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Double plastic surgery that can be redone The duration of the burial method and the downtime and ...




Akihito Kujime
Dr. Akihito Kujime

Board Member of Japan Cosmetic Surgery Association Member of the Japanese Plastic Surgery Society President of Japan Society of Aesthetic Surgery Japanese Cosmetic Surgery Society Certified Specialist Member of Japan Hair Removal Society Member of North American Liposuction Plastic Surgery Society Member of Japan Society of Aging and Aesthetic Medicine

Whether or not there is a double line on the upper eyelid, or even if it is double, the difference in the double width is only a few tenths of a millimeter, and the impression of the entire face, not just the eyes, changes greatly. The attractiveness of the burial method of double plastic surgery is not a large-scale surgery such as bone shaving or skin incision lift-up, but it also has semi-permanent eyes that are different from temporary changes that rely on makeup and color contacts. It can be said that it is a point where a change can be obtained .

However, the thickness and flexibility of the eyelid skin varies from person to person, and the required double design also differs. Therefore, it is necessary to select a double shaping method that matches the eyelids.

One of the methods of double shaping is the burial method, which uses threads to create a double line without cutting the skin. In order to create the desired double line, it is necessary to know the characteristics of the double line created by the burial method and the progress after surgery.

Double plastic surgery that can be redone The duration of the burial method and the downtime and postoperative course that you should know

Why double lines appear

Although the eyeball is a lens with excellent translucency and light-collecting properties, it is a very delicate organ that is easily damaged by dust that enters from the outside and is vulnerable to dryness. The eyelids protect the eyeballs from foreign substances such as dust and dryness.

When the eyelids are closed and when they are opened

While sleeping, the eyelids completely protect the eyeballs like a lid, but when looking at things with the eyes during activity, the muscles pull up the upper eyelids that are covered with dark eyes. The double line is the crease when the upper eyelid is folded like a bellows and stored . There is not only one crease, but there are cases where multiple thin creases appear.

Difference between double and single

However, not everyone has double upper eyelids. If you have a disease such as ``narrow palpebral fissure,'' where the eyes are originally small, or ``ptosis,'' where the power to lift the upper eyelid is weak, the upper eyelid cannot be pulled up enough to be folded and stored. becomes single. In addition, even those who have thick eyelids and do not easily crease will have a single line because double lines are less likely to appear.

The double layer is the levator aponeurosis

levator aponeurosis The ability to open and close the eyelids is due to the action of a muscle called the levator muscle. Pull up.

Muscles contract and swell, just like bending the arm creates a bicep, but the levator muscles near the eyeballs cannot swell because they interfere with vision.

Therefore, the levator muscle is a thin membranous structure that expands when contracted and transmits force to the back of the eye and the tip of the upper eyelid. The force transmitted to the tip of the upper eyelid is then transmitted to two traction fibers called "levator aponeurosis" and "Müller's muscle" attached to the tarsal plate.

The levator aponeurosis, which attaches to the tip of the tarsal plate from Muller's muscle, further branches and partly attaches to the skin, pulling the attached part into the back, creating a double line that is a crease for folding and storage.

Differences between Westerners and Orientals

In the structure of the eyes of Westerners, the force of the levator aponeurosis that attaches to the skin is stronger than that of Asians . On the other hand, Asians, including Japanese, are said to have more single folds than Westerners because the levator aponeurosis is weak.

In the first place, the burial method began in Japan as a treatment method for "upside-down eyelashes", in which the eyelashes go inside and touch the eyeball. It is said that the number of cases received as heavy surgery has increased.

Persistence and frequency limit of double eyelids by burial method

The burial method is a double plastic surgery that leaves no scars on the eyelids, and the swelling and internal bleeding that occur immediately after is mild and does not last long. In addition, when the double line is completed, the design is almost settled to the design planned before the surgery, so it is almost impossible to get a different finish than desired. Furthermore, within about 3 months after surgery, it is possible to restore the original eyelids and change the double eyelid line by removing the ingrown sutures. For this reason, the burial method can be redone (reoperation), so it can be said that it is a double plastic surgery with few failures .

Persistence of double eyelids by burial method

There is a common misconception that ``the burial method will eventually come off'', but the burial method is a method that gives you the opportunity to create a double line on the eyelid, which is a ``creased crease'', so it can be used to reduce the thickness of the eyelid skin and fat. If the amount of , etc. is kept for a long time in a case that is relatively resistant to the burial method, there is a possibility that the double line will be established without relying on the thread. In other words, it can be said that if the habit becomes established, it may become a semi-permanent double line that is the same as the natural double line .

