The Buried Suture Method

Unlike the incision method or the partial incision method, the buried suture method is a procedure that involves constructing a double eyelid via a short operation, without the need for cutting. As a knife is not used in the procedure, no scarring occurs and a natural double eyelid crease can be created. Also, as post-operative swelling is minimal, it is possible to return to normal, everyday life a very short while after the procedure. Those partaking of double eyelid surgery for the first time, those who are not fond of the idea of going under the knife, and those for whom taking an extended holiday from school or work is not possible should contact us to discuss this method of treatment.
Duration of Surgery 20-30 minutes
Period of swelling following surgery2-3 days
Recovery period2-5 days
Hospital visits following surgeryFor postoperative examination, 1-2 visits are necessary
CostBoth eyes: \105,000~157,500
One eye: \52,500~78,750
※Removal of buried thread: \21,000 (per thread)

The buried suture method - Surgery stages

1: A bougie is used to design the perfect double eyelid crease line. The areas where the sutures will go (2-6 points) are marked.
2: The rear of the eyelid is anesthetized. The application of eye drops ensures no pain is experienced.
3: The needle is passed through the eyelid from the rear.
4: Following the design line, the skin is secured to the upper part of the tarsal plate.
5: The thread is secured subcutaneously.

The buried suture method - Case photos


The Incision Method

This is a method to create a double eyelid by making an incision along the line of the double eyelid. Amongst the techniques to form the double eyelid, this is the method that allows the creation of the most stable lines and patients can relatively freely decide their shapes. It is also possible to ablate fat or muscles at the same time, which makes this method very suitable for those who have a lot of fat in their eyelid or those with puffy eyes.
With this method, patients are able to see a big change in the expression of their eyelids or eyes. Procedures for eyelid drooping and incision of the inner canthus (formation of the inner corner of the eye) or surgery for lower eyelid and outer corner of the eye at the same time are available.
Duration of Surgery ~1 hour
Period of swelling following surgery1 week
Recovery periodRemoval of sutures after 1 week, and a few weeks until recovery
Hospital visits following surgery1-3 visits (including removal of sutures)

The incision method - Surgery details

1: Operation on the eyelid along the designed incision line
2: An ablation is performed in case of surplus skin
3: Ablation of the excess of fat tissue and the orbicularis oculi muscle of the pretarsal
4: The tarsal and skin are subcutaneously fixed at various places
5: The skin is carefully sutured with 8-0 nylon

The incision method - Case photos


The Partial Incision Method

This is a method to create a double eyelid line by making incisions of 3-5mm at 1 to 3 places on the desired eyelid line, and suturing the skin and the tarsal or the levator aponeurosis.
Duration of Surgery 30-50 minutes
Period of swelling following surgery2-3 days
Recovery period3-5 days
Hospital visits following surgeryRemoval of sutures 1 week after surgery and re-examination 1 month after

The partial incision method - Surgery details

This is a method to create a double eyelid line by making a partial incision on the eyelid. The double eyelid line will be decided during counseling and small incisions of 3-5mm will be made at 1 to 3 places on the line. From there on, the excess of fat or muscle tissue will be ablated. The double eyelid line will then be created suturing the tarsal or the skin and the levator aponeurosis.

Scars from this surgery are small and don’t stand out as they are on top of the eyelid line. Sutures can be removed around an hour after the operation.
The procedure takes around 30 to 50 minutes and is not painful since ophtalmic and local anesthesia are used.
Where incisions are made in the partial incision method and internal processing
Usually, incisions of around 3mm are made at 3 places. The orbicularis oculi muscle or excess of fat tissue are then removed, and finally, the tarsal and the skin are fixed.