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Sugar Plastic Surgery

The eye shape that defines your first impression1:1 Personalized Eye Surgery

SUGAR Plastic Surgery Eye Surgery

Custom-designed Eye Surgery

Sugar Motto

It is your expression, not eye size, that matters

We design an eye shape that suits you, considering the double-eyelid crease, proportions, and eye-opening strength

SUGAR Plastic Surgery does not aim to create a trendy crease, but an eye shape that looks as though it has always belonged with your face. During consultation, we assess eyelid thickness, skin condition, and eye-opening strength. The board-certified plastic surgeon who consults with you then personally performs your surgery and follow-up checks. A comfortable impression that looks good over time matters more than an obvious change. This detailed care at every step, from consultation through recovery, is SUGAR Plastic Surgery's approach to eye surgery.

Eye Surgery

What Is Eye Surgery?

The eyes have a major influence on first impressions. Eye surgery considers the double-eyelid crease, the horizontal and vertical proportions of the eyes, and eye-opening strength together to create a clear yet natural-looking eye shape. SUGAR Plastic Surgery has deep expertise in eye procedures, and Chief Director Dr. Jin-Hyung Kim, a board-certified plastic surgeon, personally handles your consultation, surgery, and follow-up care.

Eyelid thickness, skin laxity, and eye-opening strength differ from person to person, so the appropriate procedure may differ even when the concern is the same. An accurate assessment and a plan tailored to you are important.

Case / Method

Natural Adhesion Double Eyelid Surgery

Unlike a conventional buried-suture technique that relies only on sutures, natural-adhesion double-eyelid surgery encourages natural adhesion between the skin and the eye-opening muscle. This creates a crease that looks like your own while minimizing the risk of loosening.

Natural-adhesion double-eyelid surgery plans the fixation points and crease to suit the condition of the eyelids. Swelling, bruising, crease loosening, and asymmetry are possible. We examine eyelid thickness, fat volume, skin condition, and eye-opening strength to decide whether an incision is needed and which fixation method to use.

The height and shape of the double-eyelid crease (inline or outline) are designed 1:1 to suit the horizontal and vertical proportions of the eyes and your overall appearance. However, an incisional technique may be more appropriate for thick eyelids or eyes requiring skin and fat refinement, so it is important to assess your eyes accurately before choosing the method.

Who Needs It

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

01If people often say you look sleepyWeak eye-opening strength in the levator muscle is often the cause. Rather than creating only a double-eyelid crease, ptosis correction may need to be planned at the same time for a clearer eye shape, so we begin with an accurate assessment of eye-opening strength.
02If the eyelids look thick and heavyThick eyelids often have difficulty maintaining a crease with a buried-suture technique alone. We discuss an approach suited to your eyes, including an incisional technique that can refine fat and skin at the same time.
03If the double-eyelid crease has loosened or fadedAfter assessing the adhesions and scarring along the existing crease, we determine how to recreate the crease with a method suited to the eyes, such as natural adhesion or an incisional technique.
04If the two eyes appear different in shapeWe assess crease height and eye-opening strength in each eye separately and develop a plan to balance the two sides.
05If under-eye fat makes you look tiredUnder-eye fat repositioning moves protruding under-eye fat into hollow areas, allowing a smooth under-eye contour to be planned without a scar on the outer skin.
06If you are dissatisfied with the result of a previous surgeryStable revision results require the tissues to stabilize first. After assessing the current condition of the eyes and degree of adhesion, we plan the timing and technique together.

Eyelid thickness, skin laxity, and eye-opening strength differ from person to person, so the appropriate procedure may differ even when the concern is the same. 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

Natural-Adhesion Double-Eyelid Procedure

SUGAR Plastic Surgery, where we create natural beauty, explains the natural-adhesion double-eyelid procedure.

Natural-adhesion double-eyelid surgery, Step 1 — Crease design01 · Crease DesignAn appropriate crease is designed for you.
Natural-adhesion double-eyelid surgery, Step 2 — Micro-openings02 · Micro-OpeningsTiny openings are made in the skin according to the design.
Natural-adhesion double-eyelid surgery, Step 3 — Crease fixation and adhesion03 · Crease Fixation and AdhesionA suture is passed through the skin and conjunctiva to fix the crease and create adhesion.
Natural-adhesion double-eyelid surgery, Step 4 — Crease complete04 · Crease CompleteA natural-looking double-eyelid crease is completed.

