Eyelid Surgery Japan Cost 2026: Double Eyelid, Ptosis, Eye Bag & Revision Prices

Q: What is the difference between burial and incisional double eyelid surgery?

The burial method (埋没法) uses sutures hidden under the skin to create a crease — it costs ¥30,000–150,000, takes 15–30 minutes, and has 3–5 days of swelling but may loosen after 5–10 years. The incisional method (切開法) makes a small cut to permanently create the crease by removing excess skin and fat — it costs ¥150,000–500,000, takes 1–2 hours, and has 7–14 days recovery but results are permanent. Japanese surgeons recommend burial for younger patients wanting subtle results and incisional for permanent, defined creases.

Q: How much does ptosis correction cost in Japan?

Ptosis (drooping eyelid) correction in Japan costs ¥200,000–600,000 (US$1,360–4,080) for cosmetic cases in 2026. If diagnosed as a medical condition affecting vision, ptosis surgery may be partially covered by Japanese national health insurance, reducing the patient cost to ¥50,000–150,000. Ptosis correction is often combined with double eyelid surgery for ¥300,000–700,000 total.

Q: How much does under-eye bag removal cost in Japan?

Under-eye bag removal (lower blepharoplasty) in Japan costs ¥200,000–600,000 (US$1,360–4,080) in 2026. Transconjunctival fat removal (no visible scar) costs ¥200,000–400,000. External incision lower blepharoplasty with skin removal costs ¥300,000–600,000. Fat repositioning (transferring fat to the tear trough) costs ¥250,000–500,000. These are 50–65% below US pricing.

Q: Is eyelid surgery cheaper in Japan than in Korea?

Korea is generally 20–40% cheaper than Japan for basic double eyelid surgery, especially the burial method (Korea: ₩500,000–1,500,000 vs Japan: ¥30,000–150,000 — roughly comparable). For incisional surgery and ptosis correction, prices are similar. Japan's advantage is in natural-looking results, lower revision rates, and stricter surgeon qualifications. Japan is the preferred destination for patients seeking subtle enhancement rather than dramatic change.

Q: How long is the recovery for double eyelid surgery in Japan?

Recovery depends on the method: Burial method — major swelling subsides in 3–5 days, socially presentable in 5–7 days, final result in 1–3 months. Incisional method — stitches removed at day 5–7, major swelling in 7–14 days, socially presentable in 2–3 weeks, final result in 3–6 months. Most foreign patients plan 7–10 days in Japan for burial and 14 days for incisional.

Direct Answer

Eyelid surgery in Japan costs ¥30,000–700,000 (US$200–4,760) in 2026 — roughly 50–70% less than US prices.

Double eyelid burial method: ¥30,000–150,000. Double eyelid incisional: ¥150,000–500,000. Ptosis correction: ¥200,000–600,000. Under-eye bag removal: ¥200,000–600,000. Epicanthoplasty: ¥150,000–400,000. Revision: ¥200,000–700,000. Japan performs more eyelid surgeries per capita than any country — this is the procedure Japanese surgeons know best.

Eyelid surgery is Japan's single most performed cosmetic procedure — and it's not even close. Japanese surgeons collectively perform hundreds of thousands of eyelid operations annually, giving them an unmatched depth of experience in every technique from the simplest suture method to complex ptosis reconstruction.

For foreign patients, Japan offers a rare combination: world-class surgical expertise at prices that are 50–70% below the US and comparable to Korea — but with an aesthetic sensibility that prioritizes natural, "I woke up like this" results over obviously surgical outcomes.

This guide breaks down the exact 2026 cost for every eyelid procedure available in Japan, including the factors that determine whether you'll pay ¥30,000 or ¥700,000. For a general overview of double eyelid surgery, start with our complete double eyelid Japan guide.

