Representative image of double eyelid surgery

Natural lines that suit your eyes

Double Eyelid

PIAF's double eyelid surgery first examines the thickness of the eyelid, amount of fat, and eye characteristics.We propose the most suitable method among the Buried Suture Method, Partial Incision, and Full Incision Methodto achieve a long-lasting line with minimal signs of surgery.

Buried Suture Method double eyelid index

01

Buried Suture

Partial Incision double eyelid index

02

Partial Incision

Full Incision Method double eyelid index

03

Full Incision

Close-up of double eyelid line

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Before the method, consider your eye conditions

Double Eyelid Surgery

Even the same double eyelid requires different methods depending on eyelid conditions.

Double eyelid surgery creates a crease line when the eyes are opened by forming a connection between the eyelid skin and the muscles that lift the eyes. For eyes with thin skin and little fat, the line can be maintained with the Buried Suture Method, which uses only sutures. However, eyes with more fat or sagging skin may require partial or full incisions. At PIAF, we assess eyelid thickness, fat amount, skin elasticity, and the distance between the eyes to determine the most suitable method among the Buried Suture Method, Partial Incision, and Full Incision Method through consultation. Results and recovery speed may vary by individual.

Natural and distinct line

Buried Suture Method

Surgery TimeAbout 30 minutes
Anesthesia MethodLocal/Sedation Anesthesia
Suture RemovalNone
Recovery PeriodAbout 2-3 days
Buried Suture Method double eyelid illustration — fixation points and thread on eyelid

The Buried Suture Method is a technique that creates a line by tying the eyelid skin to the underlying muscles and fascia at several points using fine sutures without making an incision. Since no fat or skin is removed, the manipulation range is small, and there is no suture removal process, resulting in relatively quick recovery. It is mainly considered for those with thin eyelids and little fat, but there is a possibility of the line fading depending on eyelid conditions, which will be explained during consultation.

PIAF Buried Suture Method Procedure

Line Design

Step 01

Line Design

Mark the desired height and shape of the line while the eyes are open.

Fixation Point Marking

→Step 02

Fixation Point Marking

Determine 3-5 fixation points along the line while the eyes are closed.

Thread Fixation

→Step 03

Thread Fixation

Insert fine thread through the marked points to connect the skin and muscle.

Line Completion

→Step 04

Line Completion

Bury the thread knots under the skin and check for an even line.

PIAF Buried Suture Method Advantages

Short surgery time of about 30 minutes
Reduced scar burden without incision
Quick recovery without suture removal
Relatively fast return to daily life

PIAF Buried Suture Method Recommended for

  • Thin eyelids with little fat and minimal sagging
  • Desire for a distinct line without incision
  • Need for quick return to daily activities post-surgery
  • Hesitant about eye surgery due to concerns about incision

Sturdy line with reduced risk of loosening

Partial Incision

Surgery TimeAbout 30 minutes
Anesthesia MethodLocal/Sedation Anesthesia
Suture Removal6-7 days after
Recovery PeriodAbout 1 week
Partial Incision double eyelid illustration — small incision for fat adjustment

The Partial Incision Method is a technique that involves making small incisions of a few millimeters along the line to remove the necessary amount of fat, while the remaining area is fixed with sutures like the Buried Suture Method. The incision range is small, reducing swelling and scar burden compared to full incision, while providing additional fixation strength for eyes where the line is difficult to maintain with the Buried Suture Method alone. It is considered for those with somewhat more eyelid fat.

PIAF Partial Incision Procedure

Line Design

Step 01

Line Design

Determine the height and shape of the line while the eyes are open.

Incision and Fixation Marking

→Step 02

Incision and Fixation Marking

Mark small incision sites and fixation points while the eyes are closed.

Fat Adjustment

→Step 03

Fat Adjustment

Adjust the necessary amount of fat through small incisions to create thickness.

Fixation and Suturing

→Step 04

Fixation and Suturing

Suture the incision sites and fix the remaining area with thread to complete the line.

PIAF Partial Incision Advantages

Combines advantages of Buried Suture and Incision
Reduces risk of line loosening
Small incisions reduce swelling and scar burden
Can simultaneously adjust eyelid fat

PIAF Partial Incision Recommended for

  • Experience of line loosening after Buried Suture Method surgery
  • Thick eyelids due to excess fat
  • Desire for a natural line with reduced risk of loosening
  • Concerned about full incision surgery

Naturally inconspicuous

Full Incision Method

Surgery TimeAbout 40 minutes
Anesthesia MethodLocal/Sedation Anesthesia
Suture Removal7 days after
Recovery PeriodAbout 2-3 weeks
Full Incision Method double eyelid illustration — sutured along the line

The Full Incision Method is a technique that involves making an incision along the line, removing excess skin and fat, and directly fixing the skin to the muscles that lift the eyes to create a line. The line is clear and has good durability, making it suitable for conditions like sagging skin or thick eyelids that are difficult to address with the Buried Suture Method. The incision line is designed to be within the line so that it is not noticeable when the eyes are open.