Eye Surgery Information

Surgery Time30 minutes
AnesthesiaSedation anesthesia
Stitch RemovalNone
Return to Daily ActivitiesWithin 1 weekVaries by individual

Why Sugar

Why Choose SUGAR Plastic Surgery for Eye Surgery?

At SUGAR Plastic Surgery, precise diagnosis, personalized planning, and postoperative care are all part of one continuous eye-surgery journey.

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

Detailed 1:1 planning for your eyes

We assess the double-eyelid crease, the horizontal and vertical proportions of the eyes, and eye-opening strength together
then design an eye shape that suits your face.

03

A technique selected for your eye anatomy

From upper canthoplasty, epicanthoplasty, and Wave Lateral-Lower Canthoplasty to double-eyelid surgery,
we do not insist on a single approach; we select procedures suited to your eye condition and preferences.

Sugar Know-How

SUGAR Plastic Surgery's Eye Surgery Expertise

These are the principles SUGAR Plastic Surgery follows for eye surgery.

01We assess the crease and eye-opening strength togetherWe look beyond the double-eyelid crease to consider the horizontal and vertical proportions of the eyes and eye-opening strength, planning a clear yet natural-looking eye shape.
02Your eye anatomy determines the techniqueFor thin eyelids with little laxity, natural-adhesion or buried-suture techniques may be considered. For thick eyelids or those requiring skin and fat refinement, an incisional technique may be considered.
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 Eye Surgery Process

011:1 Consultation with a SpecialistWe assess eyelid thickness, skin condition, and eye-opening strength, then discuss your desired eye shape in detail.
02Personalized DesignTogether, we decide the height and shape of the double-eyelid crease (inline or outline) and the surgical technique.
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.

Methods

How Is the Technique Chosen?

01Natural Adhesion · Buried-Suture TechniqueFor thin eyelids with little laxity, a natural-adhesion or buried-suture technique can create a crease without an incision.
02Incisional TechniqueIf the eyelids are thick or require skin and fat refinement, an incisional technique may be considered.
03Ptosis CorrectionIf weak eye-opening strength creates a sleepy appearance, ptosis correction may be planned at the same time.

The appropriate technique depends on the condition of your eyes, so we will explain the options in detail during your consultation.

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 daysRecovery is checked. Whether stitches need to be removed will be explained individually based on the actual 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

Natural-Adhesion 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, asymmetry, loosening of the crease or differences in crease height, scarring, dry eyes, and temporary 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 sudden blurred vision, severe eye pain, rapidly increasing swelling on only one side, bleeding that will not stop, 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.

A non-incisional technique can still cause redness or scarring at needle entry points, as well as swelling and bruising. Recovery varies with the fixation method and eyelid condition. If the wound opens or redness or pain worsens, come in for an examination.

A.

Loosening or recurrence of the crease can occur even after non-incisional double-eyelid surgery. How well it lasts depends on factors such as eyelid thickness, skin condition, and the fixation method. If the crease fades or asymmetry increases, an examination can identify the cause.

A.

It depends on the surgical technique. Natural-adhesion and buried-suture techniques do not require stitch removal, reducing the need for a return visit. With an incisional technique, stitches are removed on day 7 after surgery, and recovery and the condition of the crease are checked at the same visit.

A.

Non-incisional and incisional techniques differ in how the crease is fixed and how much tissue can be addressed. After examining eyelid thickness, the condition of the skin and fat, and eye-opening strength, we compare each method's potential scarring, recovery, risk of crease loosening, and limitations before deciding.

A.

If the eyelids are thick or contain substantial fat or skin tissue, it may be difficult to secure the desired crease. We examine eyelid condition and eye-opening strength to decide whether an incision is needed and which fixation method to use.

A.

Tell us if you have dry eye, glaucoma, thyroid eye disease, a history of vision-correction surgery, or any current difficulty closing your eyes. If needed, the surgical plan will be made after an ophthalmologic evaluation.

A.

Sudden blurred vision, severe eye pain, or rapidly increasing swelling on only one side are warning signs that require you to contact the clinic immediately. If there is a clear decline in vision, go to the emergency room immediately.

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.