Full Incision Double-Eyelid Surgery with Ptosis Correction
A procedure in which the eyelid skin is incised to remove excess skin and fat, creating a semi-permanent, well-defined double eyelid line. Since ptosis correction can be performed simultaneously, it is suitable for patients with thick eyelids or mild ptosis that are difficult to treat with the non-incisional method.
Recommended for
- Those concerned about eyelid sagging who want to address it at the same time
- Those who have repeatedly undergone the burial method but experienced reversion
- Those diagnosed with thick eyelids for whom non-incisional double eyelid formation is difficult
- Those who want to maintain a desired, wide and clearly defined double eyelid of lateral or parallel types semi-permanently
What is Full Incision Double-Eyelid Surgery with Ptosis Correction?
Full Incision Double-Eyelid Surgery with Ptosis Correction is a procedure in which the upper eyelid skin is incised along the desired double eyelid line, and excess skin, orbital fat, and orbicularis oculi muscle are appropriately removed and adjusted to create a semi-permanent, well-defined double eyelid. Unlike the non-incisional method, which simply folds the skin, this technique uses "dermal-tarsal fixation" to physically suture and secure the double eyelid line, ensuring stable results even for patients with significant ptosis, thick eyelids, or those whose previous non-incisional surgery has failed. Since ptosis correction is performed simultaneously with the procedure, the heaviness of the eyelid that obstructs vision is improved, and a natural widening of the eye opening can be expected.
Medical Evidence: Anatomy and Long-Term Results
According to anatomical research of the upper eyelid (Anatomy & Cell Biology, 2013, doi:10.5115/acb.2013.46.2.93), the upper eyelid skin is approximately 0.86 mm thick at 7 mm above the eyelash margin, and fast-twitch muscle fibers account for approximately 88% of the orbicularis oculi muscle composition. In the full incision method, based on this anatomical knowledge, the skin, orbicularis oculi muscle, and orbital septum are precisely handled, and strong adhesion is formed between the tarsal plate, allowing for the reproduction of a natural double eyelid line.
A photographic measurement study comparing post-operative changes between the full incision method and other techniques (non-incisional and partial incision methods) in 168 patients (Journal of Craniofacial Surgery, 2023, doi:10.1097/SCS.0000000000009623) demonstrated that the full incision group maintained the most stable double eyelid width and distance between the eyelid margin and the double eyelid line. Additionally, a complication review (Indian Journal of Ophthalmology, 2022, doi:10.4103/ijo.IJO_1518_21) reported that surgical difficulty and surgeon experience are the primary factors causing individual variability in results, making meticulous design by a specialist essential.
Procedure Flow
【1. Consultation and Design】
The physician evaluates the thickness of the eyelid, degree of ptosis, asymmetry between eyes, and presence or absence of ptosis, and carefully confirms your desired double eyelid width and shape (tapered or parallel). The incision line is marked with the eyes open, and you can confirm the simulation of the final result.
【2. Anesthesia】
Local anesthesia (topical anesthetic cream and injectable anesthesia) is administered to the eyelid. Intravenous anesthesia is available as an option for those sensitive to pain.
【3. Incision and Tissue Adjustment】
The skin is incised along the marking with a scalpel, and the necessary amount of excess skin, orbicularis oculi muscle, and orbital fat is removed. If ptosis is present, advancement of the levator aponeurosis is also performed simultaneously.
【4. Dermal-Tarsal Fixation and Suturing】
The dermis is fixed to the levator aponeurosis or tarsal plate to create the double eyelid fold structure. The skin is sutured with fine sutures.
【5. Post-operative Care】
Suture removal is typically performed on post-operative day 7. Follow the physician's instructions for the use of antibiotic eye drops and oral medications.
Downtime and Recovery Process
Since this procedure involves incision, the downtime is longer compared to the non-incisional method. While individual variation exists, the typical progression is as follows.
Post-operative Days 1–3: Swelling and bruising peak. Cool with ice packs and rest.
