Can I still get double eyelid surgery after having buried sutures?

Apr 08, 2025 Source: Cainiu Health
Disease description:

A few years ago, I had sutured double eyelid surgery, but the current results are not very satisfactory—the eyelids have become loose, and the crease is no longer distinct. I would like to undergo incisional double eyelid surgery to improve the appearance. I would like to ask whether it's still possible to have incisional double eyelid surgery after having had the suture method previously?

Doctor's answer (1)
Dr. Wang Shuai

Buried suture technique can usually also be used for creating double eyelids. It is important to undergo the procedure at a reputable hospital with proper operation by a qualified physician.

Double eyelid surgery using the buried suture method is a minimally invasive procedure that forms a crease in the eyelid by implanting special sutures within the eyelid. This type of surgery is associated with minimal trauma and quick recovery, but the results may not be as long-lasting as those achieved with the incisional method.

In contrast, incisional blepharoplasty creates double eyelids by making incisions on the eyelids, removing excess skin and fat, and then suturing to form the eyelid fold. This method provides more stable and long-lasting results. When the outcome of the buried suture technique becomes unsatisfactory, it is entirely possible to reshape the double eyelids via the incisional method (i.e., double eyelid blepharoplasty). Incisional double eyelid surgery allows more precise adjustment of the eye tissues, creating a durable and distinct eyelid crease, especially suitable for cases requiring correction or improvement of results from the buried suture technique.

It is generally recommended to wait at least 6 months to 1 year to allow full recovery of the eye tissues before considering a secondary surgery, which can reduce the risk of complications. A comprehensive eye examination should be conducted before surgery to assess ocular health.