1. All Eyelid Procedures at a Glance

👁️ Eyelid Surgery Pricing Overview — Japan 2026

Procedure	Cost (¥)	Cost (US$)	Time	Recovery
Double eyelid — burial	¥30,000–150,000	$200–1,020	15–30 min	3–7 days
Double eyelid — incisional	¥150,000–500,000	$1,020–3,400	1–2 hr	7–14 days
Ptosis correction	¥200,000–600,000	$1,360–4,080	1–2 hr	7–14 days
Under-eye bag removal	¥200,000–600,000	$1,360–4,080	1–2 hr	7–14 days
Epicanthoplasty	¥150,000–400,000	$1,020–2,720	30–60 min	7–10 days
Lateral canthoplasty	¥150,000–350,000	$1,020–2,380	30–60 min	7–10 days
Upper blepharoplasty (aging)	¥200,000–500,000	$1,360–3,400	1–2 hr	7–14 days
Revision eyelid surgery	¥200,000–700,000	$1,360–4,760	1–3 hr	10–14 days

Key Takeaway: The most dramatic price difference is between the burial method (¥30,000 at chain clinics) and advanced combination procedures (¥500,000+). Most foreign patients fall in the ¥100,000–300,000 range — getting either a premium burial method or a standard incisional double eyelid. Both deliver excellent results in Japan.

2. Double Eyelid — Burial (Suture) Method

Quickest & Most Affordable

埋没法 (Maibotsu-hō) — Burial / Suture Method

¥30,000–150,000 (US$200–1,020)

⏱ 15–30 minutes 🔄 5–10+ years (may loosen) 📅 3–7 day recovery 🏥 Local anesthesia

Tiny sutures are placed through small needle holes to create a natural eyelid crease without any visible incision or scar. The sutures are permanently buried beneath the skin. This is the most popular cosmetic procedure in Japan — many clinics perform 50–100+ burial methods per week. Results are immediate, though the crease deepens over 1–3 months as swelling resolves.

The burial method's massive price range (¥30,000–150,000) is driven almost entirely by clinic tier rather than technique differences. A ¥30,000 burial at a high-volume chain clinic uses the same suture material and basic technique as a ¥150,000 procedure at a premium clinic — the difference is the surgeon's experience level, consultation time, and follow-up care.

🪡 Burial Method Variations & Pricing

Variation	Cost (¥)	Suture Points	Durability
Basic 2-point burial	¥30,000–60,000	2 points per eye	3–7 years
Standard 3-point burial	¥50,000–100,000	3 points per eye	5–10 years
Cross-link / reinforced burial	¥80,000–150,000	3+ connected points	7–15+ years
Burial + micro fat removal	¥100,000–180,000	3+ points + defatting	7–15+ years

💡 Best Value Recommendation: The 3-point or cross-link burial method at a mid-range clinic (¥60,000–100,000) is the sweet spot for most foreign patients. It offers significantly better longevity than the basic 2-point method while costing a fraction of incisional surgery. Ask the surgeon: 「何点留めがおすすめですか？」 (nanten-dome ga osusume desu ka? — "How many suture points do you recommend?")

One important consideration for foreign patients: if you have thick eyelid skin or significant fat deposits (common in East Asian and some Western eyelid types), the burial method is more likely to loosen within 3–5 years. Your surgeon will assess this during consultation and may recommend incisional for better longevity. For context on how this compares to other cosmetic options, see our double eyelid Japan guide.

3. Double Eyelid — Incisional (Cutting) Method

Permanent Results

切開法 (Sekkai-hō) — Incisional / Full-Cut Method

¥150,000–500,000 (US$1,020–3,400)

⏱ 1–2 hours 🔄 Permanent 📅 7–14 day recovery 🏥 Local + sedation

An incision is made along the desired crease line, allowing the surgeon to remove excess skin, fat, and muscle before creating a permanent, defined crease. The incision is closed with fine sutures that are removed at day 5–7. This method gives the surgeon complete control over crease height, shape, and definition. The scar becomes virtually invisible within 3–6 months.

The incisional method is recommended when the burial method isn't expected to last — particularly for patients with thick skin, heavy fat deposits, or those wanting a high, defined crease. It's also the standard approach for patients combining double eyelid with ptosis correction.

✂️ Incisional Method Variations

Variation	Cost (¥)	What's Included
Partial incision (mini-cut)	¥120,000–250,000	Shorter incision, less skin removal
Full incision — standard	¥150,000–400,000	Full crease incision + skin/fat removal
Full incision + fat grafting	¥250,000–500,000	Crease creation + sunken eyelid correction
Full incision + ptosis correction	¥300,000–700,000	Crease + muscle tightening (see Section 4)

⚠️ Recovery Planning: Incisional double eyelid surgery requires genuine downtime. Stitches are visible for 5–7 days, and noticeable swelling/bruising lasts 10–14 days. Plan at minimum 10 days in Japan post-surgery. You will not look "normal" for social/professional settings for approximately 2–3 weeks. Sunglasses are your best friend during recovery.

