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What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional?

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · February 11, 2026

Hello, this is iNique. Recently, as perceptions of 'plastic surgery' have become more mainstream, it is now seen not as something heavy or burdensome, but as one of the means for i...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Inique Plastic Surgery

Original post date: February 11, 2026

Translated at: April 22, 2026 at 2:21 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 1

Hello, this is iNique.

Recently, as perceptions of 'plastic surgery' have become more mainstream,

it is now seen not as something heavy or burdensome,

but as one of the means for improving appearance.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 2

Above all, in social life or

in the process of forming relationships with others,

having a more positive impression and a neat appearance

can be advantageous in many situations.

In addition, the changes gained from improved appearance

are not limited to how others see you,

but can also increase self-satisfaction and confidence,

positively affecting your overall attitude and expression in daily life.

For this reason, many people consider plastic surgery

for the purpose of 'self-satisfaction.'

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 3

In particular, double eyelid surgery changes the eye shape,

which is a key element of facial expression, no less than the nose.

With the double eyelid line alone,

the eyes can look clearer, and an overall improvement in image can be expected.

This is because as an additional crease is created on the eyelid,

the eyes become more striking,

and the eye shape itself can appear more distinct.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 4

Above all, compared with other plastic surgery methods,

it is relatively simple,

which is why it has remained steadily popular from the past to the present.

As time has passed and surgical methods have advanced,

a variety of double eyelid surgery types have become available.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 5

As such, there are many types of double eyelid surgery,

and you may wonder which method suits you best.

Today, iNique will explain the types of double eyelid surgery

and the criteria for choosing a method.

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Double eyelid surgery is generally

divided into two methods:

suture method and incisional method.

The suture method is what we commonly call the 'pinch' method,

and it works by creating adhesion points without incision

to fix the double eyelid line.

The incisional method is a surgical approach

that creates the line by making an incision,

and compared with the suture method,

it can create a relatively more defined look.

Rather than saying one is better than the other,

it is important to choose based on factors such as your own eyelids,

skin condition, and whether you have ptosis.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 7

Next, I would also like to explain the types of double eyelid surgery.

The methods currently performed at iNique include

smooth incisional method, high-density suture method,

and fat-removal suture method.

Below, we will guide you in more detail through the features

and techniques of each type of double eyelid surgery.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 8

The high-density suture method,

one of the methods of double eyelid surgery,

forms adhesion points at appropriate locations,

just like the general suture method,

to complete a natural double eyelid line.

However, its distinguishing feature is that it strengthens fixation

more than the existing suture method,

compensating for the tendency of the suture method to loosen.

For this, iNique applies a 10-point fixation method

to keep the line finer and more stable,

and even in cases with strong eyelid-opening force or frequent eye use,

the maintenance of the double eyelid tends to be high.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 9

Also, because it is performed without incision,

the recovery burden is smaller and swelling and bruising are relatively less,

so it is classified as a procedure that allows a quicker return to daily life.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 10

Second, the fat-removal suture method

is recommended more for people with a lot of eye fat

when performing the high-density suture method

explained earlier.

When fat and soft tissue are excessively distributed in the eyelids,

it can create a generally stuffy and heavy impression

regardless of the actual size of the eyes,

and even after double eyelid surgery,

the line may not appear clearly,

which can make the result feel incomplete.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 11

In such cases, along with double eyelid surgery,

it is advisable to adjust the thickness of the eyelids

by selectively removing unnecessary fat and some soft tissue

through a minimal incision of about 4 mm.

This process improves the transmission of the eyelid-opening force

and increases the clarity of the line,

allowing for a more distinct and balanced eye shape.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 12

The third type of double eyelid surgery

is the smooth incisional method.

This method creates a clean and natural result

while reducing the feeling of a line that looks simply pinched.

When fixing the line, it uses a generous number of points,

about 7 to 9, to create a neat line,

and areas with a high chance of loosening

are finished with triple fixation for strong support.

What Is the Right Choice Among Double Eyelid Surgery Types: Suture or Incisional? image 13

Since there are many different types of double eyelid surgery,

you may find yourself unsure of which one to choose.

What matters in making the choice is to first assess

the condition of your eyelids, skin, and fat through a consultation,

and then decide accordingly.

If you have any questions or would like a consultation,

please feel free to contact us at any time.

Thank you.

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