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When considering buried suture double eyelid surgery, the first question that usually comes to mind is "Is this method right for me?" Among those visiting 21plastic surgery for double eyelid consultations in the Gangnam area, it is common to hear concerns such as "I'm worried about asymmetry developing" and "I'm not sure if a natural line is possible." To give you the bottom line first: when eye conditions are suitable, the buried suture method is an approach with minimal scarring and can deliver a natural line. However, accurately identifying those conditions in advance determines the quality of results.

If you want natural double eyelids in Gangnam with the buried suture method, here's what you need to know first

The buried suture method is a technique that fixes the double eyelid line with medical sutures without incising the skin. Because eyelid tissue is manipulated minimally, recovery is fast and unnecessary adhesion is minimal. A HiDoc expert column also explains that when skin is thin and eyelid opening strength is good, the buried suture method is frequently used as the primary surgical approach.

However, to achieve natural and symmetrical results, there are certain conditions that must be addressed before surgery. Precise evaluation of eyelid thickness, the state of the eye-opening muscle (levator palpebrae superioris), and the presence of ptosis must be performed before surgery. If skin is thick, if there is sagging, or if ptosis is present, the buried suture method alone may have limitations in improving asymmetry, and the choice of surgical method itself may differ depending on individual conditions.

One-line summary: The buried suture method is a low-scarring approach suitable for appropriate conditions, but first confirming whether it matches your eye structure is the starting point.

What conditions are necessary for the buried suture method to produce asymmetry-free and natural results?

The causes of asymmetry after buried suture surgery can be summarized into three main categories.

✓ Differences in suture fixation location — If the position or depth where sutures are fixed differs even slightly between the two eyes, the line height may appear different. According to clinical data, cases are reported where the height of double eyelids appears different on both sides depending on the suture fixation location or the state of eye muscles.

✓ Imbalance in eye-opening muscle strength between both eyes — If the strength of the eye-opening muscle (levator palpebrae superioris) is not symmetrical between left and right, the line may appear asymmetrical even if it is the same after surgery, as the degree to which the eyes open differs.

✓ Failure to diagnose ptosis — According to Newsis reporting, if ptosis is progressing on only one side or if there is a difference in muscle attachment location, asymmetry may appear more pronounced after double eyelid surgery.

To identify these three factors in advance, a process of carefully examining the skin elasticity, fat distribution, and levator palpebrae superioris function of the eyelid before surgery is necessary. Clinical data also emphasizes this evaluation process as the key stage determining the quality of results. Conversely, the most suitable conditions for forming a natural line with the buried suture method are when skin is thin, there is no sagging, and there is no ptosis.

One-line summary: Precise pre-surgical diagnosis of the causes of asymmetry determines the outcome of buried suture surgery.

What 21plastic surgery focuses on during eye plastic surgery consultations

Pursuing total plastic surgery solutions centered on individual harmony, 21plastic surgery examines eyelid thickness, levator palpebrae superioris function, and facial proportion before deciding whether to proceed with the buried suture method, then proposes the line direction.

As emphasized in Seoul Asan Medical Center eye plastic surgery information, precise evaluation including the presence of eyelid ptosis and fat layer thickness is a prerequisite for determining surgical direction. If this evaluation is skipped, it becomes difficult to stably maintain the desired line regardless of surgical technique expertise.

Also, the form of the double eyelid line — whether it should be in-line, in-out line, or out-line — depends on individual eye structure. According to clinical data, the same line height can appear completely different results depending on eye structure, making the consultation stage where line direction is decided as important as the surgery itself.

21plastic surgery encounters a wide range of eye structure types in an environment where patients from various countries including Japan, China, Thailand, Indonesia, and North America visit, and based on this experience, can discuss global-standard natural double eyelid design together.

One-line summary: Evaluating eyelid condition and facial proportion together during the consultation stage is the beginning of natural and symmetrical results.

Conditions you must check before surgery to determine if the buried suture method is right for your eyes

A checklist you can review yourself before consultation. Check each item one by one.