4. Ptosis Correction

Medical + Cosmetic

眼瞼下垂 (Ganken Kasui) — Ptosis Correction

¥200,000–600,000 (US$1,360–4,080)

⏱ 1–2 hours 🔄 Permanent 📅 7–14 day recovery 🏥 Local + sedation

Ptosis (drooping upper eyelid) is corrected by tightening the levator muscle that opens the eye. This opens the eye wider, creating a brighter, more alert appearance. In Japan, mild ptosis correction is frequently combined with double eyelid surgery for a comprehensive result. Severe ptosis affecting vision may qualify for partial insurance coverage.

Ptosis correction is one of the procedures where Japan's quality advantage is most significant. Japanese surgeons distinguish between multiple grades of ptosis and use different correction techniques accordingly. Many patients from other countries discover during consultation that their "heavy" or "sleepy-looking" eyes are actually mild ptosis — a condition that simple double eyelid surgery wouldn't fully address.

🔍 Ptosis Correction Techniques & Costs

Technique	Cost (¥)	Best For
Buried suture ptosis (non-incisional)	¥150,000–300,000	Mild ptosis, younger patients
Levator advancement (incisional)	¥250,000–500,000	Moderate ptosis, most common method
Müller's muscle tuck	¥200,000–450,000	Mild-moderate ptosis, minimal scar
Frontalis suspension	¥350,000–600,000	Severe ptosis, weak levator muscle

💡 Insurance Tip: If your ptosis is diagnosed as medically significant (affecting your field of vision), the surgery may be partially covered by Japanese national health insurance — even for foreign patients with the right visa and insurance enrollment. In insurance-covered cases, patient cost drops to ¥50,000–150,000 (30% co-pay). Ask the clinic: 「眼瞼下垂で保険適用になりますか？」 (ganken kasui de hoken tekiyō ni narimasu ka? — "Can ptosis correction be covered by insurance?")

5. Under-Eye Bag Removal (Lower Blepharoplasty)

Anti-Aging Favorite

下眼瞼形成 (Ka-Ganken Keisei) — Lower Blepharoplasty

¥200,000–600,000 (US$1,360–4,080)

⏱ 1–2 hours 🔄 Long-lasting (10+ years) 📅 7–14 day recovery 🏥 Local + sedation

Removes or repositions fat deposits beneath the eyes that create bags, shadows, and a tired appearance. Japanese surgeons are particularly skilled at fat repositioning — moving excess bag fat into the tear trough to create a smooth, natural under-eye contour rather than simply removing fat (which can create a hollow look).

👁️ Lower Blepharoplasty Techniques

Technique	Cost (¥)	Scar	Best For
Transconjunctival (inside eyelid)	¥200,000–400,000	No visible scar	Younger patients, fat bags only
Fat repositioning	¥250,000–500,000	No visible scar	Bags + tear trough hollow
External incision + skin removal	¥300,000–600,000	Minimal (below lash line)	Older patients, excess skin + fat
Hamra technique (composite)	¥350,000–600,000	Below lash line	Complex cases, best long-term results

For patients who want under-eye improvement without surgery, under-eye filler (¥40,000–100,000) is a non-surgical alternative — though it treats the tear trough hollow, not actual fat bags. Many surgeons recommend trying filler first if your concern is mainly hollowness rather than puffiness.

6. Additional Eye Procedures

✨ Additional Eye Procedures — Japan 2026

Procedure	Cost (¥)	Cost (US$)	What It Does
Epicanthoplasty (目頭切開)	¥150,000–400,000	$1,020–2,720	Opens inner eye corner, widens eye appearance
Lateral canthoplasty (目尻切開)	¥150,000–350,000	$1,020–2,380	Opens outer eye corner, elongates eye
Upper blepharoplasty — aging (上眼瞼たるみ取り)	¥200,000–500,000	$1,360–3,400	Removes excess upper eyelid skin (hooding)
Brow lift + eyelid combo	¥400,000–800,000	$2,720–5,440	Lifts brow + removes eyelid excess
Revision eyelid surgery	¥200,000–700,000	$1,360–4,760	Corrects previous unsatisfactory result
Crow's feet Botox (目尻ボトックス)	¥25,000–70,000	$170–476	Smooths lines around eyes (non-surgical)

Many patients combine multiple eye procedures in one session for both better results and cost savings. The most popular combinations among foreign patients are: double eyelid + epicanthoplasty (creating a wider, brighter eye), double eyelid + ptosis correction (opening and defining the eye simultaneously), and upper blepharoplasty + lower blepharoplasty (comprehensive eye rejuvenation). Combination pricing typically saves 10–20% vs having each done separately.