On the other hand, if the habit is established, it will not be possible to restore the original eyelids even if the stitches are removed, and the probability that it will not return to the original eyelids after about half a year after the surgery increases.

Burial method that can be received without a limit on the number of times

There is basically no limit to the number of times you can receive the burial method.

Double width changeable

With the burial method, it is possible to further widen or narrow the width of the double line by reoperation . However, if you want to narrow the width, it is necessary to remove the stitches from the original line, so the reoperation must be performed before the habit becomes established.

If you want to widen the double width

If you want to "widen the double width", perform the burial method on the line width you want to widen. In this case, the wide line is dominant, so the original narrow line will disappear even if the stitches are not removed.

If you want to narrow the double width

On the other hand, if you want to narrow the double width, if you do not erase the original wide line, the line will not appear even if you perform the burial method on the narrowed position. return. If you want to change the double width narrower, timing is important because the original line will remain even if the stitches are removed if the timing is too late .

If you are born with double

In addition, the burial method not only makes a double line appear on a single eyelid, but also corrects the original double line to change the double width or shape of the double line, or corrects either the left or right eyelid. It is also possible to reduce the difference between the left and right sides, so people with double birth can also receive it.

If you receive it multiple times, the possibility that the double line will be established increases.

Based on the preoperative diagnosis, it is possible to predict whether the eyelids are suitable for the burial method or not.

Even for those who are unsuitable for the burial method, there is a possibility that the double line will be established, so there are cases where the burial method is accepted as a result even though it will come off. Also, there are cases where the double line is fixed after receiving it several times even if it comes off.

However, in cases where the period during which the double line is maintained is too short, such as when it comes off 3 or more times a year or 5 to 6 times in total, adjust the thickness of the eyelid skin and the amount of fat. It may be recommended to consider an incision method that makes it easier for double lines to appear.

The burial method "levator method" and "tarsal plate method"

The levator method, in which the skin and the levator muscle or Muller muscle are sewn together with a thread

The method of sewing the levator aponeurosis or Muller's muscle and the skin in a circle to create a double line is called the "levator method" after the levator muscle.

levator method

The tarsal plate method to sew the skin and the tarsal plate with a thread

The tarsal plate method, named after the tarsal plate, is a method of sewing the skin and the tarsal plate about 1 cm at the tip of the eyelid in a circle to create a double line.

tarsal plate method

15 minutes of burial surgery procedure for both eyes

The operation time of the burial method is about 15 minutes for both eyes, and it is an operation with less burden on the body so that you can go home after the operation. By burying the threads and knots that create the double line in the skin of the upper eyelid, the latent line is revealed.

Surgical method of burial method ① Make two small holes A and B on the surface line of the skin to create a double line.

② Penetrate the needle with thread from one of the holes (A) to the back of the skin (conjunctiva, A')

③ Pass the thread through the tarsal plate or the levator muscle (Müller's muscle) and fold it back

④ Move the thread through the skin and pass it through the tarsal plate or levator aponeurosis (Muller muscle) at a position perpendicular to the other hole (B) (B')

⑤ Fold back and pass through the first hole (B), then fold back

⑥ Return to the hole (A) where the needle was first inserted through the skin and pierce it

⑦ Tie the ends of the looped threads from ② to ⑥ and bury them

Threads and needles used in the burial method

In the burial method, it is important to keep the creases for a long time, so the threads are made of "non-absorbable" material and remain embedded in the eyelid skin without melting for the rest of your life.

As a result of various researches, we have come to the conclusion that nylon is the best material for the thread from the two aspects of "no burden on the body" and "maintaining the double line for a long time". Nylon is a material used in cardiac surgery and cerebrovascular surgery, which is called "ultramicrosurgery", so it can be said that its credibility is guaranteed.

In addition, anesthesia is administered locally by injection. The fineness of the anesthesia injection needle is represented by "G (gauge)", and the larger the number, the finer the needle, and the finer the needle, the less pain. Sizes range from 18G to 34G, and 34G, which is the thinnest and about the thickness of a hair, tends to be used in many cases in the burial method .

