What is an incision?

An episiotomy is a surgery in which the inner part of the eyelid (the inner eye corner or the episclera) is incised to widen the eye. This surgery aims to improve the tendency of some oriental people in particular to have closed eye lids (mongolian folds), which tend to make the eyes appear narrower.

The Mongolian folds represent the area of skin present from the inner eye to the upper eyelid. If the Mongolian folds are particularly thick, they may cover the inner tear duct (the pink area at the top of the eye) and make the eyes seem smaller or more severe in expression. Furthermore, if double eyelid surgery (e.g., implantation) is performed in the presence of Mongolian folds, there is a tendency for the eyelid to revert back to its original single fold state over time.

The craniotomy procedure surgically improves these mongolian folds and allows the double fold line to be adjusted to the individual's wishes. The result is a wider, more attractive eye with a reduced appearance of harshness.

List of concerns

  • I have trouble with my eyes being far apart.
  • I want to have eyes that look good on me.
  • I want to have parallel double eyelids.
  • I want to have big, bright eyes.

Characteristics of the craniotomy

The ideal facial balance for an incision is said to be 1:1:1, where the width of the eyes and the distance between the left and right eyes are the same, which is said to be the ideal ratio for a beautiful appearance.

The craniotomy surgery is usually performed under local anesthesia and takes approximately 30 minutes to one hour. The surgery consists of two main steps. First, the skin and mucosa in the area of the craniotomy are incised, and second, the skin and mucosa are rejoined in the new craniotomy position. This enlarges the eye opening and makes the eyes appear larger.

After surgery, there may be swelling, redness, and sometimes internal bleeding in the eye socket area, but these usually settle down naturally in a few days to a few weeks. Downtime depends on the individual, but in most cases, patients can return to their daily activities in about one week.

(data) item Details
Treatment Time 30 minutes to 1 hour
down time Depending on the individual, it takes about a week to settle down.
cicatrix Hardly noticeable.
durability semipermanent
face-washing Possible from the next day
eye makeup Possible after approx. 1 week of settling in.
shower Possible from the same day


Risks and Side Effects

An episiotomy is a cosmetic surgery to beautify the shape of the eyes, but all surgeries carry risks.

First, infection can occur at the surgical site, for which proper aftercare is essential. In addition, scarring may occur at the surgical site. Scars often fade over time, but in some cases they are permanent.

It is possible that the eyes will be asymmetrical after surgery, which may require corrective surgery. In addition, the risk of excessive or, conversely, inadequate incision of the eye socket, as expected, must be considered.

Other sensory changes around the eye socket may occur after surgery, but these are usually temporary. Abnormal tear production has been reported with some surgeries, and allergic reactions to the anesthetic or other agents used may also be considered.

To avoid these risks, it is important that those considering surgery communicate fully with their surgeon to fully understand the risks and expected results of the procedure.



Schedule of Charges

275,000 yen including tax

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