Non-Incisional Technique to Create Double Eyelids Gains Favor Among Asian Patients

New York, NY (July 11, 2001) — An improved non-incisional technique to create double eyelids in Asian patients is reported in the current issue of Aesthetic Surgery Journal (ASJ), the peer-reviewed publication of the American Society for Aesthetic Plastic Surgery (ASAPS).

Double-eyelid surgery is the most popular cosmetic surgical procedure in Japan. Whereas most surgeons in the United States perform cutting-type double eyelid surgery, Japanese women prefer non-incisional techniques. According to the authors of a study appearing in ASJ, current non-incisional techniques for creating double eyelids are either technically complex or do not produce lasting results.

Katsuhiro Kure, MD, and Akihiro Minami, MD, describe an improved procedure that uses double sutures and twists (DST) to create double eyelids in Asian patients. Dr. Kure says the non-incisional procedure is “simple, durable, and virtually scar free.” As described in the article, the method uses only two sutures on each upper eyelid, with the durability explained by the areas of ties and the central twists that result in more secure and therefore longer-lasting results.

The authors performed 1108 cases using the DST method during the past ten years, with no loss of double eyelid line after follow-up periods ranging from one month to seven years (with a mean follow-up time of 32 months). The average operative time ranged from 20 minutes (one side) to 60 minutes (bilateral). Most patients did not require sedation, and the surgeries were performed with only local anesthesia. Recuperation time was short (3-7 days), and complications were minor and rare.

Dr. Kure says that the DST technique is unique and differs from previous procedures mainly because of its three distinctive areas of ties and the twisted sutures in the center that give additional strength to the line. According to Dr. Kure, “The DST method is a relatively simple and reproducible means of creating double eyelids in Asian patients.”


The American Society for Aesthetic Plastic Surgery (ASAPS), is recognized as the world's leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body. ASAPS is comprised of over 2,600 Plastic Surgeons; Active Members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and nonsurgical aesthetic procedures. International Active Members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict Code of Ethics and must meet stringent membership requirements.


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