How long does double eyelid surgery take? At BIANCA CLINIC in Tokyo, non-incisional procedures, including the 2-point/4-point method, B TWICE, and Natural Adhesion Method, take approximately 15 minutes for both eyes.
Incisional double eyelid surgery typically takes around 40 minutes, although the exact duration depends on the treatment plan.
Your total time at the clinic will be longer because consultation, eyelid design, anesthesia, and aftercare instructions are also included.
However, your total time at the clinic will be longer than the procedure itself.
It also includes consultation, crease design, anesthesia and aftercare instructions.
As a doctor at BIANCA CLINIC in Tokyo, I’ll explain the procedure time for each method, what to expect during your clinic visit, the recovery period, and how to plan your surgery around a trip to Japan.
At BIANCA CLINIC, we offer four double eyelid surgery options, including our original B TWICE hidden-suture technique.
Rather than choosing a procedure based on treatment time alone, we help you explore the approach that best suits your eyelid anatomy, desired crease, and recovery preferences.
How Long Does Double Eyelid Surgery Take? Procedure Times by Method
The procedure time varies depending on the surgical technique chosen based on the condition of the eyelids.
Here, we provide an estimate of the procedure time for each approach.
How Long Does Each Type of Double Eyelid Surgery Take?
There are two main methods for creating double eyelids: a non-incisional approach using medical-grade sutures and an incisional method.
For the non-incisional procedures offered at our clinic, the estimated treatment time is around 15 minutes regardless of the specific technique used.
Incisional procedures take longer, with the duration varying depending on the chosen plan.
Let’s take a look at the estimated times for each procedure below.
NON-INCISIONAL DOUBLE EYELID SURGERY (2-POINT / 4-POINT)：About 15 minutes.
The buried suture method for double eyelids creates a double eyelid crease using medical-grade sutures without making any incisions in the skin.
There are no sutures to remove afterward, which keeps the overall timeline short.
The difference between 2-point and 4-point fixation is the number of anchor points.
Two-point fixation places less stress on the eyelid and may be suitable for creating a subtle crease.
Four-point fixation provides greater support for the crease and allows more flexibility in crease design, although swelling and bruising may be slightly more pronounced.
B TWICE HIDDEN-SUTURE DOUBLE EYELID SURGERY：about 15 minutes
“B TWICE” is a double-eyelid procedure that utilizes our clinic’s original “posterior fixation” technique.
The procedure takes approximately 15 minutes for both eyes.
Because the sutures are passed from the back of the eyelid (the conjunctival side), no incisions or visible suture marks remain on the skin’s surface.
Additionally, the procedure tends to result in minimal downtime—such as swelling or bruising—making it a popular choice for those who prefer to keep the treatment discreet.
NATURAL ADHESION DOUBLE EYELID SURGERY：about 15 minutes
This technique uses four to six tiny openings, each only a few millimeters in size, and a single suture passed through them and anchored to the levator muscle.
As the area heals, natural adhesion forms at the fixation points.
The procedure takes approximately 15 minutes, and you go home right afterward.
Suture removal is not required.
INCISIONAL DOUBLE EYELID SURGERY: longer than suture-based methods (approximately 40 minutes).
By making an incision along the double-eyelid line and refining internal structures—such as the orbicularis oculi muscle, tarsal plate, and orbital septum—we can precisely adjust the condition of the skin, muscle, and fat.
This procedure can also be combined with other treatments, such as ptosis correction or fat removal.
While the procedure typically takes around 40 minutes, the actual duration may vary depending on the extent of the adjustments and any concurrent treatments.
As individual results and recovery processes differ, we do not provide a one-size-fits-all estimate; instead, we will explain the specific outlook tailored to each patient during the consultation.
▷Explore BIANCA’s Double Eyelid Surgery Options
How Long Will You Actually Spend at the Clinic?
The procedure itself accounts for only part of your total time at the clinic.
Your visit will take longer than the estimated procedure time listed on our website.
Therefore, when planning your schedule, it is advisable to consider the time required from arrival to departure, rather than just the treatment time itself.
The steps from arrival to treatment at BIANCA CLINIC are as follows:
| Step | What happens |
| １．Consultation | We discuss your concerns and goals, and examine skin thickness, fat volume and overall eyelid structure. Interpretation support is available. |
| ２．Design and simulation | We design your crease with facial balance and eye shape in mind, and review the planned line with you. |
| ３．Anesthesia | Anesthetic eye drops are administered first, followed by local anesthetic injections into the eyelids. |
| ４．Procedure | About 15 minutes for suture-based methods; longer for incisional surgery. |
| ５．Aftercare instructions | We go over swelling, bruising, makeup, contact lenses and exercise, and arrange follow-up if needed. |
The consultation, design and aftercare instructions all sit around the procedure.
If you have your consultation and surgery on the same day, plan more time than the procedure alone.
If you prefer to have the consultation first and the surgery on another day, we can arrange that.
Tell us your schedule when you book and we will help you plan the order.
Although some double eyelid procedures take only about 15 minutes, the shortest procedure is not necessarily the best choice for every patient.
During consultation, we consider factors such as eyelid thickness, skin laxity, and the desired crease design before recommending a technique.
Taking time to evaluate these details is an important part of planning a result that suits your individual features.
Downtime: Recovery Time and Returning to Work
When considering double eyelid surgery, you’re likely just as concerned about “downtime (recovery period)” and “how it will affect your daily life” as you are about the procedure time itself.
