Non-Incisional Double Eyelid Suture Technique By The Expert Dr Lanzer
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The Non-Incisional Double Eyelid Suture Technique

The Non-Incisional Double Eyelid Suture Technique

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Around 50% of the Asian population lack the natural fold just about the lashes of the upper eyelid, also known as the “double eyelid”; The “double eyelid” operation is the most commonly requested aesthetic surgery amongst the Asian demographic. Depending on the aesthetics of your face, creation of a double eyelid may make the eye appear larger, younger, more alert, and help with eye makeup application. Today, we look a little closer at a non-surgical technique that is often used by cosmetic surgeons, i.e. the non-incisional double eyelid suture technique.

What Is A Non-Incisional Double Eyelid Suture Technique?

The non-incisional method enables the creation of a double eyelid without the need for an incision; it is a similar analogy to hemming a pair of pants with stitches, without cutting. This technique is also referred to as the buried suture technique. However, patients must be aware that even though this technique does not require an incision, this cosmetic procedure still requires the use of a local anaesthetic. The entire procedure can be performed in less than an hour, and no overnight hospital stay is required.

Non-Incisional Double Eyelid Suture Technique

How Does The Non-Incisional Double Eyelid Suture Technique Work?

Before the eyelid cosmetic surgery is executed, the cosmetic surgeon will mark some of the areas on the eyelid skin; this will help the surgeon during the procedure. Once the area is appropriately marked, the cosmetic surgeon will implement tiny punctures on the corresponding markings. Then, he will implement sutures through the punctures. Please note that these sutures are hidden under the skin, which means they will not be visible to the naked eye.

Non-Incisional Double Eyelid Suture Technique

What Are The Pros And Cons Of The Non-Incisional Double Eyelid Suture Technique?

There are many advantages to the non-incisional double eyelid suture technique. However, the biggest benefit is undoubtedly the fact that no incision is used. Many patients are afraid that an incision will leave a permanent scar on their face, so the non-incisional double eyelid surgery could be a better alternative to create a supratarsal fold. It manipulates the Levator (elevating muscle of the upper eyelid) and the tarsal plate (connective tissue), without the need for an incision.

One of the downsides of the procedure is that it cannot be used for the removal of excess skin and fat from the eyelids, as this requires an incision. Nevertheless, if the patient does not require the removal of excess fat and skin, the non-incisional technique can be used in most cases.

While the non-incisional procedure is beneficial for many east Asian patients, Asian patients in general, or those who naturally lack a double eyelid, it is vital that patients are aware of the potential risks. In rare cases, patients can experience asymmetry of the double fold, suture irritation, infection, visible punctures, or a fluid cyst caused by a buried suture after the surgical procedure. Therefore, it is important to speak to your cosmetic surgeon about the surgical technique before you have it done.


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An increasingly large amount of patients now opt for non-incisional double eyelid surgery treatment procedures. 

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How Long Does Non-Incisional Double Eyelid Surgery Last?

Like incisional double eyelid surgery, the results obtained from non-incisional double eyelid surgery are potentially permanent (studies have shown the double eyelid can remain for over 10 years). However, some cases may require revision over time. Even though this is rare, it is important to speak about this possibility with your cosmetic surgeon.

How Much Does Non-Incisional Double Eyelid Surgery Cost?

The cost of your procedure will depend on the location where you have your treatment, but also its overall complexity and the technique used by your surgeon. To get an accurate estimate for double eyelid surgery, it is recommended to visit The Dr Lanzer Clinic for your first free consultation and get an accurate estimate from Dr Lanzer and his associates.

Non-Incisional Double Eyelid Suture Technique

What Is The Difference Between Incision And Non-Incisional Double Eyelid Surgery?

To understand the difference, it is important to understand the incisional method. The incisional technique requires an incision and is used by cosmetic surgeons when excess skin or fat needs to be removed during the procedure. The small incision is usually made along the skin fold, lash line, or eyelashes to keep it relatively hidden. The treatment is often obtained by patients who experience excess fat and skin, as well as puffiness, along the eyelid crease and fold due to the natural ageing process. By removing excess skin and fat, the cosmetic surgeon can restore the natural double eyelid. It can be considered as a reconstructive surgical procedure.

The non-incisional procedure is also referred to as the stitching-method Asian blepharoplasty; this because the treatment is quite popular among patients of Asian descent. Asian patients are often looking to correct their so-called monolids (or single eyelid), which gives them the appearance of a Caucasian eyelid after treatment. Therefore, Asian eyelid surgery is often obtained to correct the Asian upper eyelid. However, some cases may require an epicanthoplasty, which is a relatively rare surgical procedure where the epicanthal folds (inner skin fold of the eye characteristic in patients of Asian descent) are manipulated. This procedure can be relatively challenging, so cosmetic surgeons often look at other options first.

Non-Incisional Double Eyelid Suture Technique

How Long Does It Take To Recover From Non-Incisional Eyelid Surgery?

Even though no incisions are used during this procedure, patients should still expect some of the common side-effects of cosmetic surgery; this includes some minor bruising and swelling. Some patients may also experience dry eyes and sensitivity to light. However, most patients are able to resume their normal activities after two weeks. That being said, it is important to remember that everyone heals in their own time. So, you may need a little more than the estimated recovery time.

There are several things patients can do to reduce some of the side-effects. If you experience discomfort, bruising or swelling after your non-incisional eyelid surgery, you can apply a cold compress. It is important to follow the instructions from your cosmetic surgeon in terms of the amount of time the compress needs to be applied and how often.

Patients can also receive some special ointments and prescribed medications to help them manage post-treatment symptoms or to reduce the chance of complications. These ointments and medications will be recommended and explained in detail by the clinic in question.

Dr Lanzer and his associates also recommend wearing some sunglasses for two weeks after the procedure. As your skin can be somewhat sensitive, it is a good idea to protect the eyelid skin against the sun.


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