tension and angle and designs the structure so that it is not overstretched.
• Take care not to interfere with reattachment, such as avoiding rubbing and sleeping on your stomach in the postoperative period.

Thus, it is possible to turn from "easy to remove" to "long-lasting" depending on the selection of the physician and the design of the surgical procedure.

What are the conditions under which the natural adhesion method can be chosen again when it is removed?

Many patients wish to have the same natural adhesion method again as the last time. One of the criteria to determine whether or not a patient can choose the spontaneous fixation method again is whether or not the following conditions are met.

• A certain period of time (more than 3-6 months) has passed since the previous procedure and the inflammation inside the eyelid has subsided.
• The eyelid structure is not extremely altered and reattachment is expected.
• Tissue is not scarred and there are few obstacles to reattachment
• If the physician determines by intraoperative visual inspection and palpation that the structure is capable of reattachment

However, if the same technique is repeated without clarifying the cause of the previous adhesion removal, there is a risk of the same result again. Therefore, it is important to consult with the physician to review the design itself, such as "increasing the number of threads" or "changing the fixation point" before performing the procedure again.

 

summary

The natural adhesion method is structurally designed to promote firm adhesion and is not easily "removed". However, depending on the thickness of the eyelid, the amount of fat, and lifestyle, the line may appear thin.

Even if you feel that it has been removed, it is important to properly evaluate your symptoms and the state of your adhesions, rather than making an immediate decision to reoperate. The best choice is not to rush, but to first consult with a trusted physician and, if necessary, re-select an appropriate surgical technique.

Understanding the structure of the procedure and calmly assessing the causal relationship between symptoms will greatly change the quality of future decisions in cosmetic medicine.

At Aladdin Aesthetic Clinic, based on our many years of experience in cosmetic medicine and cosmetic dermatology and the knowledge of our doctoral degree, we provide counseling that aims to be "only one", offering the best treatment for each person we meet. We offer only the necessary treatments without any unnecessary information or suggestions.

Feel free to use our official LINE account for 24-hour counseling and reservations. Please feel free to contact us for free counseling for the first time or if you have any concerns.