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2026-11-06

What Is Non-Incisional Upper Blepharoplasty? From Procedure to Ideal Candidates

Overview of non-incisional upper blepharoplasty: how it creates a double eyelid crease and removes eyelid fat through small openings, who it suits, and what to check before surgery.

What Is Non-Incisional Upper Blepharoplasty? From Procedure to Ideal Candidates

Hello, this is Samsao Plastic Surgery Clinic.

If your eyelids look thick or you feel a heavy, stuffy sensation when opening your eyes, upper blepharoplasty may be worth considering. This is especially true when excess eyelid fat makes your eyes look heavy. Many people assume that removing fat requires cutting the skin.

What Is Non-Incisional Upper Blepharoplasty? From Procedure to Ideal Candidates
Banner for 345 Plastic Surgery's non-incisional upper eyelid surgery: "Puffy, heavy eyelids made lighter, without an incision!"

However, depending on the degree of skin laxity and the amount of fat in the eyelids, a non-incisional upper blepharoplasty that avoids a long skin incision may also be an option.

Today, we'll look at Samsao Plastic Surgery Clinic's non-incisional upper blepharoplasty, including the procedure itself, who it suits best, and what to check before surgery.

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Is an incision always needed? Sagging skin and puffy fat can make eyes look heavy; both are weighed when choosing non-incisional surgery.

Does Upper Blepharoplasty Always Require an Incision?

As we age, the skin of the eyelids loses elasticity and fat becomes more prominent, which can make the eyes look heavy and tired. Eyelid skin laxity refers to skin sagging to the point that it covers the eyelid crease, while puffy eyelid fat refers to a bulging appearance caused by fat. The most suitable procedure depends on the cause. If skin laxity is not severe, a non-incisional upper blepharoplasty may be considered.

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How non-incisional upper eyelid surgery works: make small suture holes, remove some fat if needed, then form the double eyelid line.

What Is Non-Incisional Upper Blepharoplasty?

Non-incisional upper blepharoplasty creates a double eyelid crease through tiny openings where the sutures are buried, without making a long incision in the eyelid skin. If needed, part of the eyelid fat can also be removed through these openings to improve puffy, heavy-looking eyes. Its key feature is that fat removal can be combined with a reduced skin incision.

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Recommended for those with puffy eyelid fat, mild sagging, incision concerns, or who want a natural crease while keeping their eye shape.

Non-incisional upper blepharoplasty is recommended for people who:

✔ Have excess eyelid fat that makes their eyes look puffy and heavy

✔ Have mild eyelid skin laxity

✔ Feel uneasy about a longer skin incision

✔ Want a natural-looking double eyelid crease

✔ Want to keep their existing eye shape while improving a heavy, tired look

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Eyelid diagnosis checks three things: skin sagging, amount and position of fat, and eye-opening strength, to choose a suitable method.

Non-incisional upper blepharoplasty is not simply about removing fat or creating a crease. What matters most is a comprehensive assessment of each patient's eyelid condition. We check the degree of skin laxity and the amount and location of fat, then plan the most suitable procedure by considering eye-opening strength and existing eye shape.

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Before and after: non-incisional upper eyelid surgery at 1 month; with brow lift and lower eyelid surgery at 5 months. Results vary.

Looking at cases from Samsao Plastic Surgery Clinic, patients whose eyes looked puffy and heavy before surgery showed a more defined and natural-looking appearance afterward.

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345's promises: the surgeon calls the day after surgery, three resident anesthesiologists, and viewable operating-room CCTV.

When it comes to eye surgery, it's important to check not only the procedure itself but also the safety management system before and after surgery. Samsao Plastic Surgery Clinic operates a system to closely monitor each patient's condition, from pre-surgery diagnosis through recovery. After surgery, we check each patient's recovery progress, provide necessary aftercare instructions, and work to ensure systematic follow-up care.

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Dr. Park Jong-joo, plastic surgery specialist from Seoul National University: "Natural change begins with eye surgery that suits you."

Puffy, heavy-looking eyelids don't necessarily require a long skin incision. If skin laxity is mild and eyelid fat is the main concern, non-incisional upper blepharoplasty may be considered to improve the eye area. However, because eyelid thickness, fat volume, skin elasticity, and eye-opening function vary from person to person, the surgical approach must be tailored to each individual.

If you are concerned about puffy eyelids and a heavy-looking eye area, we encourage you to visit Samsao Plastic Surgery Clinic for an accurate evaluation and find out which eye procedure is right for you 💛

Thank you 😊


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Frequently Asked Questions

What is non-incisional upper blepharoplasty?

Non-incisional upper blepharoplasty is a procedure that creates a double eyelid crease through tiny openings where the sutures are buried, without making a long incision in the eyelid skin. If needed, part of the eyelid fat can be removed through these openings to improve puffy, heavy-looking eyes.

Who is a good candidate for non-incisional upper blepharoplasty?

Recommended candidates include people with excess eyelid fat that makes their eyes look puffy and heavy, and those with mild skin laxity. It may also suit people who feel uneasy about a longer skin incision, want a natural-looking double eyelid crease, or wish to improve a tired look while keeping their existing eye shape.

What is checked before non-incisional upper blepharoplasty?

Before surgery, we check the degree of eyelid skin laxity, the amount and location of fat, eye-opening strength, and existing eye shape. Because eyelid thickness, fat volume, skin elasticity, and eye-opening function differ from person to person, the surgical approach must be tailored accordingly.

What are the features of non-incisional upper blepharoplasty?

Its main feature is that fat removal can be combined with a reduced skin incision. It can be considered when skin laxity is mild, and the procedure is determined through an individual evaluation.

Is it a good option for those who want a natural-looking double eyelid crease?

Yes. Those who want a natural double eyelid crease are also listed as suitable candidates for non-incisional upper blepharoplasty. However, the procedure is determined only after a diagnosis of the eyelid condition.

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