A Complete 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,

there are so many methods like natural adhesion,

incisional, and non-incisional,

that many people feel confused about which one is right for them.

In fact, during double eyelid consultations

here at Yeoksam Vibe Plastic Surgery,

many patients are curious about the differences between these methods.

Today, we will clearly explain these often-confusing

double eyelid surgery techniques for you 💜

👀 What are the different double eyelid surgery methods?

Double eyelid surgery can largely be divided

into two main methods:

​

📍 Non-Incisional Double Eyelid Surgery

This is a method that creates a double eyelid line

using threads through small punctures

without making a large incision in the skin. In the past, it was often

called the buried suture method, but recently,

the term natural adhesion is also widely used.

Many people who come for a consultation at Yeoksam Vibe Plastic Surgery

are also curious about the difference between the buried suture method and natural adhesion.

Basically, you can understand both as

non-incisional methods that create a line without cutting the skin :)

​

📍 Incisional Double Eyelid Surgery

On the other hand, incisional double eyelid surgery involves making an incision

along the double eyelid line to remove excess skin or fat

before creating the new crease.

⭐ Buried Suture Method vs. Natural Adhesion: What's the difference?

📍 Buried Suture Method

The buried suture method is a non-incisional surgery that uses threads

through small punctures to create the double eyelid line.

It is 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 that removes some tissue

during the process to facilitate better adhesion between the eyelid tissues.

During consultations at Yeoksam Vibe Plastic Surgery,

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

While both are non-incisional double eyelid surgeries performed without cutting,

you can think of natural adhesion as a method

that enhances adhesion strength 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 a short incision, through which unnecessary

fat is partially removed.

It reinforces the adhesion between tissues,

helping to prevent the double eyelid line from unraveling.

In fact, during consultations at Yeoksam Vibe Plastic Surgery,

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

but feel burdened by a full incision often consider

the partial incision method :)

📍 Full Incision

This method involves making an incision line along the double eyelid crease,

removing unnecessary fat or tissue underneath,

and then directly securing the line to form the crease.

If you have thick eyelid skin or a lot of fat,

or if you want a more defined and stable line,

we at Yeoksam Vibe Plastic Surgery 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 selection criteria depend on:

☑️ Whether long-lasting durability is important

☑️ Whether minimizing scarring is important

However, as the incisional method has advanced significantly recently,

✨ there are many cases where scars are barely noticeable

✨ or heal very naturally.

​

During consultations at Yeoksam Vibe Plastic Surgery,

some patients who initially worried about scarring

end up choosing the incisional method

after a thorough explanation 😊

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

there are individual differences—sometimes it is barely visible,

and sometimes a faint mark remains :)

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

Natural adhesion (buried suture method) involves making several small punctures

and weaving threads back and forth to secure the line,

which characteristically creates 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 surface-level adhesion.

​

👉 Due to this difference, generally,

✔️ the incisional method is known to have higher durability

and be a longer-lasting method.

​

However, natural adhesion (buried suture method) can also

✔️ provide sufficiently stable adhesion

✔️ if chosen well for the right eye conditions.

​

In fact, during consultations at Yeoksam Vibe Plastic Surgery,

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

and when applied to the 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 outcome.

At Yeoksam Vibe Plastic Surgery,

we provide guidance through thorough consultations,

so please feel free to visit us for a consultation 😊

​

*Please also refer to the video below :)

​

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. On the other hand, the incisional method involves cutting the skin along the line to remove fat or tissue before directly securing the line to form the crease.

How are the buried suture method and natural adhesion different?

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

When is a partial incision considered?

It is considered when you are worried about the longevity of a non-incisional method but feel burdened by a full incision. Through small punctures or a short incision, unnecessary fat is partially removed, and tissue adhesion is reinforced to help prevent the double eyelid line from unraveling.

For what types of 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 want a more defined and stable line.

Does the buried suture method really unravel easily?

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

What criteria are used to choose a double eyelid surgery method?

The selection criteria depend on whether long-lasting durability or minimizing scars is more important to you. Since the suitable method varies depending on your individual eye condition and desired outcome, it is best to decide through a thorough consultation.