Most people who undergo double eyelid surgery want natural-looking results.

Here, I believe that the term “natural” means more than simply looking unartificial. It means looking as though you were born with naturally defined double eyelids.

Ultimately, I believe that the surgical technique that can best achieve this natural appearance is the ideal one. So, what conditions should an ideal double eyelid surgery meet?

There are four key requirements:

1. The scars should be invisible.
2. The crease should form and disappear naturally when opening and closing the eyes.
3. The results should last as long as possible.
4. The desired eyelid shape should be achievable.

In short, I believe there are four essential conditions.

Among these, the first and second requirements—minimal scarring and natural eyelid movement—can be achieved through the buried suture technique (non-incisional method).

Commonly referred to as the “non-incisional” or “natural adhesion” technique, these procedures all fall into this category.

With the buried suture technique, scars become almost invisible over time. The crease disappears when the eyes are closed and forms naturally when the eyes are open.

Furthermore, when the eyelid skin condition and underlying anatomy are suitable, the desired crease shape can be maintained stably for a very long time.

Before surgery (left)	2 months after surgery (right) — Almost no visible surgical scars

For these reasons, I consider the buried suture technique to be the most ideal method of double eyelid surgery.

Of course, this technique has clear limitations, including the possibility of the crease loosening over time and the fact that the desired shape may not be achievable depending on the condition of the eyelid skin.

Therefore, it is an ideal surgical option for patients whose eyelid characteristics are suitable and whose results are expected to remain stable over time.

 

 

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* This post was written by Dr. Kwang-rae Kang, Director of Sai Plastic Surgery, with his own text and illustrations, for the purpose of providing medical information in compliance with Article 56(1) of the Korean Medical Service Act.