Natural Adhesion Double Eyelid Surgery & Ptosis Correction

Procedure Overview

Eye surgery at AVA Plastic Surgery is fundamentally based on the natural adhesion technique. We create a crease line aligned with skin texture and employ multi-point fixation to reduce the risk of loosening. When ptosis is present, levator muscle shortening and refixation are performed concurrently. The choice among incision, non-incision (adhesion), or partial-incision methods is determined during consultation based on eyelid thickness, skin excess, and muscle strength.

Indications

• Absent or asymmetric double eyelid crease
• Ptosis (eyelid covering the pupil, causing visual obstruction or small-appearing eyes)
• Drooping eyelids that obstruct vision
• Loosening from previous non-incision method → revision surgery
• Scarring or asymmetric crease from previous incision method → revision surgery

Comparison of Methods

※ The most suitable method is determined during consultation based on eyelid thickness, muscle strength, and skin excess.

Recovery Timeline (Individual Variation)

• Days 0–3: Peak swelling and bruising. Cold compresses recommended.
• Days 5–7: Suture removal (incision method). No sutures for non-incision method.
• Weeks 1–2: Return to daily activities possible (sunglasses and makeup recommended).
• Months 1–3: Swelling stabilizes; crease settles into place.
• Months 6–12: Scar color and texture stabilize.

Potential Side Effects & Complications (Disclosure per §56)

• Bilateral asymmetry — Evaluated after swelling subsides; revision may be considered if necessary
• Crease loosening (particularly with non-incision method) — Re-fixation or conversion to incision method may be needed
• Scarring — Temporary redness and texture changes with incision method
• Temporary dry eyes (reduced blinking due to muscle balance changes)
• Visual field changes — Temporary adaptation period after ptosis correction
• Infection, hematoma — Rare, but emergency intervention may be required

Single-Surgeon System (1-Doctor Responsibility)

Consultation, design, surgery, and post-operative care are all handled by Dr. Kim Seungsoo. No subsequent patient schedule begins until the current patient's surgery is complete, and proxy surgery does not occur.

Surgeon — Dr. Kim Seungsoo

• Board-Certified Plastic Surgeon (Medical License 103360, Specialist Certificate 2344)
• Outstanding Paper Award, Korean Burn Society Academic Conference (2017)
• 6 SCI-level academic publications (4 in Archives of Craniofacial Surgery + 2 in Journal of Korean Burn Society; 1 as first author)

Frequently Asked Questions (FAQ)

Q. What if my non-incision double eyelid loosens?

After evaluating the loosening pattern, residual crease, and skin excess, we will recommend the most suitable method among re-adhesion, partial incision, or full incision.

Q. Should I have ptosis correction at the same time?

This is determined based on levator muscle strength testing. If your pupil is covered, causing visual obstruction or less defined eye appearance, concurrent correction is considered.

Q. How long is the recovery?

Non-incision method: 1–2 weeks for social activity. Incision method: 1–3 months for full stabilization (individual variation).

Q. What is the cost?

Cost varies depending on method (non-incision/partial/full incision), presence of ptosis, and whether it is a revision surgery. Pricing is provided during one-on-one consultation. We operate on a transparent, fixed-price system.

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