Hello.
I’m Lim Seong-yoon, a board-certified plastic surgeon and your personal plastic surgery doctor at Just Plastic Surgery.
Today, I’d like to talk about incisional double eyelid surgery, which many people are curious about.
The incisional method offers a wide range of eyelid improvement and can create a definite line, but
small details can determine the outcome of the surgery.
So today, I’ll introduce five key details that you should definitely know about in incisional double eyelid surgery.
1️⃣ Details of the line
Case 1.

This patient underwent incisional double eyelid surgery, revision eyelid correction, and micro fat grafting to the upper eyelid at the same time.
After having double eyelid surgery at another hospital, a so-called “sausage eyelid” formed.
Through revision surgery, the double eyelid line was adjusted to be thinner and more natural,
resulting in an improvement from a heavy, fierce impression to a softer, gentler one.
Case 2.


This is a case in which incisional double eyelid surgery and revision eyelid correction were performed together.
Although the patient had previously undergone double eyelid surgery, over time the eyelid line gradually became thinner,
and as the skin over the eyes sagged, the eyes began to look sleepy and somewhat downcast.
Accordingly, we redefined the double eyelid line through the incisional method,
and by creating a refined semi-out line, which is currently popular,
we were able to improve the eyes to look clearer, more refreshed, and more sophisticated.
In this way, the shape and height of the eyelid line are key factors that determine the overall impression in double eyelid surgery.
✓ Before surgery, fully explain the line that suits the patient
✓ Even after design, the doctor and patient should discuss it thoroughly together
✓ Consider the distance between the eyes and eyebrows to prevent sausage eyelids
✓ Analyze the degree of eye protrusion, skin thickness, and amount of orbital fat in a three-dimensional way
Only when these details are accumulated can a natural and refined line be completed.
2️⃣ Details of eyelid correction
Case 3.


Procedure case at Just Plastic Surgery – original unedited images
This is a case in which incisional double eyelid surgery, lateral and lower canthoplasty, and revision eyelid correction were performed together.
Looking at the preoperative photos, the eyes had a drowsy, sleepy appearance,
and although there was a double eyelid, overlapping folds had formed, making the line unclear.
Accordingly, we applied the incisional method to firmly define the double eyelid line,
and improved the structure so the eyes would open more clearly through eyelid correction,
transforming the overall impression into one that was sharper and more distinct.
Simply having a pretty double eyelid is not enough.
The real change in impression comes when the strength of eye opening (eyelid correction) is also considered.
✓ Delicately correct even the subtle differences between the left and right eyes
✓ Aim for a natural and comfortable eye shape, not overcorrection
✓ Create an impression that looks less tired than usual and more defined.
3️⃣ Details that minimize scarring
Not all incisional methods leave a lot of scars.
✓ Reduce scar width by creating linear adhesion rather than broad surface adhesion
✓ Preserve the tissue around the double eyelid as much as possible to support faster recovery and maintain a natural look
Making an incision look less noticeable is all about the difference in surgical technique and precision.
4️⃣ A double eyelid that does not loosen
One of the biggest advantages of the incisional method is that it is very unlikely to loosen.
However, the premise is that accurate adhesion must be created!
✓ The upper eyelid cartilage and skin tissue are connected precisely, allowing the shape to remain natural and stable
✓ A sturdy double eyelid that holds up well even after many years
5️⃣ Details of anesthesia
At Just Plastic Surgery, we also prioritize the patient’s comfort and safety when it comes to anesthesia.
✓ Sedation anesthesia results in almost no pain during surgery
✓ Spontaneous breathing and consciousness are maintained for safety
✓ Local anesthesia is also injected in sufficient amounts at the correct locations to minimize discomfort during surgery
If you’d like to see more surgical cases,
you can check detailed examples on the official Just Plastic Surgery website or official cafe🙂
Just Plastic Surgery website: https://www.justprs.com/
Just Plastic Surgery official cafe: https://cafe.naver.com/yshlssm
In closing
Incisional double eyelid surgery is not simply about making an incision;
it is completed through a combination of many details.
Based on these details,
Just Plastic Surgery provides natural-looking, long-lasting double eyelid surgery.
This has been Director Lim Seong-yoon of Just Plastic Surgery. Thank you!
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