Incisional vs Non-Incisional Eyelid Surgery: Which Is Better in Korea?

Double eyelid surgery is one of the most popular cosmetic procedures in Korea, and the two main methods are incisional and non-incisional (also called the suture or stitch method). Each approach offers unique benefits depending on eyelid anatomy, aging, and desired result.

This guide explains the key differences, advantages, and ideal candidates for each method — helping you choose the best option for your goals.

What Is Incisional Double Eyelid Surgery?

The incisional method creates a permanent eyelid crease by removing a small amount of skin, fat, or muscle. It is a more structural and long-lasting technique.

How It Works

• A fine incision is made along the designed crease
• Excess fat or skin is removed (if needed)
• The crease is anchored to the tarsal plate
• Sutures close the incision

Ideal For

• Thick eyelids
• Puffy eyelids
• Droopy or aged eyelids
• Asymmetrical eyelids
• Patients wanting a long-lasting crease
• Those needing ptosis correction

Pros

• Permanent results
• Best for complex eyelid anatomy
• Can fix uneven or asymmetrical eyelids
• Can address sagging and remove excess skin
• Very customizable

Cons

• Longer recovery (1–2 weeks)
• Mild scarring (usually fades well)
• Slightly more swelling initially

What Is Non-Incisional Double Eyelid Surgery?

The non-incisional method uses tiny sutures to create a crease without cutting or removing skin. It is less invasive, quick to heal, and popular among younger patients.

How It Works

• Tiny entry points are made along the crease design
• Sutures are looped to form the eyelid fold
• No skin or fat is removed

Ideal For

• Thin or moderate eyelids
• Young patients (teens to 30s)
• First-time double eyelid surgery
• No sagging or excess skin
• Mild asymmetry

Pros

• Fastest recovery (3–7 days)
• Minimal swelling
• No visible scar
• Reversible or adjustable
• Natural results

Cons

• Less durable for thick or oily eyelids
• Possible loosening of sutures over time
• Not ideal for heavy or droopy eyelids
• Cannot remove fat or skin

Incisional vs Non-Incisional: Side-By-Side Comparison

1. Durability

• Incisional: Permanent
• Non-Incisional: May loosen over years, especially with thick eyelids

2. Recovery Time

• Incisional: 1–2 weeks
• Non-Incisional: 3–7 days

3. Scarring

• Incisional: Fine line that fades well
• Non-Incisional: Virtually no scar

4. Best For Puffy Eyelids

• Incisional: Yes
• Non-Incisional: Not recommended

5. Best For Aging Eyelids

• Incisional: Yes (can remove extra skin)
• Non-Incisional: No

6. Best for Natural Results

Both methods can look natural when expertly done.

7. Reversibility

• Incisional: Difficult
• Non-Incisional: Easily reversible or adjustable

Which One Should You Choose?

Choose Incisional if you:

• Have thick, puffy, or heavy eyelids
• Need ptosis correction
• Want a permanent crease
• Have visible asymmetry
• Want long-term stability
• Are over 30 with mild sagging

Choose Non-Incisional if you:

• Are young (20s–30s)
• Have thin or moderate eyelid thickness
• Don’t have extra skin or droopiness
• Want fast recovery
• Prefer minimal scarring
• Are not ready for permanent change

Korea’s Unique Approach to Eyelid Surgery

Korean surgeons stand out for:

✔ Ultra-precise crease design

✔ Natural Asian-style eyelid shapes

✔ Specialized ptosis correction

✔ High-volume experience

✔ Extremely fine suturing

✔ Scar-minimizing techniques

This is why Korea remains the global leader for double eyelid surgery.

Final Thoughts

Both incisional and non-incisional eyelid surgery offer beautiful, natural results when performed by a skilled Korean eyelid specialist. The best method depends on your eyelid anatomy, age, and desired durability.

Whether you want a subtle crease or a long-lasting structural result, Korea offers some of the most advanced and refined eyelid techniques in the world.