SISUN PREMIUM EYE SURGERY

Natural Adhesion
Non-incisional Double Eyelid

No scars, no stitches, fast recovery!
A natural crease that no one can tell was surgically made!

  • Surgery Duration
    20 min
  • Anesthesia
    IV Sedation / Local
  • Stitch Removal
    None
  • Hospitalization
    Same-day Discharge
  • Recovery Period
    5~7 days

*Individual results may vary. Side effects such as bleeding, infection, and inflammation may occur after cosmetic surgery. Please consult your doctor.

What is
Natural Adhesion Non-incisional Double Eyelid?

Non-incisional Double Eyelid (1 month)

A surgical method combining only the advantages of natural adhesion and non-incisional techniques,
suitable for those with thin eyelid skin and no sagging.

The biggest drawback of traditional non-incisional methods is that they can come undone.
To compensate, the strongest point is secured with
5 to 7 consecutive knots, making it highly resistant to loosening.
With no incision scar and fast recovery,
it delivers a natural-looking result.

  • Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty (4 months)

  • Non-incisional Ptosis Correction+Upper Epicanthoplasty (4 months)

  • Non-incisional Ptosis Correction (Revision)+Lateral Canthoplasty+Lower Eyelid Surgery (5 years 5 months)

  • Non-incisional Ptosis Correction+Upper Epicanthoplasty(3 months)

Natural Adhesion Non-incisional Double Eyelid
Candidates

  • Thin eyelid skin
    with no
    sagging
  • Wanting a natural
    crease line like
    a natural double eyelid
  • Wanting fast recovery
    without stitch
    removal
  • Minimal fat
    on the
    eyelid skin

Natural Adhesion Non-incisional Double Eyelid
Surgical Method

Before Surgery

<Problem Analysis>
Thin eyelid skin
with no sagging, monolid eyes

STEP01

Design the height and shape
of the double eyelid crease through consultation

STEP02

Create micro-holes
along the designed line

STEP03

5~7 consecutive knots to
induce natural adhesion
between skin and muscle

After Surgery

A naturally defined,
single-fold double eyelid crease

Types of Double Eyelid Creases

What kind of eyes do you want?

  • In Fold In Fold
    The crease line is not visible at the inner corner. Most East Asians have this type of double eyelid.

    Suitable for those who do not want
    a dramatic change, or men who
    desire a natural inner
    double eyelid crease.

  • In-out fold In-Out Fold
    The crease connects with the inner corner
    and is visible on the outside.
    This is an intermediate line between
    In Fold and Out Fold.

    This is the most preferred crease type
    as it creates a natural yet
    refreshingly open eye appearance.

  • Semi-out fold Semi-Out Fold
    The crease starting point is higher
    than In-Out Fold but
    relatively lower than
    Out Fold.

    A crease type that can express
    both a natural and glamorous
    image simultaneously.

  • Out-fold Out Fold
    The double eyelid crease does not
    touch the inner corner
    and appears higher
    and more visible.

    Suitable for those who desire
    a glamorous and
    refreshingly open look.

“Is double eyelid surgery alone enough to create the desired crease?”
The key factors determining the double eyelid crease are:
Double eyelid surgery (crease height) 40%,
Epicanthoplasty (epicanthal fold presence) 60%.
The epicanthal fold is the key!
The Relationship Between Double Eyelids and Inner Corner Epicanthal Fold
Successful double eyelid surgery doesn't end with simply fixing the crease line.
The shape of the crease is determined by the presence and shape of the Mongolian fold at the inner corner.

Incisional Ptosis Correction + Medial Epicanthoplasty + Upper Epicanthoplasty (7 months)

  1. No crease / In Fold
  2. Medial / Upper epicanthoplasty
    (epicanthal fold removal)
  3. In-Out Fold / In Fold

If double eyelid surgery is performed without removing the epicanthal fold,
the crease will not be visible, making it difficult to create
an In-Out Fold or Out Fold double eyelid.
In this case, the epicanthal fold is removed through medial and upper epicanthoplasty
to reveal the crease starting point at the inner corner.