For crow's feet treatment pricing, see our Botox cost breakdown. For facial rejuvenation options beyond the eye area, explore our face lifting Japan guide and skin treatment Japan guide.

7. Clinic Tier Pricing

Eyelid surgery has the widest price range of any cosmetic procedure in Japan — largely because chain clinics aggressively price the burial method as a loss-leader to attract patients. Understanding clinic tiers helps you interpret prices accurately.

🏥 Clinic Tier Pricing — Double Eyelid (Burial 3-Point)

Tier	Location	Burial Price	Incisional Price	English
Chain clinics	Multiple locations	¥30,000–60,000	¥150,000–250,000	⚠️ Limited
Mid-range	Shinjuku, Shibuya	¥60,000–100,000	¥200,000–350,000	⚠️ Partial
Premium	Ginza, Omotesando	¥100,000–150,000	¥300,000–500,000	✅ Full
Specialist surgeon	Varies	¥120,000–200,000	¥350,000–600,000	⚠️ Varies

⚠️ Chain Clinic Pricing Warning: Some chain clinics advertise burial method at ¥10,000–30,000, then upsell to "premium" variations at ¥100,000+ during consultation. This is a common marketing tactic. The advertised low price typically covers only a basic 1-point or 2-point method that most surgeons wouldn't recommend. Go in knowing the realistic range (¥50,000–100,000 for quality burial) and you won't be caught off-guard.

8. Japan vs US vs Korea

Double Eyelid — Incisional Method

🇯🇵 Japan ¥300,000 ($2,040) Save 66%

$2,040

🇰🇷 Korea $1,500–2,500

$1,500–2,500

🇺🇸 United States $6,000

$6,000

🌏 Full Country Comparison — Eyelid Surgery

Procedure	Japan (US$)	Korea (US$)	US (US$)
Burial method	$200–1,020	$300–800	$2,000–4,000
Incisional method	$1,020–3,400	$1,000–2,500	$4,000–8,000
Ptosis correction	$1,360–4,080	$1,200–3,000	$4,000–8,000
Lower blepharoplasty	$1,360–4,080	$1,500–3,500	$5,000–10,000
Epicanthoplasty	$1,020–2,720	$800–2,000	$3,000–6,000
Upper + lower combo	$2,380–6,120	$2,500–5,000	$8,000–15,000

Korea and Japan are price-competitive for eyelid surgery, with Korea generally 10–20% cheaper for basic procedures. Japan's advantages are: lower revision rates (Japanese surgeons tend toward conservative, lasting results), better ptosis detection and correction, and a natural aesthetic that Western patients often prefer. Read our full Korea vs Japan comparison for detailed analysis.

9. Which Method Is Right for You?

Quick Decision Guide

Want minimal downtime?

→ Burial method (¥30,000–150,000) — back to normal in 5–7 days

Want permanent results?

→ Incisional method (¥150,000–500,000) — one-time surgery, lifetime crease

Eyes look "sleepy" or heavy?

→ Ptosis correction (¥200,000–600,000) — often combined with double eyelid for best result

Under-eye bags or hollows?

→ Lower blepharoplasty (¥200,000–600,000) — or try filler first if hollow only

Want wider-looking eyes?

→ Epicanthoplasty + double eyelid (¥250,000–500,000 combined)

Previous surgery didn't work?

→ Revision (¥200,000–700,000) — Japan is a top revision destination

10. Hidden Costs

⚠️ Potential Additional Costs

Item	Cost	Notes
Consultation	¥1,000–5,000	Often waived on surgery day
Sedation (IV)	¥30,000–80,000	Optional for burial; recommended for incisional
Suture removal visit	¥0–5,000	Usually included for incisional
Eye drops / ointment	¥1,000–3,000	Post-op care kit
Re-do / adjustment (burial)	¥0–50,000	Many clinics offer free redo within 1 year
Consumption tax	10%	Confirm 税込/税抜

💡 Guarantee Policy: Many Japanese eyelid clinics offer a free re-do guarantee on the burial method — typically within 6 months to 1 year if the crease loosens or becomes asymmetric. Always ask about the guarantee policy before booking: 「保証はついていますか？」 (hoshō wa tsuite imasu ka? — "Is there a guarantee included?"). This is a significant hidden value that can save ¥30,000–100,000 if you need an adjustment.

