Incision vs Nonincision: Which One Is Right for Your Double Eyelid Surgery?

2025-04-24

Noonopi Plastic Surgery · Dr. Nk Park

Incision vs Nonincision: Which One Is Right for Your Double Eyelid Surgery?

Double eyelid surgery is one of the most popular cosmetic procedures in Asians, designed to enhance the appearance of the eyes.
In this post, we’ll compare the two main methods—non-incisional vs incisional double eyelid surgery—to help you find the right option for your needs.

Comparison of Incisional double eyelid surgery and Non-incisional

Feature of Incisional double eyelid surgery vs Non-incisional

comparision of double eyelid between incision and non-incision

Double eyelid surgery: Left is Before, Right is After

What Is Double Eyelid Surgery?

A double eyelid is a crease that forms when the skin folds as you open your eyes, created by the connection between the eyelid skin and the eye opening muscle(levator). Double eyelid surgery (also known as blepharoplasty) artificially creates this crease.

Anatomic difference of mono lids and double eyelids

What makes double eyelid? : green dotted circle

Benefits of Double Eyelid Surgery:

• Sharper and more defined eye shape
• Corrects sleepy eyelid appearance
• Makes the eyes appear larger and brighter

before and after photos of double eyelid surgery in Korea

Monolid vs Double eyelid comparison

Non-Incisional vs Incisional Double Eyelid Surgery

Non-Incisional Double Eyelid (Buried Suture Method)

✅ No skin cutting – small sutures are used to form the crease
✅ Fast recovery with minimal scarring
✅ Ideal for those with thin skin and no sagging
✅ Can loosen over time

non incisional double eyelid before after

Timeline change of non incisional methods

how non-incisional double eyelid works

With small hole(3 point in this picture), thread are inserted to make a crease

Incisional Double Eyelid (Open Technique)

✅ Involves an incision and optional removal of fat/muscle
✅ Long-lasting, defined results
✅ Suitable for thick or sagging eyelids
✅ Requires longer downtime and may leave a scar

incisional double eyelid before after

Timeline change of incisional methods

double eyelid before after by Korean plastic surgeon

Incisional methods becomes natural within a month

how incisional double eyelid works

1. Incise pre-planned level
2. Remove some tissues
3. Just beneath the skin tissue is tied to SAJT(this tissue moves upwards during the eye opening)

Types of Eyelid Crease Designs

double eyelid types in Korea

Various double eyelid types

There are three popular double eyelid designs:

Inline

  • Subtle and natural (e.g., Suzy)

In–Out Line

  • Moderate fold, elegant look (e.g., Jisoo from BLACKPINK)

Semi-Outline

  • Most glamorous (e.g., Kim Yuna, Jang Wonyoung)

When Is Non-Incisional Best?

non incisional blepharoplasty before after

Eyes suitable for non incisional blepharoplasty

✅ Thin eyelid skin with no sagging
✅ Strong natural eye-opening strength
✅ Easily forms creases naturally
✅ Slightly prominent eye globe (protrusion)

When Is Incisional Method Recommended?

double fold incisional method before after

Eyes suitable for incisional double fold technique

✅ Thick eyelids or excess fat
✅ Significant skin sagging
✅ Sleepy eyelid or ptosis requiring correction
✅ Revision surgery or long-term durability needed

Recovery and Post-Op Care

• Non-incisional: Swelling subsides in 3–5 days
• Incisional: Full recovery takes 1–2 weeks


💡 Tips:
Avoid rubbing the eyes early
Apply cold compresses for swelling

"Incision vs Nonincision should be planned with your individual anatomy, goals, and recovery process in mind."

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Individual results may vary.
All medical procedures carry potential risks, side effects, and complications.
Please consult a qualified medical professional.