Incisional Ptosis Correction (Revision)+Medial Epicanthoplasty Reversal (1 month)

  1. Out-fold
  2. Medial Epicanthoplasty Reversal
    (lacrimal lake adjustment)
  3. In-Out Fold / In Fold

Out Fold double eyelids may feature excessive lacrimal lake exposure
or a narrow intercanthal distance.
In this case, medial epicanthoplasty restoration surgery can reduce
the degree of lacrimal lake exposure while correcting to In Fold or In-Out Fold.

For an ideal double eyelid crease,
depending on the presence and shape of the inner corner epicanthal fold,
medial epicanthoplasty, upper epicanthoplasty, epicanthoplasty reconstruction, axis rotation and other surgical methods must be performed in combination
.

In Fold, In-Out Fold, Out Fold

In Fold

In Fold

” A natural, subtle change “

The In Fold double eyelid is the most commonly seen type among East Asians
due to the anatomical structure of the eye and surrounding area.
The crease starts from inside the eyelid and gradually widens for a natural line.

WHO?
Suitable for those who do not want a dramatic change, or men who desire a natural inner double eyelid crease

In-out fold

In-Out Fold

” Natural yet refreshingly open eyes “

The In-Out Fold double eyelid is highly preferred as it combines the natural look of the In Fold
with the refreshingly open eyes of the Out Fold.

If the eyes are sunken or the epicanthal fold is severe, creating an In-Out Fold double eyelid is difficult,
so orbital fat grafting, medial epicanthoplasty, and upper epicanthoplasty are often performed.

WHO?
Suitable for those who want a natural look with a moderately visible crease

Out-fold

Out Fold

” Glamorous and vivid eyes “

The Out Fold double eyelid requires a higher crease line,
so it suits those who naturally have large eyes and mild epicanthal folds.

If the epicanthal fold is severe, creating this crease is difficult, so combining medial and upper
epicanthoplasty can produce a more natural result.

However, excessive medial and upper epicanthoplasty for an Out Fold double eyelid
may cause scarring or unnatural lines, so the intercanthal distance
and degree of lacrimal lake exposure should be evaluated before surgery.

WHO?
Suitable when there is no epicanthal fold, minimal lacrimal lake exposure, and appropriate intercanthal distance

Natural Adhesion Non-incisional Double Eyelid

Click photos marked with a button to visit our blog for more details.
01 In Fold
Case 5
매몰쌍꺼풀+뒤트임+밑트임(1년1개월)
Before
After
진단

눈 앞머리의 몽고주름이 라인을 잡아당겨 눈 앞머리부터 쌍꺼풀이 생기지 않고 안으로 들어간 상태입니다.

수술Note

환자가 몽고주름 교정을 원치 않아 기존 그대로 인라인 쌍꺼풀을 유지하면서 눈을 크게 키워 시원한 눈매로 만들었습니다.

Case 6
매몰쌍꺼풀+앞트임(5주)
Before
After
진단

위눈꺼풀이 눈을 덮고 있어 쌍꺼풀이 있으나 드러나지 않고 속으로 감춰진 상태입니다.

수술Note

환자가 크지 않은 자연스러운 쌍꺼풀 라인을 원했기 때문에 미세하게 앞트임을 진행한 후 속쌍꺼풀이 겉으로 드러나게 연결했습니다.

* 환자의 사전동의를 받아 촬영한 사진입니다.
02In-out fold
Case 9
매몰쌍꺼풀+앞트임(7주)
Before
After
진단

눈 뜨는 근육의 힘이 약하고 피부가 두꺼워 절개 눈매교정을 추천했으나 환자가 매몰(비절개) 쌍꺼풀 수술을 하기 원했습니다.

수술Note

절개법이 적합하지만 환자가 비절개법을 원했기 때문에 비절개로 진행을 하되, 7단 연속으로 탄탄한 매듭을 지어 잘 풀리지 않는 인아웃라인 쌍꺼풀을 만들었습니다.

Case 10
매몰쌍꺼풀(재)+윗트임(2개월)
Before
After
진단

5년 전 매몰 쌍꺼풀 수술 후 라인이 두 겹으로 겹치는 현상이 발생했고 현재 아웃라인이지만 인아웃라인으로 교정하길 원했습니다.

수술Note

윗트임을 통해 눈 앞머리 45° 방향을 들어 올려 아웃라인으로 두 겹이었던 쌍꺼풀을 인아웃라인으로 깔끔하게 정리했습니다.

