Fine buried sutures, passed through tiny punctures and knotted beneath the skin, are what hold a non-incisional double eyelid crease in place. Since nothing is cut away, the method suits thin lids with little excess skin or fat, and choosing a surgeon in Korea starts with whether your lids fit that profile. At ENTER Plastic Surgery in Seoul it takes about 20 to 30 minutes under local anesthesia, and Dr. Jang Jin-woo, a Korean board-certified plastic surgeon, operates.
How to choose
Seven questions for a non-incisional double eyelid surgeon
Buried suture surgery is quick, which makes it tempting to book on price and speed. These questions show whether the plan has been thought through for your eyes.
Are my lids suited to it?
Thin skin and little fat favor the buried method. Puffy lids or skin that overhangs the lashes may need an incisional approach instead.
How many fixation points
Ask how many suture points will hold the crease and how that number was chosen for your lid width.
Crease height and shape
Ask for the planned height and whether the fold will run parallel to the lash line or taper toward the inner corner.
Where the knots sit
Sutures exposed on the inner surface of the lid can scratch the eye. Ask how the knots are buried and what happens if one works loose.
What happens if it loosens
A buried suture crease can fade or come undone over the years. Ask how a loosened or uneven crease would be assessed and treated.
Ptosis checked first
A slightly weak lifting muscle can make one crease sit lower. Ask whether lid opening was measured on both sides.
The person holding the needle
Confirm by name who places the sutures, and that the same surgeon sees you at follow-up.
Practice types
Best Non-Incisional Double Eyelid Surgery in Seoul: Practice Types
Because the method is short, it is offered by many kinds of practice in Seoul, from eyelid clinics to agencies selling day-trip packages.
| Practice | How it handles buried suture surgery | What to clarify |
|---|---|---|
| Eyelid-focused plastic surgery clinic | The surgeon also performs incisional and ptosis surgery | Would you advise incisional surgery for my lids? |
| High-volume eye surgery hospital | Short slots, surgeon assigned on the day | Who places my sutures and who checks the result? |
| General cosmetic clinic | Eyelids among many treatments | Is a plastic surgeon doing the operation? |
| Tour or agency package | Surgery bundled with transport and hotel | What is the clinic's own price and follow-up plan? |
A practice that offers both buried suture and incisional surgery has less reason to steer every lid toward one method.
Prices
Non-incisional double eyelid surgery price at ENTER Plastic Surgery
The buried suture operation has one fee card, shown before VAT. Local anesthesia is the standard for this operation; adding IV sedation to your plan brings one more card into the quote.
Both cards exclude VAT (10% VAT is added at payment). Ask how a later loosening would be handled and whether any of it is charged, and have the deposit and cancellation rules sent to you in writing ahead of payment.
Prices exclude VAT (10% VAT is added at payment).
Before & after
Non-incisional double eyelid photos from ENTER Plastic Surgery
BEFORE
AFTER
BEFORE
AFTER
Your doctor
Chief Director · Korean board-certified plastic surgeon
“Natural, yet clearly visible change.”Eyelid and facelift surgery at ENTER is planned and performed by Dr. Jang himself.
- NowChief Director, ENTER Plastic Surgery
- TrainingPlastic surgery, Kyung Hee University Medical Center
- FormerChief Director, Jang Plastic Surgery
- FormerDirector, Secret Plastic Surgery
- MemberKSPRS · KSAPS · ISAPS · ESOPRS · ASPS
Two methods
Buried suture and incisional crease surgery: the clinic's figures side by side
The clinic offers both methods, and its guidance gives them quite different recovery figures. This is the comparison most worth making before you decide.
| Point | Non-incisional (buried suture) | Incisional |
|---|---|---|
| Operating time | About 20–30 minutes | About 40–60 minutes |
| Anesthesia | Local | Local, sedation if needed |
| Stitches to remove | None | About 5–7 days after |
| Swelling | 3–7 days | 2–3 weeks |
| Crease settles | About 1–3 months | About 3–6 months |
| Earliest flight home | 2–3 days after | 5–7 days, after stitches |
| How long it holds | Years; can loosen | Long term, as the lid ages |
The shorter recovery is the reason people choose buried sutures. The trade-off is that the crease relies on suture knots in place of a healed internal scar, which is why loosening is possible.
Evidence
What the research says about buried suture complications
Published work on buried suture surgery includes some uncomfortable reading, and it is better to know it before you book.
In 14 patients with corneal problems from exposed sutures after buried suture surgery, some had first been treated for dry eye, viral keratitis or allergic conjunctivitis. Eight had damage to the corneal surface and six had corneal ulcers, and removing the suture was the treatment that worked (Jin, 2023). A second case series described similar injuries, including one eye in which a suture passed through the white of the eye and caused a serious infection inside it (Wang, 2021). Both are case series without control groups, so they show what can happen, not how often.
