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Incision Double Eyelid
Excess fat and muscle are precisely addressed to create a crisp, well-defined crease. Even thick or sagging eyelids can be corrected into a refreshed, open-eyed look with no concern about the crease loosening over time.
Quick Facts
| Procedure | Incision Double Eyelid · Incision Method |
|---|---|
| Surgeon | Dr. Kim Seungsoo (Board-certified Plastic Surgeon, 10+ yrs) |
| Time | 1 hour |
| Anesthesia | IV Sedation / Local |
| Hospitalization | Not required |
| Stitch Removal | 5–7 days post-op |
| Follow-up Visits | 2–3 visits |
| Recovery | From 1 week post-op |
| Best For | Thick eyelid skin with significant fat deposits · Pronounced eyelid sagging requiring skin excision · Ptosis correction needed in conjunction with double eyelid surgery · Desire for a permanent, secure crease with no risk of loosening · Revision surgery required |
In-Line
The crease begins inside the epicanthal fold and gradually widens toward the outer corner, giving a natural, inner-fold look
In-Out Line
The crease starts just at the outer edge of the epicanthal fold and extends outward in a clean, open line — the most popular style among East Asian patients
Semi-Out Line
The starting point sits slightly higher than the In-Out Line, lending a more defined and polished look without feeling overdone
Out-Line
The crease begins outside the epicanthal fold and runs parallel to the lid margin, creating a bold, Western-inspired look
Check Point Highly Recommended For
Incision Double Eyelid Procedure
Precise Design
The ideal crease line is designed by analysing the individual's eyelid thickness, fat distribution, and degree of sagging.
Incision and Removal
An incision is made along the designed line, and any excess fat, muscle, and redundant skin are carefully removed.
Line Fixation
The skin is directly connected to the levator palpebrae superioris to create a well-defined crease with minimal risk of loosening.
Fine Closure
Meticulous micro-suturing minimises scarring and delivers a natural, sharp eyelid contour.
5 Cases Where the Incision Method Is Recommended
The incision method goes beyond simply creating a crease — it is the standard solution when combined procedures are needed. It is the appropriate choice for cases that cannot be resolved with Natural Adhesion alone.
Sagging Eyelid Skin
Patients with sagging eyelid skin. Excess skin is excised at the same time as the crease is formed. Natural Adhesion can only set the crease; it cannot address sagging skin.
Naturally Thin Upper Eyelid Skin
Where the skin that folds when the crease forms does not thicken — patients with inherently thin upper eyelid skin. This is actually an ideal case for the incision method, producing a very clean, well-defined crease.
Asymmetric Lid-Opening Strength (Ptosis)
Where there is a marked difference in levator muscle strength between the two eyes. Incision-based ptosis correction allows precise bilateral adjustment and maximises outcome. For ptosis of 1 mm or more, the incision method is essential.
Significant Scarring from Previous Surgery
Where existing scar tissue is thick or the crease looks unnatural. Scar tissue is carefully dissected and a clean new crease is formed. Natural Adhesion cannot address pre-existing scar tissue.
Lowering an Existing Crease
Where the current crease is too high and needs to be lowered. The incision method releases the existing adhesion line and forms a new, lower crease.
Procedures That Can Be Combined With the Incision Method
One of the greatest advantages of the incision method is the ability to perform combined procedures precisely, under direct visualisation, at the correct anatomical layer.
Eye Surgery Procedures — At a Glance
The right method depends on lid thickness, sagging, eye proportion, and revision needs.
| Procedure | Area | Time | Anesthesia | Recovery | Key Technique |
|---|---|---|---|---|---|
| Natural Adhesion Double Eyelid Natural Adhesion | Upper eyelid (double-fold line) | 30 minutes | IV Sedation / Local | From day 3–4 | Micro-tunnel + natural adhesion |
| Incision Double Eyelid Incision Method | Upper eyelid (skin/muscle/fat) | 1 hour | IV Sedation / Local | From 1 week post-op | Incision + tissue trim + line fixation |
| Canthoplasty Canthoplasty | Medial / lateral / lower canthus | 30 minutes | Local / IV Sedation | From 1 week post-op | CPF anchoring + skin redraping |
| Ptosis Correction Ptosis Correction | Upper eyelid (levator muscle) | 1 hour | IV Sedation | From 1 week post-op | Levator strengthening |
| Under-Eye Fat Repositioning Under Eye Fat Repositioning | Lower eyelid (conjunctiva/fat) | 30 minutes – 1 hour | IV Sedation | From 1 week post-op | Conjunctival fat repositioning |
| Revision Eye Surgery Revision Eye Surgery | Eye revision | 1–2 hours | IV Sedation | 2 weeks or more | Adhesion release + redesign |
Click a row to open that procedure.
The AVA Difference
Natural Adhesion Technique
Tissue is repositioned along natural planes and secured at multiple points.
Designed to reduce loosening and align with the patient's intrinsic contour.
Levator Aponeurosis Ptosis Correction
Ptosis is addressed by shortening and refixing the levator aponeurosis,
restoring natural eyelid flow.
Patient Satisfaction Defines Completion
Surgery is complete not when sutures are removed,
but when the patient smiles in front of the mirror.
Q&A
Post-op Instructions
- Do not rub the surgical area strongly for about a week.
- Avoid alcohol and smoking for at least 2 weeks as they delay recovery.
- Swelling and bruising vary individually but will gradually improve.
- Light walking or stretching helps reduce swelling.
Curious About This Procedure?
Our head surgeon provides a one-on-one assessment and a tailored treatment plan just for you. Results and recovery may vary by individual.