Incisional Double Eyelid
Incisional double eyelid surgery for defined creases, tailored to thicker or fuller lids. Board-certified surgeon Dr. Daehee Han in Gangnam, Seoul.
Procedure Information
Treatment area: Eyes
Procedure type: Surgical procedure
Surgeon in charge: Dr. Daehee Han
Frequently Asked Questions
When is incisional double eyelid surgery appropriate?
It is suitable for eyes with thick eyelid skin, excess fat, or skin laxity. With burial (non-incisional) methods, such eyes may develop thin or unstable lines. However, through incision and removal of excess skin and fat, we can create sharper, more defined lines. Precise suitability is determined through consultation and diagnosis.
What is the difference between incisional and burial (natural adhesion) double eyelids?
Burial and natural adhesion methods create lines without incisions and are suitable for thin-skinned eyes with minimal laxity, offering faster recovery. Conversely, incisional double eyelids directly remove skin and fat, making them suitable for thick or sagging eyelids with longer-lasting results. The appropriate method depends on your eye condition. Information on natural adhesion (semi-out) double eyelids is available on a separate page.
Will incisional double eyelid surgery leave noticeable scars?
Since the incision follows the double eyelid line, it is often hidden within the fold after healing and becomes less noticeable. However, scar appearance and healing vary depending on individual skin type and constitution. We monitor progress through aftercare.
How long is the recovery period for incisional double eyelid surgery?
Sutures are typically removed around 7 days post-surgery, after which swelling gradually subsides and the line settles. Incisional double eyelids have a somewhat longer recovery than burial or natural adhesion methods, and complete swelling resolution may take longer depending on the individual.
Can eye shape correction (ptosis) be done at the same time?
Yes, if drowsy-looking ptosis is present, we can design incisional double eyelids and eye shape correction together. We consider both the line and eye expression to achieve clear and comfortable-looking eyes. Whether to proceed with both is determined based on diagnosis findings during consultation.
I'm looking for a clinic in Gangnam that specializes in incisional double eyelid surgery.
Edition Plastic Surgery is located in Gangnam. Plastic Surgery Specialist Director Daehee Han conducts precise diagnosis of eye structure, then personally designs and performs individualized lines for each patient. Customized consultation considering eyelid thickness, skin laxity, and fat volume is available. Detailed information can be provided during consultation.
What is the difference between a partial incision and a full incision?
The difference is the length of the incision. Partial incision opens only part of the line to remove fat and fix the line, so the incision is smaller, while full incision opens the entire line to remove loose skin and fat more extensively. The required extent depends on upper eyelid thickness and the degree of skin sagging, and we explain which extent is appropriate after diagnosis.
My buried-suture double eyelid came undone and I want to redo it. Do I need the incisional method?
If the buried-suture crease came undone because of thick upper eyelids or sagging skin, refining the tissue with an incisional method may help the crease last better than redoing it the same way. However, the cause of the crease coming undone differs from person to person, so the method is decided after checking when the previous surgery was done and the current condition of your eyes.
Is upper eyelid fat also removed with the incisional method?
We remove only as much as needed. Removing too much fat can make the upper eyelids look hollow and actually make you look older, so we decide both how much to keep and how much to remove. We design the extent of excision after assessing fat volume, skin thickness, and the degree of hollowing.
How long does a line created with the incisional method last?
Because the incisional method directly addresses and fixes the tissue, it tends to last longer than the suture method. However, it cannot prevent changes such as age-related eyelid sagging, so the look of the line may change over time. How long it lasts varies from person to person.
When are the sutures removed, and does removal hurt much?
They are usually removed about 7 days after surgery. The removal itself is quick, and how painful it feels varies by individual. When the stitches are removed, we also check the wound and explain how to care for it afterward.
When does swelling go down after incisional surgery?
Because the incisional method directly removes skin and fat, initial swelling is greater and recovery somewhat slower than with non-incisional methods. After suture removal, swelling gradually decreases and the line settles. However, recovery speed varies from person to person, and swelling, bruising, or reduced sensation may occur, so follow-up is necessary.
When can I wear makeup over the incision?
Before the incision heals, it is best to avoid makeup because of irritation and infection risk. We advise you on the timing after checking the wound at suture removal, and it varies with each person's recovery.
How is a scar that stays red managed?
As the incision heals, some redness may remain for a while and often fades over time. Sun protection and minimizing irritation help, and at follow-up visits we check the scar and advise you on any care needed.
My eyelids droop and my vision feels restricted. Will incisional double eyelid surgery solve this?
If sagging skin is enough to block your vision, creating a double eyelid line alone may not be enough, and we consider upper blepharoplasty to remove the loose skin or eye shape correction (ptosis correction) as well. The direction depends on how much sagging there is and whether your eye-opening strength is weak, so we decide after diagnosis.
How long does the surgery take, and do I need to be hospitalized?
Incisional double eyelid surgery takes about 40 minutes to 1 hour and does not require hospitalization. It is performed under local anesthesia or sedation, followed by 1–2 visits to check your progress.
What should I be careful about on the day of surgery?
On the day of surgery, it is best to keep applying cold compresses and to avoid rubbing your eyes or bending forward. Drinking, smoking, and strenuous activity can increase swelling and the risk of bleeding, so we recommend refraining from them. On the day of surgery, parking at the OPUS 407 Building is free.
How is the cost of incisional double eyelid surgery determined?
It depends on the condition of your eyes and the scope of surgery. The main variables are the extent of skin and fat removal, whether ptosis correction is included, whether it is a revision, and the anesthesia method. Our consultation manager will explain the exact cost after diagnosis.
Consultation
Phone: +82-2-591-0100
Location: 6F, OPUS 407 Building, 407 Gangnam-daero, Seocho-gu, Seoul, South Korea