Techniques are still being modified to reduce loosening. One variation combined a small incision for partial adhesion with continuous buried sutures and reported no loosening in 99 patients over a year, again without a comparison group (Jung, 2020).
Contact the clinic promptly if you notice:
- A scratchy feeling in one eye that does not ease
- Redness, watering or sensitivity to light
- Blurred vision
- A small bump or thread on the inside of the lid
At ENTER
Planning non-incisional double eyelid surgery with ENTER Plastic Surgery
Eyelid surgery is a large part of the clinic's work, and Dr. Jang Jin-woo also performs incisional double eyelid surgery and ptosis correction, so the method can be chosen to match your lids. Dr. Jang places the sutures personally.
After surgery, the lids are cooled with compresses for the first three days and warmed from the fourth, a little blood on tissues for a day or two is normal, and nose-blowing is avoided for two weeks. One or two follow-up visits cover cleaning and a check. A short trip can work: the clinic's guidance allows a flight home two to three days later.
Send a front photo of your eyes open and one looking down, without makeup, by WhatsApp or via the consultation form below. English-speaking staff are available at the clinic; we will get back to you as soon as possible.
Evidence
Research behind this page
- Misdiagnosis and Treatment of Corneal Complications Caused by Suture Exposure After Buried-Suture Double-Eyelid BlepharoplastyAesthetic Plastic Surgery · 2023 · Jin X et al. · doi:10.1007/s00266-023-03606-6
Fourteen patients with corneal injury from exposed buried sutures, some first misdiagnosed; suture removal was the most effective treatment.
- Natural Adhesion Blepharoplasty TechniqueJournal of Craniofacial Surgery · 2020 · Jung G · doi:10.1097/scs.0000000000006761
A modified technique pairing a small incision for partial adhesion with continuous buried sutures; no loosening was seen in 99 patients at one year, without a control group.
- Cause and Management of Suture-related Ocular Complications after Buried-suture Double-eyelid BlepharoplastyJournal of Plastic, Reconstructive & Aesthetic Surgery · 2021 · Wang Y et al. · doi:10.1016/j.bjps.2021.05.042
A case series of suture-related eye complications after buried suture double eyelid surgery, including corneal ulcers and one eye needing vitrectomy.
FAQ
Non-incisional double eyelid surgery in Korea: before you choose
How do I pick a clinic for non-incisional double eyelid surgery in Korea?
Look for a surgeon who also performs incisional surgery and ptosis correction, so the method is chosen for your lids. Ask how many fixation points are planned, where the knots will sit, what happens if the crease loosens and who places the sutures. Compare the replies, not only the prices.
Is non-incisional double eyelid surgery permanent?
No. The clinic's guidance describes it as lasting for years, with a chance of loosening that varies between people. The crease depends on buried suture knots, so it can fade or come undone over time. A crease that loosens is reassessed by the surgeon before any further step is planned.
How soon can I fly home after buried suture surgery?
Two to three days after surgery, according to the clinic's guidance. There are no stitches to remove. Swelling lasts three to seven days, so it may still show on the flight. One or two follow-up visits are planned before you leave.
What does non-incisional double eyelid surgery cost?
Buried suture surgery costs ₩1,600,000 excluding VAT (10% VAT is added at payment). It is done under local anesthesia; if IV sedation is added, it is ₩300,000 before VAT on its own line.
Can buried sutures damage the eye?
It can, according to case series. They describe sutures exposed inside the lid that scratched the cornea, sometimes mistaken for dry eye at first. Removing the suture was the effective treatment. A scratchy, red or watering eye after surgery should be checked by the clinic quickly.
Should I choose buried sutures or an incisional crease?
It depends on your lids. Buried sutures suit thin lids with little extra skin or fat and recover faster. Incisional surgery suits heavier lids and holds longer term, but it needs stitches out after about five to seven days and two to three weeks of swelling.
When will my non-incisional crease look natural?
Swelling goes down over three to seven days, and the crease settles over about one to three months. It can look higher or sharper at first. Judge the final height after the first month, and send photos to the clinic if the two sides still look different then.
Google reviews
Reviews on Google Maps
Great experience! Dr. is very sweet and kind. He listened to what I wanted to fix and correct. He explained everything very well. Wasn’t pushy and didn’t try to sell anything extra. This isn’t a clinic that comes out on instagram, which I…
Jennifer LyuA month agoI came to Enter Plastic Surgery on a friend’s recommendation for under-eye fat repositioning. I was pretty nervous going in, but the doctor took the time to explain what would work for my under-eyes, what the procedure involved, and what…
Michael2 months agoThe staff are incredibly friendly, and the consultation was very thorough. I was very worried since it was my first procedure, but the director explained the aftercare in detail, so I felt completely confident trusting them!!
ROOHEUI SHIN (RHS)2 months ago · Translated by Google