Double Eyelid Surgery: Sutures vs. Incision Method—Which Lasts Longer?

Double eyelid surgery, or blepharoplasty, is one of the most sought-after cosmetic procedures in Korea, where creating the perfect eyelid fold is regarded as a symbol of beauty, youth, and symmetry. In a society where facial aesthetics are closely tied to personal and professional success, a well-defined eyelid crease can enhance your natural features and give your eyes a more vibrant, youthful appearance. However, the procedure is not one-size-fits-all. When considering double eyelid surgery, you’re likely weighing the suture method against the incision method.

If you’ve been thinking about this procedure, one of the most pressing concerns is probably how long the results will last. After all, the longevity of the eyelid fold can influence your decision on which method is best suited for you. Here, we’ll take a deeper dive into the two techniques, their benefits, potential drawbacks, and, most importantly, which one delivers the longest-lasting results.

Understanding the Two Methods

Before diving into the question of longevity, let’s first explore the core differences between the suture method and the incision method. Each method carries distinct advantages and disadvantages, and understanding these is crucial for making an informed decision.

Suture Method (Non-Incision Method)

The suture method, or non-incisional method, is considered less invasive than the incision method. As the name suggests, this technique does not require cutting through the eyelid. Instead, small sutures are placed into specific points on the eyelid to create a fold that mimics a natural crease. The sutures are generally inserted through the skin using a needle, securing the tissue in place to form the desired eyelid fold.

Pros:

Minimal Invasiveness: There are no cuts or incisions, meaning there’s no risk of visible scars.
Faster Recovery: Since it’s a less invasive procedure, the recovery time is relatively short, often just a few days to a week.
Reduced Swelling and Bruising: Because the procedure is minimally invasive, swelling and bruising are usually much less severe compared to more invasive surgeries.
Ideal for Younger Patients: Individuals with thinner or more flexible eyelid skin often respond well to this method.

Cons:

Less Stability: While the results can look natural, the eyelid fold created through sutures is less stable over time.
Risk of Suture Failure: Over time, the sutures can loosen or break, potentially causing the eyelid fold to fade or disappear. This is more likely in individuals with certain eyelid characteristics, like excess fat or weak eyelid skin.
Not Suitable for All: The suture method may not be ideal for individuals with thicker eyelids, excess skin, or those who require a more pronounced fold.

Incision Method (Cutting Method)

The incision method, or cutting method, is a more invasive technique that involves making a small incision along the natural eyelid fold. This incision allows the surgeon to remove excess skin, fat, or muscle, ensuring that the fold is securely formed. Once the tissue is altered, the skin is sutured back together, creating a more permanent crease.

Pros:

Long-Lasting Results: The incision method is typically more permanent because it removes tissue and reshapes the eyelid. Once the fold is formed, it’s much less likely to fade or change over time.
More Precision: Surgeons have greater control over the shape, size, and symmetry of the eyelid crease, allowing for a more tailored and precise result.
No Risk of Suture Failure: Since the fold is structurally supported by the removal of tissue, there’s no risk of sutures coming loose or breaking.
Better for Thicker Eyelids: Individuals with thicker eyelids or excess skin may benefit more from the incision method, as it allows for greater manipulation of tissue.

Cons:

Longer Recovery Time: The incision method requires more healing time than the suture method, typically between one and two weeks.
Visible Scarring: Although the incision is small and often placed within the natural eyelid fold, there may still be some scarring. However, the scars generally fade over time and become less noticeable.
More Invasive: As with any surgery, the incision method carries more risks and potential complications, though these are rare when performed by an experienced surgeon.

Which Lasts Longer?

So, the big question remains: Which method lasts longer?

Suture Method Longevity

The suture method can offer satisfactory results in the short-to-medium term. Many patients enjoy their double eyelids for several years, with results lasting anywhere from 2 to 5 years on average. However, it’s important to note that the longevity of the results is highly variable. Factors such as eyelid anatomy, the patient’s age, and the quality of the sutures used can all play a role in how long the fold lasts.

