Will Buried-Suture Double Eyelid Surgery Come Undone?
It’s Actually a Misconception!
A Summary by Dr. Park Si-hyun

Hello.
This is 오브제성형외과.
The idea that double eyelid surgery using the buried-suture method comes undone quickly
is something we hear more often than you might expect.
As a result, many people who are considering buried-suture double eyelid surgery
put off making a decision,
worrying that they may need to undergo the procedure again after some time.
On the one hand,
some hear that the buried-suture method is difficult to maintain for a long time,
while on the other hand,
they are told that a natural appearance is preferable,
which understandably makes the decision even more complicated.
Because the idea that buried-suture double eyelid surgery comes undone quickly
circulates as though it were an obvious fact,
many people end up misunderstanding the method itself.
This is especially true for those who want a long-lasting crease
before undergoing their first double eyelid surgery;
they tend to examine this issue more carefully.

So today,
we will go over, step by step,
whether the buried-suture method really comes undone easily,
and what truly matters when it comes to maintaining the crease for a long time.
If you read to the end,
you will have a clearer basis for choosing the approach that suits your eyes.
Does Buried-Suture Double Eyelid Surgery Come Undone?
Let’s Clear Up the Misconception First
To give you the conclusion first,
having the procedure done using the buried-suture method
does not necessarily mean that the crease will come undone.
Conversely, even if the incision method is used,
the crease may change depending on the characteristics of the eyes
and lifestyle habits.

When surgery is performed using the buried-suture method,
the crease coming undone
is not an outcome determined by the method alone.
It is closer to the result of several conditions working together.
The buried-suture method uses sutures
to connect the inside of the eyelid skin
with the tissues that open the eye,
thereby creating the crease.
When this connection settles properly,
the crease can last for a long time.
Conversely, if the connection was not secured stably enough from the beginning,
or if it does not suit the condition of your eyes,
the crease may become faint over time.
In other words,
the crease does not become faint simply because the procedure is called the buried-suture method.
Rather,
the crease becomes less defined when the procedure is performed
‘in a way that does not suit your eyes.’
Once you understand this difference,
your perspective on buried-suture double eyelid surgery
may change somewhat.
There Is a Separate ‘Real Reason’
Why Double Eyelid Creases Come Undone
Three main factors work together
when a crease becomes less defined.
The first is the structure of the eyes.
If the eyelid skin is thick
or there is a relatively large amount of fat in the upper eyelids,
weight is placed over the crease that was created.

It is similar to how a folded line in a thick coat
straightens quickly when you bend your arm,
while a crease in a thin shirt
remains for a long time.
The thicker and heavier the skin,
the easier it is for the crease that was created
to be pressed down and flatten out.
The second is lifestyle habits.
Frequently rubbing the eyes,
movements that involve tightly straining the eyes,
and the habit of frequently putting in and removing contact lenses
can all affect the process of the crease settling into place.
These small habits can have a greater impact than expected,
especially while the crease is just beginning to settle.
The third factor is the most important.
It is whether the method was suitable for your eyes.

If the eyes require the incision method
but the procedure is forcibly performed using only the buried-suture method,
or, conversely, if a crease is made excessively large
when the incision method is not actually necessary,
its durability may decrease.
That is why, even when the same buried-suture method is used,
some people’s creases last a long time
while others’ do not.
Ultimately, what determines whether buried-suture double eyelid surgery comes undone
is not the name of the method,
but how well these three factors fit the individual’s eyes.
A Long-Lasting Crease?
It Starts ‘Here’
If you have read this far,
you may have realized that the key to maintaining a crease for a long time
comes before choosing the method itself.
That key is an ‘analysis of the eyes before surgery.’
When considering buried-suture double eyelid surgery,
the first thing to check is not whether to choose the buried-suture or incision method,
but what condition your eyes are currently in.

That is why, during a double eyelid consultation,
we examine one factor at a time:
whether you tend to open your eyes using your forehead muscles,
whether your eyelids are thick or thin,
whether your eyes are prominent or recessed,
and how much fat is present.
This process is important
because the double eyelid crease cannot be considered separately from the rest of the eye.

If the force used to open the eyes is weak,
creating only a crease may not produce the desired definition,
and if a fold is present toward the inner corner,
that area must also be taken into consideration
for the crease to continue naturally.
By looking at the balance of the entire eye
and designing the procedure precisely, only as much as necessary,
it can help reduce concerns about the crease coming undone
and maintain it for a longer time.

Rather than deciding in advance whether to choose the buried-suture or incision method,
first receive an accurate analysis of which approach suits your eyes.
That is the beginning of a long-lasting double eyelid crease.
Today, we reviewed whether the buried-suture method really comes undone easily
and what is important for maintaining the crease for a long time.
To recap,
a crease does not necessarily become faint simply because the buried-suture method was used,
nor does everyone maintain the same result simply because the incision method was used.
Differences may arise depending on
the individual characteristics of the eyes and lifestyle habits.
Therefore, in the end,
whether the procedure was designed to suit your eyes
becomes the standard for maintaining the crease for a long time.

Before creating a double eyelid crease,
Dr. Park Si-hyun of 오브제성형외과
checks the force used to open the eyes, eyelid thickness,
the amount of fat, and the direction of the folds one by one
to design a crease suited to each individual’s eyes.
By addressing only the areas that require attention,
he works together with each patient to create a crease
that is natural and designed for long-term maintenance.
If you have been postponing your decision
because you are worried about buried-suture double eyelid surgery coming undone,
that caution is actually a good approach.

If you are considering which type of double eyelid surgery to choose,
rather than deciding on the method first,
we recommend receiving a consultation at a place that can accurately assess your eyes.
This has been 오브제성형외과.
Thank you.
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This post is medical information prepared by 오브제성형외과의원 in compliance with the Medical Advertising Act.
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The effects of the procedure may vary from person to person, and side effects may occur.
We recommend that you make a decision about the procedure only after having a sufficient consultation with a medical professional in advance.