Over the years, double eyelid surgery has definitely soared high in terms of its popularity.

It comes as no surprise to see this cosmetic procedure grace the most requested list as shown in various statistical reports from different organizations in the cosmetic surgery industry and has recently risen as one of the top surgical cosmetic trends.

In fact, it has even outranked the widely popular rhinoplasty in third place according to the International Society of Aesthetic Plastic Surgery (ISAPS) 2013 Statistics with almost 1.8 million double eyelid surgery procedures performed. For a procedure performed on a minor body part, the numbers are surely astounding.

One might think that this performing a double eyelid surgery is menial and will not involve serious considerations. But, you might be surprised to learn that the eyelid is actually composed of a complex network of fats, muscles, nerves and tissues. This requires great skill from an experienced cosmetic surgeon to achieve an outcome that balances the overall facial features of the patient. The slightest tweak, or worse a mistake, can have a significant impact in the result of the procedure.

It involves the removal of excess fat and skin tissue from the eyelid to create an upper eyelid crease. In some cases, it may also involve the reinforcement of the muscles in the eyelid area. And in performing the double eyelid surgery, it does not simply involve slicing the eyelid and excising these components to instantly achieve the desired outcome.

One of the main things that will be discussed with you when you get a double eyelid surgery done during your consultation is the surgical technique that will be employed to attain a natural-looking result. There are two different techniques used in double eyelid surgery to create the double eyelid crease. These are the Incisional Technique and the Suture Technique.

Let us take a closer look at the difference between these two techniques and highlight its advantages and disadvantages.

Incisional Technique

The name itself speaks of how this technique is performed. The Incisional, or also referred to as Open Technique, involves making on an incision along the position of the new crease on the eyelid. It also entails the removal of excess tissues, fats and fixation of the underlying eyelid structures. After which, the incision is then stitched together. Ideally, a 2 to 3 mm size fold above eyelashes is created to achieve a more natural shape and crease. This will leave a “scar”, which is virtually invisible when performed in the hands of a very experienced surgeon, creating the double eyelid crease.

This technique is ideal for patients who have excess skin on the eyelids, with thick skin, muscles and fat around the eyes, suffering from ptosis and desire to have dramatic fold.


  • It is suitable for all eye shapes.
  • It allows for a wider range of variety of the shape and height of the crease.
  • It creates a distinct and dramatic double eyelid crease.
  • Since it involves the alteration of the underlying structure of the eyelid, the results are more permanent.
  • It is ideal for patients who are older.
  • It is considered to be a more superior method.


  • Recovery period takes longer compared to the Suture Technique.
  • It requires a highly skilled surgeon to perform the technique, as the risk for aesthetic and functional complications is higher.
  • It is not ideal for patients who are prone to prominent scarring, excess saggy brows and have underwent prior upper lid surgeries.

Suture Technique

Compared with Incisional Technique, the Suture Technique is relatively more conservative and less invasive in terms of operating on the eyelid area. Also referred to as the Non-incision Technique, it involves the use of fine stitches to compress the skin and internal tissues of the eyelid into place, creating the double eyelid crease.

Small holes are made across the eyelid enough for a fine needle to pass through with the sutures stitched, woven and looped through one hole to the other. This technique is ideal for those who are still young with good skin elasticity and those who have thin skin and moderate amount of fat and muscles in the eyelid area.


  • The suture technique is faster to perform.
  • It creates very minimum damage to the eyelid tissues, which means that recovery and healing is significantly decreased.
  • It is virtually scarless.
  • It can be performed by a novice and inexperienced double eyelid surgeon.
  • It costs less.
  • It is easier to operate a revision double eyelid surgery when complications occur or when the desired outcome is not achieved.


  • Since the anatomical structures of the eyelid are not excised, the results are not permanent and can fade overtime.
  • In most cases, the new crease created is very subtle.

It’s Not the Technique, But the Doctor

The technique to be used in creating the double eyelid crease will highly depend from patient to patient. Your doctor will carefully examine your natural features and design a personalized approach that will ensure your safety, as well as achieve the best natural-looking result possible.

Certainly, each technique has its own pros and cons. But it is more important to remember that it is your surgeon’s expertise that matters most in helping your create a bolder set of eyes with a well-defined eyelid crease that balances with your overall facial features. Remember that the best outcome is not dependent on the technique used, but rather on how well-versed and skilled your surgeon is in attaining a harmonized aesthetic outcome.

If you are looking for a double eyelid surgery doctor in Australia, Dr. Andrew Kim of Advance Beauty Cosmetic Surgery is best one to approach. Dr. Kim has years of training and experience to his credentials and works at understanding each of his patients’ needs and realistic expectations.

To schedule a free consultation with Dr. Kim, call us now or simply fill-out our inquiry form.