Here, we’ll explain the general estimated downtime for each surgical method and provide tips for planning your return to work and other activities.
How long is the recovery time after double eyelid surgery?
Procedure time and recovery time are different questions.
A short procedure does not always mean a short recovery.
The estimated downtime for each procedure is as follows.
| Method | Что ожидать |
| БЕСШОВНАЯ БЛЕФАРОПЛАСТИКА ВЕК (2-ТОЧЕЧНАЯ / 4-ТОЧЕЧНАЯ) | Minimal downtime, no suture removal.
Swelling and bruising may be slightly more pronounced with 4-point fixation. |
| Пластика век двойного века методом скрытого шва B TWICE | It is designed to minimize swelling and bruising, resulting in a relatively short recovery period.
No sutures are visible on the skin’s surface, creating a natural-looking finish. |
| NATURAL ADHESION DOUBLE EYELID SURGERY | Swelling typically resolves within a few days, and bruising usually fades in about 10 days.
No suture removal is required, and the procedure causes minimal disruption to daily life. |
| Блефаропластика с разрезом (формирование двойного века) | A longer recovery than suture-based methods, as more time is needed for swelling and bruising to improve. |
※Results and recovery vary by individual.
The downtime for the buried suture method is generally about 1 to 2 weeks.
With its relatively short downtime and the possibility of adjustments, this procedure may be a suitable option for patients considering cosmetic surgery for the first time.
Incisional surgery takes more time for swelling and bruising to improve, but it may be worth considering if you are looking for a long-lasting result.
Your doctor will explain what to expect for your eyelids at the consultation.
Results and recovery vary by individual.
How Much Time Should I Take Off Work After Double Eyelid Surgery?
There is no universal number of days that applies to everyone.
When planning your return to work, consider:
- The technique you undergo
- The amount of swelling or bruising
- Your type of work
- How much face-to-face interaction your job involves
- Your personal comfort during recovery
If you are traveling to Japan specifically for surgery, allow enough time for the early recovery period before returning home.
▷Find a Double Eyelid Procedure That Fits Your Goals
What Should International Patients Know About Double Eyelid Surgery in Tokyo?
At BIANCA CLINIC, we welcome patients from overseas.
Here are some important points to consider when planning your visit to Tokyo for double eyelid surgery.
How many days should you stay in Tokyo?
The number of days required for your stay depends on the surgical method you choose and whether suture removal or follow-up visits are necessary.
- For non-incisional methods (buried suture method) or natural adhesion methods: Since suture removal is not required, it is easier to fit this procedure into even a relatively short travel itinerary.
- For incisional surgery: Your doctor will explain whether suture removal or a follow-up visit is needed, so please confirm this before you plan your stay.
Before booking your flight, please be sure to check how much time is needed for your desired procedure.
We can flexibly adjust the dates for your consultation and procedure to fit your travel schedule.
Can I return home immediately after surgery?
Please tell us your return flight date when you book.
Your doctor will advise on the timing of your return, taking into account your chosen procedure, your recovery progress and the condition of your eyelids.
Reliable Aftercare and Online Support
At BIANCA CLINIC, we provide comprehensive support, including English-language assistance, to help international patients feel comfortable and informed throughout their treatment experience.
Additionally, you can schedule an online initial consultation before arriving in Japan.
Please feel free to discuss any concerns or treatment options with our doctors and staff in advance.
Frequently Asked Questions About Double Eyelid Surgery
We’ve compiled a list of frequently asked questions about double eyelid surgery that we receive during consultations.
Q. Can double eyelid surgery be done in under an hour?
Да.
At BIANCA CLINIC, non-incisional double eyelid procedures typically take approximately 15 minutes for both eyes, while incisional surgery generally takes around 40 minutes.
However, the exact procedure time may vary, and your total clinic visit will take longer because it includes consultation, design, anesthesia, and aftercare instructions.
Q. Can I have the procedure on my first day in Japan?
Whether consultation and surgery can be arranged on the same day should be confirmed with BIANCA CLINIC in advance.
If you are arriving from a long flight, you may prefer to leave a buffer day so that you are rested and have time for questions. Tell us your dates and we will plan around them.
Q. How do I choose the double eyelid procedure that’s right for me?
Your options will vary depending on the thickness of your eyelids, the condition of your skin and fat, and the look you’re hoping to achieve.
For example, the suture method may be suitable for those with thin, defined eyelids, while we may recommend the incision method or a combination with other procedures for those concerned about thick or sagging eyelids.
Please don’t try to decide on your own—feel free to consult with us first.
Q. What should I do if I have concerns or feel anxious after the procedure?
Please contact BIANCA CLINIC promptly if you experience any concerning symptoms or have questions about your recovery.
If you are returning overseas, we recommend discussing your postoperative follow-up arrangements with our staff before leaving Japan.
Planning Double Eyelid Surgery in Tokyo: Why Consultation Matters
The procedure time is approximately 15 minutes for both eyes with non-incisional methods, and longer for incisional surgery, for which your doctor will give you an estimate.
However, the total time spent at the clinic will be longer when accounting for the consultation, eyelid design, anesthesia, and post-operative instructions; additionally, some procedures may require a follow-up visit.
If you are traveling from overseas, it is important to plan a schedule that allows ample time, taking into account the appropriate length of stay and recovery period for the specific procedure, as well as your return flight.
At BIANCA CLINIC, we recommend a personalized treatment plan based on each patient’s eyelid anatomy, concerns, and aesthetic goals.
We offer English support and online initial consultations, so please feel free to contact us.