Double line design that can be done with the burial method

The double line created by the burial method cannot be decided freely. The double line appears along the direction of the skin fibers (RSTL: relaxed skin tension line), so when the double width is determined, the shape and habit of the skeleton and eyelids, and the eye called the palpebral fissure It will be a natural line that fits the way you open it .

The difference in the design (shape) of the double line can be simply rephrased as the difference in width.

type of double design

double line design

If you gradually widen the width from the back double (a state where the double line is completely covered by the skin and is hidden from the outside), which seems to be a single line at first glance, the line will gradually become It is exposed from the skin, and finally changes to a line that is also exposed from the innermost moko fold (the fold that covers the lacrimal hill inside the inner corner of the eye). At this time, the line that was hidden on the inner corner of the eye seems to spread toward the outer corner of the eye is called the wide end type, and the type that completely exposes the line from the inner corner of the eye to the buttocks is called the parallel type .

double width limit

Eyelids have the following characteristics:

  • Due to the structure of skin, muscle, fat, etc., the tip is thinner, and the wider the double width, the thicker it becomes.
  • The pulling force of the levator muscle works strongly at the tip of the eyelid and weakens as the double width increases.

Therefore, the wider the double width, the more unstable the double line tends to become and the shorter the length of the double line. Therefore, it is generally said that if you are more than 1 cm away from the position where the eyelashes grow, the double body will not be formed.

○ point of the burial method

The burial method does not express a double line by how to fasten the thread. Since the double line occurs along the direction of the eyelid skin fibers, the latent line becomes apparent at the same time as the double width is determined. In other words, the double line is determined by the direction of the eyelid skin fibers. Therefore, a double line will appear even if it is fastened at one point.

However, if you actually try to hold it at one point in the center, the "moment", which is the force to act, will be too concentrated, and the "strength", which refers to the strength of the line, will weaken as you move away from the center, resulting in an unclear line. It will end up.

2-point and 3-point fastening Therefore, in order to make the entire line clear, I generally pin two points slightly wider than the width of the black eye.

Also, depending on the desired double width, the thickness of the eyelid skin, and the amount of fat, it may be better to leave a little more distance. In that case, if the two points are too far apart, the line in the middle part will not be clear.

In other words, 〇-point fastening is not the number of threads used, but the number of relay points on the skin to adjust the balance and strength of the double line . In general, the number of threads is expressed as "needle" and is expressed as "2 needles and 4 points".

Overlapping fixed loops for added strength

Fixed loop overlap 2-point or 3-point fastening is done with a single thread, so even if the number of fastening points increases, the strength does not change. On the other hand, in order to strengthen the fixing strength, there is a way to hang the threads by increasing the number of burial threads and overlapping the fixing loops.

If you increase the number of loops, it will be harder to come off, but it also increases the number of operations and increases the likelihood of circulatory disorders such as congestion due to tightening of the loops. must be kept. In addition, if you increase the number of threads, you will inevitably increase the relay points of the skin, such as "4-point fastening" and "5-point fastening".

Double plastic surgery other than the burial method

In double plastic surgery, in addition to the burial method that creates a double line with threads without cutting the skin, there are the "incision method" in which the skin is incised, and an intermediate method between the burial method and the incision method. Depending on the condition of the eyelids, such as the thickness of the skin and the amount of fat, there are cases where the incision method or an intermediate method is more suitable than the burial method.

Incision method that cuts the skin to form double eyelids

In the incision method, excess skin, fat, and muscle are removed to prepare the eyelids where the double line appears, and the stretched levator muscle is partially shortened to strengthen the power to pull the skin, resulting in a double line. to make

Once the surgery is performed, there is a risk that it cannot be undone or the double line cannot be easily changed , but with the burial method, it is not possible to create a double line, such as "thick skin", "a lot of skin fat", and "ptosis". It is possible to create a double line even on the eyelids such as "is".

The incision method is a completely custom-made operation because the method differs depending on whether the factor that interferes with the appearance of the double line is skin, fat, or muscle. Compared to the burial method , there is a difference in the finish of the double line depending on the experience, sense, dexterity, etc. of the doctor in charge of the operation, and the surgery cost is high .

fat removal and small incisions

fat removal and small incisions

In some cases, “fat removal” and “small incision”, which are intermediate methods between the burial method and the incision method, are suitable.

In fat removal, a small hole is made in the eyelid to remove only the fat that is obstructing the appearance of the double line. Since the small incision is about 1 cm, it requires a smaller incision than the incision method (full incision), and it removes not only fat but also the pretarsal tissue (mainly the orbicularis oculi muscle).

