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.


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.

Benefits of Double Eyelid Surgery:
• Sharper and more defined eye shape
• Corrects sleepy eyelid appearance
• Makes the eyes appear larger and brighter

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


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



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

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?

✅ 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?

✅ 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.
