2026-06-04
Incisional vs. Non-Incisional Double Eyelid Surgery: Differences and How to Choose the Right Eye Surgery for You
When considering double eyelid surgery, the first dilemma you face is choosing between the incisional and non-incisional methods. The appropriate surgical technique varies depending on eyelid thickness, fat volume, and the degree of skin sagging. In this article, we will explore the characteristics and advantages of each surgery, as well as how to find the line design that suits you best.
Incisional vs. Non-Incisional Double Eyelid Surgery: What is the Difference?
For those who have decided to undergo double eyelid surgery, choosing the surgical method is often the biggest dilemma. Many find themselves torn between the non-incisional method, commonly known as the 'buried suture method,' and the 'incisional method.' To get straight to the point, rather than one method being 'better' than the other, there is simply a method that is 'more suitable' for your specific eye condition.
Eye surgery plans change completely depending on the thickness of the eyelids, the amount of fat, skin elasticity, and the desired size of the eyes. At 345 Plastic Surgery, we closely analyze each individual's anatomical characteristics to suggest the best approach for achieving the most natural results.
Characteristics and Recommended Candidates for Each Surgical Method
The two surgical methods have distinct differences, from the approach to the recovery period. You can use the comparison table below to gauge which method might be right for you.
| Category | Incisional Double Eyelid Surgery | Non-Incisional Double Eyelid Surgery |
|---|---|---|
| Surgical Method | Incising the skin to fix the line | Fixing the line through micro-holes using sutures |
| Skin Sagging | Can remove sagging skin | Cannot remove skin |
| Fat Removal | Easy to remove a large amount of fat | Limited fat removal |
| Recovery Period | Relatively long (gradual recovery) | Fast (easy return to daily life) |
1. Incisional Double Eyelid Surgery: Clear and Firm Lines
The incisional method involves making a direct incision in the skin to remove unnecessary fat, sagging muscles, and skin tissue before creating the double eyelid line. It is recommended for those with thick eyelids, a puffy appearance due to excess fat, or those who need ptosis (drooping eyelid) correction due to weak eye-opening muscles. A major advantage is that the line does not easily loosen and has high durability.
2. Non-Incisional Double Eyelid Surgery: Naturalness Without the Burden of Scars
The non-incisional method creates the line by tying sutures through small holes without making a large incision in the skin. It is highly preferred by busy professionals and students because there is almost no concern about scarring, and the swelling subsides quickly. You can expect the most satisfying results when this method is applied to eyes with thin skin and minimal sagging.
Types of Lines That Determine the Vibe of Your Eyes
The design is just as important as the surgical method. Double eyelid lines are divided into three types depending on the starting point of the line in relation to the inner corner of the eye.
- In-line: The front part of the line is hidden, giving the most natural look.
- In-out line: The line starts naturally at the front and gradually widens towards the back. It is the most popular and widely preferred design.
- Out-line: The line is exposed from the starting point, creating a glamorous, distinct, and Western-style eye shape.
Achieving Refreshing Eyes with Canthoplasty
When double eyelid surgery alone cannot resolve a stuffy or closed-off appearance, canthoplasty is often performed in parallel. This is not simply about increasing the horizontal and vertical length of the eyes, but rather a process of exposing hidden areas to softly improve your overall impression.
- Epicanthoplasty (Front Canthoplasty): Alleviates the Mongolian fold (epicanthal fold at the inner corner of the eye) to open up the eyes for a refreshing look.
- Lateral/Lower Canthoplasty: Adjusts the angle of the outer corner of the eye or expands the posterior space to adjust the overall size of the eye.
Checklist for Safe Eye Surgery
Since the eyes are a core element in determining first impressions, a careful approach is necessary. Rather than simply following trends, you should choose a design that harmonizes with your facial features through thorough consultation with an experienced specialist. Enhancing your natural charm while compensating for flaws, rather than making excessive changes, leads to the best recovery and satisfaction.
345 Plastic Surgery conducts precise diagnoses for a personalized 'Custom FIT' and prioritizes stable results over unreasonable surgical plans. If you are curious about which surgical method is right for your eyes, we recommend visiting our clinic in person for a consultation.
