Non-Incisional Double Eyelid Surgery: Are You A Good Candidate?

埋没 二重

Double eyelid surgery, also known as Asian blepharoplasty, has two techniques: incisional and non-incisional. Non-incisional double eyelid surgery is popular due to its quick recovery time and minimal swelling, but not everyone is eligible for this procedure. This article will explain the ideal conditions for non-incisional blepharoplasty.


Q : Non-incisional vs. Incision double eyelid surgery: Each hospital recommends different solutions?

A : Differences between doctors’ experience, aesthetic perspective, examination method, and surgical approach may result in different surgical plans.

Q : Does Non-incisional lid surgery come off double-fold more easily than the Incision method?

A : It is difficult to say that the less invasive method always comes off easily, as it depends on the condition of the eyes. Generally, the two methods have no significant difference if the patients meet the features listed in the summary.

1. Orbital conditions for successful non-incisional double eyelid surgery

1) Slim upper lid

If your eyelid skin is thin and has little soft tissue or fat, it is an ideal condition for non-incisional surgery. However, if your upper eyelids are puffy, the non-incisional technique may not be effective. The puffiness may be due to the distance between the eyelids and brows, skin thickness, and orbital protrusion. Incisional procedures or other periorbital surgery (like a sub-brow lift or endoscopic forehead lift) might be more suitable in such cases.

2) No droopy eyes

The non-incisional technique might work for you if you have strong eye-opening muscles. However, the incisional method might be more effective if you have droopy eyes (blepharoptosis) due to weak levator power. The non-incisional technique can also treat sleepy-looking eyes, but often shows limited and nuanced results. Therefore, the incisional method with ptosis surgery makes more predictable results for droopy eyes.
If sleepy-looking eyes appear due to excess skin (pseudo-blepharoptosis), the non-incisional technique might still work. An experienced surgeon can determine whether droopy eyes are real and if it is pseudo-blepharoptosis, Asian blepharoplasty without ptosis treatment will give a dramatic change.

3) Slightly bulging eyes

If your eyes are slightly protruded, the non-incisional technique might work well. However, this technique may not result in good outcome for the sunken eyes (enophthalmos).

4) Occasional double eyelid folds

If you have occasional double eyelid folds and happen frequently, the non-invasive technique might work.

5) Less skin sagging

If you meet all the above criteria but have saggy eyelid skin, the non-incisional technique might not produce the desired results. This skin redundancy is why middle-aged people are less likely to satisfy the results with minimally invasive double eyelid surgery.

2. Does the Non-Incisional Technique Fade Away Double Folds More Easily Than the Incisional Method?

During the consultation, doctors can simulate the double folds to assess their appearance and longevity.

simulation for proper non-incisional double eyelid surgery

If the folds stay for more than 5 seconds, the non-incisional technique can produce long-lasting results. However, if the folds become loose quickly, the fold may disappear within a few years, even with the same surgical procedure.

Patients who ignore their doctor’s advice and opt for a less-invasive procedure often shop around for a surgeon who can perform the surgery they want, regardless of whether it suits their condition. However, if the chosen technique is not appropriate for their condition, they may have to repeat the surgery due to loosening folds(각3-2). It’s advisable to thoroughly discuss your condition with a doctor and determine the best surgical technique.

3. Conclusion

Asian blepharoplasty is a popular aesthetic surgery in East Asia, and non-incisional techniques have been developed to minimize downtime. However, unrealistic expectations due to competitive marketing and the pressure to perform the procedure can lead to disappointment if the technique is unsuitable for your eyes. Consulting with an expert is the first step toward successful plastic surgery.

4. Summary: Good candidate for non-incisional double eyelid surgery

  • Thin upper lid skin with little fat, little skin sagging
  • Slightly protruding eyes
  • Not sleepy eyes
  • Double eyelids crease are often formed naturally
  • Lasts longer than 5 seconds in a doctor’s simulation

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