[Duhan Plastic Surgery Eye Surgery] - [Incision and Non-Incision Methods for Double Eyelid Surgery]

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What is the incision method for double eyelid surgery?

This refers to a method of creating the line by making an incision along the entire design line for forming a double eyelid.

Indications for the incision method

1. When the skin is sagging and needs to be removed

2. When the skin is thick, making it likely to come undone with the partial incision method or the buried suture method

3. When the existing double eyelid line needs to be corrected

4. When ptosis needs to be corrected

Advantages of the incision method

1. When the skin is sagging, the skin can be removed.

2. It does not easily come undone.

3. The shape of the line can be designed as desired.

4. Because muscle can be removed below the incision line, a refined line can be created.

Disadvantages of the incision method

1. If you do not like the line, it is difficult to correct.

2. A scar remains.

3. Swelling lasts a long time.

Surgical process for the incision method

★ Steps 1 to 3: Local anesthesia along the planned incision line -> Incision along the planned incision line -> Removal of the orbicularis oculi muscle

1. Before anesthesia, the design is marked with special ink, and local anesthesia is performed under sleep anesthesia.
2. After local anesthesia, the skin is incised along the design line.
3. The orbicularis oculi muscle beneath the skin is thinly removed. The orbicularis oculi muscle is a structure that interferes with double eyelid formation, and it must be removed when surgery is performed using the incision method.

★ Steps 4 to 6: The thread comes back out through the skin -> The thread is tied from the outside and then buried -> Cross-sectional view of the buried thread

4. If the cause of the thick eyelid is excess fat, orbital fat may also be removed. If there is no orbital fat in the eyelid shape, the fat may not be removed.
5. A three-point suture is performed to form the double eyelid line. Through suturing between the skin below the incision and the upper eyelid levator muscle, the thread is buried at three points so that the double eyelid is formed.
6. The skin is carefully sutured with fine thread. After the suturing is finished, the area is disinfected and you go home.

Guidelines for care after incision method surgery

○ Apply cold compresses using the cool pack provided by the clinic.

Do this for 2 hours a day for only 3 days.

Be careful not to do cold compresses for more than 3 days, as swelling will not go down any further.

• The 2 hours of cold compresses can be done continuously, or divided into 20 to 30 minutes at a time.

• It is usually convenient to do it before bedtime.

○ After surgery, you will visit the clinic about twice: the day after surgery and on the day the stitches are removed.

The stitches are removed on day 3 or 4.

○ Makeup and face washing are allowed after the stitches are removed.

Until the stitches are removed, wash your face with a wet towel.

○ After the incision method, no bandage is applied, and you can return to daily life immediately.

○ Postoperative swelling varies from person to person. Usually, most of the swelling goes down in about 7 days, but the period for everything to fully settle is about 1 to 3 months.

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What is the buried suture method for double eyelid surgery?

Instead of making an incision along the entire design line for forming a double eyelid,

this method creates the double eyelid line by burying only the thread at the buried suture site.

Indications for the buried suture method

1. When the skin is thin and there is little fat

2. When you do not want a surgical scar

3. When you need to return to daily life immediately after surgery

Advantages of the buried suture method

1. The operation time is short, and there is no incision at all.

2. There is little swelling, and you can return to daily life immediately.

3. No scar remains, and the result is natural.

4. If you do not like the line, correction is easy.

Disadvantages of the buried suture method

1. If the skin is thick, the double eyelid line comes undone easily.

2. Removal of the orbicularis oculi muscle or fat is not possible.

3. It is difficult to apply when the skin is sagging.

4. As the line partially comes undone, it is easy for an awkward line to form.

Types of buried suture methods

1. Multiple-knot interrupted suture method

The multiple-knot interrupted suture method is a method in which two or three threads, or in many cases about five non-absorbable threads, are buried and tied at each buried point.

2. Single-knot continuous suture method

The single-knot continuous suture method is a method in which the thread is buried continuously and tied only once at the end.

Surgical process for the buried suture method

★ Steps 1 to 3: Minimal incision where the thread is buried -> Pass the thread from the outside -> The thread passes through the conjunctiva.

1. The design line is drawn, and local anesthesia is performed. Small incisions are made at about three points so that the thread can be buried along the design line.
2. Pass the thread through the conjunctiva through the outer incision hole.
3. Pass the thread that came out through the conjunctiva back toward the skin.

★ Steps 4 to 6: The thread comes back out through the skin -> The thread is tied from the outside and then buried -> Cross-sectional view of the buried thread

4. Pass the thread that came out toward the skin through the hole again and move it outward.
5. Tie the thread at the outer hole and bury it.
6. The buried thread creates adhesion between the skin and the upper eyelid levator muscle, forming the double eyelid.
7. Immediately after surgery, there are almost no marks except for the small holes, so you can return to daily life right away without bandages.

Guidelines for care after buried suture surgery

○ Apply cold compresses using the cool pack provided by the clinic.

Do this for 2 hours a day for only 3 days.

• The 2 hours of cold compresses can be done continuously, or divided into 20 to 30 minutes at a time.

• It is usually convenient to do it before bedtime.

○ After surgery, you will visit the clinic once the next day to disinfect the surgical area and observe the progress.

○ Makeup and face washing are allowed from the next day.

○ Postoperative swelling varies from person to person. Usually, most of the swelling goes down in about 7 days, but the period for everything to fully settle is about 1 to 3 months.

The double eyelid created at our clinic using the partial incision method (Quick Double Eyelid), instead of the pure buried suture method, has several advantages.

The difference is that the buried suture method has the drawback of easily coming undone,

so the partial incision method is used to compensate for this.

By making the partial incision as a minimal incision of about 2 mm,

it is differentiated from other partial incision methods.

The partial incision method (Quick Double Eyelid) is a method in which surgery is performed by making very small incisions of about 2 mm in each area. It is natural like the buried suture method, allows immediate return to daily life, and swelling usually occurs very little. It also leaves almost no scar. If there is a lot of fat, fat removal is also possible.

With the buried suture method, if swelling occurs, there is no pathway for tissue exudate to drain, so for people who swell a lot, the swelling can be as severe as with the incision method. With the partial incision method, tissue exudate drains directly through the incision holes, so swelling and bruising are less than with any other method, which is a major advantage.

It also has the advantage of not coming undone easily, like the incision method. Because painless anesthesia is used, there is no pain at all. The operation takes about 30 to 40 minutes. There is no need to remove stitches after surgery, and you can return to daily life immediately.

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