Double Eyelid Surgery in Korea: Non-Incision vs Incision Methods

Medically reviewed by Yongwoo Lee, M.D. – Board-certified plastic surgeon at VIP Plastic Surgery Korea
Last updated: July 2026

Double eyelid surgery, also known as double eyelid blepharoplasty, is a cosmetic eyelid procedure that creates a natural upper eyelid crease. Double eyelid surgery is designed to improve eyelid definition while maintaining harmony with each patient’s facial features. For individuals born without a natural crease, or with a faint or asymmetrical fold, double eyelid surgery forms a smooth, well-balanced crease that makes the eyes appear brighter, more open, and more refined.

Since every eyelid is different, there is no single best method. Depending on eyelid anatomy, skin thickness, levator muscle function, and long-term aesthetic goals, a VIP eyelid specialist may recommend either an incisional or non-incisional double eyelid surgery technique, each offering distinct advantages for the right candidate.

During consultation, VIP surgeons carefully evaluate eyelid anatomy, skin thickness, levator muscle function, existing asymmetry, and each patient’s aesthetic goals before recommending the most appropriate technique.

At VIP Plastic Surgery, board-certified plastic surgeons use these clinical findings to recommend the most appropriate surgical technique. Each surgical plan is individualized to achieve natural-looking results while maintaining long-term harmony and function.

“What is Non-incisional Double Eyelid Surgery?”

Non-incisional double eyelid surgery creates a natural crease without any skin incisions. Instead, multiple micro-holes are made along the desired double eyelid line, and a fine thread is carefully inserted and sutured through these points to form the fold. Compared with the incisional technique, this approach offers several advantages, including reduced swelling and a faster recovery period, making it an ideal option for patients seeking minimal downtime.

“What is an Incisional Double Eyelid Surgery? ”

Incisional double eyelid surgery involves a precise incision along the eyelid, through which excess skin and, when indicated, a small amount of fat are removed. A permanent adhesion is then formed between the skin and the underlying levator aponeurosis (or tarsal plate) to create a well-defined, stable crease. As this technique requires greater surgical precision, selecting an experienced surgeon is essential to avoid potential complications such as visible scarring or an unnaturally high, thick, or puffy fold (sometimes described as a ‘sausage’ appearance).

The incisional method is particularly well-suited for patients who require additional procedures such as ptosis correction or eye fat removal. It also offers a significant advantage in longevity; the crease is long-lasting and tends to remain stable over time, though natural aging may gradually soften its definition.