Subincisional Double Eyelid Surgery with Precise Technique at Sin-Yongsan Plastic Surgery

Hello.

This is Mutoel Plastic Surgery.

The eyes are one of the important features that determine

the overall impression of the face.

That is why many people want to change them in a way that is

"natural and not obvious."

For those with this concern,

subincisional double eyelid surgery and ptosis correction

can be suitable options.

These two procedures have overlapping goals,

and they are also complementary to each other,

so if you first establish the line and then use ptosis correction

to create a more open-looking eye shape,

you can achieve a more satisfying result.

Today, as explained during consultations at Sin-Yongsan Plastic Surgery,

I will walk you through which cases are recommended,

how the procedure is performed, and the advantages,

disadvantages, and precautions in detail.

What is subincisional double eyelid surgery?

As the name suggests, it is a procedure that makes only a partial incision in the eyelid

to remove fat while also defining the double eyelid line.

Because the skin incision is not long,

recovery is relatively faster than with full-incision surgery,

and swelling and bruising are also comparatively less.

That is why at Sin-Yongsan Plastic Surgery,

it is recommended for people who have little excess skin but

more fat or muscle in the upper eyelid area.

To briefly explain the principle of the subincisional method,

a fixation thread is passed along the planned double eyelid line

to create adhesion between the eyelid skin and the levator muscle,

thereby forming the double eyelid line.

Through a small incision, excess subcutaneous fat or

the volume of the orbicularis oculi muscle (the muscle that closes the eyes)

is reduced, creating a natural double eyelid line

when opening and closing the eyes.

How is it performed?

At Sin-Yongsan Plastic Surgery, the procedure is usually performed

under light sleep anesthesia,

and it takes less than one hour.

The desired double eyelid line is designed,

and the height of the line is determined while considering

the individual’s facial shape and eye shape.

Through small inner or outer incision openings,

excess fat is removed or muscle volume is reduced

to help form the double eyelid line.

In subincisional double eyelid surgery, proper hemostasis is essential.

Because thin blood vessels are widely distributed in fatty tissue,

if bleeding is not properly controlled,

bruising or swelling after surgery may last longer,

or the adhesion of the double eyelid may loosen, so this is important.

The fixation thread for the double eyelid is finished in a manner similar to the buried-suture method,

with the fixation knot placed inside the skin,

and separate skin suturing is performed on the fat-removal area

to minimize scarring.

What are the advantages?

The advantages of the subincisional method are that scarring is very minimal

and both the surgery time and recovery period are short,

so pain, swelling, and bruising are reduced.

It is the most suitable procedure for those who want a natural-looking eye shape

but do not want a long skin incision.

The disadvantage is that in cases where the skin is thick or sagging,

or there is significant excess loose skin on the upper eyelid,

the amount of skin removed is small, so compared with full-incision surgery,

the line may not be maintained for a long period,

which can lead to lower satisfaction.

In such cases, full-incision surgery that directly removes a certain amount of skin

may be more appropriate.

What should you be careful about?

Common side effects include asymmetry, loosening of the line,

reduced sensation at the surgical site, and in rare cases,

dry eyes after surgery.

If ptosis correction is performed too aggressively,

a side effect may be ectropion, where the eyelid turns outward,

so a conservative and balanced ptosis correction procedure is necessary.

Also, when designing the double eyelid line,

if the height is set too low or too high,

the overall impression can look awkward together with your facial expression.

Therefore, the safest and most effective approach is to work with

a specialist at Sin-Yongsan Plastic Surgery who can consider the harmony of the entire face.

For about the first 3 days after surgery, swelling and bruising are severe,

but after about a week, they subside significantly.

Sutures are often removed between days 5 and 7,

and at first the fixed double eyelid line may look pronounced,

but it gradually becomes more natural about one month after surgery.

During recovery, it is best not to apply strong stimulation to the wound area

and to avoid saunas and exercises that cause sweating.

Even if slight asymmetry is visible during the recovery period,

the difference often lessens as swelling goes down,

so you need to wait patiently.

What are the benefits of combining it with ptosis correction?

If subincisional surgery and ptosis correction are performed together,

compared with simply creating a double eyelid line,

it can create a clearer impression even in daily life,

leading to a more satisfying and longer-lasting result.

If the eye-opening strength is weak before surgery,

and only the double eyelid line is created without ptosis correction,

the sleepy appearance in daily life can become even more pronounced.

At this point, if the levator palpebrae superioris muscle is appropriately shortened,

as a result of ptosis correction, the eye opening looks clearer

because more of the iris is visible even with the same effort.

In addition, as a secondary effect of ptosis correction,

the double eyelid crease becomes deeper and you rely less on the forehead muscles,

which can extend the duration of the surgical result.

In closing...

Subincisional double eyelid surgery at Sin-Yongsan Plastic Surgery

can be a good option that can significantly change the overall impression

while remaining relatively 부담이 적어요.

The success of plastic surgery depends on how precisely it is performed,

after making an exact plan during consultation that matches the patient’s needs.

During consultation, carefully review the portfolio (uncorrected before-and-after photos),

and check what results the surgeon has achieved across various eye types.

It is important to share the parts you are concerned about

and to discuss the look you want after surgery while simulating the result.

What is always important is a sense of balance,

so relying on a specialist’s experience for precise design,

appropriate technique, and a customized surgical plan that considers

the balance of the entire face is essential.

That is all for today’s post from Yongsan Plastic Surgery.

If you have additional questions,

please visit Mutoel for a consultation,

and we will do our best to help resolve your concerns

by discussing them together and identifying areas for improvement.

This has been Mutoel Plastic Surgery.

Thank you.