Which is better for double eyelid surgery: incision or buried suture?

May 08, 2025 Source: Cainiu Health
Disease description:

I want to have double eyelid surgery and am undecided between incision and suture techniques. I'm not sure which one is better. Which method produces a more natural appearance and longer-lasting results? Which one has a quicker recovery and lower risk?

Doctor's answer (1)
Dr. Wang Shuai

Both incision and suture methods for double eyelid surgery have their own advantages and disadvantages, and the choice should be made based on individual circumstances and the advice of a professional doctor.

The incision method involves making a surgical cut on the upper eyelid to remove excess fat or skin, and then attaching the eyelid to the tarsal plate at the desired height to create a double eyelid crease. This method is suitable for individuals with loose eyelids, excessive fat deposits, or noticeable excess skin. Its advantages include the ability to address multiple eye concerns, such as puffiness and sagging, with long-lasting and adjustable results. However, the recovery period is relatively longer, and there may be slight scarring, requiring some time before the final natural appearance is achieved.

The suture method offers advantages such as minimal trauma, rapid recovery, and no need for suture removal. It is particularly suitable for younger patients who have good eyelid conditions, thin eyelids, and no signs of looseness or excessive fat. However, its disadvantages include the possibility that the created eyelid fold may not be stable and could become shallower or disappear over time. Additionally, it may not yield satisfactory results for individuals with less ideal eyelid conditions.

When choosing a method for double eyelid surgery, patients should fully understand their own eyelid characteristics, communicate thoroughly with their doctor, and make a decision based on professional advice and personal needs to select the most appropriate surgical approach.