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Asian Blepharoplasty: Incisional VS Non-Incisional

According to A Modified Double Eyelid Plastic Surgery Method: Continuous Buried Suture Method Accompanied by Simultaneous Correction of Mild Blepharoptosis by Chi Juan Ma, Feng Lu & Lincoln Liu (2018) Only about 50% of Asians are born with a double eyelid, and double-eyelid blepharoplasty is one of the most commonly performed and most popular surgical procedures in Asia.

From an aesthetic point of view, a person with a double eyelid appears to have larger and brighter eyes and be full of energy. Currently, the two types of blepharoplastic procedures are the incision and non-incisional methods.


This is a procedure that involves making incisions into the skin in order to create a crease on the upper lids to achieve bright eyes and a natural appearance. It is employed when the patient is seeking permanent results or needs to have some fat and skin removed.


In the beginning, the upper eyelids are examined and carefully measured for the design to be marked.

Next, proceeds to administer a local anaesthetic and IV sedation, or general anaesthesia.

After that, surgeons will start by making an incision alongside the upper lid. When they get access to the underlying tissues, the surgeon removes excess fat, tissue and muscle to create a crease. This technique can also be used to: Treat droopy eyelids by getting rid of excess skin that affects vision, change the shape of eyes or create a double eyelid line.

When the procedure is over, the wound will be closed with stitches.

There are many patients who prefer this procedure due to its benefits such as getting rid of bulging fats, extra skin, scarring not very visible & natural looking eyelids. But the down side would be it takes longer to heal, greater swelling & non-reversible.


Non-incisional Double Eyelid Surgery is a procedure originated from South Korea, that does not involve making incisions into the skin. Instead, it creates tiny holes on the upper eyelid. It is also called the suture technique, non-incisional method, or scarless method.


The procedure is performed with IV sedation or general anaesthesia is used to put the patient to sleep and keep them relaxed or if patients prefer the local anaesthesia is also feasible while they are awake through the surgery.

With that, the eyelid skin is marked with the design.

Next, the surgeon makes several holes in the upper eyelid in order to place the stitches and manipulate them in such a way that they can create the coveted double eyelid crease.

These non-surgical procedures are perfect for people with thin lids who don't have extra fats or loose skin, don't want to go the surgical route or would like to have a double eyelid procedure whose outcomes are reversible.


There is no definitive answer to this question because both surgery methods have their uses. Everyone is different and have unique facial features, which is the recommended procedure for each individual will not always be the same.

The incision method has better adjustment effects in terms of double eyelid formation and correction of blepharoptosis; however, tissue removal and vascular and lymphatic reflux issues may result in a long recovery period. Though uncommon, there is still the possibility of scar formation which is one key consideration for most patients.

The non-incisional method is one of the most popular aesthetic surgical procedures among young people in Asia. For both physicians and patients, a short operation time, rapid recovery period, and better aesthetic effects are the common goals, but considerable limitations remain in the application.

In conclusion, only an experienced surgeon with sufficient knowledge & experience will be able to effectively guide their patients through the process & get a personalised treatment plan that fits them best.


A Modified Double Eyelid Plastic Surgery Method: Continuous Buried Suture Method Accompanied by Simultaneous Correction of Mild Blepharoptosis by Chi Juan Ma, Feng Lu & Lincoln Liu (2018)

DOUBLE EYELID SURGERY IN SINGAPORE published by Allure Plastic Surgery

Incisional vs Non-incisional Double Eyelid Surgery - Pros and Cons published on SHENS CLINIC

Simultaneous Double Eyelid Blepharoplasty and Ptosis Correction with a Single-Knot, Continuous, Nonincisional Technique: A Five-Year Review by Jung-Woo Hu, MD; Jun Hee Byeon, MD, PhD; and Hyung-Sup Shim, MD, PhD (2015)


Learn the 5 Points Stable Fixation Technique to create natural crease and non-incisional Ptosis correction with Buried Sutures in our upcoming Advanced Asian Blepharoplasty Mini Fellowship:

IFAAS Mini Fellowship (Observation)

Korean Advanced Facial Aesthetic Surgeries:

Advanced Asian Blepharoplasty

December 13-14, 2022 - Seoul, South Korea - [Register Now]


More Upcoming Aesthetic Trainings Happening Globally


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