Double Eyelid Surgery: Incisional vs. Non-Incisional Methods – Custom Eye Surgery for Enhanced Satisfaction

Double eyelid surgery is highly popular because it effectively changes one's impression and creates a more youthful look with just a thin line.

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

Three Methods of Double Eyelid Surgery

Double eyelid surgery lines are categorized into in-line, in-out line, and out-line. Creating these lines requires incisions, which are further divided into non-incisional (buried suture), partial incisional, and incisional methods. The choice of incision method for double eyelid surgery depends on eyelid characteristics such as skin thickness and fat amount. The best surgical approach for each individual's differences, features, personality, and needs is determined after a detailed consultation. Since the results can also vary depending on the surgeon's skill, it is necessary to compare and check before surgery.

Non-Incisional (Buried Suture) Method

This method offers the most natural results and fastest recovery among double eyelid surgeries, and it is effective for cases with thin eyelid skin and minimal fat.

It involves creating double eyelids through tiny, barely visible holes. The upper eyelid skin, muscle, and tarsal plate are connected in a double layer, resulting in less swelling and faster recovery. This method also promotes a firm, natural adhesion, making it highly unlikely for the double eyelid to loosen.

If you have sleepy eyes or ptosis, the fascial part of the levator palpebrae superioris muscle can be connected along with it, providing the effect of correcting sleepy eyes. Additionally, if there is a lot of fat, a small incision can be added to remove the fat. Depending on the specific technique applied, different plastic surgery clinics may refer to this method by various names.

Partial Incisional Method

This method involves making a small incision of about 5-7mm in the skin to create double eyelids. It is primarily applied in cases where there is a lot of fat and thick upper eyelid skin, making fat removal difficult with the non-incisional method.

The double eyelid outside the incised area is created using the principle of the micro-buried suture method, while the incised area promotes natural adhesion to create a firm adhesion similar to the full incisional double eyelid surgery. This method offers faster recovery than the full incisional method, and the firm natural adhesion in the incised area makes it highly unlikely for the double eyelid to loosen.

If you have sleepy eyes or ptosis, the fascial part of the levator palpebrae superioris muscle can be connected along with it, providing the effect of correcting sleepy eyes. If there is a lot of fat, fat removal can also be performed simultaneously.

This is the best method for achieving long-lasting double eyelids in cases with minimal skin sagging and abundant fat, but caution is needed as some localized scarring may remain.

Incisional Method

This method involves designing the planned double eyelid line on the upper eyelid skin and then making an incision along that designed line. It is a double eyelid surgery method that uses a full incision to create a firm and natural adhesion, making it highly unlikely for the double eyelid to loosen.

The upper eyelid skin, muscle, and tarsal plate are connected in a double layer, and the natural adhesion between the incised skin is induced to be as wide and long as possible, making it highly unlikely for the double eyelid to loosen. Through the incision line, sagging skin can be corrected to make the double eyelid appear larger, and orbital fat, submuscular fat layer, and a portion of the thick orbicularis oculi muscle can be corrected together to make swollen eyes appear less swollen and more slender than before surgery.

This method can also connect the fascial part of the levator palpebrae superioris muscle if you have sleepy eyes or ptosis, providing the effect of correcting sleepy eyes.

Double eyelid surgery is performed using these three methods.

Although the methods may seem simple, and many people are interested in and commonly undergo them, it is crucial not to forget that a more careful approach is needed. The goal is to create natural, youthful eyes that don't look surgically altered through 1:1 customized surgery, completing an impression that is not just of bigger eyes but of beautiful and clear eyes.

Since results can vary depending on expertise and surgical skill, it is important to be a little more cautious when choosing a clinic, having consultations, and undergoing the surgery.

It is safer to start by listening to the advice of professional medical staff who strive to achieve the best results for you, rather than rushing into surgery after being swayed by indiscriminate price discounts or flashy event promotions, which could lead to regret later.

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