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Sugar Plastic Surgery

Open up thick, heavy-looking eyesIncisional Double Eyelid Surgery

SUGAR Plastic Surgery Incisional Double-Eyelid Surgery

Incisional Double Eyelid

Sugar Motto

A well-defined crease begins with tissue refinement

A clear, natural-looking crease even for thick eyelids

Incisional double-eyelid surgery makes an incision along the crease, refines excess fat, skin, and muscle, and secures the crease. It can give thick or drooping eyelids a more defined appearance. Because crease height and shape can substantially change your overall appearance even with the same incisional method, SUGAR Plastic Surgery uses an accurate assessment and 1:1 design to find the crease that suits you.

Incisional

What Is Incisional Double-Eyelid Surgery?

Incisional double-eyelid surgery is considered for thick eyelids, eyelids with substantial skin or fat, and drooping eyelids. It creates a defined crease through an incision and refines thick tissue when needed. We compare it with other options, such as a buried-suture technique, and discuss the approach best suited to your eyes.

Because the incision follows the double-eyelid crease, the scar is concealed within the crease and fades over time.

Case / Method

Incisional Double Eyelid Surgery

Open up thick, heavy-looking eyes — Incisional double-eyelid surgery makes an incision along the double-eyelid crease, removes excess fat through the incision, and refines muscle and skin as needed to create a clear, well-defined, yet natural-looking crease.

Thick eyelids with substantial fat or accompanying skin laxity often have difficulty maintaining a crease with a buried-suture technique alone. An incisional technique can refine thick tissue while creating the crease, making it suitable for these eyes. It may also be considered when a crease has loosened after buried-suture or partial-incision surgery, when combined with ptosis correction, or for moderate or severe ptosis.

Because the incision follows the double-eyelid crease, the scar is concealed within the crease and fades over time. The height and shape of the crease can substantially change your overall appearance even with the same incisional method. SUGAR Plastic Surgery creates a clear crease with a lower risk of loosening by designing it 1:1 to suit your facial proportions and securely fixing the muscle.

Who Needs It

You may wish to consider this procedure if you have these concerns

01If the eyelids droop or contain substantial fatExcess fat, skin, and muscle can all be refined through the incision, making this technique suitable for thick, heavy eyelids. Tissue refinement and crease formation are performed together.
02If your crease loosened after buried-suture or partial-incision surgeryA weakly fixed crease may loosen over time. An incisional technique firmly fixes the muscle to recreate the crease with a lower risk of loosening.
03If combined with ptosis correctionFor sleepy-looking eyes, both the crease and eye-opening strength need to be improved. We develop a plan combining incisional double-eyelid surgery with ptosis correction.
04If you want a clear, well-defined creaseEven with the same incisional technique, the height and shape of the crease can substantially change your overall appearance. We create a clear yet natural-looking eye shape with a 1:1 design suited to your facial proportions.
05If ptosis is moderate or severeAn incisional approach may be appropriate to correct drooping eyelids and weak eye-opening strength together. We assess the degree of ptosis and discuss the plan with you.

Even with the same incisional technique, the height and shape of the crease can substantially change your overall appearance, so an accurate assessment and a plan tailored to you are important.

Eyelid Lines

SUGAR Plastic Surgery's Personalized Double-Eyelid Crease

Because the shape and size of the double eyelid can change your overall appearance, the crease shape and height should be chosen to suit your individual eye anatomy.

01IN LINEThe double-eyelid crease begins so narrowly that it is not visible at the inner corner, then widens toward the outer corner. This inline crease is the type most commonly seen in Asian eyes and is suitable when the epicanthal fold is not pronounced.
02IN OUT LINELike an outline crease, this in-out crease remains outside the epicanthal fold throughout, but it is very narrow at the inner corner and gradually widens toward the outer corner. Falling between an inline and outline crease, it suits many eye shapes and is a popular choice.
03SEMI OUT LINEThis semi-outline crease falls between an in-out and outline crease, with the double-eyelid crease beginning slightly away from the inner corner. It is preferred by patients who find a full outline crease too dramatic but want a more striking look than an in-out crease.
04OUT LINEThe double-eyelid crease is visible from the inner corner, outside the epicanthal fold, and runs parallel to the eye all the way to the outer corner. This outline crease is commonly seen in Western eyes and creates a more open appearance.

The crease that suits you depends on your eye anatomy, so we will explain the options in detail during your consultation.

Surgical Method

Incisional Double-Eyelid Procedure

Incisional double-eyelid surgery makes an incision along the double-eyelid crease, removes fat through the incision, and removes muscle and skin as needed to create a more defined eye shape.

Incisional double-eyelid surgery, Step 1 — Incision along the crease01 · Incision Along the CreaseThe eyelid skin is incised along the individually designed crease.
Incisional double-eyelid surgery, Step 2 — Tissue refinement and crease formation02 · Tissue RefinementExcess fat, skin, and muscle are removed, and the muscle is fixed to form the double-eyelid crease.
Incisional double-eyelid surgery, Step 3 — Suturing03 · Suture FixationThe incision is sutured to secure the crease.
Incisional double-eyelid surgery, Step 4 — Crease complete04 · Crease CompleteA natural-looking double-eyelid crease is completed.

Incisional Double-Eyelid Surgery Information

Surgery Time1 hour
AnesthesiaSedation anesthesia
Stitch Removal7 days
Return to Daily ActivitiesWithin 2 weeksVaries by individual

Why Sugar

Why Choose SUGAR Plastic Surgery for Incisional Double-Eyelid Surgery?

Even with the same incisional technique, the height and shape of the crease can substantially change your overall appearance.

