Finding the Right Double Eyelid Surgery Method for You: Buried Suture vs. Incision

The eyes are one of the important factors that determine a person’s first impression.

Especially for many East Asians,

monolid eyes can often give a vague or

heavy impression, so

many people come to want eyes that look clearer

and more refreshed.

For this reason,

a surgery that has steadily received attention

over a long period of time

is “double eyelid surgery.”

A double eyelid refers to

a state in which the eyelid has a double crease.

Simply put,

it means an eye with a line formed when

the upper eyelid folds as the eyes are opened.

In contrast, eyes without a line

and that continue smoothly are called “monolids.”

A double eyelid may be

something you are born with naturally,

but on the other hand,

it can also develop as you age

or due to a series of stimuli such as

wearing contact lenses.

Double eyelid surgery is

performed in various ways depending on

the desired eye shape and eye condition.

To create a natural and clear

double eyelid line,

it is important to choose a surgical method

that suits each person’s eye structure.

1. Buried suture method (non-incision method)

A method that fixes the double eyelid line

using thread without making an incision in the skin

Often also called the “natural adhesion method”

✅ Recommended for

When you want a natural double eyelid

Suitable when you want to create a line on the eyes,

but want a natural double eyelid

that is not too obvious or artificial.

When the eyelids are not thick and have good elasticity

Especially effective for younger people with

thin skin and good elasticity,

and recommended when there is not much

heavy fat or sagging skin.

When you want a short recovery period

Compared with the incision method,

there is almost no scarring and recovery is relatively fast,

so it is good when a quick return to daily life is needed.

When you want correction of the double eyelid line or

minor changes

It may also be performed when there is already a double eyelid,

but the line needs to be made more distinct or

even slightly modified.

When trying double eyelid surgery for the first time

When there is anxiety or fear about surgery,

many people first consider the relatively less burdensome

buried suture method.

2. Incision method

A method that makes an incision in the eyelid,

removes skin, fat, and so on,

and fixes the double eyelid line

✅ Recommended for

When the eyelids are thick or have a lot of fat

When the eyelid skin is thick

and a lot of fat has accumulated,

making it difficult to maintain the line with the buried suture method,

the incision method is needed.

When sagging skin (drooping eyelids) is severe

When the skin sags with age and

the eyes have become heavy,

or when sagging skin needs to be removed together,

improvement in sagging is possible through incision surgery.

When you want a strong and clear double eyelid line

If you want a distinct and long-lasting

double eyelid line,

the incision method is more effective.

When revision surgery is needed

After a previous buried suture surgery,

if the line comes undone or

asymmetry is severe,

it is often corrected with the incision method.

When eye shape correction is also needed

When you want to make the eyes more open while

improving eyelid sagging as well,

the incision method is suitable.