Double Eyelid Surgery: Incision Method vs. Buried Suture Method — A Comparison of Customized Eye Plastic Surgery Methods That Increase Satisfaction with Eye Correction

Double eyelid surgery is popular because it can change your impression with a thin line and help create a more youthful appearance.

It is also one of the most popular cosmetic surgeries in Korea, where many people have long been concerned about small, tired-looking eyes.

Three Methods of Double Eyelid Surgery

Double eyelid surgery is divided into inner line, in-out line, and outer line depending on the type of fold. To create these lines, an incision is needed, and this incision method is also divided into the buried suture method, partial incision method, and incision method. The reason the incision approach differs in double eyelid surgery is due to eyelid characteristics such as skin thickness and the amount of fat. Which method is best for each individual is determined after a detailed examination and consultation based on personal differences, characteristics, individuality, and needs. Since the results can also differ depending on the surgeon's skill, it is necessary to compare and check carefully before surgery.

Buried suture method

Among double eyelid surgery methods, this is the one that produces the most natural results and has the fastest recovery period, and it is effective for cases with thin eyelid skin and little fat.

This method creates a double eyelid through tiny, barely visible micro-openings. It connects the upper eyelid skin, muscle, and tarsal plate in a double layer, resulting in less swelling and faster recovery. It also induces firm natural adhesion within the layers, so there is very little chance of it coming undone.

If you have sleepy-looking eyes or ptosis, the fascial portion of the levator muscle can also be connected together, allowing the effect of sleepy-eye correction at the same time. In addition, if there is a lot of fat, a small incision can be added to remove fat as well. Depending on the method applied, this surgery may be referred to by different names at different plastic surgery clinics.

Partial incision method

This method creates a double eyelid by making a small incision of about 5–7 mm in the skin, and it is mainly applied to cases with a lot of fat and a lot of tissue on the upper eyelid, where fat removal is difficult with the buried suture method.

The double eyelid outside the incised area is created using the principle of the micro-buried suture method, while the incised area is made to undergo natural adhesion so that firm adhesion similar to incision-method double eyelid surgery is achieved. For this reason, recovery is faster than with the incision method, and because firm natural adhesion is induced at the incision site, there is very little chance of it coming undone.

If you have sleepy-looking eyes or ptosis, the fascial portion of the levator muscle can also be connected together, allowing the effect of sleepy-eye correction at the same time, and if there is a lot of fat, fat removal can also be performed.

It is one of the best methods for obtaining a double eyelid that does not easily come undone in cases where there is little sagging skin but a lot of fat, but caution is needed because some scar tissue may remain.

Incision method

This method involves designing the planned double eyelid line in advance on the upper eyelid skin and making an incision along the designed line. By making a full incision, it induces firm and natural adhesion, so there is almost no concern that the fold will come undone.

This method connects the upper eyelid skin, muscle, and tarsal plate in a double layer and maximizes wide and long natural adhesion between the incised skin so that there is almost no risk of it coming undone. Through the incision line, sagging skin can be corrected to make the double eyelid appear larger, and orbital fat, submuscular fat, or part of the thick orbicularis oculi muscle can be corrected at the same time, making eyes that previously looked puffy appear less swollen and more refined than before surgery.

If you have sleepy-looking eyes or ptosis, the fascial portion of the levator muscle can also be connected together, making this another method that can provide the effect of sleepy-eye correction at the same time.

Double eyelid surgery is performed using these three methods.

Although the method may seem simple, and many people are interested in it and it is commonly performed, it is important not to forget that a more careful approach is needed because the goal is to create a natural, youthful eye appearance through customized one-on-one surgery so that it does not look obviously operated on and completes an impression that is not merely of bigger eyes, but of beautiful, clear-looking eyes.

Since the outcome can vary depending on know-how and surgical technique, it is important to be somewhat careful about everything, including choosing a clinic, receiving a consultation, and proceeding with surgery.

It is safer to start by listening to the advice of medical professionals who strive to carry out surgery that produces the result best suited to you, and to proceed with the consultation carefully, because rushing into surgery after being tempted by indiscriminate price discounts or flashy event slogans may lead to regret.

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