If You Need Incisional Double-Eyelid Surgery but Are Worried About Scars

Hello, this is VN Plastic Surgery.

When consulting with people considering double-eyelid surgery,

one of the questions we hear most often is:

"Won't incisional double-eyelid surgery leave a noticeable scar?"

In particular, many people with thick eyelids or weak eyelid-opening strength hesitate because they are concerned about scarring even after being told that incisional double-eyelid surgery is necessary.

Today, we will explain exactly what incisional double-eyelid surgery is,

how it differs from non-incisional double-eyelid surgery,

and address some common misconceptions about incisional double-eyelid surgery one by one.

Incisional double-eyelid surgery is a surgical method that creates a double-eyelid line by making an incision in the eyelid skin.

Rather than simply fixing the line with sutures,

its most significant feature is that the skin, muscle, and fat can be directly accessed and adjusted.

Therefore, even in cases with a large amount of fat inside the eyelids or thick skin,

it is possible to create the desired line clearly,

and lasting results can be expected without worrying about the line loosening or becoming less defined.

Among double-eyelid procedures, incisional double-eyelid surgery can be understood as a method that allows for precise design because the tissue is handled directly in this way.

By contrast, non-incisional double-eyelid surgery, often called natural adhesion surgery, does not involve cutting the skin. Instead, sutures are used to fix the line and induce adhesion.

Although it has the advantages of less concern about scarring and faster recovery,

skin or fat in the eyelids cannot be directly removed or repositioned. Therefore, if it is performed on eyes that are not suitable for this method, the line may loosen over time or multiple creases may develop.

Ultimately, the difference between incisional and non-incisional double-eyelid surgery is not whether there will be a scar,

but how directly the eyelid tissue can be corrected.

Both methods have clear advantages and disadvantages, so choosing the double-eyelid procedure suited to your individual eye condition is of the utmost importance.

Then, even for someone undergoing double-eyelid surgery for the first time, in what cases should an incisional procedure be considered?

Typical examples include thick eyelid skin,

a large and prominent amount of fat in the upper eyelids,

or drooping eyelids.

With these eyes, it can be difficult to sufficiently address the fat and skin through non-incisional double-eyelid surgery alone. In many cases, choosing incisional double-eyelid surgery from the beginning instead leads to a more natural and stable result.

For those who want a distinct and well-defined line, it is also easier to create the desired appearance through incisional double-eyelid surgery.

There are more varied situations in which incisional double-eyelid surgery may be necessary for revision surgery.

Representative examples include:

• Significantly weak eyelid-opening strength
• A line that does not form properly, such as a hidden double eyelid
• The development of multiple overlapping creases
• Scar tissue or adhesions at the site of a previous surgery
• A line that repeatedly loosened after non-incisional surgery
• Significant asymmetry between the two eyes

With these conditions, it is difficult to address the underlying cause through non-incisional revision surgery alone.

For this reason, incisional revision surgery, which allows the tissue to be directly examined and organized, becomes a more definitive option.

There is one point that many people misunderstand:

"Incisional double-eyelid surgery always leaves a scar,"

or

"Incisional double-eyelid surgery looks unnatural."

However, this is not a problem with the incisional surgical method itself.

An unnatural appearance generally occurs when a surgical method that does not suit the eye's structure—such as the line height, skin thickness, or eyelid-opening strength—is applied.

In other words, whether the procedure is incisional or non-incisional, it may look unnatural if it is performed in a way that does not suit the individual's eye condition. The incisional method itself is not the cause of an unnatural appearance.

The same applies to scarring.

Because the incision line in incisional double-eyelid surgery is designed within the double-eyelid fold—in other words, inside the crease that naturally forms when the eyes are open—it becomes barely noticeable over time when the eyes are open.

Of course, differences may occur depending on an individual's skin regeneration ability and care methods,

but designing the line from the planning stage to minimize scarring is a very important part of incisional double-eyelid surgery.

Therefore, if you are considering incisional double-eyelid surgery, rather than being afraid of scarring itself,

it is more important to choose a line and surgical method suited to your eye structure.

At VN Plastic Surgery, we comprehensively assess eyelid thickness, the amount of fat,

eyelid-opening strength, and line height

to provide one-on-one personalized consultations on which method—incisional or non-incisional double-eyelid surgery—is more suitable.

The procedure is personally performed by the clinic's representative director.

We encourage you to receive an accurate consultation and find out which double-eyelid method is right for you.

Thank you.