Incisional vs Non-incisional Double Eyelid Surgery: Which Is Better
Double eyelid surgery is one of the most popular cosmetic procedures in Asia, helping to create a defined eyelid crease for a brighter, more open-eyed appearance. If you are considering this procedure, one of the first decisions you will face is choosing between incisional and non-incisional (suture) techniques.
Both methods have their own advantages and limitations, from recovery time and scar visibility to the longevity of results. Continue reading to learn more about each technique to help you make an informed and confident decision.
Understanding Double Eyelid Surgery
Double eyelid surgery, or blepharoplasty, is a cosmetic procedure that creates a visible crease in the upper eyelid, resulting in a defined double eyelid. This crease enhances the eye’s shape, making the eyes appear larger, brighter and more expressive.
There are two main types of double eyelid surgery:
Incisional Double Eyelid Surgery
Incisional double eyelid surgery, also known as incisional blepharoplasty, is a permanent surgical method where the surgeon makes a full incision along the eyelid to create a natural-looking crease in the upper eyelid. It is often recommended for individuals with thick or puffy eyelids, loose or sagging eyelid skin and those who desire a well-defined eyelid crease.Non-incisional Double Eyelid Surgery
Non-incisional double eyelid surgery, also known as the suture technique, is a minimally invasive procedure that creates a double eyelid crease without requiring skin incisions. This procedure is best suited for individuals who have thin eyelid skin, minimal excess fat and good skin elasticity.Key Differences Between Incisional and Non-incisional Double Eyelid Surgery
Both incisional and non-incisional double eyelid surgeries aim to create a natural-looking crease in the upper eyelid, but they differ significantly in technique, recovery, longevity, and scarring.
Technique
- Incisional: This method involves making a small cut along the eyelid to remove or reshape excess fat, skin and muscle, creating a more defined and lasting crease.
- Non-incisional: Sutures are placed through tiny punctures to form the crease without cutting the skin, making it a less invasive option.
Recovery Time
- Incisional: Recovery takes longer due to the incision. Swelling and bruising may last one to two weeks, and while most patients return to daily activities within this time, final results may take several months to settle.
- Non-incisional: Healing is faster with less swelling and bruising, typically resolving within about a week.
Longevity of Results
- Incisional: Results are generally permanent, making it ideal for those seeking long-term changes. Rarely, minor loosening can occur with age.
- Non-incisional: Results can last for years but may loosen or fade over time, as they rely solely on sutures. The benefit is that it can be adjusted or reversed more easily than the incisional method.
Scarring
- Incisional: May leave a faint scar hidden along the eyelid crease, which usually heals well and becomes barely visible with proper care.
- Non-incisional: Causes little to no visible scarring since there is no major incision.
Which Double Eyelid Surgery Suits You Best?
Choosing between incisional and non-incisional double eyelid surgery depends on your eyelid anatomy, goals and lifestyle. Key factors your surgeon will consider include:
- Eyelid Anatomy: Thicker eyelids with more fat usually benefit from the incisional method, while thinner eyelids are often better suited for the non-incisional technique.
- Skin Elasticity: Loose or sagging skin requires the incisional approach, whereas firm, elastic skin responds well to the non-incisional method.
- Desired Result: Non-incisional surgery creates a subtle, natural-looking crease, while the incisional method produces a more defined and permanent fold.
- Age and Lifestyle: Older patients with drooping eyelids typically need the incisional method to remove excess skin. Younger patients may prefer the non-incisional option for its faster recovery and less invasive process.
- Budget: Incisional surgery is generally more costly due to its complexity, while the non-incisional approach is less expensive.
Choosing the right procedure can be challenging, but you do not have to decide alone. A qualified plastic surgeon can assess your eyelid structure, goals and lifestyle to recommend the most suitable approach for achieving natural, lasting results. Schedule a consultation with our clinic today to receive personalised advice and take the first step toward enhancing your eyes with confidence.
About Our Plastic Surgeon
Consultant Plastic & Cosmetic Surgeon MB ChB (Aberdeen), FRCS (Ireland), FAMS
Dr Colin Tham is an MOH-accredited plastic surgeon in Singapore with expertise in aesthetic and reconstructive procedures. After obtaining his Bachelor of Medicine and Surgery from the University of Aberdeen, Scotland, Dr Tham specialised in plastic surgery. He set up the Aesthetic Centre in Singapore’s premier KK Women’s and Children’s Hospital, where he continues to serve as a visiting consultant. Dedicated to achieving natural-looking results, Dr Tham has been involved in the development of several non-invasive aesthetic procedures. Recognised for his expertise, Dr Tham is frequently invited to train doctors internationally, contributing to the global development of aesthetic medicine.