Double Eyelid Surgical Methods Explained in Korea

Eugene Lee • November 16, 2025

Korea is widely known as the global leader in double eyelid surgery, offering some of the most precise, natural-looking crease designs in the world. Whether you want a subtle low fold, a tapered crease, or a defined double eyelid, understanding the different surgical methods is the first step to choosing the right option.

This guide breaks down all major Korean double eyelid techniques — how they work, who they’re for, and the benefits of each method.

Why Korea Is Famous for Double Eyelid Surgery

Korean surgeons specialize in eyelid anatomy and natural aesthetics, focusing on:

  • Clean, subtle, natural folds
  • Minimal scarring
  • Custom design based on facial balance
  • Fast recovery techniques
  • Advanced ptosis and fat repositioning methods

This makes Korea the preferred destination for both first-time and revision double eyelid surgery.

Main Double Eyelid Surgical Methods in Korea

Korea offers three primary categories for double eyelid creation:

  1. Non-Incisional (Suture Method)
  2. Partial-Incisional Method
  3. Full Incisional Method

Each method differs in durability, design control, and recovery time.

1. Non-Incisional Double Eyelid Surgery (Suture Method)

Best for: Younger patients, thin eyelids, first-time surgery

The non-incisional method is one of Korea’s most popular choices because it uses tiny sutures to create the crease without cutting the skin.

How It Works

  • Micro-holes are made along the eyelid
  • Sutures are tied to attach the skin to the levator muscle
  • Creates a natural crease with minimal swelling

Advantages

  • Very fast recovery
  • Minimal bruising
  • Natural, soft crease
  • No visible scar

Limitations

  • Not ideal for thick or heavy eyelids
  • Crease may loosen over time if fixation is weak
  • Not suitable for significant excess skin

2. Partial-Incisional Double Eyelid Surgery

Best for: Mixed concerns — moderate skin, mild fat, and desire for durability

Partial-incision combines the benefits of the suture and full-incision methods.

How It Works

  • A small incision is made in the center of the eyelid
  • Some fat can be removed or adjusted
  • Sutures reinforce the crease

Advantages

  • More durable crease than suture method
  • Allows fat removal for cleaner definition
  • Shorter recovery than full incision

Limitations

  • More swelling than non-incisional
  • Not ideal for severe sagging or thick eyelids

3. Full Incisional Double Eyelid Surgery

Best for: Thick skin, excess fat, revision cases, long-lasting results

This is the most permanent and customizable method.

How It Works

  • An incision is made along the crease line
  • Skin, muscle, and fat can be shaped
  • The crease is fixed directly to the levator

Advantages

  • Long-lasting crease
  • Precise design control
  • Corrects skin sagging, asymmetry, and heavy eyelids
  • Ideal for revision surgery

Limitations

  • Longer recovery
  • More swelling
  • Visible incision during early healing

Additional Korean Techniques for Better Results

Ptosis Correction (Eyelid Muscle Lift)

Strengthens the levator muscle to open the eyes wider.
Often combined with double eyelid surgery for:

  • Tired eyes
  • Heavy upper lids
  • Hidden ptosis

Epicanthoplasty (Inner Corner Opening)

Softens or extends the inner eye corner.
Used for:

  • Narrow inner corners
  • Severe epicanthal folds
  • Larger, brighter eye effect

Lateral Canthoplasty (Outer Corner Extension)

Improves horizontal length and eye shape.
Often paired with crease surgery for symmetry.

Which Method Should You Choose?

Non-Incisional Method

✔ Younger patients
✔ Thin eyelids
✔ First-time surgery
✔ Want fast recovery

Partial-Incisional Method

✔ Moderate skin thickness
✔ Mild fat removal needed
✔ Want durability + soft crease

Full Incisional Method

✔ Thick eyelids
✔ Revision cases
✔ Excess skin or fat
✔ Want long-lasting definition

How Korea Designs Natural Double Eyelids

Korean crease design focuses on:

  • Fold height suited to brow position
  • Subtle curvature (parallel, tapered, or mixed)
  • Natural symmetry
  • Soft, clean eyelid exposure
  • Balance with the nose bridge and facial frame

This ensures the result looks polished yet natural.

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It’s more common than people think — after double eyelid surgery, the fold may fade, loosen, or disappear entirely over weeks or months. This is known as fold regression, and it can happen with both the non-incisional (suture) method and the incisional method. Understanding why the fold disappears can help determine whether the situation is normal healing or if revision surgery may be needed. Top Reasons Your Double Eyelid Fold Disappears 1. Weak or Loosened Fixation (Most Common Cause) The fold forms when the skin attaches to the levator muscle. If the fixation isn’t strong enough, or if the sutures loosen, the crease may fade. Most likely with: Non-incisional (suture) surgery Thick or oily eyelid skin Strong blinking habits 2. Swelling Masking the True Result Early swelling can temporarily create a crease that later softens as swelling disappears. This can make the fold look like it “went away,” when really it wasn’t strongly fixed from the beginning. 3. Thick Eyelid Skin or Excess Fat Thicker eyelids can push down on the crease, preventing a deep, stable fold. More common in: Patients with monolids Patients with chubby upper eyelids Those who did not receive sufficient fat removal (if needed) 4. Ptosis (Droopy Eyelid Muscle) Not Addressed If a hidden ptosis (weak levator muscle) isn’t corrected during surgery, the eyelid crease can: Look low Look heavy Disappear gradually This is one of the most overlooked causes. 5. Incorrect Crease Design If the fold was designed too low, too shallow, or not suited to the patient’s anatomy, it may not hold. Incorrect design leads to: Shallow folds Instability Regression within weeks to months 6. Excess Skin Not Removed (Incisional Method) If the surgeon did not remove enough skin during incisional double eyelid surgery, the excess skin may cover the fold and make it disappear. 7. Healing & Scar Tissue Variation Each person heals differently. Some bodies create stronger adhesion, while others create weaker ones. Scar tissue under the incision may loosen the fold over time. 8. Aging or Eyelid Drooping Over years, loss of elasticity or brow drooping can cause the eyelid fold to weaken or sink. When Is the Fold Disappearing Normal? Some fading is normal during the first 4–12 weeks as swelling decreases. But if the fold continues to weaken or vanish after 3–6 months, it may indicate: Loose fixation Incorrect height Missed ptosis Tissue not properly attached This can often be corrected with a revision procedure. How to Fix a Disappearing Eyelid Crease 1. Revision Suture Reinforcement For mild or early fold regression. 2. Incisional Double Eyelid Surgery Provides a more permanent fold, ideal for: Thick eyelids Sunken folds Repeated suture failures 3. Ptosis Correction (If Needed) Strengthens eyelid muscle to support the fold. 4. Fat Removal or Repositioning Helps fold stay stable in thick eyelids. 5. Crease Redesign Raises or lowers the fold for better definition.
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