Double eyelid surgery is a popular cosmetic procedure that creates a crease in the eyelid to make the eyes appear larger and more defined. There are two main techniques used for this surgery: non-incisional and incisional. Understand these methods to choose the right one for your needs. This article explains the differences between non-incisional and incisional double eyelid surgery so you can decide which approach might be best for you.

Non-Incisional Double Eyelid Surgery

Non-incisional double eyelid surgery is a technique used to create a double eyelid without making any cuts or incisions on the eyelid itself. Here’s what you need to know about this method:

Definition and Explanation

Non-incisional surgery involves forming the eyelid crease using sutures, lasers, or other non-invasive methods. Unlike incisional surgery, no actual cutting of the eyelid skin is involved.

How it Differs from Incisional Surgery

The key difference is that the eyelid crease is formed in non-incisional surgery without removing any skin or making incisions. Instead, the surgeon manipulates the tissues beneath the skin to create the desired crease.

Procedure Overview

  • Techniques may include using specialized sutures that anchor the eyelid to create a natural-looking crease or utilising laser technology to stimulate collagen production and define the eyelid fold.
  • Local anesthesia is typically used to numb the eyelid area during the procedure, ensuring minimal discomfort.


  • Since no cuts are made on the eyelid skin, scarring is minimal or absent.
  • Non-incisional surgery generally leads to quicker recovery than incisional techniques, with less swelling and bruising.


  • The longevity of the eyelid crease achieved through non-incisional surgery can vary depending on individual factors such as skin elasticity and healing.
  • Non-incisional surgery may suit individuals with thinner eyelid skin and minimal excess tissue.

Non-incisional double eyelid surgery can be a suitable option for those seeking a less invasive approach with quicker recovery and minimal scarring, especially if they have specific eyelid characteristics that are well-suited for this technique. However, consult a qualified surgeon to determine if this method aligns with your aesthetic goals and individual eyelid anatomy.

Incisional Double Eyelid Surgery

Incisional double eyelid surgery is a technique where a surgical incision is made on the eyelid to create a defined crease. Here’s what you need to know about this method:

Definition and Explanation 

Incisional surgery involves making a small incision along the eyelid to remove excess skin and fat, if necessary, and then suturing to create a natural-looking crease. This method allows for precise control over the shape and height of the eyelid fold.

Procedure Overview

  • The surgeon starts by marking the desired crease line on the eyelid. An incision is then made to remove excess tissue and create the crease. The skin is carefully sutured to form the new eyelid fold.
  • Incisional surgery can be performed under local anesthesia with sedation or general anesthesia, depending on the extent of the procedure and patient preference.


  • Incisional surgery typically provides permanent results, as the new eyelid crease is created by reshaping the underlying tissue.
  • This technique allows greater versatility in addressing different eyelid characteristics, including excessive skin or fat.


  • Compared to non-incisional methods, incisional surgery may require a longer recovery period due to swelling and potential bruising.
  • Although incisions are typically placed along the natural crease of the eyelid or within the upper eyelid fold, there is a risk of visible scarring. However, skilled surgeons can often minimize scarring, making it discreet.

Incisional double eyelid surgery is ideal for individuals seeking permanent results and precise control over the appearance of their eyelids. It is particularly effective in correcting more significant eyelid characteristics such as excess skin or fat. However, patients should be aware of this technique’s longer recovery time and potential for scarring. Consult an experienced surgeon to determine if incisional surgery is right based on individual goals and eyelid anatomy.

Recovery Time and Post-Operative Care

After undergoing either non-incisional or incisional double eyelid surgery, understanding the recovery process and post-operative care is essential. Here’s what you can expect for each technique:

Non-Incisional Surgery

Non-incisional surgery typically involves minimal downtime. Many patients can resume normal activities within a few days after the procedure.

If sutures were used to create the eyelid crease, they may need to be removed after a specified period, usually around 1 to 2 weeks post-surgery.

Incisional Surgery

Incisional surgery generally requires a longer recovery period than non-incisional techniques. Patients may experience swelling and bruising for several days to weeks.

Following incisional surgery, it’s important to monitor the eyelid area for swelling and bruising. Cold compresses and prescribed medications can help manage these symptoms.