Both may be set as a separate treatment menu from the burial method and incision method.

Downtime of burial method and progress after surgery

Burial method downtime

Downtime is defined as time away from normal life due to swelling and internal bleeding associated with surgery . In other words, it is time until you can return to your original daily life. If the downtime of the burial method is defined as ``until the swelling and internal bleeding disappear and people around you can't see it'', it is usually about 3 days to 1 week for a double width of 5 mm to 7 mm and a two-point closure. Makeup can be applied from the next day, so there is a possibility that makeup can shorten it further.

Progress after burial method surgery

The concept of downtime varies from person to person, but let's take a detailed look back at the progress after surgery in chronological order.

In general, swelling and internal bleeding last for 3 days, and it is difficult to reduce it, so please take it easy for 3 days . In addition, the burial method basically causes almost no pain after surgery and does not require a hospital visit .

The day after surgery

It is said that the peak of swelling and internal bleeding is the timing of waking up in the morning of the next day from immediately after surgery . However, as long as you properly cool the affected area immediately after the operation, avoid excessive fluid intake, and follow the doctor's instructions, the condition will not deteriorate significantly from the condition immediately after the operation.
In addition, internal bleeding (mild blue bruises), swelling and redness that cannot be seen at a glance unless you look closely will occur in most cases. The double width at this time looks about 20% wider than when completed .
Eye makeup can be applied 24 hours after the surgery, so if you wear makeup, you will not be bothered by people you meet for the first time.

3 days after surgery

During this period, you will still be in an unstable state due to the surgery, so please follow the precautions and take care of your body so that the swelling and redness do not worsen.

2 weeks after surgery

The feeling of discomfort such as tightness and ruggedness disappears naturally after about 2 weeks . However, it is still too early to say that the organization has completely stabilized. Drinking, massage, exercise, sauna, etc. are possible, but gradually get used to it while watching the situation.

1 month after surgery

It's almost finished . However, the double line is not completely fixed, and if the stitches are removed, it will return to its original state.

3 months after surgery

After three months, almost no fluctuations can be seen, and the establishment of the habit of the line will be completed in earnest from around this time .

Things to know before undergoing the burial method

Risk of burial method

disappearance of double lines

The burial method can be said to be a ``method with few failures'' in the sense that the double line planned before surgery can be completed and can be redone, but there is a possibility that the double line will disappear (remove). Even if it is a sturdy thread, it is possible that something might break it or the knot will melt. If the thread breaks or melts before the crease is set, the double line will disappear .

In addition, the double line may not be fixed due to the eyelids that are not suitable for the burial method, such as the eyelid skin is thick or the amount of fat is large, or the desired double width is too wide.

double line fades

Even if the thread is broken or not melted, if the repulsive force of the eyelid that tries to weaken the strength of the line is greater than the force of the thread, the double line may become thin. . If the thread breaks or melts, you can simply re-thread it. However, if the crease becomes weaker, the repulsive force of the eyelids will not change, so it is expected that the double line will become thinner over time even if the eyelid is applied again. If the same result is obtained after 3 to 5 treatments, consider methods such as removing the fat that makes it difficult to create creases, and cutting the skin to create a double line. may be recommended.

Left-right difference of double width

For about a week after the procedure, the width will be slightly different from the completed double width due to swelling. In this case, the difference between left and right may disappear after completion . In addition, the apparent left-right difference is also affected by interference from the surroundings, such as the asymmetry of the human body and the habit of eyebrows, rather than a pure misunderstanding of width. If there is a difference between the left and right due to a simple misunderstanding of the width, it will be corrected , so please consult your doctor.

A knotted ball that can be seen from the skin surface

The thinnest part of the skin is the eyelid, which is less than 1mm thick although there are individual differences. Therefore, the treatment is performed so that the thread is buried deep under the skin, but if the position where the thread stays is a shallow layer of the skin, or if the skin is extremely thin, a knot ball that sticks out from the surface of the skin. may be touched. However, in general , knot balls tend to burrow deep under the skin over time .

see-through thread

Since the thread is only 0.05mm (50 microns) thick, it is intentionally dyed blue to prevent mistakes during surgery . This pigment is of course harmless to the living body, and it takes more than 3 years to decompose in the body and change to colorless and transparent. Therefore, even if the thread color can be seen through the skin, it tends to disappear over time .