Post-operative Day 7: Suture removal. At this point, the double eyelid line still shows residual swelling.
Post-operative Weeks 2–4: Swelling subsides and you approach a state where social recovery is possible. Makeup is allowed after suture removal.
Post-operative Months 3–6: Eyelid stiffness and foreign body sensation gradually resolve, and the result stabilizes.
Post-operative Month 12: The final aesthetic outcome is achieved. If the procedure is performed properly, it lasts semi-permanently.
Anticipated Risks and Management
A complication review of double eyelid surgery (Indian Journal of Ophthalmology, 2022) identifies asymmetry of double eyelid width, irregularity of the double eyelid line, and scarring as aesthetic complications, and dry eye and brow ptosis as functional complications. The "wide dual-plane dissection method" is effective for correcting an excessively high double eyelid line, with long-term results in 256 cases reported in Annals of Plastic Surgery (2017, doi:10.1097/SAP.0000000000000905). Our clinic is committed to detailed pre-operative evaluation and design that minimizes risks.
Features
|Semi-permanent durability
Since the skin is directly incised and the dermis and tarsal plate are fixed, unlike the burial method, the sutures do not become loose and revert to the original state. When performed appropriately, the double eyelid line is basically maintained for a lifetime.
Simultaneous blepharoplasty and correction
By simultaneously removing excess skin, orbital fat, and orbicularis oculi muscle, we can eliminate puffiness, improve vision, and achieve a youthful eye appearance in a single procedure. Simultaneous correction of ptosis is also possible.
Suitable for thick eyelids and cases where the burial method is difficult
This surgical method is particularly effective for cases where non-incisional techniques make stable double eyelid formation difficult, such as thick eyelid skin, excess fat, or repeated failure of previous burial methods. Direct treatment of the skin allows for stable results that are less dependent on individual conditions.
Natural-looking design planning
Before surgery, the physician evaluates the eye shape, facial skeleton, and asymmetries to design a double eyelid width and form suited to the individual's facial features, such as lateral or parallel types. Stable postoperative lines confirmed in photographic measurement research (Journal of Craniofacial Surgery, 2023) support a natural and beautiful result.
Pricing
Full Incision Double-Eyelid Surgery with Ptosis Correction
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Fat Excision (ROOF and Orbital Fat)
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※ All prices include tax.
FAQ
What is the difference from the burial method? Which one is right for me?
The burial method is a technique where the eyelid is fastened with special sutures without cutting the skin; while it has a short downtime and is convenient, there is a risk that the sutures may become loose, causing the double eyelid to become shallower or disappear. The full incision method directly incises the skin to fix the double eyelid line, providing high durability and is suitable for those with thick eyelids, significant sagging, or a history of repeated burial methods. During the consultation, we evaluate the condition of your eyelids and propose the most suitable surgical method.
Ask ZetithAI about this →How much downtime is there after surgery? When can I return to work?
Swelling peaks around 1-3 days post-surgery, with suture removal on day 7. Many patients resume work such as desk jobs, which have minimal impact on appearance, after suture removal. For jobs involving customer interaction or sales, we recommend allowing 2-4 weeks. Bruising and swelling can be covered with concealer or sunglasses, and you can go about your daily life within a reasonable range without strain.
Ask ZetithAI about this →Can the double eyelid width change or look unnatural after surgery?
During the 3-6 months post-surgery, there may be a period of residual stiffness or discomfort in the eyelid, with full results taking around 12 months. Immediately after surgery, swelling may make the width appear wider than planned, but this gradually improves. Rarely, asymmetry or misalignment of the double eyelid line may occur; in such cases, corrective surgery is performed. Careful preoperative design planning by an experienced physician is the key to achieving a natural result.
Ask ZetithAI about this →Where can I make an appointment or consultation?
We accept reservations and consultations via LINE or telephone. During the initial consultation, the physician will discuss the condition of your eyelids, your desires, and your lifestyle to propose the most suitable surgical method and design. Please feel free to contact us.
Ask ZetithAI about this →Consultations about this treatment are free.
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