Considering Natural Adhesion, Buried, or Incisional Double-Eyelid Surgery? Which Surgical Method Can Reduce Cost and the Chance of Loosening?

Considering natural adhesion, buried, or incisional double-eyelid surgery? Which surgical method can reduce cost and the chance of loosening?

When considering double-eyelid surgery, many people have similar concerns. It is not easy to decide whether to choose the currently popular natural adhesion or buried method, or to opt for the more definitive incisional method. In particular, concerns such as, “What if the line loosens later?” may make you more cautious when choosing a double-eyelid procedure. Today, based on the guidance we often provide to people who visit Aite Plastic Surgery, we will organize the criteria for choosing the right eye surgery for you.

1. Non-incisional vs. Incisional Double-Eyelid Surgery: We Will Help You Decide

During consultations, many people find it confusing to understand the difference between natural adhesion, the buried method, and the incisional method. To put it simply, the buried method is like securing fabric by pinching it with a pin, while the incisional method is like cutting the fabric open and stitching it back together.

Then what is natural adhesion? The difference between natural adhesion and the buried method lies in how adhesion is induced. The conventional buried method uses sutures to tie the skin and muscle together, forcibly creating the crease. Natural adhesion takes this one step further. Several tiny openings are made on the inner side of the eyelid, creating pathways through which the tissues can naturally intertwine and adhere to each other. Rather than relying solely on the force of the sutures, it uses the ability of the tissues within your own eyelids to adhere to each other and form the double-eyelid crease. As a result, compared with the conventional buried double-eyelid method, natural adhesion can create a much smoother crease and further reduce the chance of the sutures coming undone.

Because the buried method, including natural adhesion, involves making only small openings in the skin, there is generally little concern about scarring, and the swelling subsides considerably within a few days. Its greatest advantage is the quick return to daily life. However, for people with very thick eyelids or a considerable amount of fat, the crease may become blurred quickly with this approach, which can be a drawback.

In such cases, incisional double-eyelid surgery may be necessary. With the incisional method, the skin is opened along the crease, and excess fat or sagging tissue is removed. The process takes longer than the buried method, but it can more securely define the eye structure, so there is generally much less concern that the crease will loosen later.

Ultimately, there is no single correct answer. The most important thing is to carefully consider your current eye condition and priorities: whether you want to look better quickly with minimal swelling right away, or whether you prefer to take more time to correct the appearance of your eyes more definitively and maintain the result for longer.

Ultimately, the difference between surgical methods is not simply whether there is a scar; it depends on how accurately your eye structure is analyzed.

2. Regarding the Concern, “What If the Crease Loosens Later?”

What many people are most curious about is the possibility of the natural adhesion or buried crease loosening. With the older buried double-eyelid methods commonly known in the past, the fixation could weaken over time in quite a few cases. Today, however, rather than relying only on the force of the sutures, fixation points are positioned much more precisely so that the patient’s eyelid tissues can adhere firmly to each other.

Another truly important fact is that whether the crease loosens depends on whether adhesion occurs. You can think of whether a double-eyelid crease will loosen as being determined largely during the “adhesion period,” when the tissues heal and adhere to each other immediately after surgery.

During the first few weeks after surgery, the tissues inside the eyelids are busy settling into place. If the tissues adhere closely and firmly without gaps and adhesion is completed properly, the possibility that the crease will become blurred or loosen over time is very low. If you rub your eyes too forcefully or neglect aftercare during this important period, preventing smooth adhesion, this may eventually cause the crease to become loose.

Therefore, at Aite Plastic Surgery, we provide thorough swelling management and aftercare through our dermatology department from immediately after surgery so that adhesion can be completed as attractively and firmly as possible. If the tissues adhere well to each other during this period, a beautiful crease can be maintained semi-permanently without the need for further treatment. How you spend this “adhesion period” is just as important as the surgery itself. Of course, individual lifestyle habits and recovery progress may vary.

3. Cost and Criteria for Choosing

The cost of natural adhesion is generally set at between 600,000 and 1,200,000 won, and the prices of buried and natural adhesion double-eyelid procedures are usually similar. When planning your budget, we hope you will not look only for the least expensive option. In consultations, it is often the case that a different surgical method is actually more suitable for the individual. Although average prices generally fall within this range, the budget may inevitably change if additional procedures, such as eye-shape correction or lateral incisions, are added.

When choosing a hospital, rather than judging solely from reviews found online, you should consider how objectively the board-certified plastic surgeon evaluates the condition of your eyes during the consultation. Aite Plastic Surgery follows the principle of not recommending unnecessary procedures. If you visit for an in-person diagnosis, it will become clearer what your eyes truly need.

4. A Final Note Before Surgery

Eye surgery is a procedure whose results are maintained for a long time once performed. Rather than simply following trends, it is especially important to find a crease that best suits your facial features. Instead of worrying alone and only searching online about which surgical method to choose, showing your eyes directly to a professional and hearing their opinion is the fastest and most accurate way to decide. We hope you will take this into consideration.

[Notice of Compliance with Article 56 of the Medical Service Act] This post was written by Aite Plastic Surgery for informational purposes. Depending on the individual, side effects such as swelling, bruising, and bleeding may occur after surgery, so please consult a specialist thoroughly. The model photographs were uploaded with the patient’s consent, and the exact medical costs can be confirmed on the website or through an in-person consultation.