Introduction
[Medical Today] Double Eyelid Surgery: Suitable Method Varies Depending on Fat Volume and Presence of Ptosis

Among plastic surgeries, the most popular procedure is by far double eyelid surgery. This is because the eyes are the first thing people see on the face and are the key factor in determining a person's first impression.
Eye surgery is characterized by noticeable changes before and after the procedure, as well as the advantage of being relatively less burdensome in terms of time and cost. In particular, double eyelid surgery enjoys consistent popularity due to its ability to produce satisfactory results by making the eyes look larger and more defined in a short period of time.
Although double eyelid surgery is more popular than other plastic surgeries and may easily be perceived as a simple procedure, it requires meticulous attention as the surgical method varies depending on the patient's eye shape, eyelid thickness, skin condition, and facial structure. Since it is crucial for the post-operative result to look natural and not easily come undone, it is essential to carefully examine the options and receive surgery using a method suitable for you.
The types of eye surgery have diversified to include the buried suture method, incisional method, and natural adhesion method, and surgical techniques are also undergoing continuous development.
With the incisional method, if an excessive incision is made, an unnatural eye shape may result from the double eyelid, while in the case of the non-incisional method, there is a risk that the double eyelid may loosen as the fixation weakens over time.
The Natural Adhesion Method is a non-incisional double eyelid surgery technique that combines the advantages of both the buried suture and incisional methods to create a permanent double eyelid line without incisions. By making small holes and removing fat and soft tissue through them, it induces natural adhesion between the muscle and skin, acting as a form of scar. This allows the strength of the sutures and the tissue adhesion to work in tandem, reinforcing the force that forms the double eyelid and helping to prevent the line from loosening. Furthermore, because the Natural Adhesion Method is performed through microscopic holes, the surgery time is short, and swelling and bruising are minimal, resulting in a relatively fast recovery.
However, the natural adhesion method is not suitable for everyone. It is not appropriate for cases involving severe resistance to double eyelids or significant skin sagging. Since the shape and condition of the eyes vary from patient to patient, a customized surgical approach must be applied according to the individual's condition. There is a wide variety of eye surgeries available, including not only double eyelid surgery but also epicanthoplasty (inner corner widening, outer corner widening, lower eyelid widening), eye shape correction, lower eyelid fat removal, upper blepharoplasty, and lower blepharoplasty; the method best suited to the individual must be applied. Furthermore, surgery should be performed only after clearly identifying the individual's desired surgical direction through meticulous diagnosis, detailed consultation, and customized design.
Dr. Hong-Jin Kim, director of 1mm Plastic Surgery, advised, “Accurate consultation is essential because the appropriate method for double eyelid surgery varies depending on the individual’s fat volume, skin condition, and the presence or absence of ptosis.” He added, “For successful double eyelid surgery, it is important to have a sufficient consultation with the medical team beforehand, and a surgical plan must be established by considering the shape of the eyes, harmony with the face, and proportions.”











