Which is better: sutured double eyelid or incisional double eyelid surgery?

Thread embedding for double eyelids and incisional double eyelid surgery are two different surgical approaches, primarily determined by individual conditions and needs. Each method has its own advantages and disadvantages and is suitable for different populations.

Thread-embedded double eyelid surgery offers the advantages of simple operation, minimal trauma, and rapid recovery. This method is mainly suitable for young people with relatively thin eyelids, minimal fat, and no significant skin laxity. Due to the minimal surgical trauma, the postoperative recovery period is relatively short, generally taking about two weeks to one month to return to normal, with a natural-looking double eyelid. However, drawbacks of the thread-embedding method include limited indications and risks such as easy loosening of the suture knot and shallowing or narrowing of the upper eyelid crease, which may lead to an unsatisfactory or short-lived surgical outcome.

Incisional double eyelid surgery is suitable for a broader population, especially patients with thick eyelids, fat accumulation, or skin laxity. Through the incision, excess skin, fat, and orbicularis oculi muscle can be removed to create a long-lasting double eyelid. The advantages of incisional surgery include reliable and durable results, but the disadvantages are relatively greater surgical trauma and a longer recovery period, typically requiring suture removal 5–7 days postoperatively, with full recovery taking around 2–3 months.

Regardless of which surgical method is chosen, postoperative care is extremely important. It is essential to follow the doctor's instructions for proper wound care to prevent infection and other complications. Additionally, maintaining healthy lifestyle habits and avoiding excessive fatigue and ocular strain can help sustain the long-term results of the surgery.