01

100% of surgeries performed by a board-certified plastic surgeon

The board-certified plastic surgeon who conducts your consultation also performs your surgery.
In accordance with Korean law requiring CCTV in operating rooms, our operating-room CCTV system is in operation,
protecting patients' rights.

02

1:1 design of crease height and shape

Even with the same incisional technique, the height and shape of the crease can significantly change your overall appearance,
so we design a crease that suits your facial proportions.

03

Tissue refinement in a single procedure

We refine fat, skin, and muscle in thick eyelids together to
create a clear, well-defined crease.

Sugar Know-How

SUGAR Plastic Surgery's Incisional Double-Eyelid Expertise

These are the principles SUGAR Plastic Surgery follows for incisional double-eyelid surgery.

01The scar is concealed within the creaseBecause the incision follows the double-eyelid crease, the scar is concealed within the crease and fades over time.
02Tissue refinement and fixation are performed togetherExcess fat, skin, and muscle are refined, and the muscle is fixed to create a well-defined crease with a lower risk of loosening.
03Performed after preoperative testing under sedation anesthesiaAfter preoperative testing, surgery is performed while you are asleep under sedation anesthesia. Medication is used to manage pain and pressure during recovery.
04Care through recoveryAlong with swelling-reduction laser treatment, scar injections, vitamin injections, and dedicated 1:1 care, we provide wound care and follow-up checks according to a set postoperative schedule.

Procedure

The SUGAR Plastic Surgery Incisional Double-Eyelid Process

011:1 Consultation with a SpecialistWe assess the treatment area and the condition of your skin and tissues, then discuss your desired outcome in detail.
02Personalized DesignWe consider your overall facial proportions and decide the surgical scope and technique together.
03Surgery Under SedationAfter preoperative testing, the procedure is performed under sedation anesthesia.
04Recovery CareAfter surgery, wound care and follow-up checks are provided according to a set schedule.

Recovery

Recovery Guide

Immediately after surgery to day 3Swelling is usually most noticeable during this period and is managed with cold compresses.
Approximately 5–7 daysStitches are removed. Timing may vary depending on the surgical technique.
1–2 weeksAs major swelling subsides, daily activities begin to feel more natural.
AfterwardResidual swelling gradually subsides over several months as the final contour settles.

Recovery time varies by individual. All surgery carries the possibility of general side effects such as bleeding, infection, and inflammation, and results may vary. Please consult thoroughly with a specialist before surgery.

SAFETY INFORMATION

Incisional Double-Eyelid Surgery: Risks, Contraindications, and Emergency Warning Signs

For a safe treatment plan, please review the potential risks, the information we need before treatment, and the symptoms that require immediate medical attention.

Possible Side Effects

Possible risks include swelling, bruising, bleeding, infection, an incision scar, asymmetry, differences in crease height, loosening of the crease, overcorrection or undercorrection, dry eyes, and difficulty closing the eyes. In rare cases, changes in vision may occur.

Contraindications and Precautions

Please tell us if you have dry eye, glaucoma, thyroid eye disease, a history of vision-correction surgery, an active infection, uncontrolled high blood pressure or diabetes, a bleeding disorder, a previous adverse reaction to anesthesia, a possibility of pregnancy, or if you smoke or take any medications or dietary supplements. Do not stop anticoagulants or other medications on your own; consult the prescribing clinician first.

Emergency Warning Signs

Contact the clinic immediately if you develop a sudden change in vision, severe eye pain, rapidly increasing swelling on one side, persistent bleeding, a high fever, or pus. If there is a clear decline in vision, go to the emergency room immediately.

This is general safety information and is not a substitute for individualized medical care. Actual risks and contraindications may vary depending on the procedure, products used, and your health.

Medical review scheduled: Dr. Jin-Hyung Kim, Board-Certified Plastic Surgeon · Content updated: August 18, 2026

FAQ

Frequently Asked Questions

A.

Because the incision follows the double-eyelid crease, the scar is naturally concealed within the crease when the eyes are open. Redness at the incision gradually fades over time, and dedicated care, including scar injections, supports recovery. The rate of fading varies by skin type.

A.

Yes. The incisional technique is best suited to thick, heavy eyelids. Through the incision, excess fat, skin, and muscle can be refined together, allowing a clear, well-defined crease even in eyes where a buried-suture technique may not hold well.

A.

Stitches are removed on day 7 after surgery. When you return for stitch removal, we also check your recovery and the condition of the crease, followed by additional checks according to a set schedule.

A.

It depends on eyelid thickness, skin laxity, eye-opening strength, and the crease shape you want. Thin eyelids can often maintain a crease with a non-incisional technique, while an incisional technique may be more appropriate for thick, heavy eyelids or eyes that require tissue refinement. After assessing your eyes during consultation, we recommend the technique best suited to you.

A.

The color and firmness of the incision are monitored over time. Seek prompt medical care if redness spreads rapidly or the wound opens, produces pus, or is accompanied by a high fever.

A.

We assess the amount of each tissue, eye-opening strength, and desired crease height together to determine what should be removed or preserved and where the double-eyelid crease should be fixed.

A.

Contact the clinic immediately if you develop severe eye pain, a sudden change in vision, rapidly increasing swelling on one side, or bleeding that will not stop.

Sugar Care System

SUGAR Plastic Surgery stays with you after surgery

01Plastic Surgery with Attention to Detail

Every step is handled with care, from an in-depth 1:1 consultation and precise diagnosis to operating-room CCTV monitoring and the selection of materials suited to you.

02SUGAR Reassurance Care

We closely support your recovery with swelling-reduction laser treatment, scar injections, vitamin injections, and dedicated 1:1 care.

03Surgical Care Guarantee

We remain by your side through every stage of postoperative follow-up.