He described the single-eyelid look as being "monotonous and expressionless," suggesting that his motivation for the surgery was rooted in enhancing natural beauty rather than conforming to Western ideals.

[4] According to this perspective, Mikamo was working within existing Japanese aesthetics and norms, aiming to accentuate a feature that was already prevalent and culturally appreciated in Japan.

This technique facilitates adhesion between the subdermal tissues and the underlying levator aponeurosis, effectively creating the eyelid crease.

The incisional method, known as surgical resection, entails making an incision across the upper eyelid to remove excessive tissue, including skin, subcutaneous fat, orbicularis oculi muscle, and other anatomical components.

This approach not only allows for the creation of a more dynamic and permanent eyelid crease but also can address other aesthetic concerns by removing excess skin and fat.

Each of these techniques offers distinct advantages and poses specific challenges, making the choice between them dependent on individual anatomical and aesthetic considerations.