Rebeauty

2026-06-20

Is Incisional Double Eyelid Surgery Good for a First Procedure?

Considering incisional double eyelid surgery for your first time? Learn why it might be the best choice for lasting results, fat removal, and correcting sagging eyelids.

Is Incisional Double Eyelid Surgery Good for a First Procedure?

Hello~ This is Gangnam Seoyeon Plastic Surgery :)

What comes to mind when you think of Gangnam Seoyeon?

Double eyelid surgery? A one-doctor clinic? Dual-plane incision? Dr. Choi Dong-il?

Various words might have popped into your head~

Among them, many of you likely thought of eye revision surgery.


However... we also perform many first-time surgeries :)

Prospective first-time surgery patients, raise your hands!

You might be feeling overwhelmed by the various surgical methods available.


Those who have been interested in double eyelid surgery for a while probably know at least this much:

‘I heard there are the buried method and the incisional method?’

Ding-dong-dang!

That is correct~


Double eyelid surgery is broadly divided into:

Incisional Method vs. Non-incisional Method (Buried / Natural Adhesion)

It is categorized this way :)


Today, I am going to talk about the incisional method.

Occasionally, there are first-time patients who say things like this:

‘I heard the buried method is better than incision for the first surgery.’ ‘Won’t an incision leave a scar?’

Not at all!

Throw away the prejudice that non-incisional is better than incisional for a first surgery!

Both methods have their own pros and cons :)


I was recommended the incisional method...

‘Is there a specific target for this surgery?’
‘Were you flustered because you were recommended the incisional method for your first surgery? There are people who will get the best results specifically through the incisional method!’
Those with a lot of fat in their eyelids

For these individuals, there is a very high possibility that the double eyelid will loosen if done with a non-incisional method :(

It would be very upsetting if the crease came undone after going through the trouble of surgery, right?

In addition to those with a lot of fat, the incisional method is suitable for those with high elasticity or tough skin.

Compared to non-incisional methods, the incisional method allows for the appropriate removal of fat or muscle~

Those who want a double eyelid that is unlikely to loosen

Although it has the disadvantage of a slower recovery compared to non-incisional methods, the incisional method rarely results in the crease loosening!

Those with severe eyelid sagging

There are occasionally people like this.

Those whose eyelids have sagged due to using double eyelid tape or glue since they were young.

For saggy eyes like these, an incisional surgery must be used to achieve a beautiful double eyelid :)

If the sagging skin is not removed, it could result in ‘sausage eyes’ or a straight-line crease :(

Those with sunken eyes

Solutions for those with sunken eyes include upper eyelid fat grafting or incisional double eyelid surgery~

Because the incisional method allows the surgeon to see the inside of the eye directly during surgery, a more precise procedure is possible.

‘I heard incision can only create an out-line...’

That is not true!

An incisional method does not unconditionally result in an out-line :)

Thin creases, like hidden double eyelids, are also possible, so do not worry!

‘Won’t an incision leave a scar?’

While it is true that the incisional method has a slower recovery compared to the non-incisional method,

Gangnam Seoyeon minimizes scarring through the surgery of skilled medical staff.


Just as everyone looks different,

the amount of fat, orbicularis oculi muscle, and pre-tarsal tissue that needs to be removed is different for everyone.


Because every patient who visits has different eyes, it is important to provide a diagnosis that fits them. Gangnam Seoyeon provides the best results by carefully diagnosing every patient who visits. The details explained today are regarding incisional double eyelid surgery~ Please note that ptosis correction or canthoplasty are often performed together!

Gangnam Seoyeon Plastic Surgery Clinic complies with medical laws. The photos in this post were taken under the same conditions and are images taken with the patient’s prior consent. Additionally, side effects such as bleeding, infection, and inflammation may occur after plastic surgery and procedures depending on the individual, so caution is required.

- Single-Doctor System with a Board-Certified Plastic Surgeon

- Accurately identifies eye condition / recommends only necessary surgeries

- Equipped with operating room CCTV

Feel free to visit and receive a

1:1 consultation with a plastic surgery specialist :)

If you have any questions or would like a consultation,

please leave a comment, contact us on KakaoTalk Plus Friend @SeoyeonPlasticSurgery,

or call us at 02-535-8889 :)

#GangnamSeoyeonPlasticSurgery #GangnamSeoyeon #SeoyeonPlasticSurgery #IncisionalDoubleEyelid #IncisionalMethod #FirstDoubleEyelidSurgery #BuriedMethod #DoubleEyelidSurgeryReview #ChoiDongIl #DirectorChoiDongIl

Frequently Asked Questions

Should the first double eyelid surgery always be done with the buried suture method?

No, depending on the individual's eye condition, the incisional method may be more suitable even for the first surgery. If there is a lot of fat in the eyelids, thick skin, or severe eyelid sagging, the incisional method should be used instead of the buried suture method to reduce the possibility of the double eyelid coming undone and create a beautiful line.

Does double eyelid surgery using the incisional method prevent the double eyelid from coming undone easily?

Yes, the incisional method has the advantage that the double eyelid does not come undone as easily compared to non-incisional methods. During the surgery, fat can be appropriately removed or muscles can be excised, making it a recommended surgical method for those who want a firm double eyelid line that is unlikely to come undone.

My eyelids have sagged due to the use of double eyelid tape; do I need the incisional method?

Yes, if eyelid sagging is severe, the incisional method is necessary. If surgery is performed without removing the sagging skin, it can result in 'sausage eyes' or an unnatural straight double eyelid shape. Therefore, it is necessary to appropriately remove the stretched skin through incision to achieve natural and beautiful double eyelids.

Does incisional double eyelid surgery always result in a thick out-line?

No, the incisional method does not necessarily mean that only an out-line will be designed. Depending on the patient's preference and eye condition, it is entirely possible to perform the surgery with a thin and natural line, like an in-line, so you don't have to worry.

Does the incisional method leave a lot of scars and have a slow recovery?

It is true that recovery is somewhat slower compared to non-incisional methods. However, if a skilled specialist accurately diagnoses the individual's eye condition (amount of fat, muscle, tissue, etc.) and performs the surgery meticulously, scarring can be minimized.

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