How It Works
A natural double eyelid crease is formed when fibers from the levator muscle attach to the overlying skin. Non-incisional double eyelid surgery (suture blepharoplasty) recreates this connection using specialized sutures: through 2–3 tiny micro-punctures along the pre-designed crease line, the surgeon threads sutures to secure the skin to the levator muscle or tarsal plate. When the eyes open, the muscle pulls the skin inward to form a clean crease. Because this technique removes neither skin nor fat, the outcome relies heavily on whether excess skin or fat weighs down and obscures the fold.
Non-Incisional vs. Incisional Blepharoplasty
Non-incisional (suture technique): No long incision, fast recovery, and fully reversible if unsatisfied. However, the crease may fade or loosen over time, and it cannot address excess skin or orbital fat. Incisional blepharoplasty: Uses an incision along the crease line to excise redundant skin and fat, delivering a longer-lasting fold; however, it requires a longer recovery period and leaves a fine scar hidden within the natural crease. The choice should be based on anatomical suitability rather than a mere preference for a "minimally invasive" procedure.
Indications
Young individuals with monolids or faint double eyelids who have thin eyelid skin, minimal orbital fat, and no skin laxity; patients with asymmetric eyelids where the targeted side meets the aforementioned criteria; or those who want to preview a double eyelid crease before committing to an incisional procedure. The surgeon thoroughly evaluates skin laxity, fat volume, levator muscle function, and facial symmetry prior to confirming eligibility.
Potential Risks
Fading or loosening of the crease (especially with thicker eyelid fat), asymmetry, visible or palpable suture knots, creases that sit higher or lower than planned, prolonged swelling and bruising, and suture point infection (rare). Early suture removal can generally restore the eyelid to its near-original state.
At BonBoz
You will receive an in-depth consultation directly from a plastic surgery specialist who evaluates your eyelid skin and fat volume and simulates the proposed crease using a specialized probe for a clear visual preview. If significant skin laxity or thick fat is present, the surgeon will recommend incisional blepharoplasty over the suture method to prevent crease loss. The examining doctor directly performs the procedure, utilizing specialized sutures and multi-point fixation techniques for long-lasting results. You will receive comprehensive aftercare instructions and scheduled follow-up visits on Day 7 and at Month 1.