11. Japanese Phrases for Eyelid Consultations

二重まぶたにしたいです

futae mabuta ni shitai desu

I want double eyelids

埋没法と切開法、どちらがおすすめですか？

maibotsu-hō to sekkai-hō, dochira ga osusume desu ka?

Burial or incisional — which do you recommend?

自然な幅の二重がいいです

shizen na haba no futae ga ii desu

I want a natural-width double eyelid

眼瞼下垂も一緒に治せますか？

ganken kasui mo issho ni naosemasu ka?

Can you also fix ptosis at the same time?

保証期間はどのくらいですか？

hoshō kikan wa dono kurai desu ka?

How long is the guarantee period?

目の下のたるみも気になります

me no shita no tarumi mo ki ni narimasu

I'm also concerned about my under-eye bags

腫れはどのくらいで引きますか？

hare wa dono kurai de hikimasu ka?

How long until the swelling goes down?

For more consultation phrases, see our double eyelid Japan guide, Botox guide, and rhinoplasty guide.

12. Frequently Asked Questions

How much does double eyelid surgery cost in Japan in 2026?

Double eyelid surgery in Japan costs ¥30,000–500,000 (US$200–3,400) in 2026. Burial (suture) method: ¥30,000–150,000. Incisional (cutting) method: ¥150,000–500,000. Chain clinics start at ¥30,000 for basic burial while premium Ginza clinics charge up to ¥500,000 for incisional. The most popular range for foreign patients is ¥60,000–300,000. All prices are 50–70% below US equivalents.

What is the difference between burial and incisional double eyelid surgery?

Burial method uses sutures to create a crease without cutting — ¥30,000–150,000, 15–30 minutes, 3–5 days recovery, but may loosen after 5–10 years. Incisional method makes a cut to permanently create the crease with skin/fat removal — ¥150,000–500,000, 1–2 hours, 7–14 days recovery, but results are permanent. Japanese surgeons recommend burial for subtle results and younger patients, incisional for permanent definition and thicker eyelids.

How much does ptosis correction cost in Japan?

Ptosis correction costs ¥200,000–600,000 (US$1,360–4,080) for cosmetic cases. Non-incisional ptosis: ¥150,000–300,000. Levator advancement: ¥250,000–500,000. If diagnosed as medically necessary, insurance coverage reduces patient cost to ¥50,000–150,000. Ptosis is often combined with double eyelid surgery for ¥300,000–700,000 total.

How much does under-eye bag removal cost in Japan?

Under-eye bag removal (lower blepharoplasty) costs ¥200,000–600,000 (US$1,360–4,080). Transconjunctival fat removal (no scar): ¥200,000–400,000. Fat repositioning: ¥250,000–500,000. External incision with skin removal: ¥300,000–600,000. For tear trough hollow without actual bags, filler (¥40,000–100,000) may be sufficient.

Is eyelid surgery cheaper in Japan than in Korea?

Korea is generally 10–20% cheaper for basic procedures (burial method, standard incisional). For ptosis correction and lower blepharoplasty, prices are similar. Japan's advantages: lower revision rates, better ptosis diagnosis, natural-looking aesthetic preferred by many Western patients, and stricter surgeon qualifications. Japan is especially recommended for patients wanting subtle enhancement rather than dramatic change.

How long is the recovery for double eyelid surgery in Japan?

Burial method: major swelling 3–5 days, presentable in 5–7 days, final result in 1–3 months. Incisional method: stitches out day 5–7, major swelling 7–14 days, presentable in 2–3 weeks, final result in 3–6 months. Plan minimum 7 days in Japan for burial, 14 days for incisional. Most clinics require a follow-up 5–7 days post-surgery for stitch/suture check.

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About this guide: All prices based on direct clinic consultations and published fee schedules. Prices in Japanese Yen (¥) with US Dollar equivalents at ¥147/USD (March 2026). Surgical outcomes vary by individual. This guide is for informational purposes only and does not constitute medical advice. Always consult a licensed medical professional before undergoing any procedure.