PIAF Full Incision Method Procedure

Incision Line Design

Step 01

Incision Line Design

Determine the position of the line and the width of skin to be removed, then draw the incision line.

Skin and Fat Adjustment

→Step 02

Skin and Fat Adjustment

Open the skin along the incision line and adjust excess fat and sagging tissue.

Muscle Fixation and Suturing

→Step 03

Muscle Fixation and Suturing

Fix the skin to the muscles that lift the eyes, then suture precisely along the line.

Line Completion

→Step 04

Line Completion

After suture removal, the swelling subsides and the line settles.

PIAF Full Incision Method Advantages

Surgery time of about 40 minutes
Incision line within the line
Clear and long-lasting line
Simultaneous adjustment of sagging skin and fat

PIAF Full Incision Method Recommended for

  • Experience of line loosening after previous double eyelid surgery
  • Thick eyelids due to excess fat
  • Noticeable sagging of eyelid skin
  • Desire for a clear, long-lasting line

Minimize signs of surgery, maximize line longevityPIAF Clinic's Double Eyelid Surgery Principles

Analyzing eyelid thickness, fat amount, and skin elasticity

Pre-surgery Eye Condition Analysis

Designing line height and shape to match facial proportions and eye spacing

Line Height and Shape Design

Addressing only necessary areas

Minimal Manipulation Principle

Guidance from suture removal to swelling management

Recovery Stage Guidance

PIAF Clinic's double eyelid surgery principles

PIAF analyzes each individual's eyes firstto propose the necessary surgical method.

  • Facial Proportion Analysis
  • Eye Corner Angle Analysis
  • Eye Spacing Analysis
  • Eyelid Fat and Thickness Analysis
Eye analysis consultation image

PIAF Double Eyelid Surgery Precautions

  1. 01/Swelling may occur for a few days post-surgery, and the rate of subsidence varies by individual.
  2. 02/Avoid rubbing or touching your eyes for 2-3 days post-surgery.
  3. 03/Refrain from alcohol and smoking for about 4 weeks before and after surgery.
  4. 04/Bruising, swelling, and bleeding may occur depending on the individual. Contact the clinic if unusual symptoms persist.

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Frequently asked questions

FAQ

Q.How do I decide between the Buried Suture Method and the Full Incision Method?
It depends on the thickness of the eyelid, amount of fat, and degree of skin sagging. The Buried Suture Method is considered for thin eyelids with little fat, while the Partial Incision or Full Incision Method is considered for eyelids with more fat or sagging. The decision is made together after assessing the eye condition during consultation.
Q.Can the line from the Buried Suture Method loosen?
Since it is a method that uses only sutures, the line may fade or loosen over time depending on eyelid conditions. In such cases, the Partial Incision or Full Incision Method can be used to supplement, and the possibility is explained during consultation.
Q.Will there be any scars?
For methods requiring incisions, the incision line is designed to be within the line so that it is not noticeable when the eyes are open. However, the degree of scarring and recovery speed vary depending on individual skin characteristics.

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Explore More Eye Surgeries

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Perfectionist PIAF

What makes PIAF different

Only the surgery you need

We assess your condition and suggest only the necessary scope.

Proven techniques + experience

Well-established methods, refined by experience.

Aesthetics and function together

We consider both a natural look and functional improvement.

Minimal scarring, smooth recovery

Careful guidance from incision and suturing through recovery.

Consultation

Considering Double Eyelid?

Methods and results may vary by individual. Find the right approach for you in a one-on-one consultation.

Consultation inquiries

02-420-8883

Instagram @piafclinic

Clinic hours

Mon · Tue · Thu · Fri10:30 - 20:00
Wednesday10:30 - 19:00
Saturday10:30 - 16:30
Lunch break13:00 - 14:00
Sunday · Public holidaysClosed

Directions

1F-101, 82 Olympic-ro, Songpa-gu, Seoul, Korea

5 min walk from Jamsil Station (Line 2) · Parking available in the building

PIAF Clinic is a premium plastic surgery and dermatology clinic in Jamsil, Seoul. We specialize in anti-aging facelifts, eye surgery, and personalized aesthetic care.

PIAF Clinic · 1F-101, 82 Olympic-ro, Songpa-gu, Seoul, Korea · Main phone 02-420-8883

Listed prices include VAT and may change after consultation depending on the treatment area and scope. Model photos are staged images, and the director and space photos are actual photos.