Exposed knotted balls and dents in the skin

In rare cases, the knotted ball breaks the thin skin of the eyelid and is exposed, or the thread pulls one point of the skin deep into the skin, causing a dent in the skin.In that case, remove the thread and re-thread . call back.

Allergic reaction to thread

Some people worry about allergic reactions caused by threads, but nylon does not cause allergic reactions.

Precautions to be taken after surgery


You can wash your face on the day of surgery (around 6 hours or more after surgery), but refrain from bathing. You can take a bath and wash your hair from the next day. It is safe to take a shower until about two weeks after the internal bleeding stops.

drinking and exercising

For the same reason as bathing, refrain from drinking alcohol and exercising for about two weeks. It is said that it is better to refrain from swimming pools for about two weeks, as it is possible that bleaching powder (hypochlorous acid) will affect the pool water.


If 24 hours have passed, you can apply make-up, including eye make-up, but please follow the instructions of the doctor who performed the surgery.

contact lens

Both hardware and software should be avoided for 3 to 5 days just in case.

Eyelash perm and extension

It will be possible after 2 weeks, but please follow the doctor's instructions.


When receiving LASIK after the burial method, or when receiving the burial method after receiving LASIK, please obtain permission for the burial method surgery from the doctor in charge of LASIK.

Those who cannot receive the burial method

The following people cannot receive the burial method.

  • Those with acute eye disease
  • Those who have inflammatory lesions on the eyelids (hordeolum, commonly known as sty)
  • Pregnant women who are in the unstable period of early pregnancy (because even a small amount of stress can cause miscarriage)
  • Pregnant women and those in the postpartum period immediately after childbirth

Pregnant women can also take it if they reach the stable stage of 5 months (16 weeks) of pregnancy. It is said that there is basically no problem for those who are breastfeeding. Also, even people with keloid constitution can receive it because there is no scar left on the eyelids.

Regarding the applicable age of the burial method, it is possible for both children and the elderly, but it is intended for those who can communicate.

When it is expected that the line will not come out by the burial method

For the following eyelids that are expected to disappear in a short period of time even if the line does not appear even if the burial method is performed, or if it is expected to disappear in a short period of time, first perform treatment to improve the condition. must be done.

  • Thick eyelids that do not crease the skin at all
  • Progressive sagging eyelids that completely hide double lines
  • Conversely, the eyelid with a depressed upper eyelid that has extremely little fat and has sunken along the eye socket
  • Eyelids with advanced ptosis

How to choose a medical institution that is convincing for burial surgery

Persistence of double plastic surgery burial method that can be redone, downtime and postoperative course to be aware of

The burial method can be received at any cosmetic surgery without changing the basic method, even if there are differences in the method and materials such as threads and needles for each cosmetic surgery clinic. However, for small surgeries such as the burial method, it seems that the doctor does not bother to examine the patient before the surgery and only the medical personnel (nurses and counselors) make a contract.

A doctor examines the condition of the eyelids, and at a medical institution that performs cosmetic surgery that provides medical care tailored to each individual, please receive counseling and receive a convincing explanation before accepting.

Burial method of Kyoritsu Cosmetic Surgery

Dr. Akihito Kujime, who supervised the article, taught me about the burial method of Kyoritsu Cosmetic Surgery.

Kyoritsu Cosmetic Surgery uses the levator method. Why?
Dr. Akito Kujime
The reason why the levator method is used is that the position where the levator thread is applied is almost the same as the direction in which the levator aponeurosis runs and the direction in which the muscle force is applied.
Dr. Akito Kujime
In addition, in the tarsal plate method, the tarsal plate with a width of about 1 cm is the fixation source, but in the levator method, the position of the fixation source can be determined from a wide range. Other symptoms may improve secondarily, such as improvement.
Dr. Akito Kujime
In addition, unlike the tarsal plate, which is a hard tissue, the levator muscle is a soft tissue, so it can flexibly respond to the movement of the tissue, so it is less susceptible to external influences such as rubbing the eyes.
I see the benefits. Thank you. Please tell me the price of the burial method.
Dr. Akito Kujime
"P-PL levator method (both eyes) from 66,000 yen including tax". The P-PL levator method is unique to Kyoritsu Cosmetic Surgery with less pain and less swelling than the conventional burial method, and can be guaranteed for up to 3 years.
There is also a multiple fixation method called Goldlong, which embeds multiple thread loops.
What is the Gold Long method?
Dr. Akito Kujime
It has been confirmed that adding 2 thread loops will increase the strength by 3 to 4 times instead of 2 times the strength. However, increasing the number of thread loops increases circulatory disorders such as congestion, so it is not necessarily better to increase the number of thread loops.
Therefore, the method established at our hospital is "Gold Long", which embeds multiple thread loops with minimal circulatory disturbance.
This is Kyoritsu Cosmetic Surgery's original method. Finally, please give a message to those who receive the burial method.
Dr. Akito Kujime
Gold long requires a lot of advanced techniques such as proper threading, proper spacing, and proper tightening. We have devised a way to make it possible for those who cannot easily visit the hospital (those living overseas).
Even if you have experience with the burial method several times in the past and are unable to proceed with the incision method, please come to our clinic for free counseling.
Thank you very much, Mr. Kujime.

