How do I choose between incisional and non-incisional methods for eyelid surgery? What are the key differences in terms of suitability, results, recovery time, and long-term effects? I’d appreciate advice on how factors like skin type, eyelid thickness, and desired outcomes influence the decision. Personal experiences or recommendations for clinics or surgeons who can provide detailed consultations would also be helpful!
Hi,
Great question! I recently faced the same dilemma when deciding on double eyelid surgery in Seoul, so I can share what I learned during my consultations.
The non-incisional method (suture technique) is ideal if you have minimal eyelid fat or excess skin. It’s a less invasive option where small sutures are used to create the crease without cutting. I was told it’s perfect for younger people or those with thinner eyelids because it offers a natural look and has a much quicker recovery time—about 1 to 2 weeks. However, the results might not last as long, especially if you have thicker eyelids or lead an active lifestyle.
On the other hand, the incisional method is more suitable for those with heavier eyelids, excess skin, or fat that needs to be removed. It’s a bit more invasive since it involves cutting and reshaping the eyelid, but the results are permanent and highly customizable. The trade-off is a longer recovery period (3–4 weeks for most swelling to go down), but it’s the best option if you’re looking for a defined, long-lasting crease.
I ultimately went with the incisional method because I had some droopiness that the surgeon recommended addressing. The process was smooth, and while the recovery took longer, I’m thrilled with the results—they look natural and fit my face perfectly.
If you’re unsure, I’d recommend consulting with an experienced surgeon. They’ll evaluate your eyelid structure and recommend the best option for your goals. Don’t rush the decision; take your time to explore what works best for you! 
Deciding between incisional and non-incisional eyelid surgery depends on factors such as your eyelid anatomy, skin type, age, and desired results. The non-incisional method, often referred to as the suture technique, is ideal for individuals with thin eyelids, minimal excess skin, and no significant fat deposits. It’s less invasive, leaves no visible scars, and has a quicker recovery time of about 1–2 weeks. However, the results may not be as long-lasting, particularly for those with thicker skin or more active lifestyles. On the other hand, the incisional method is a more permanent solution, suitable for those with thicker eyelids, excess skin, or fat that needs to be removed or reshaped. It allows for greater customization of the eyelid shape and crease but involves a longer recovery period of 3–4 weeks and the possibility of visible scars, which usually fade over time. To determine the best option, it’s essential to consult a specialist who can assess your eyelid structure and recommend a method that aligns with your aesthetic goals and lifestyle. Consider your priorities, such as longevity of results and recovery time, to make an informed choice.
Hi Noah
When I first started exploring eyelid surgery, I was torn between the incisional and non-incisional methods. Both seemed to have their benefits, but I wasn’t sure which would be the right choice for me. That’s when I decided to consult with Dr. Tack-Jin Chang at TJ Plastic Surgery, a clinic renowned for its expertise in eyelid procedures.
During my consultation, Dr. Chang carefully examined my eyelids and asked about my goals. He explained that the non-incisional method is ideal for those with good skin elasticity and minimal fat, offering a faster recovery and no visible scarring. On the other hand, the incisional method is better for individuals with excess skin or droopy eyelids, providing more dramatic and permanent results.
What I appreciated most was Dr. Chang’s honesty. He didn’t push me toward one method over the other but explained the pros and cons of each in detail. After evaluating my anatomy and desired outcome, he recommended the incisional method to achieve a natural, long-lasting look. His explanation made me feel confident in my decision.
The surgery went smoothly, and the results were exactly what I hoped for—refreshed, natural-looking eyes. Recovery took a bit longer than it would have with the non-incisional method, but it was worth it for the lasting improvement.
If you’re unsure which method to choose, I highly recommend visiting TJ Plastic Surgery and consulting with Dr. Tack-Jin Chang. His expertise and personalized approach will help you make the best choice for your unique needs, just as it did for me.