Buried-Suture Double Eyelid - SM Plastic Surgery

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 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.

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.

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.

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.

It often shows up as the line becoming shallower than before, fading on one side only, or not forming clearly when you open your eyes. With the non-incisional method the thread fixation can loosen over time, which is why such changes can occur. If you notice a change in the line, it is best to visit so the fixation can be checked.

Because the non-incisional method involves no incision, adjusting the line or repeating surgery is relatively straightforward, and depending on your eyes it may be redone with the same method. That said, eyelid thickness, fat volume, and the state of the previous fixation sometimes make the incisional or natural adhesion method more suitable. We decide after reviewing both your previous surgical history and your current condition.

The number and position of fixation points are designed individually after analyzing eyelid thickness, fat volume, and eye-opening strength, so they are not set in advance. The fixation approach itself can also differ depending on the condition of the eyes. We explain how the fixation will be done after examining your eyes at consultation.

Whether stitches need to be removed depends on the fixation method, so it cannot be answered uniformly even for the non-incisional approach. We generally guide patients to visit about one to two times after surgery, and if removal is needed you come in on that schedule. Once the method is decided, we explain the visit schedule as well.

We generally guide patients to return to daily life after about 3 to 5 days, but exercise that causes heavy sweating or strain in the face is better postponed until the swelling has gone down. Recovery speed varies from person to person, so we judge by the condition of your eyes rather than a set date. We advise on when and at what intensity you can resume while following your progress.

Because no incision is made, swelling tends to be relatively mild, but you should avoid rubbing or pressing the eyes hard until the fixation settles. When and how to wash your face and hair depends on the method used and your recovery, so we advise while following your progress. Please feel free to ask at your visit.

The non-incisional method suits thin eyelids with little skin and fat, so with abundant fat the line may not form well or may be hard to maintain. In such cases we also consider the incisional or natural adhesion method, which allow fat and skin to be trimmed. We advise on the right method after checking eyelid thickness and fat volume directly.

Putting in contact lenses requires touching and everting the eyelid, so it is better to wait until the fixation and swelling have settled. When it becomes possible depends on how recovery progresses, so we cannot give a fixed date. We advise on the timing after checking your progress at a visit.

The non-incisional method causes relatively little tissue damage and makes line adjustment comparatively easy, but whether it can be repeated is judged after checking the previous fixation and the state of the eyelids. If the eyelids are thick or traces of an earlier line remain, another method may be more suitable. Telling us when and how your previous surgery was done helps the consultation.

The non-incisional method connects the skin to the tarsal plate with threads, so a habit of rubbing the eyes hard can strain the fixation. Since the fixation can loosen over time with this method, it is especially important to avoid rubbing during recovery. If you mention such habits at consultation, we take them into account when choosing the method.