The HIROSHIMA Study: A High-Volume, Institutional, Retrospective, Observational Study of Hidden Non-Incisional Suture Double Eyelid Surgery for Multivariate Analysis of Crease Loss

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Authors: Kyosuke Inoguchi, Takahiko Tamura, Hiromichi Okuma, Ryoichi Matsumoto, Michinori YASUDA, Takashi Yamauchi, Hiroo Teranishi
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Abstract

Abstract Non-incisional double eyelid surgery is widely performed in East Asia, but crease loss remains a major concern, leading to patient dissatisfaction and revision. The relative impact of surgical technique, anatomical characteristics, and surgeon experience on crease retention has not been fully clarified. This retrospective, observational study included 513 consecutive patients who underwent transcutaneous, non-incisional double eyelid surgery between July 2021 and July 2022. Patients were stratified by surgeon experience (

Fields of Study & Subjects

Facial Rejuvenation and Surgery Techniques Ophthalmology and Eye Disorders Breast Implant and Reconstruction

Publication details

Journal / source
Archives of Plastic Surgery
Volume
53
Issue
02
Pages
135–141
Publication date
29 January 2026
Language
EN