Exploring The Different Techniques For Double Eyelid Creation

Double eyelid surgery, otherwise known as blepharoplasty, is a popular procedure that many individuals seek to enhance the appearance of their eyelids. When it comes to blepharoplasty eyelid surgery, there are two primary techniques that are employed – incisional and non-incisional.

Understanding the differences between these two techniques is crucial for individuals who are looking to undergo this transformative procedure. This article offers a thorough comparison of incisional and non-incisional double eyelid surgery, highlighting their unique characteristics, advantages, and considerations.


Incisional double eyelid surgery

As the name suggests, incisional double eyelid surgery entails making an incision along the eyelid to create a new eyelid crease. Generally, individuals who have excess skin or fat in the upper eyelid or who want a more dramatic and long-lasting change frequently choose this technique.

The procedure begins with the administration of local anaesthesia with or without intravenous sedation. Then, a small incision is made precisely along the desired crease line, which is generally 4-8 millimetres above the lash line. Any excess skin and underlying orbicularis muscle or internal eyelid fat may be carefully removed or debulked by the surgeon if needed. This is followed by considered and meticulous closure to create the desired result.



  • Long-lasting results: Incisional double eyelid surgery often produces permanent results since the newly formed crease is maintained over time.
  • Enhanced flexibility: This technique offers more customisation options, taking into account personal preferences for eyelid height and shape.
  • Addresses excess tissue: Excessive skin, muscle, or fat in the area of the upper eyelids can be effectively addressed with incisional surgery.



  • Downtime and recovery: Incisional double eyelid surgery patients may experience longer recovery times, which often last between one to two weeks.
  • Potential scarring: Though every effort is taken to reduce scarring, incisional surgery may leave behind little scars along the crease line. These, however, frequently go unnoticed and fade over time.
  • Surgical expertise: Because the procedure is associated with some risks, it is essential to seek the services of a qualified and experienced professional to minimise risks and secure the best outcomes.


Non-incisional double eyelid surgery

Non-incisional double eyelid surgery, also sometimes known as suture or thread eyelid surgery, is a less invasive option for individuals looking for a temporary or subtly enhanced eyelid crease.

In the case of non-incisional double eyelid surgery, the procedure commences with the application of local anaesthesia to numb the treatment area. The eyelid is then meticulously stitched or threaded to produce a double eyelid crease that appears natural. To maintain the desired crease, these sutures or threads are secured to the tissues of the eyelids. The excess thread is trimmed, and the internal suture stays in the eyelid tissues permanently.



  • Minimally invasive: Non-incisional surgery is considered less invasive since there is lesser tissue disturbance.
  • Faster recovery: Compared to incisional surgery, patients often report shorter recovery times, with the majority of people returning to their regular activities within a few days.
  • Reversibility: Because this approach is dependent on the suture and its impact on the eyelid tissues, there is a possibility of removal or reversal. This is, however, not fully guaranteed.



  • Temporary results: Non-incisional double eyelid surgery gives improvements that are often temporary and last for a few years before needing to be touched up or revised.
  • Limited adjustment: This method is better suited for people looking for slight alterations because it offers less flexibility for customisation.
  • Natural variations: The longevity and efficacy of non-incisional surgery may vary across individuals due to individual variances in eyelid structure. It is likely not suitable for those with heavier eyelid tissues.



Whether you choose to opt for incisional or non-incisional double eyelid surgery, each technique offers a unique set of advantages and considerations to bear in mind. While the non-incisional technique offers a less invasive alternative with quicker recovery periods and the ability for revisions, incisional surgery delivers permanent results, more personalisation, and efficiently treats excess tissue.

Individuals should seek the advice of a skilled professional before undergoing either procedure to determine their unique objectives, anatomy, and appropriateness for the selected technique. This will help them make an informed decision and ensure a positive outcome.

If you are looking for blepharoplasty in Singapore, do not hesitate to get in touch with Ava Eye Clinic. We offer professional treatments for a range of common eye problems – including upper and lower blepharoplasty, droopy eyelid correction, epiblepharon surgery, thyroid eye disease management, and many more.

Contact us today to learn more.