Comprehensive Guide to Double Eyelid Surgery Methods | Differences Between Non-Incisional, Buried Suture, Natural Adhesion, Partial Incision, and Full Incision

Hello, this is Vibe Plastic Surgery :)

When considering double eyelid surgery,

with so many surgical methods like natural adhesion, incision, and non-incision,

many people find themselves confused

about which procedure is right for them.

In fact, during double eyelid consultations at

Vibe Plastic Surgery in Yeoksam, we often see patients

who are curious about the differences between these surgical methods.

Today, we will clearly organize and explain

these easily confusing double eyelid surgery methods for you 💜

👀 What are the different methods of double eyelid surgery?

Double eyelid surgery can be broadly

divided into two main methods.

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📍 Non-Incisional Double Eyelid Surgery

This is a method of creating a double eyelid line

using threads through small punctures without making a large incision in the skin.

In the past, it was commonly called the buried suture method,

but recently, the term "natural adhesion"

is also widely used.

Many people who come for consultations at Vibe in Yeoksam

are curious about the difference between

the buried suture method and natural adhesion. Basically,

you can understand them as non-incisional methods

that create a line without an incision :)

​

📍 Incisional Double Eyelid Surgery

On the other hand, incisional double eyelid surgery is a method

where an incision is made along the double eyelid line to remove excess skin or fat,

and then the line is created.

⭐ Differences Between Buried Suture Method vs. Natural Adhesion?

📍 Buried Suture Method

The buried suture method is a non-incisional surgery

that creates a double eyelid line using threads through small punctures.

It was named the "buried suture method" because

the knots created when forming the double eyelid with threads

are buried and secured inside the skin.

📍 Natural Adhesion

It is similar to the buried suture method

in that the surgery is performed through small punctures,

but it is an improved method where some tissues are organized

during the process to facilitate better adhesion

between the eyelid tissues. During consultations at Vibe in Yeoksam,

many patients ask about the difference between the buried suture method and natural adhesion.

While both are non-incisional double eyelid surgeries

performed without an incision,

you can understand natural adhesion as a method

that enhances adhesion to improve

the longevity of the line :)

💉 How is Incisional Double Eyelid Surgery Different?

📍 Partial Incision

This method falls somewhere between

the non-incisional and full incisional methods. The surgery is performed

through small punctures or short incisions, through which unnecessary

fat is partially removed,

and tissue adhesion is reinforced to help prevent

the double eyelid line from loosening.

In fact, during consultations at Vibe in Yeoksam,

patients who are worried about the longevity of non-incisional methods

but find a full incision burdensome

often consider the partial incision method :)

📍 Incision

This is a method where an incision line is made along the double eyelid line,

unnecessary fat or tissue underneath is removed,

and the line is directly secured and formed.

If the eyelid skin is thick or has a lot of fat,

or if you desire a more defined and stable line,

we at Vibe Plastic Surgery in Yeoksam

recommend correcting it through the incisional method.

❓ Does everyone have a preferred double eyelid surgery method?!

Those who are sensitive to scarring

sometimes prefer non-incisional methods

even if their eyes require an incision.

​

👉 Ultimately, the criteria for selection

☑️ depend on whether long-lasting durability without loosening is important

☑️ or if minimizing scars is the priority.

However, as incisional methods have advanced significantly recently,

✨ there are many cases where scars are barely noticeable

✨ or heal very naturally.

​

During consultations at Vibe Plastic Surgery in Yeoksam,

patients who initially worried about scarring

often choose the incisional method

after receiving a thorough explanation 😊

Scarring varies depending on skin condition, eyelid thickness, and whether it is a revision surgery,

so there are individual differences where it may be barely visible

or slightly remain :)

🪡 Is it true that the buried suture method loosens easily?

Natural adhesion (buried suture method) creates multiple small punctures

and secures the line by weaving threads back and forth,

which is characterized by forming a line-shaped adhesion.

On the other hand, the incisional method directly opens the area

to remove unnecessary tissue

before securing the line,

which forms a plane-shaped adhesion.

​

👉 Due to this difference, it is generally known that

✔️ the incisional method has higher durability and is a longer-lasting

method.

​

However, natural adhesion (buried suture method) can also

✔️ provide sufficiently stable adhesion

✔️ if chosen well for suitable eye conditions.

​

In fact, during consultations at Vibe Plastic Surgery in Yeoksam,

the method is selected based on the condition of the eyes,

and when applied to appropriate cases, non-incisional methods

can also yield highly satisfactory results :)

​

Since each double eyelid surgery method has different characteristics, pros, and cons,

rather than concluding that one is definitively better,

it is important to make a choice that suits your individual eye condition

and desired aesthetic goals.

At Vibe Plastic Surgery in Yeoksam,

we provide guidance through thorough consultations,

so please feel free to visit us for a consultation 😊

​

* Please also refer to the video below :)

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Frequently Asked Questions

What is the difference between non-incisional and incisional double eyelid surgery?

The non-incisional method creates a double eyelid line using threads through small punctures without cutting the skin. In contrast, the incisional method involves making an incision along the line to remove fat or tissue before directly securing and forming the line.

How are the buried suture method and natural adhesion different?

Both are non-incisional double eyelid surgeries performed without an incision. The buried suture method secures the line by burying the thread knots inside the skin, while natural adhesion is an improved method that organizes some tissue to increase the adhesive strength between the eyelid tissues.

When is a partial incision considered?

It is considered when there are concerns about the longevity of non-incisional methods, but a full incision feels burdensome. Through small punctures or short incisions, unnecessary fat is partially removed, and tissue adhesion is reinforced to help prevent the double eyelid line from loosening.

For which eyes is incisional double eyelid surgery more suitable?

It is suitable for cases where the eyelid skin is thick or has a lot of fat. Correction through the incisional method is also recommended if you desire a more defined and stable line.

Does the buried suture method really loosen easily?

Generally, the incisional method is known to have higher durability as it forms a plane-shaped adhesion. However, if natural adhesion (buried suture method) is well-applied to cases with suitable eye conditions, you can expect sufficiently stable adhesion and satisfactory results.

What are the criteria for choosing a double eyelid surgery method?

The selection criteria depend on whether long-lasting durability without loosening is important or if minimizing scars is the priority. Since the suitable method varies depending on your individual eye condition and desired aesthetic goals, it is best to make a decision through a thorough consultation.