Threads and needles used in burial surgery at Kyoritsu Cosmetic Surgery

At Kyoritsu Cosmetic Surgery, the doctors are working hard every day to refine their techniques in order to perform accurate diagnoses and efficient surgery. In addition, we use carefully selected anesthetic solutions, needles (for injection and surgery), and postoperative medications.

thread It is harmless even if it remains in the body for the rest of its life. We order from 17 domestic and foreign manufacturers and carefully examine them.
anesthetic Based on xylocaine (lidocaine hydrochloride), which has a long history of use and is highly reliable as a local anesthetic, it is blended with pH adjusters, vasoconstrictors, and enzyme buffers. It is devised to minimize the infiltration pain, which is the pain when the drug solution penetrates the tissue.
needle (for injection) 34G (gauge) with a thickness of about 0.18mm is used.
needle (for surgery) The ideal size and curve calculated from the average thickness of Japanese eyelids, and the use of needles with rounded tips to reduce friction. At Kyoritsu Cosmetic Surgery, we use ultra-fine thread with a standard thickness of 50 microns (0.05mm). It has enough tensile strength to pull a weight of 10 kg or more.
post-surgery medication In addition to general anti-suppuration (antibiotics) and anti-inflammatory pain relievers (anti-inflammatory analgesics), we have prepared supplements that are safe and suppress swelling with few side effects derived from herbal medicines and supplements that speed up the repair of damaged tissues.

Flow of Kyoritsu Cosmetic Surgery's burial method

(1) Filling in the reception/medical questionnaire

After checking in, you will fill out a questionnaire in the waiting room about your eyelid concerns and concerns.

(2) Pre-surgery photography and counseling

counseling image After taking pre-surgery photos, a doctor will provide counseling. We will ask you about your desired eyelid design, and based on the preoperative photos, we will propose the optimal treatment considering the condition of your eyelids.
If you have any concerns or questions about the procedure, please consult your doctor at this time.

(3) Explanation and confirmation just before design and surgery

While considering the balance of the entire face, we will discuss and decide on the desired double width and line. There is a timing to receive an explanation of the details of the surgery again just before the procedure, so if there is anything you forgot to ask during counseling or something is unclear, you can check with the doctor.

(4) Eye cooling/anesthesia

eye cooling In order to further reduce the pain of the procedure, the eyes are cooled and a cover is attached to protect the eyeballs using eye drops anesthesia. Eye drops that are effective in suppressing suppuration are applied, and a local anesthetic is injected into the eyelids.

(5) Treatment

treatment A needle and thread are passed through the eyelid and fixed to form a double line. The procedure takes about 20 to 30 minutes, and it is said that the anesthesia causes almost no pain.

Cooling/end after surgery

After the operation, you will be moved to the recovery room and rest for about 15 minutes. Cooling after surgery can reduce swelling. You may also be given pain relievers and antibiotics to treat swelling.

Introduction of supervising doctor

Dr. Akihito Kujime, chairman of Kyoritsu Cosmetic Surgery, introduced a franchise system to expand Kyoritsu Cosmetic Surgery nationwide. With the establishment of the “Kyoritsu double-buried P-PL levator muscle method”, which is less painful and less painful, and the development of a patented cannula for each site, we have realized liposuction surgery that can be performed on the same day. Leading the aesthetic medicine industry over the years. He has authored many books such as “Wrinkle Stretching Clinic” and “Body Clinic”.