Buried-Suture Double Eyelid - SM Plastic Surgery

Buried-Suture Double Eyelid (Buried-Suture Double Eyelid)

The buried-suture double eyelid fixes the line with thread, without cutting. It suits thin lids and recovery tends to be quick. We also cover how it differs from the incisional method, and how the line holds.

Buried-Suture Double Eyelid, In short?

The buried-suture method creates a crease by connecting and fixing the skin to the tarsal plate with fine thread, without cutting the eyelid skin. With no incision, swelling tends to be lighter and recovery quicker, and there is almost no visible scar. It suits thin lids with little skin or fat, and adjusting the line or, if needed, revising it is comparatively straightforward. Over time, however, the fixation can loosen and the line fade or come undone, so the method is better chosen after assessing lid thickness, fat volume and the strength of eye opening in detail.

Source: SM Plastic Surgery Lee Mooyoung Director (board-certified plastic surgeon, clinical experience 24 years)

Key Facts

Procedure timeApprox. 20-30 minutes
Anesthesia MethodLocal / sedation
Return to daily lifeAfter 3–5 days
Suture RemovalDepends on the fixation method
Follow-up visits1–2 times

Procedure Information

Treatment Area: Eyes

Procedure Type: Surgical procedure

Attending Physician: Director Lee Mooyoung

SM's approach

Frequently Asked Questions

How do the buried-suture and incisional methods differ?

The buried-suture method fixes the line with thread without cutting the lid; swelling is light, recovery tends to be quick, and there is almost no visible scar. The incisional method opens the skin, refines fat and skin, then fixes the line, suiting thick lids.

How long does a buried-suture crease hold?

How long it holds differs with lid thickness, how the eyes are habitually opened and the fixation method. Over time the thread can loosen and the line fade or come undone; adjustment or revision is then comparatively straightforward.

What kind of eyes does the buried-suture method suit?

It suits thin lids with little skin or fat and no pronounced sagging. Where the lid is thick or fat plentiful, natural adhesion or incision may suit better, so the decision follows a detailed assessment.

What are swelling and recovery like after buried-suture double-eyelid surgery?

With no incision, swelling is comparatively light and the return to daily life tends to be quick, though the swelling and how the line settles vary from person to person. Settling into a natural line can take time.

Can ptosis correction be combined with the buried-suture method too?

Where ptosis with weak eye opening is present, combining ptosis correction by the buried method can be considered. Which method suits varies with the degree of ptosis, so the decision follows a detailed assessment.

Consultation guide

Phone: +82-2-537-3707

Location: 9F, 435 Gangnam-daero, Seocho-gu, Seoul, Republic of Korea (Gangnam Station)

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