An In-depth Analysis of Various Types of Double Eyelid Surgery!

Hello.

This is VIBE Plastic Surgery.

Although we live in a society where communication is centered online and through non-face-to-face interactions rather than meeting in person,

the eyes remain one of the most important factors in determining one’s appearance and impression today.

As the demand for eye shapes that can create a clearer, more vivid, and positive image increases,

interest in double eyelid surgery is also rising.

Double eyelid surgery and ptosis correction each have different purposes and improvement methods,

and the necessary or appropriate surgical method varies for each individual.

Let’s take a look at these various types of double eyelid surgery.

There are two main types of double eyelid surgery:

the incisional method and the non-incisional method.

What is Non-Incisional?

As the name suggests, non-incisional means avoiding incisions as much as possible,

performing the surgery by only creating small holes.

In the past, this method was also called the ‘buried method’ (suture method).

Nowadays, it is often performed using the term ‘natural adhesion’.

What is Incisional?

This is the double eyelid surgery method we commonly know that involves a skin incision.

Compared to the non-incisional method, the incisional method has almost no chance of the double eyelid line loosening,

and it can create a more definite and distinct line.

‘Buried Method VS Natural Adhesion: What is the difference?’

The buried method is one of the ways to perform surgery using small holes.

Threads are used to create the double eyelid, and because the knots made by those threads are well ‘buried’,

the term ‘buried method’ is used.

Natural adhesion is similar in that the surgery is performed through small holes.

However, it refers to a double eyelid surgery method where some tissue is removed through those small holes

to further strengthen the adhesive force and ensure the line is maintained better.

‘Types of Incisional Methods & Differences’

Partial Incision

The partial incision method is a middle ground between the non-incisional and full incisional methods.

Like most non-incisional methods, it is performed through small holes,

but an incision is made in only a portion of the line.

The reason for this is that fat can be removed through that opening,

and it can also play a role in preventing the line from loosening by creating additional adhesive force.

Full Incision

The incisional method involves making an incision along the line where the double eyelid is to be created,

removing underlying tissue and fat, and then directly fixing the line.

Those sensitive to scarring may prefer the non-incisional method even if their eyes require an incision.

Some want the buried or natural adhesion method because they saw someone else get an incisional surgery that left severe scarring.

Conversely, some want an incision from the start after hearing about cases where the buried or natural adhesion method completely loosened.

Everyone has different preferred surgical methods.

Therefore, it is best to decide after a thorough consultation with medical staff, focusing on what you prioritize—whether it is the permanence of the line or the visibility of the scar—while considering the condition of your eyes to determine which method will yield the best results.

There was a time when the goal of the incisional method was simply to ensure it never loosened.

Back then, everything inside was removed cleanly and the double eyelid was pressed down firmly

to create a rigid line that would never come undone.

Because of that, scarring was a major issue in the past.

However, nowadays, there are many surgical techniques that pay close attention to scarring even with the incisional method.

There are many cases with excellent scarring results without that ‘pressed’ look,

so you do not need to worry too much about scars.

In the case of the buried method, you can think of the adhesive force as being created by a ‘line’.

In the case of the incisional method, because the area is opened, tissue is removed, and fixation is done using threads,

you can think of the adhesion as being created by a ‘surface’.

Since there is a difference in adhesive strength between what is created by a line versus a surface,

there is a perception that the incisional method is more permanent and lasts longer.

However, even with the buried method, if your eyes are a good candidate,

strong adhesion can be created, so there are cases where you don’t have to worry about it loosening.

‘Natural Adhesion (Buried) VS Incision/Partial Incision: Case-by-Case Check’

Natural Adhesion (Buried) Type

• Thin eyelids with minimal sagging
• Desire for a natural double eyelid line
• Minimal eyelid fat
• Desire for a quick recovery

Incisional Method Type

• Thick eyelid skin and significant fat
• Severe sagging of the eyelid skin
• Revision surgery is required
• Moderate to severe ptosis symptoms

As such, because there are various eye types and surgical methods for double eyelid surgery,

it is essential to plan a method suitable for each individual’s eye structure and condition

based on the precise diagnostic expertise of medical staff with extensive surgical know-how.

VIBE Plastic Surgery offers:

• A 1:1 dedicated system with board-certified plastic surgeons possessing rich expertise!
• CCTV installed in all operating rooms, consultation rooms, and recovery rooms!
• A private, one-person management system!
• An aftercare system to assist with rapid recovery!