Non-Incisional Double Eyelid Surgery

Double Eyelid Surgery

Incisional method • Partial Incision Double Eyelid Surgery • Suture method — Precise design tailored to your eye shape

Double Eyelid Surgery is a cosmetic procedure that creates a defined double-eyelid crease in monolids or In-Line Creases. Depending on skin thickness, fat volume, and muscle condition, the most suitable method—Incisional method, Partial Incision Double Eyelid Surgery, or Suture method (Non-incisional method)—should be selected to achieve natural, long-lasting results.

1. What Is Double Eyelid Surgery?

Double Eyelid Surgery (double-eyelid formation surgery) is a cosmetic procedure that creates or reinforces the line where the levator muscle of the upper eyelid attaches to the skin, forming a defined double-eyelid crease.

When the eyes open, the levator muscle pulls the skin inward, creating a crease. Depending on skin thickness, fat volume, muscle condition, and the degree of eyelid sagging, the most appropriate method—Incisional method, Partial Incision Double Eyelid Surgery, or Suture method (Non-incisional method)—should be chosen for natural, long-lasting results.

✦ Roy's Design Philosophy

Double eyelids are about proportion, not size. We assess the eye shape, eyebrow position, glabella width, and Forehead shape together to design a crease width that complements the entire Face. Rather than creating an excessively pronounced crease, we prioritize a natural impression and, when necessary, combine the procedure with Ptosis Correction or Epicanthoplasty to achieve balanced results.

2. Surgical Methods — Incisional Method • Partial Incision Double Eyelid Surgery • Suture Method

The three methods differ only in the extent of the incision; the principle of creating the crease (forming adhesion between the skin and levator muscle) is the same. The method is selected based on skin laxity, fat volume, and the desired crease longevity.

✦ Suture Method (Non-incisional method) / The Least Invasive Method

This method creates a crease without incising the skin by securing the levator muscle and skin at 3–6 points with sutures.

• Advantages: Fastest recovery (swelling subsides in 3–5 days), almost no visible scarring, and relatively easy crease adjustment

• Disadvantages: The crease may loosen over time; fat and skin cannot be removed

• Suitable for: People in their 20s to early 30s with thin eyelids and little to no fat or skin laxity

✦ Partial Incision Double Eyelid Surgery / A Balanced Option

A small incision of approximately 5–8 mm is made in the center of the eyelid to remove some fat and muscle tissue and secure the crease.

• Advantages: Better crease longevity than the Suture method, partial fat removal possible, minimal scarring

• Disadvantages: Longer recovery than the Suture method (swelling for 5–10 days)

• Suitable for: Those with mild fat-related eyelid sagging or cases where the Suture method may provide insufficient results

✦ Incisional Method / The Most Definitive Method

The entire designed double-eyelid crease is incised to remove sagging skin, excess fat, and muscle tissue, then the crease is firmly secured.

• Advantages: The most defined and permanent crease; sagging skin and fat can be removed together; Ptosis Correction can be performed simultaneously

• Disadvantages: Longest recovery period (swelling for 1–2 weeks; 3–6 months for the crease to settle naturally)

• Suitable for: Cases with skin or fat laxity, those seeking a defined crease, or Revision surgery after a Suture method crease has loosened

3. Comparison at a Glance

Key Differences Among the Three Methods

Suture Method

| Incision extent

None (suture fixation)

| Time for swelling to subside

3–5 days

| Suture removal

Not required

| Scarring

Almost none

| Fat/skin removal

X

| Crease longevity

May loosen over time

| Typical suitable cases

Thin eyelids, early 20s to 30s

Partial Incision Double Eyelid Surgery

| Incision extent

5–8 mm

| Time for swelling to subside

5–10 days

| Suture removal

Post-op day 5–7

| Scarring

Very minimal

| Fat/skin removal

Partially possible

| Crease longevity

Semi-permanent to permanent

| Typical suitable cases

Mild fat-related eyelid sagging

Incisional Method

| Incision extent

Entire crease line

| Time for swelling to subside

1–2 weeks

| Suture removal

Post-op day 5–7

| Scarring

Along the crease line (fades over time)

| Fat/skin removal

Extensive

| Crease longevity

Permanent

| Typical suitable cases

Skin and fat laxity, Revision surgery

4. Recommended For

01 / Monolids / In-Line Creases

Those who want a defined double-eyelid crease

02 / Uneven Eyes

Those who need symmetry correction due to asymmetrical double eyelids

03 / Sleepy-Looking Eyes

Those whose heavy eyelids require a more defined appearance (possibly accompanied by Ptosis Correction needs)

04 / Double Eyelids for Middle Age

Those whose crease is obscured by age-related skin sagging (consider combining upper eyelid surgery)

05 / Loosened Crease

Those who need a defined crease again after the Suture method has loosened

06 / Preference for a Natural Crease

Those who want a subtle In-Line Crease or Semi-Out Line Crease

5. Recovery Process (Based on the Incisional Method)

The Suture method has a faster recovery, while Partial Incision Double Eyelid Surgery has a recovery period between that of the Incisional method and the Suture method.

Post-op Day 0 / Day of Surgery

Surgery is performed under local anesthesia or sedation. Apply cold compresses throughout the day to minimize swelling and bruising. There is little to no pain, only mild pressure.

Post-op Day 3 / Peak Swelling Has Passed

Swelling begins to subside after reaching its peak. Gentle face washing is possible. Bruising moves downward and gradually fades.

Post-op Day 5–7 / Suture Removal + Return to Daily Activities

Visit the clinic for suture removal. Major swelling has subsided, and the area can be covered with light makeup. Return to work is possible.

Post-op Day 30 / Crease Becoming Natural

As residual swelling subsides, the crease gradually becomes more natural. Scars gradually fade from pink.

6 Months+ / Final Crease Settling

Minor swelling subsides, scars fade, and the crease settles. It may take more than 6 months to fully settle.

⚠︎ Possible Side Effects & Precautions (Please Review Carefully)

• Possible side effects: swelling, bruising, temporary dry-eye sensation, scarring, and left-right asymmetry

• The Suture method is not permanent, as the crease may loosen over time.

• In rare cases, crease asymmetry, loss of the crease, entropion or ectropion, or exposed sutures may occur.

• Avoid alcohol, strenuous exercise, saunas, and contact lens use for 1 week after surgery.

• Final results become more natural over 6 months or longer and may vary depending on individual healing ability and skin condition.

• If Ptosis Correction is needed, creating only a double eyelid crease may produce insufficient results; combined Ptosis Correction is recommended.