Eye surgery · Incisional double eyelid
Incisional double eyelid surgery in Seoul, designed to the millimetre.
A permanent, well-defined crease for thick or heavy eyelids, excess skin or fat, and folds that loosened after a non-incisional procedure. Designed and performed by a board-certified plastic surgeon who is named before your surgery.
In short
Incisional double eyelid surgery creates a permanent upper-eyelid crease through a fine incision along the planned fold. Excess skin, muscle and fat can be adjusted at the same time, which makes it the preferred method for thick eyelids, heavy lids and revision cases.
Medically reviewed by Dr. Eon Rok Do, board-certified plastic surgeon · Updated October 2026
At a glance
Incisional double eyelid surgery, key facts.
The essentials patients ask about first. Your own plan is set at consultation after your surgeon examines the eyelid.
| Best for | Thick or heavy upper lids, excess skin or fat, a crease that came undone after non-incisional surgery |
|---|---|
| What is adjusted | Skin, orbicularis muscle and fat, selectively removed or repositioned |
| Crease | Fixed internally for a permanent, stable fold |
| Stitch removal | Day 5–7 |
| Back to daily life | Light activities in 7–10 days |
| Final shape | 1–3 months |
| Scar | Hidden in the crease; fades to a fine line |
| Often combined with | Ptosis correction, upper-lid fat graft or removal |
Candidates
Who is incisional surgery right for ?
Your surgeon recommends incisional surgery after checking lid thickness, skin laxity and how strongly the lifting muscle opens the eye.
- Thick or heavy upper eyelids
- Excess eyelid fat or loose skin
- You want a clearly defined, long-lasting crease
- A previous non-incisional crease has loosened or disappeared — see double eyelid revision
- Mild eyelid drooping that also needs ptosis correction
- Mature lids with skin folding over the lashes — see mature eyelid surgery
The 1mm approach
Precision over exaggeration.
Small changes read as natural. The crease is planned around your own anatomy, sometimes adjusting by as little as 1mm.
- 01
Anatomy-based height
Crease height follows your eye shape and lid thickness, not a fixed template.
- 02
Balanced symmetry
Both eyes are measured and marked so the folds match at rest.
- 03
Soft, elegant lines
Graceful folds rather than sharp, high “sausage” creases.
- 04
Whole-face harmony
The design is checked with the face relaxed and smiling.
Procedure
How the surgery works.
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Consultation & design
Crease height, lid thickness and symmetry are evaluated and the new fold is marked to the millimetre.
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Precise incision & tissue adjustment
Through a fine incision on the planned line, excess fat, muscle or skin is selectively removed or repositioned.
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Crease formation & closure
The fold is secured internally for long-term stability, and the skin is closed with fine sutures.
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Aftercare & monitoring
Follow-up visits, stitch removal on day 5–7 and guided aftercare until the crease settles.
Real result
Before & after.
Incisional double eyelid surgery at 1mm Plastic Surgery: a defined, natural crease that opens the eye without looking operated.
Published with patient consent. Individual results vary with anatomy, healing and the technique used.
All before & after photos
Recovery
Healing timeline, week by week.
For a day-by-day breakdown, read our double eyelid recovery guide.
- Days 1–3
Swelling and mild bruising peak. Cold compresses and rest.
- Days 5–7
Stitches removed. Most patients go out with glasses.
- Weeks 2–4
Swelling reduces noticeably; light make-up is usually fine.
- 1–3 months
The crease softens and the final shape becomes clear.
Reviewed by
Dr. Eon Rok Do
Representative Director of 1mm Plastic Surgery and board-certified plastic surgeon. Every operation at 1mm is performed by the surgeon named in your consultation and surgery record — no ghost or proxy surgery. Full surgeon profiles · English-speaking eyelid surgeon in Seoul
Questions
Incisional double eyelid FAQ.
Still unsure? Message us on WhatsApp and a coordinator will reply in English.
Is incisional double eyelid surgery permanent?
Yes. The crease is fixed internally through the incision, so it is the most durable double eyelid technique. The fold stays stable long term, although natural ageing of the skin still continues over the years.
Will incisional double eyelid surgery leave a scar?
The incision sits exactly on the new crease line, so it is hidden inside the fold when the eyes are open. With proper aftercare it usually fades to a thin, barely visible line over the following months.
How long is recovery after incisional double eyelid surgery?
Swelling and mild bruising peak in the first 1–3 days, stitches come out on day 5–7, and most patients return to light daily activities within 7–10 days. The crease keeps softening for 1–3 months before the final shape settles.
Should I choose incisional or non-incisional double eyelid surgery?
Non-incisional surgery suits thin eyelids with little excess skin or fat. Incisional surgery suits thicker or heavier lids, excess skin or fat, or a crease that loosened after a previous non-incisional procedure. Your surgeon decides after examining lid thickness, skin and muscle strength.
Can incisional double eyelid surgery be combined with ptosis correction?
Yes. If the eyelid-lifting muscle is weak, a crease alone can look heavy, so ptosis correction is often performed through the same incision in one operation.
How long should I stay in Seoul for incisional double eyelid surgery?
Plan to stay at least until your stitches are removed on day 5–7 and your post-operative check is done. Our English-speaking coordinators help you plan the dates before you fly.
Keep reading
Related procedures & guides.
Start with a photo
Find out if incisional surgery suits your eyes.
Send a front-facing photo of your eyes, open and closed. A coordinator will reply in English with your surgeon's first opinion.
