The most common concern before double eyelid surgery: Buried Suture Method vs. Incisional Method—which method is right for me?

 

 

hello! Director Kim So-young of View Plastic Surgery no see.

 

✨ When conducting consultations for double eyelid surgery, there is a common question that patients ask most frequently.

 

as soon as " Doctor, should I have the buried suture method or the incision method? It's a question about... 💬

 

If you look at reviews on the internet or social media, you will find many comments saying that "the buried suture method is natural and recovery is fast," and "the incisional method creates a distinct line that lasts a long time."

 

 

However, when you are actually facing your own surgery, it is only natural to feel even more confused and worried about which choice is right. 🤔

 

So today, I will explain the real differences between the buried suture method and the incisional method—which many of you lose sleep worrying about—and pinpoint the key points in an easy-to-understand way to help you figure out which method is the perfect fit for your eyes! 👇

 

 

1️⃣ My friend became beautiful with the buried suture method, so why do I have to have the incisional method?

This is one of the stories I hear very often in the counseling room.

 

There are people who express disappointment, asking, "My friend's results turned out incredibly natural with the buried suture method, so why do you recommend the incisional method for me?" 🥲

 

However, double eyelid surgery is The surgical method varies completely depending strictly on the individual's eye structure. 👁️

 

The thickness of the eyelid skin, the amount of fat, the degree of skin sagging, and the strength of the muscles that open the eyes—such diverse and complex factors must be considered comprehensively.

 

Therefore, even with the same monolid eyes, some people achieve perfect results with the buried suture method alone, while others require the incisional method to obtain satisfactory results that do not come undone. 👍

 

Rather than blindly following others' reviews or surgical methods, it is most important to have your eye condition accurately diagnosed by a specialist. ✨

 

 

2️⃣ Who is the perfect fit for the buried suture method for natural-looking eyes?

A method that promotes natural and rapid recovery by tying through small holes without incising the skin!

The buried suture method is a surgical technique that creates a tight double eyelid line using medical sutures by making tiny holes instead of directly incising the skin.

 

🧵 Since it doesn't involve a scalpel, it has the strong advantage of relatively less swelling and a noticeably shorter recovery period. 🚀

 

 

📌 I highly recommend the buried suture method to these people!

 

✅ Those with naturally thin eyelid skin
✅ For those who do not have much fat on their eyelids
✅ Those who do not have severe skin sagging
✅ For those who want natural lines that look like their own, without any signs of surgery

 

 

⚠️ Recently, with the remarkable advancement of medical technology, the retention of the buried suture method has also become much stronger compared to the past.

 

However, please keep in mind that if you have particularly thick skin or a significant amount of fat that protrudes noticeably, there is a relatively higher possibility that the lines may gradually weaken or loosen over time. 💡

 

3️⃣ Is the incisional method always artificial and very obvious that I've had plastic surgery?

How to neatly smooth out thick skin and fat to achieve sharp and defined lines!

Many people get scared just by hearing the word "incision method."

 

It is because of the worry, "What if I get an incision and it looks too artificial, like sausage eyes?" 😢

 

It is true that in the past, there was a strong perception that incisional surgery invariably resulted in thick, prominent lines.

 

but Recently, it is possible to design naturally to suit an individual's overall eye condition and desired needs. 🎨

 

The incisional method is a technique that creates a double eyelid by making an incision in the skin and neatly trimming any unnecessary fat or sagging tissue inside the eyelid.

 

 

📌 The incisional method is much more advantageous for these people!

 

✅ For those with firm and thick eyelid skin
✅ For those with excess fat on their eyelids
✅ For those who want clearer and more distinct lines without a blurry look

 

 

4️⃣ How much difference is there in the realistic recovery period after surgery?

The point that those balancing work or studies are most realistically curious about is the 'recovery period'. 🗓️

 

In terms of general outcomes, the buried suture method certainly results in less swelling and bruising compared to the incisional method, and allows for a faster return to daily life.

