
Incisional Double Eyelid
Incisional double eyelid surgery creates a vivid, defined line with less worry about it coming undone.
Procedure information
From surgery time to recovery, see the incisional double eyelid schedule at a glance.
Surgery time
About 30 minutes
Anesthesia
Painless sedation (local anesthesia)
Hospitalization
Not required
Stitch removal
After 7 days
Follow-up visits
1-2 visits
Recovery period
After 3-4 days
Ruby Incisional Double Eyelid
An eyelid incision removes sagging or excess fat, skin and muscle to create a clear double eyelid line without a swollen or heavy look.

Removing excess tissue
Sagging or excess fat, skin and muscle are cleanly removed.
Correcting what non-incision can't
Issues that are hard to fix without an incision are corrected effectively.
Fine control of line and thickness
The link between the eyelid-lifting muscle and the skin is considered for larger, clearer eyes.
Before & After
These are before-and-after photos of patients who had surgery at Ruby Plastic Surgery. Results and side effects may vary by individual. We recommend a thorough consultation with our medical team.
Incisional double eyelid at Ruby Plastic Surgery
Natural is the basis, with clearer, sharper eyes!
POINT 01
Removing eyelid tissue creates clear, fresh eyes.
By removing eyelid tissue, we create fresh, clear eyes without a swollen or awkward look.

POINT 02
Firm fixation minimizes the chance of it coming undone.
Fixing firmly through an incision can minimize the chance of the double eyelid coming undone.

POINT 03
We finely adjust the line thickness.
Through an incision, we delicately adjust the thickness of the double eyelid line to create a natural line.

Precise analysis before surgery
Because even small differences can change the eyes' image greatly, surgery must follow a thorough, detailed analysis to achieve a good result.

Facial proportion analysis

Eye shape analysis

Eye spacing and length analysis

Epicanthal fold and outer corner analysis

Ptosis and pupil analysis

Analysis of muscle and fat around the eyes
A double eyelid line that suits your face
Double eyelids fall into 4 types by where the crease starts (shape) and 4 by its height. Find the line that suits you.
How the incisional method and natural adhesion differ
It is best to understand the difference between the incisional method and stitch-free natural adhesion and then choose the method that suits you.

Incisional method
Surgery time About 30 minutes
Anesthesia Painless sedation (local anesthesia)
Correction method Eyelid tissue is removed through an incision, then the line is formed
Stitch removal After 7 days
Recovery period Caution while stitches are in place
Result May become an artificial, unnatural line
Scar A scar may remain depending on the incision line

Stitch-free natural adhesion
Surgery time About 15 minutes
Anesthesia Local or sedation anesthesia
Correction method The line is formed through thread and adhesion via small holes
Stitch removal Not required
Recovery period Quick return to daily life possible (varies from person to person)
Result A natural double eyelid line that looks like your own
Scar Tends to be hard to notice (varies from person to person)
Incisional double eyelid process
Skin, muscle and fat are removed as needed and the line thickness is finely adjusted for a brighter, clearer look.

Before surgery
Small, flat eyes without a double eyelid

Double eyelid design
We design the ideal double eyelid height.

Eyelid incision
The eyelid is incised according to the design.

Muscle and fat removal
Excess skin, muscle and fat are removed through the incision.

Line fixation and suturing
The skin and the levator palpebrae muscle are connected directly and then sutured.

After surgery
A slim, clear double eyelid line that suits you is completed.

Want a firm, clear line that is less likely to come undone?
A clear, vivid double eyelid line; a fresh, defined impression Less awkwardness through skin and fat removal; can be combined with other eye surgeries
Who incisional double eyelid suits
At consultation we look at eyelid thickness, skin laxity, age and any previous surgery.
Thick eyelids
When the eyelids are thick with a lot of fat
Sagging eyelid skin
When the eyelid skin sags significantly
Double eyelids in middle age
When it is double eyelid surgery for middle age
Revision surgery
When you want revision double eyelid surgery
A line that lasts
When you want a clear double eyelid that does not come undone
Combined eye surgery
When you are considering combining it with other eye surgeries
Four promises we keep
Beyond beauty, we practice medicine that adds value to your life.

Honest consultation, principled surgery
We consult without exaggeration and operate by principle.

Safety from the basics
Accidents can start from small details, so we follow every safety rule carefully.

One dedicated specialist
Your specialist handles consultation, surgery and aftercare. No shadow doctors.

Results that suit you
We find the beauty that fits your features and personality.
Is incisional double eyelid surgery right for me?
The questions we hear most in consultation, on suitability and how the surgery is done.
Which eyelid conditions call for the incision method?
We discuss the incisional method when there is a lot of eyelid fat or significant skin sagging, or when mid-life eye surgery or revision surgery is being considered. The suitable method is confirmed at your consultation.
How are the incision and the crease line planned?
We look at the condition of the skin, fat and muscle, match the incision line to the natural crease and adjust the thickness of the line. The incision scope and line are decided after consultation.
Post-Surgery Precautions
Side effect information: Complications that can generally occur after surgery, such as bleeding, infection and inflammation, may vary in degree from person to person, so caution is needed.
Other eye surgeries to explore
From canthoplasty to revision and mature-eye surgery, compare options for your concern.
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