Natural Adhesion vs. Embedded Double Eyelid Surgery: Same Non-Incision Method, So Why Are They Different?

When looking into double eyelid surgery,

you often come across the terms “natural adhesion” and “embedded.”

Both are known as non-incision double eyelid procedures performed without cutting,

but in practice, there are differences in the fixation method and how the line is created.

In this post,

we will look at the differences between natural adhesion double eyelid surgery and embedded double eyelid surgery,

focusing on fixation methods (single-knot vs. multi-knot) and actual eye structure.

What Is Embedded Double Eyelid Surgery?

Embedded double eyelid surgery

is a method known for creating a line by making a small number of fixation points in the eyelid (usually 2 to 3 points).

Features of Embedded Double Eyelid Surgery

Line fixation with a relatively small number of holes

Short surgery time and relatively quick initial recovery

Because the fixation points are limited, there are restrictions on the range of possible line shapes

Depending on the eye condition, partial loosening may occur

So in the past,

the expression “pinning down the double eyelid” sometimes referred to embedded double eyelid surgery.

What Is Natural Adhesion Double Eyelid Surgery?

Natural adhesion double eyelid surgery is an evolution of the traditional embedded method,

and uses multiple holes to fix the line more delicately.

Features of Natural Adhesion Double Eyelid Surgery

Line fixation using 10 or more holes

Because there are more fixation points, it is relatively easier to adjust the curve and softness of the line

Induces adhesion that forms naturally when opening the eyes

There are differences in characteristics depending on the fixation method, such as single-knot or multi-knot

Recently,

this is one reason the term “natural adhesion” is used more often than “embedded.”

Differences Between Natural Adhesion Multi-Knot and Single-Knot

Natural adhesion (single-knot) fixation method

One thread connects multiple holes in sequence

A structure in which force is distributed evenly

May be favorable for maintaining the line, but depending on the eye condition, tissue strain may increase

Natural adhesion (multi-knot) fixation method

A method of tying each fixation point independently

Aims to reduce unnecessary pulling and minimize tissue damage

Swelling tends to subside relatively quickly

If it suits the eye condition, it may help create a natural and stable line

The important point is

not whether single-knot or multi-knot is inherently better,

but which method is more suitable for the eye condition.

In What Cases Is Natural Adhesion More Suitable?

When you want a naturally appearing double eyelid line

When you want a line that suits your own eye shape rather than an artificially thick one

When delicate line adjustment is needed to match the eye condition

However, if the eyelids are very thick,

if there is significant fat or sagging,

or if there is also a problem with opening the eyes,

there may be limitations to a non-incision method alone, so preoperative evaluation is important.

Natural Adhesion Method at Apgujeong BABA Plastic Surgery

At Apgujeong BABA Plastic Surgery,

when performing natural adhesion double eyelid surgery,

the procedure is carried out based on the single-knot fixation method.

This is a choice aimed at reducing unnecessary tissue damage, lowering the burden of swelling,

and creating a natural line suited to the eye condition.

In Closing

The difference between natural adhesion and embedded double eyelid surgery is

not simply the “name,”

but the difference in fixation methods, line design, and the approach to eye conditions.

Rather than concluding that one method is better,

it is most important to choose based on which method suits your own eyes better.

Thank you.