However, recently, as surgical techniques and equipment for the incision method have advanced delicately, bleeding and damage are less compared to the past, significantly reducing the burden of recovery for patients. ✨

 

⚠️ Wait a minute! The most important point: You should not hastily decide on a surgical method based solely on recovery speed, simply saying, "I have to go to work early, so I'll definitely go with the buried suture method." 🙅

 

This is because choosing the standard method best suited to your eye structure, even if it takes a few extra days for recovery, is the surest way to prevent revision surgery and maximize satisfaction in the long run.

 

❔ FAQ: Top 3 Most Frequently Asked Questions About Double Eyelid Surgery

 

Q1. Won't surgery using the incisional method leave unsightly scars on the eyes? 😢

A1. This is the part you fear the most before surgery. In the early stages after surgery, there may be some redness along the incision line or it may look like a scar, but in most cases, it gradually fades and becomes natural as time passes and the skin heals.

 

Best of all, when your eyes are open, the scar tucks right inside the crease of your double eyelid and is hidden, so it isn't as noticeable as you might think; you don't need to worry too much! 🥰

 

 

Q2. If I have the first surgery done with an incision, is it impossible to get revision surgery later? 😰

A2. Absolutely not! Just because the first surgery was performed using the incisional method does not mean that future revision surgery is fundamentally impossible. 🙅

 

However, eye revision surgery is more difficult than the first surgery because it requires precise calculation of much more complex and diverse factors, such as the condition of existing tissue and scar tissue.

 

That is why To ensure a good start, it is best to determine the surgical method that is perfect for you through sufficient diagnosis and consultation from the beginning. 📌

 

 

Q3. If I am older, is the buried suture method unavailable and only the incisional method is possible? 👵

A3. No, that is also one of the common misconceptions! When deciding on a surgical method, the age figure itself is not an absolute criterion. 

 

What matters is not age, but the current degree of skin sagging and the condition of my eyelid muscles. 👁️

 

Even if you are in your 30s or 40s or older, if the skin around your eyes is not severely sagging and has elasticity, the buried suture method is often sufficient. Conversely, even if you are in your fresh 20s, if your eyelid skin is very thick and there is excessive fat, we may recommend the incisional method. ✨

 

 

💡 Conclusion: Ultimately, the most perfect answer is 'the choice that suits my eyes'

It cannot be concluded that either the buried suture method or the incisional method is absolutely superior or better. 🙅

 

Because the buried suture method has its own light and natural charm, while the incisional method has the distinct advantage of a clear and precise correction effect unique to itself.

 

What is truly important is to avoid blindly chasing trendy eye shapes or hearsay about acquaintances or famous celebrities succeeding using a particular method. 🚫

 

You must find the perfect answer that fits exactly your unique eye structure, skin thickness, fat volume, and the balance of the image you ultimately desire. 🎯

 

 

✨ Double eyelid surgery is not simply a procedure of drawing a single line on the eyelid; it is a delicate process that balances the entire eye shape to maximize one's impression and charm. . 👁️✨

 

 

There is no single correct answer to the dilemma of "Should I use the buried suture method or the incision method?"

 

I hope you find skilled medical professionals who can thoroughly analyze your eye condition, undergo sufficient consultation and an accurate diagnosis, and choose the most suitable method to enhance the natural beauty of your eyes. 💕

 

 

 

 

 

View Plastic Surgery Clinic

Director Kim So-young
Master of Medicine, Ewha Womans University College of Medicine
Doctor of Medicine, Sungkyunkwan University College of Medicine Graduate School
Completed residency in Plastic Surgery at Samsung Seoul Hospital
Lifetime member of the Korean Society of Plastic and Reconstructive Surgeons
Regular member of the Korean Society of Aesthetic Plastic Surgery
Regular member of the Anti-aging Research Group of the Korean Society of Plastic and Reconstructive Surgeons
Regular member of the Oculoplastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons
Training in Plastic Surgery at Brigham and Women's Hospital, Harvard Medical School, Boston, USA