✓ Eyelid skin thickness — If the eyelid skin feels thick or heavy when gently pinched in front of a mirror, there is a relatively high possibility of the line loosening after buried suture surgery. According to a HiDoc expert column, the thicker the eyelid skin, the lower the retention strength of the buried suture method and the higher the possibility of asymmetry occurring.

✓ Presence of eyelid sagging — If the upper eyelid covers more than one-third of the pupil when opening the eyes wide, there may be sagging. In this case, additional correction beyond the buried suture method may be necessary.

✓ Difference in eye-opening strength between both eyes — Using a hand mirror, compare the position of both eyelids when eyes are open. If one side is noticeably more drooped, there may be ptosis. According to clinical data, if only the buried suture method is performed in a state with ptosis, it may be difficult to achieve satisfactory results.

✓ Fat under the eyes and eyelid elasticity — Check whether the eyelid returns to its original position immediately when gently pressed and released. If elasticity is low or fat is abundant, professional evaluation is a priority.

✓ Symmetry between both eyes — If the two eyes previously differed in size or shape, it is important to discuss improvement directions realistically in consultation rather than expecting complete symmetry after surgery.

If even one item is difficult to judge for yourself, an in-person diagnosis by a plastic surgery specialist is necessary. Those living in the Gangnam area looking for Sinnonhyeon double eyelid consultation, Nonhyeon-dong eye plastic surgery inquiries, or Yeoksam double eyelid plastic surgery clinic can conveniently access sufficient consultation at a clinic located between Sinnonhyeon Station and Gangnam Station.

One-line summary: Self-assessment before surgery is a preparatory step to enhance consultation quality. Always confirm uncertain items through professional diagnosis.

Natural and balanced double eyelids: Why choices differ in Gangnam

Please visit 21plastic surgery located between Sinnonhyeon Station and Gangnam Station to directly examine eyelid condition and discuss whether the buried suture method is the right choice for your eyes now.

Natural buried suture double eyelids without asymmetry depend on the precision of pre-diagnosis as much as surgical technique. According to clinical data, for lines to not loosen and maintain durability, the position, number, and depth of knots must be precisely designed, and this is greatly influenced by the surgeon's accumulated experience. Even with equal surgical technique, finding the surgical method that first matches your eye structure leads to natural and highly satisfying results.

Since the choice of one eye affects the impression of the entire face, the most important thing is a process of sufficiently confirming whether "this method is right for my eyes now." Rather than vague expectations, we recommend starting with accurate diagnosis.

One-line summary: The precision of pre-diagnosis determines buried suture results. First confirming your eye conditions is the starting point.

Most frequently asked questions when considering buried suture double eyelid surgery

Q1. Which is more natural between the buried suture method and the incision method?

It is difficult to definitively say which is more natural. If skin is thin, there is no sagging, and there is no ptosis, a natural line can sufficiently be expected with the buried suture method. On the other hand, if the eyelid is thick, there is abundant fat, and there is sagging, the incision method may deliver more stable results. Ultimately, your eye structure is the criterion, and the method is the secondary choice.

Q2. If asymmetry develops after buried suture surgery, can it be corrected?

Correction is possible. However, the correction method differs depending on whether the cause of asymmetry is a suture fixation location problem, muscle strength difference, or ptosis progression. In some cases correction with the buried suture method is possible, and in other cases conversion to the incision method may be necessary, so direct examination by a plastic surgery specialist is first.

Q3. My eye-opening strength is somewhat weak — is the buried suture method alone okay?

It depends on what level "somewhat weak" means. In mild cases, directions to complement levator palpebrae superioris function together with the buried suture method can be explored, but if eye-opening strength is noticeably deficient enough to be diagnosed as ptosis, it may be difficult to achieve desired results with only the buried suture method. The degree of eye-opening strength can only be accurately determined through in-person examination, so specialist consultation is essential.

⚠️ This content complies with Article 56 of the Medical Act, and results may vary depending on individual conditions.