
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.

01
Buried Suture

02
Partial Incision

03
Full Incision

PIAF CLINIC
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

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

Step 01
Line Design
Mark the desired height and shape of the line while the eyes are open.

→Step 02
Fixation Point Marking
Determine 3-5 fixation points along the line while the eyes are closed.

→Step 03
Thread Fixation
Insert fine thread through the marked points to connect the skin and muscle.

→Step 04
Line Completion
Bury the thread knots under the skin and check for an even line.
PIAF Buried Suture Method Advantages
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

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

Step 01
Line Design
Determine the height and shape of the line while the eyes are open.

→Step 02
Incision and Fixation Marking
Mark small incision sites and fixation points while the eyes are closed.

→Step 03
Fat Adjustment
Adjust the necessary amount of fat through small incisions to create thickness.

→Step 04
Fixation and Suturing
Suture the incision sites and fix the remaining area with thread to complete the line.
PIAF Partial Incision Advantages
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

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

Step 01
Incision Line Design
Determine the position of the line and the width of skin to be removed, then draw the incision line.

→Step 02
Skin and Fat Adjustment
Open the skin along the incision line and adjust excess fat and sagging tissue.

→Step 03
Muscle Fixation and Suturing
Fix the skin to the muscles that lift the eyes, then suture precisely along the line.

→Step 04
Line Completion
After suture removal, the swelling subsides and the line settles.
PIAF Full Incision Method Advantages
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 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

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