Complete Guide to the Best Double Eyelid Surgery Method for Me: Incisional, Partial Incisional, and Non-incisional Methods

Hello, this is Baba Plastic Surgery.

Double eyelid surgery is one of the most popular types of cosmetic surgery, but once you actually decide to go ahead and start consulting, it can be difficult to know which method is right for you. So today, at Baba Plastic Surgery, we will compare four representative double eyelid surgery methods and explain the features and recommended cases for each procedure.

Natural adhesion

Non-incisional method

This is a surgical method that does not involve fully incising the eyelid. Instead, holes are made in the eyelid skin, and a non-absorbable thread is used to secure the double eyelid line front and back. It is also called the single-knot method.

The single-knot method is a technique in which one knot is made continuously, but in some cases, multiple knots (partial knots) may be needed.

This is generally used when fixation is weak in certain areas or when the double eyelid line is already well formed but partial correction is desired.

[ Recommended candidates ]

1. When the eyelid skin is thin and there is not much fat
2. When a natural-looking double eyelid is preferred
3. When considering a first double eyelid surgery
4. When a short recovery period is needed

The advantage of multiple knots (partial knots) is that, unlike the multiple-knot method, it performs partial correction, so swelling goes down much better.

However, the downside is also that because correction is partial, it may loosen more easily than the multiple-knot method.

In addition, a feature of the natural adhesion method is that holes are made to match the horizontal length of the patient’s eyes, and the line is secured through knotting to create adhesion.

Usually, if the eyes are short, 10 holes are used; if average, 12 holes; and if long, 14 holes. However, it is important to determine the 기준 for length through an accurate consultation with a specialist before proceeding.

Recovery period

It varies depending on the individual’s constitution and eyelid condition, but in general, if natural adhesion is performed, it may take about 1 to 2 weeks.

Unlike the incisional method, stitch removal is not necessary, so the recovery period is relatively shorter.

Differences between buried suture and natural adhesion

Many people usually think that the buried suture method and natural adhesion are the same procedure, but the biggest difference between buried suture and natural adhesion is the number of holes.

Incisional method

As the name suggests, the incisional method involves making an incision along the double eyelid line, removing some eyelid tissue, and then suturing it closed.

If the non-incisional (natural adhesion) method is not possible, the procedure must be performed with an incision, and its characteristics are clearly defined.

[ Recommended candidates ]

1. When the eyelid skin is thick (skin with strong resistance to double eyelid formation)
2. When there is significant skin sagging
3. When the double eyelid line needs to be lowered
4. When incisional eyelid correction is needed

Incisional scar

When double eyelid surgery is performed with the incisional method, the most commonly considered issue is scarring.

Unlike the non-incisional method, the line is created by making an incision, so scars can remain, but this can also vary depending on the condition of the skin and muscles.

In most cases, it remains as a line, but if the skin and muscle layer is thick, a larger amount of tissue may need to be removed, and the scar may remain slightly more noticeable.

Recovery period

If the skin (tissue) is thin or there is not much bleeding, it usually takes about one week, similar to the non-incisional method, but this can vary from person to person.

Because stitch removal is necessary, the recovery period may take a little longer.

Partial incisional method

The most important part of a double eyelid is the central fixation. In the case of the partial incisional method, only 1 to 2 points, about 1 cm, are incised in the center of the double eyelid line to connect the tarsal plate and the skin, and the rest of the area is secured with buried sutures.

However, the limitation of the partial incisional method is that the center is incised while the sides use the multiple-knot method, so due to the difference in depth, the scar may appear more prominent and a step-off may occur, and the texture may not be smooth.

For people who have previously undergone incisional surgery and are having revision surgery, partially correcting the line can be helpful, but for a first double eyelid surgery, we recommend the natural adhesion method.

Today, I explained four representative double eyelid surgery methods.

Double eyelid surgery should be tailored according to each person’s eye condition, and whichever method is chosen, it is important to select the one that suits you best.

At Baba Plastic Surgery, we perform double eyelid surgery with a customized plan suited to each individual through accurate consultation and analysis for a natural and harmonious eye shape.

If you have any further questions about the surgery, please feel free to contact us anytime. Thank you.