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Incisional Double Eyelid Surgery in Seoul

Medically reviewed by Hwang Sungoh, Head Surgeon · Rhinoplasty & Eyelid · Last updated July 2026

Incisional double eyelid surgery in Seoul is one of the most commonly performed eyelid procedures for patients who want a defined, natural-looking crease that holds over the long term. At MOOi Plastic Surgery Clinic in Gangnam-gu, this technique is used to create or enhance the eyelid fold through a surgical incision, allowing the surgeon to address excess skin, fat, or muscle laxity that non-surgical methods cannot correct. This page explains what the procedure involves, who tends to benefit, and what to expect before booking a consultation.

What It Is

Incisional double eyelid surgery, known in Korean as 절개 쌍꺼풀, involves making a small incision along the upper eyelid to form a new crease. Unlike non-incisional or suture methods, the incisional approach allows the surgeon to remove excess skin, adjust fat pads, and reposition the underlying tissue directly. This makes it a versatile option for patients with thicker eyelid skin, existing asymmetry, or those who have had a previous eyelid procedure and require revision work. The clinic's profile notes that revision surgery is available for patients returning with concerns about a prior double eyelid result.

Who It Suits

This procedure is generally considered for adults who:

  • Have thicker or heavier upper eyelid skin that may not hold a crease well with non-incisional techniques
  • Want a more permanent-style fold with the option to remove excess skin at the same time
  • Are seeking revision after an earlier eyelid surgery that did not produce the intended shape
  • Have mild to moderate eyelid asymmetry they would like addressed
  • Understand that individual anatomy, skin thickness, and healing patterns will influence the final appearance

A consultation with one of the clinic's surgeons is the appropriate way to determine whether the incisional method, or an alternative technique, best matches a patient's eyelid structure and goals.

Who Should Avoid It

Incisional eyelid surgery is not appropriate for everyone. Patients with active eye infections, uncontrolled systemic conditions, or bleeding disorders should discuss these with the surgical team before proceeding, as they may need to delay or avoid surgery. Those with unrealistic expectations about achieving a completely symmetrical or fixed result should also be aware that some natural variation between the left and right eyelid is common even after healing. Pregnant patients and individuals currently on certain medications, such as blood thinners, will typically be advised to wait or adjust their treatment plan. A full medical history review during consultation is used to identify any contraindications specific to the individual.

How the Session Goes

The process generally begins with a consultation where the surgeon examines eyelid shape, skin thickness, and facial proportions, and discusses the patient's preferences for crease height and shape. On the day of surgery, local anesthesia with sedation is commonly used. The surgeon makes an incision along the planned crease line, removes excess skin or fat as needed, and secures the new fold with sutures designed to encourage the skin to adhere to the underlying tissue. The procedure is performed on an outpatient basis, meaning patients typically go home the same day rather than staying overnight. Exact technique and timing can vary depending on the individual case, and the surgeon will explain the specific plan during the pre-surgical consultation.

Downtime and Recovery

Swelling and bruising around the eyes are expected in the days following surgery and tend to be more pronounced with the incisional method compared to non-incisional techniques, since more tissue is manipulated. Most patients find that visible swelling decreases substantially within one to two weeks, though some residual puffiness or firmness can persist for longer as the tissue settles. Sutures are usually removed within about a week, and patients are generally advised to avoid strenuous exercise, alcohol, and eye makeup for a period after surgery. Full settling of the eyelid shape can take several months, and how the crease looks in the early weeks is not necessarily how it will appear once healing is complete. Recovery experiences vary from person to person, and the clinic's team will provide aftercare instructions tailored to the individual.

Pricing

TreatmentPrice (KRW)
Incisional Double Eyelid Surgery2,449,000

This price reflects the surgical procedure itself; consultation fees, anesthesia, and VAT may be added separately and can vary based on individual circumstances, so it is best to confirm the full cost breakdown during a consultation.

Safety

As with any surgical procedure, incisional double eyelid surgery carries some inherent risks, including infection, scarring, asymmetry, or an unsatisfactory crease shape that may require revision. Results differ between patients depending on anatomy, skin quality, and how well aftercare instructions are followed. No surgeon can guarantee a specific outcome, and patients should approach the procedure with realistic expectations shaped by an honest discussion with their surgeon. At MOOi Plastic Surgery Clinic, procedures in this category are led by surgeons including Hwang Sungoh, Head Surgeon in Rhinoplasty and Eyelid surgery, and Park Yun Yong, Head Surgeon in Facial Bone Contouring and Lifting, both of whom are English fluent and available to discuss individual cases in detail prior to surgery.

Frequently asked questions

How long does incisional double eyelid surgery take?

The procedure itself typically takes around one to two hours, though exact timing depends on the complexity of the case and whether additional adjustments, such as fat removal, are performed.

Will the crease look natural right after surgery?

Swelling in the early days can make the eyelid look tighter or less natural than the final result; most patients see the shape settle into a more natural appearance over the following weeks and months.

Is incisional surgery better than non-incisional methods?

Neither method is universally better; the incisional approach is generally suited to thicker eyelid skin or cases needing skin or fat removal, while non-incisional techniques may suit thinner eyelids. The right choice depends on individual anatomy.

Can revision surgery be done if I am unhappy with a previous eyelid procedure?

Revision surgery is available at the clinic for patients seeking to adjust the results of a prior double eyelid procedure, though the approach will depend on the original surgery and current eyelid condition.

Does the quoted price include the consultation and anesthesia fees?

The listed price of 2,449,000 KRW refers to the surgical procedure; consultation fees, anesthesia, and VAT may be additional and can vary, so confirming the total cost during a consultation is recommended.

General information for international patients. Not medical advice. Individual results vary; consult a qualified physician.

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