In general, people with thinner or more flexible eyelid skin may experience longer-lasting results, as the skin is more adaptable to the sutures. However, heavier eyelids, excess fat, or aging skin can cause the fold to fade or lose its definition sooner. Additionally, there’s always the possibility that the sutures could loosen or dissolve prematurely, leading to the loss of the eyelid fold.

Incision Method Longevity

When it comes to durability, the incision method is far superior. Because the procedure involves removing tissue, it fundamentally alters the structure of the eyelid, leading to long-lasting and more permanent results. Once the crease is created, it becomes much more stable, with a significantly lower risk of fading or shifting. The results can last for 10 years or more, and in some cases, they can last a lifetime with proper care.

Since the incision method involves reshaping the eyelid, there’s far less risk of the fold disappearing as time goes on. The results are more secure and don’t rely on the temporary support of sutures, making them less likely to fail over time.

Other Factors That Influence Longevity

While the technique you choose plays a significant role in how long your double eyelid fold lasts, several other factors can also influence the durability of the results.

Age

Younger individuals tend to experience better, longer-lasting results from both methods. As we age, the skin loses its natural elasticity, and the muscles and tissues around the eyelid may weaken. This can impact the stability of the eyelid fold, regardless of the surgical method used. People under the age of 30 often have more youthful skin, which tends to maintain its crease longer. For older individuals, the incision method may be the better option, as it can address sagging skin and excess tissue more effectively.

Eyelid Type and Anatomy

The thickness of your eyelid skin, the amount of fat or muscle, and the overall anatomy of your eyes all play a role in how well your double eyelid fold will hold up. Thicker eyelids or excess fat can be challenging for the suture method to maintain over time. In these cases, the incision method is generally preferred, as it allows for more control over the tissue structure. If you have naturally thinner eyelid skin or less excess fat, the suture method may provide satisfactory, long-lasting results.

Surgeon’s Expertise

One of the most significant factors in the longevity of your results is the experience and skill of your surgeon. A surgeon with extensive experience in double eyelid surgery will be able to assess your unique eyelid anatomy and choose the appropriate method for your needs. Surgeons who specialize in aesthetic procedures, like Dr. Nam Min Kyun at All-line Clinic, will ensure that the surgery is performed with the utmost precision, resulting in a more durable and natural-looking outcome.

Post-Operative Care

Aftercare is just as important as the procedure itself. Proper care following surgery will help ensure that the eyelid fold heals correctly and remains stable for the long term. This includes avoiding rubbing or stressing the eyelid, keeping the area clean and free from infection, and following your surgeon’s instructions regarding post-operative activities. For the best results, patients must adhere to a prescribed aftercare routine, which may include using prescribed eye drops, gentle massage, and avoiding sun exposure.

Which Method Is Right for You?

Choosing between the suture and incision methods depends on several factors, including your desired outcome, eyelid type, and lifestyle.

If you’re looking for a less invasive option with a quicker recovery time, the suture method might be a good fit. However, be prepared for the possibility that the fold may not last as long as you'd like, and you may need touch-ups or revisions in the future.
If you’re aiming for more permanent, long-lasting results, the incision method is the better choice. This method provides greater stability and precision, making it ideal for individuals with thicker or less flexible eyelid skin, or those seeking a lasting change.

Final Thoughts

To be honest, the decision between the suture and incision methods comes down to your individual preferences and expectations. While the suture method provides a quicker, less invasive option with a shorter recovery time, it’s not always as durable as the incision method. On the other hand, the incision method offers more long-lasting results and greater control over the shape and symmetry of your eyelid fold, though the recovery time is longer.

If you’re considering double eyelid surgery, it’s crucial to consult with a highly skilled surgeon who can assess your unique needs and provide you with the best treatment option. At All-line Clinic, we specialize in non-surgical fat reduction, skin rejuvenation, and body contouring, but we also offer top-notch double eyelid surgery using the latest techniques and technologies.

Dr. Nam Min Kyun and our experienced team are dedicated to providing personalized care tailored to your aesthetic goals. Whether you’re interested in the suture method or the incision method, we’ll work closely with you to achieve the best results possible. If you’re ready to enhance your eyes and overall appearance, book a consultation with us today. Let us help you take the first step toward a more confident, beautiful you.