Comparing Timelines for Return to Normal Activities

  • After non-incisional surgery, patients can typically return to normal activities, including work and light exercise, within a few days to a week.
  • With incisional surgery, the timeline for returning to normal activities may be longer, ranging from 1 to 2 weeks or more, depending on individual healing.

Post-Operative Care Tips

  • Follow your surgeon’s instructions for post-operative care, including proper wound care, medications, and activity restrictions.
  • Avoid strenuous activities and heavy lifting during the initial recovery period to prevent complications.
  • Attend follow-up appointments as scheduled to ensure proper healing and address any concerns.

Expected Results and Longevity

The results and longevity of double eyelid surgery can vary depending on whether you choose non-incisional or incisional techniques. Here’s what to consider for each method:

Non-Incisional Surgery

The longevity of results from non-incisional surgery can vary based on the specific technique used. Some methods, such as suture techniques, may provide results that last for several years, while others may require periodic touch-ups. Non-incisional surgery can achieve a natural-looking eyelid crease, especially for individuals with thinner eyelid skin and minimal excess tissue.

Incisional Surgery

Incisional double eyelid surgery typically offers permanent results, as the new eyelid crease is created by surgically reshaping the underlying tissue. With incisional surgery, the surgeon has more control over the outcome and can tailor the procedure to address specific aesthetic goals, such as creating a higher or more defined eyelid crease. Various factors, including age, skin type, and individual healing abilities, can influence the results of incisional surgery. Younger patients with good skin elasticity often achieve more predictable outcomes.

Choosing the Right Approach

  • Suppose you prefer a less invasive procedure with the potential for natural-looking results and are willing to accept the possibility of touch-ups in the future. In that case, non-incisional surgery may be suitable for you.
  • If you desire permanent and more customizable results, especially for addressing specific eyelid characteristics, incisional surgery may be the preferred option.

Consultation with a Surgeon

It’s important to consult with a qualified plastic surgeon to discuss your aesthetic goals, concerns, and expectations.

The surgeon can assess your eyelid anatomy, skin type, and other factors to recommend the most appropriate technique that aligns with your goals and provides realistic expectations regarding results and longevity.

Who is a Suitable Candidate for Each Procedure?

Determining the suitability of non-incisional or incisional double eyelid surgery depends on various factors related to individual anatomy, goals, and expectations:

Non-Incisional Surgery

Suitable Candidates:

  • Individuals with thin eyelid skin and minimal excess tissue.
  • Those seeking a less invasive procedure with quicker recovery.
  • Patients who desire a natural-looking eyelid crease without permanent changes.


  • Non-incisional techniques may not be ideal for individuals with thicker eyelid skin or significant excess tissue.
  • The longevity of results can vary and may require periodic touch-ups for maintenance.

Incisional Surgery

Suitable Candidates:

  • Individuals with thicker eyelid skin or prominent excess tissue that requires surgical correction.
  • Those seeking permanent results with the ability to customize the appearance of the eyelid crease.
  • Patients with specific aesthetic goals, such as achieving a higher or more defined eyelid fold.


  • Incisional surgery may involve a longer recovery period and the potential for visible scarring, which should be discussed with the surgeon.

Importance of Consulting with a Qualified Surgeon

Consulting with a qualified plastic surgeon is essential before undergoing any type of double eyelid surgery:

  • A surgeon can evaluate your eyelid anatomy, skin type, and overall facial structure to determine the most appropriate surgical technique.
  • The surgeon will discuss your aesthetic goals, expectations, and concerns to ensure they align with the potential outcomes of the chosen procedure.
  • Based on the consultation, the surgeon can develop a customized treatment plan tailored to your unique needs and desired results.
  • The surgeon will explain the risks and benefits of each surgical technique, helping you make an informed decision.
The information written and published on this website is not intended to substitute the recommendations of a trained professional and does not replace a professional consultation.
It is advisable to undergo a formal consultation to help establish a relationship between the doctor and yourself, accurately determine your concerns/problems, and get the appropriate treatments for them.
It is also imperative to note that the contents of the website with respect to treatments, results and pricing can vary from individual to individual, and can only be accurately determined by the doctor upon diagnosis.
Do note that all medical treatments will only be administered upon proper consultation, with the requirement that patients be above 21 years of age to provide legal consent.