Double-eyelid surgery

Start with the crease you want to understand

Double-eyelid surgery creates or refines the fold in the upper lid. The Korean term 쌍꺼풀 수술 refers to crease surgery; it does not automatically mean removal of excess skin or correction of a weak eyelid-lifting muscle.

Face Plus describes two principal methods: a buried-suture technique and an incisional technique. A consultation should explain the recommended method in relation to your tissue and goals, rather than treating the name of a technique as a quality grade.

Incisional or non-incisional?

The suture method creates the fold through fixation with sutures. The incisional method uses an incision to form the crease and can address tissue as part of the surgical plan. Ask whether the proposed crease can be achieved without removing skin, and what could cause it to weaken or change.

Bring reference images to explain your preferences, then discuss crease height, visible fold shape and differences between your eyes. A photograph of another person is a communication aid, not a promised result.

Get the operation described precisely

Ask for a written explanation of whether the proposal includes crease creation alone, skin removal, ptosis correction or an eye-corner procedure. Those labels describe different interventions. The operating surgeon should explain the purpose, additional risks and alternatives for each proposed component.

Your consultation questions

Keep the wider picture in view

This guide supports a conversation with a qualified clinician. It cannot diagnose an eyelid condition or establish which treatment is suitable for you.

What does “non-incisional” actually mean?

A non-incisional crease operation still uses surgical sutures. It should not be confused with a nonsurgical skin treatment. Ask where the sutures are placed, whether they remain, and what would happen if the fold weakens or irritation develops. An incisional approach gives access to underlying tissue and may allow excess skin to be addressed.

Terms such as natural adhesion, partial incision or permanent crease do not replace an explanation of the actual technique. Ask the surgeon to draw the intended fold and describe the trade-offs in your own case.

How to discuss before-and-after photographs

Ask to see the surgeon’s own cases with a starting eyelid shape similar to yours. Check which procedures were combined and when the after-photograph was taken. Images taken during early swelling should not be compared with settled results as if they represent the same stage.

Use photographs to discuss fold visibility with the eyes open and closed, crease height and differences between the two sides. They are a useful conversation aid, but cannot establish that you will heal in the same way.