Incisional Double Eyelid Surgery: Pros and Cons
Incisional Double Eyelid Surgery: Pros and Cons
Incisional double eyelid surgery is one of the most established techniques used to create a defined eyelid crease. In Korea, it is widely chosen for its durability, versatility, and ability to address complex eyelid structures. However, like any surgical procedure, it comes with both benefits and limitations.
Understanding the pros and cons can help patients make an informed decision.
What Is Incisional Double Eyelid Surgery?
Incisional double eyelid surgery involves making a precise incision along the upper eyelid crease. Through this incision, the surgeon can adjust skin, fat, and muscle to create a stable and well-defined fold.
This method allows for greater structural correction compared to non-incisional techniques.
Pros of Incisional Double Eyelid Surgery
1. Long-Lasting Results
One of the biggest advantages is durability. Incisional surgery typically provides permanent or very long-term crease stability, making it less likely for the fold to loosen over time.
2. Suitable for Most Eye Types
This method works well for:
- Thick eyelid skin
- Excess eyelid fat
- Sagging or loose skin
- Patients with mild to moderate ptosis
It is often recommended when non-incisional methods are not suitable.
3. Greater Customization
Surgeons can precisely control:
- Crease height
- Crease shape (parallel or tapered)
- Symmetry between both eyes
This flexibility allows for more individualized results.
4. Ability to Combine Procedures
Incisional surgery allows simultaneous correction of:
- Eyelid drooping (ptosis repair)
- Excess fat or muscle removal
- Asymmetry correction
This makes it ideal for patients needing more than simple crease creation.
5. Predictable Outcomes
Because the crease is surgically formed and secured, results tend to be more consistent and predictable, especially in complex cases.
Cons of Incisional Double Eyelid Surgery
1. Longer Recovery Period
Swelling and bruising typically last longer compared to non-incisional methods. While daily activities can resume relatively quickly, final results may take several weeks to fully settle.
2. Temporary Scarring
An incision means there will be a scar, though:
- It is usually hidden within the crease
- It often fades significantly over time
Proper technique and aftercare are essential for optimal scar healing.
3. More Invasive Than Suture Methods
Incisional surgery involves deeper tissue manipulation, which can result in:
- Increased initial swelling
- Slightly higher discomfort during recovery
However, this is also what allows for stronger, longer-lasting results.
4. Not Ideal for Patients Wanting Minimal Downtime
Patients seeking the fastest possible recovery or a reversible option may find non-incisional techniques more suitable.
Who Is a Good Candidate?
Incisional double eyelid surgery is generally recommended for:
- Patients with thick or heavy eyelids
- Individuals with excess skin or fat
- Older patients experiencing eyelid laxity
- Those seeking permanent results
- Patients needing revision surgery
A thorough consultation is necessary to determine suitability.
Final Thoughts
Incisional double eyelid surgery offers durability, precision, and versatility, making it a preferred option for many patients in Korea. While it requires a longer recovery period and involves an incision, the long-term stability and customization it provides often outweigh these drawbacks.
Choosing an experienced surgeon and undergoing proper evaluation are key factors in achieving natural, balanced results.




