2026-05-18
Complete Guide to Double Eyelid Surgery: Comparing Non-Incision, Suture Burial, Natural Adhesion, and Incision Methods
Double eyelid surgery is divided into non-incision and incision methods. Non-incision includes suture burial technique and natural adhesion technique, while incision includes partial and full incision. Suture burial fixes the line with thread, while natural adhesion complements adhesion strength by organizing tissue. Incision method maintains high durability through surface-type adhesion by removing fat and tissue. Selection criteria vary depending on whether you prioritize durability or scar mi


Hello, this is Vibe Plastic Surgery :)
If you're considering double eyelid surgery,
you'll hear terms like natural adhesion, incision, non-incision,
and with so many surgical methods available,
many people feel confused about which one
is right for them.
In fact, at Yeoksam Plastic Surgery Vibe,
during double eyelid consultations, we often find
that patients are curious about the differences between surgical methods.
Today, we'll help you understand the often-confusing
double eyelid surgery methods in an easy-to-follow way 💜
👀 What are the different double eyelid surgery methods?

Double eyelid surgery can be divided into two main approaches:
📍 Non-Incision Double Eyelid Surgery
This method creates a double eyelid line using thread through small holes without making large skin incisions. Previously, this was commonly called "suture burial," but recently the term "natural adhesion" has also been used.
Many patients who come for consultation at Yeoksam Plastic Surgery Vibe are curious about the difference between suture burial and natural adhesion. Basically, you can understand both as non-incision methods that create a line without incision :)
📍 Incision Double Eyelid Surgery
On the other hand, incision double eyelid surgery involves making an incision along the double eyelid line, removing skin or fat, and then creating the line.
⭐ Suture Burial vs. Natural Adhesion: What's the Difference?

📍 Suture Burial Method
The suture burial method is a non-incision surgery that creates a double eyelid line using thread through small holes. The name "suture burial" comes from the fact that the knots created when forming the double eyelid line are buried under the skin for fixation.

📍 Natural Adhesion
While it's similar to the suture burial method in that surgery is performed through small holes, the natural adhesion method is enhanced by organizing some tissue to improve adhesion between eyelid tissues. Many patients who come for consultation at Yeoksam Plastic Surgery Vibe are curious about the difference between suture burial and natural adhesion. Both methods are non-incision double eyelid surgeries performed without incision. The natural adhesion method enhances adhesion strength to improve line retention, so you can think of it as an improved version of the suture burial method :)
💉 How is Incision Double Eyelid Surgery Different?

📍 Partial Incision
This method falls between non-incision and full incision, performed through small holes or short incisions. Through these openings, unnecessary fat is partially removed and tissue adhesion is reinforced to help prevent the double eyelid line from loosening. Many patients at Yeoksam Plastic Surgery Vibe's consultation are concerned about the durability of non-incision but hesitant about full incision, making partial incision a popular choice :)

📍 Full Incision
This method creates an incision line along the double eyelid line, removes unnecessary fat and tissue underneath, and then directly fixes the line. This is recommended at Yeoksam Plastic Surgery Vibe for cases where the eyelid skin is thick or there's significant fat, or when you want a more defined and stable line.
❓ Do different people prefer different double eyelid surgery methods?!

Some people sensitive to scars prefer non-incision even when their eyes require incision.
👉 Ultimately, the selection criteria depend on:
☑️ Whether durable results that don't loosen are important
☑️ Whether minimizing scars is important


However, with recent advances in incision techniques,
✨ scars often become barely noticeable or
✨ recovery occurs naturally in many cases.
At Yeoksam Plastic Surgery Vibe's consultation,
some patients who were initially concerned about scarring
choose the incision method after thorough explanation 😊
Scarring varies depending on individual skin condition, eyelid thickness, revision surgery status, and so on. Some cases show barely visible scars while others may have more visible ones, and this differs from person to person :)
🪡 Is it true that suture burial often comes loose?

The natural adhesion (suture burial) method creates multiple small holes through which thread passes and is fixed, forming line-type adhesion.

On the other hand, the incision method directly opens the area, removes unnecessary tissue, and then fixes the line, creating surface-type adhesion.
👉 Due to this difference,
✔️ The incision method is generally known to provide higher durability and longer-lasting results
However, natural adhesion (suture burial) also
✔️ When the eye condition is suitable and the method is chosen properly,
✔️ Can provide stable and reliable adhesion
In fact, at Yeoksam Plastic Surgery Vibe's consultation,
the method is chosen based on eye condition, and
when applied to appropriate cases, non-incision methods can
achieve fully satisfactory results :)
Since each double eyelid surgery method has its own characteristics and pros and cons,
rather than saying one is better than another,
the right choice for your individual eye condition and
desired outcome is most important.
At Yeoksam Plastic Surgery Vibe,
we guide patients through sufficient consultation,
so please visit us for a comfortable consultation 😊
*Please refer to the video below :)




Frequently Asked Questions
What is the difference between non-incision and incision double eyelid surgery?
Non-incision creates a double eyelid line using thread through small holes without cutting the skin. Incision, on the other hand, cuts along the line, removes fat or tissue, and directly forms and fixes the line.
How are suture burial and natural adhesion different?
Both methods are non-incision double eyelid surgeries performed without incision. Suture burial buries the thread knots under the skin for fixation, while natural adhesion improves adhesion strength by organizing some tissue to enhance adhesion between eyelid tissues.
When should partial incision be considered?
It's considered when you're concerned about the durability of non-incision but hesitant about full incision. Through small holes or short incisions, unnecessary fat is partially removed and tissue adhesion is reinforced to help prevent the double eyelid line from loosening.
When is incision double eyelid surgery more suitable?
It's more suitable when the eyelid skin is thick or there's significant fat. It's also recommended when you want a more defined and stable line.
Is it true that suture burial often comes loose?
The incision method is generally known to form surface-type adhesion, providing higher durability. However, natural adhesion (suture burial) can provide stable and reliable adhesion when the eye condition is suitable and the method is properly chosen.
How do you choose which double eyelid surgery method?
Selection criteria depend on whether durable results that don't loosen or scar minimization is more important. The right choice varies based on individual eye condition and desired outcome, so sufficient consultation is recommended.