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The non-incisional method enables the creation of a double eyelid fold 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.
Before the eyelid cosmetic surgery is executed, the cosmetic surgery 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 surgery 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.
To understand the difference, it is important to understand the incisional method. The incisional technique requires an incision and is used by the cosmetic surgeon 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 upper eyelid skin, as well as puffiness, along the eyelid crease and fold due to the natural ageing process. By removing excess skin and fat, cosmetic surgery can restore the natural double eyelid. It can be considered a reconstructive surgical procedure.
The non-incisional procedure is also referred to as the stitching-method Asian blepharoplasty; as it is a treatment that 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 eye upper lids. However, some cases may require an epicanthoplasty. Epicanthoplasty is a relatively rare surgical procedure where the epicanthal folds, a skin fold of the upper eyelid covering the inner corner 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.
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 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 surgery procedure. Nevertheless, if the patient does not require the removal of excess fat and skin, they are a good candidate for the non-incisional technique that 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 upper eyelid crease, 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 surgery about the surgical technique before you have it done.
An increasingly large number of patients now opt for non-incisional double eyelid surgery treatment procedures. If you’re looking to remove fat from the eye, get a free consultation at Dr Lanzer.Request consultation
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.
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.
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.
Click on the picture above to see a range of ‘before & after’ pictures of Dr. Lanzer’s eyelid surgery results.
View a recent Channel 7 ‘Today Tonight’ episode where Dr. Lanzer’s eyelid surgery procedure is discussed.
It can be long lasting.
Daniel Lanzer has retired. He is no longer a registered medical practitioner. This website is currently under review.