Non-Incisional Double Eyelid Surgeryin 20–30 Minutes

A stitched crease lasts longer when little tissue is pushing against it. Thin upper-lid skin with a modest layer of fat lets the buried thread pull the skin inward each time the eye opens, so the fold forms with very little resistance. The thicker and fuller the lid, the more weight sits on a few loops of thread, and the more likely the line is to soften over time.

Because nothing is cut away, the method changes only where the lid folds. It does not take off hooding skin, reduce a heavy fat pad or strengthen a weak eye-opening muscle. When one of those is the main concern, a different operation is planned from the start, which avoids a second procedure later. The method also leaves the lid easy to revise if the first crease height is not quite right.

In an eyelid that already folds, small strands from the tendon of the eye-opening muscle reach up into the skin. When the eye opens, they tug the skin inward along one line, and the skin above that line drapes over it as a crease. A monolid lacks those links, so the skin lifts as one flat sheet. Non-incisional surgery adds a substitute link: a fine thread looped between the skin and the firm plate of the upper lid (the tarsus) or the tendon above it.

The crease line is drawn for each patient, with the eye closed and open, so its height and shape suit the eye rather than a set template. The thread enters and exits through tiny punctures along that line, and the knot is buried beneath the skin, where it stays. Because the skin is not opened and no tissue is removed, swelling is shorter than after the incisional method, and the crease can later be loosened or redone if needed.

How the thread is anchored matters for how long the fold lasts. In a long-term analysis of 423 eyelids, fixing the thread on the inner, conjunctival side of the lid carried a significantly lower risk of losing the crease than fixing it on the skin side (Inoguchi, 2026). Single-center reports of continuous buried-thread techniques describe few complications over years of follow-up, though that evidence comes from case series without comparison groups (Hu, 2015).

The buried suture operation is priced as one fee covering both upper lids, shown in the card below without VAT; 10% VAT is added at payment. Local anesthesia is part of the operation itself. Should IV sedation be added on request, it becomes a second line on the bill, which is how the clinic charges sedation for every surgery it performs.

Because there are no stitches to take out, the bill has no separate removal visit, and the one or two follow-up checks fall within the few days you are already in Seoul. Any medication or aftercare products would appear as their own items, so ask for an itemized written quote before you book travel.

A 2020 review groups the problems seen after Asian double eyelid surgery into dissatisfaction with the look, crease problems, lid height problems, suture-related problems and the general complications of eyelid surgery (Young, 2020). For the non-incisional method, these are the specific ones to know:

• The crease loosening, fading or disappearing over time, which is the main limit of a thread-held fold.
• Asymmetry in crease height or depth between the two eyes, or more than one fold forming.
• A knot or thread that can be felt or seen under the skin, or a small cyst or inflamed bump around it.
• Irritation of the eye surface if a thread is exposed on the inner side of the lid.
• Swelling, bruising, bleeding or infection at the puncture points.
• A revision, either releasing the thread or redoing the crease, sometimes with the incisional method.

Swelling that keeps increasing, severe pain or any change in vision after surgery needs a call to the clinic straight away.