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Choosing a Natural-Looking Double Eyelid Surgery: Buried Suture Method or Incision Method

Laree Plastic Surgery · 라리n성형 · September 2, 2019

In the past, people unconditionally preferred a Western-style appearance with double eyelids, but recently it seems that women and men with Eastern beauty are preferred instead. Ju...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Laree Plastic Surgery

Original post date: September 2, 2019

Translated at: April 23, 2026 at 5:25 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

In the past, people unconditionally preferred a Western-style appearance with double eyelids, but recently it seems that women and men with Eastern beauty are preferred instead. Just as Director Lee Joon-ik reportedly praised Park So-dam, who gave an outstanding performance in Bong Joon-ho’s film Parasite, as having “Joseon eyes,” the film industry these days seems to favor stars with no visible double eyelids and a natural “Joseon eyes” look.

This also means that, even when getting double eyelid surgery, a more natural-looking result is receiving more attention. The preference is for double eyelids that make the eyes look bigger, but with a line that is not very noticeable.

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When it comes to creating natural-looking double eyelids, the incision method can of course also result in a natural finish in the end, but if the goal is to make them less noticeable, it is more convenient not to make an incision in the first place. For people whose eyelids are not thick and who do not have much fat, the buried suture method is chosen when they want a natural-looking line.

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The buried suture double eyelid method creates a natural adhesion line by making 3 to 4 tiny holes of less than 1 mm in the skin and literally burying the thread. Its advantage is that the recovery period is shorter than with the incision method, allowing a more natural double eyelid line to be achieved more quickly.

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Even with the same buried suture method, if the double eyelid line is made too high, swelling may not go down well and a sausage-like double eyelid can form, so caution is needed. A sausage-like line can be corrected by lowering the line, and in such cases the incision method is preferred.

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The incision method is preferred when there is a lot of flesh or fat in the eyelid. Because it can also remove sagging skin, it is a good option when a more definite double eyelid line is desired. It is also suitable for combining muscle correction for eye-opening improvement, so in many cases eye-opening correction is performed together. Compared with the buried suture method, its drawbacks are that swelling and bruising can be more severe, and the recovery period for the incision scar takes some time.

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When choosing a double eyelid surgery method, of course the preferences of the person undergoing surgery are considered, but more than anything, it is best to decide based on each individual’s skin thickness, eye-opening strength, and appropriate line, so please keep in mind that having an in-depth consultation directly with the plastic surgery specialist before deciding on the procedure is the way to avoid needing revision surgery!

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