Case 11
매몰쌍꺼풀+윗트임+뒤트임(재)+밑트임(재)(4개월)
Before
After
진단

쌍꺼풀 없이 가로로 긴 눈매이며 환자는 인아웃라인의 쌍꺼풀을 원했습니다.

수술Note

눈 앞머리가 아래로 꺾이는 형태이므로 윗트임을 필수로 진행하여 인아웃라인 쌍꺼풀을 만들었습니다. 윗트임을 하지 않을 경우 인라인 쌍꺼풀이 될 수밖에 없는 눈입니다.

Case 12
매몰쌍꺼풀(재)(5개월)
Before
After
진단

10개월 전 비절개 눈매교정을 진행했으나 효과를 보지 못해 재수술 시 라인은 살짝 높이고 눈매는 또렷하게 교정되길 원했습니다.

수술Note

라인이 높아지길 원했지만 남성분이라 부담스러운 느낌을 원하지 않아 아주 얇지만 또렷한 인아웃라인 쌍꺼풀을 만들었습니다.

* 환자의 사전동의를 받아 촬영한 사진입니다.
03Out-fold
Case 9
(전체 재수술)매몰쌍꺼풀
윗트임+뒤트임+밑트임(3개월)
Before
After
진단

2년 전 인아웃라인으로 쌍꺼풀 수술을 했으나 쌍꺼풀 라인을 더 높게 아웃라인으로 재수술하길 원했습니다.

수술Note

현재의 눈매에서 쌍꺼풀 라인만 높이면 자칫 어색해질 수 있으므로 뒤트임과 밑트임을 통해 눈을 더 크게 만들고, 윗트임으로 눈 앞머리 45° 부분을 들어올려 쌍꺼풀이 아웃라인으로 자리잡도록 교정했습니다.

Case 10
매몰쌍꺼풀(2개월)
Before
After
진단

선천적으로 쌍꺼풀이 여러 겹이면서 풀린 듯한 형태입니다.

수술Note

눈의 크기가 작지 않고 눈 뜨는 힘도 있어 다른 수술 없이 매몰 쌍꺼풀만 진행하여 또렷한 아웃라인을 만들었습니다.

Case 11
매몰쌍꺼풀(재)+윗트임(3개월)
Before
After
진단

과거 매몰 쌍꺼풀 수술을 진행했으나 눈 앞머리와 쌍꺼풀 라인이 많이 떨어진 데 비해 눈의 가운데 부분은 쌍꺼풀 높이가 낮아 부자연스러워 보입니다.

수술Note

윗트임을 통해 눈 앞머리의 45° 부위를 들어주어 쌍꺼풀 라인의 시작점을 자연스럽게 연결함으로써 포물선 형태의 또렷한 아웃라인으로 교정했습니다.

Case 12
매몰쌍꺼풀(재)+앞트임+윗트임(8개월)
Before
After
진단

3년 전 매몰 쌍꺼풀 수술을 했으나 풀린 상태입니다. 환자는 짧은 눈매를 자연스럽게 개선하고 싶어했습니다.

수술Note

눈이 커지고 싶지만 자연스러운 결과를 원했으므로 미세한 앞트임과 윗트임 후 매몰 쌍꺼풀 수술을 진행해 또렷한 아웃라인을 만들었습니다.

* 환자의 사전동의를 받아 촬영한 사진입니다.
Natural Adhesion Non-incisional Double Eyelid
Surgical Method
Q. What is the difference from traditional natural adhesion or non-incisional methods?
With traditional methods, fewer or weaker knots can cause
loosening over time.
SISUN Plastic Surgery has improved on this by creating 5~7 firm, dense knots,
significantly reducing the chance of the procedure coming undone.

Q. Is stitch removal not necessary?
Since biocompatible sutures are used, separate stitch removal is not needed,
and since the surgery is performed without incision, there is less swelling and faster recovery.

Q. Are there specific eye types suited for the non-incisional method?
Thin skin tissue with no sagging is most suitable for the non-incisional method,
but since patients cannot accurately determine this on their own,
it is best to decide the surgical method through consultation with the medical team.
When performing double eyelid surgery

Differences between Buried Suture and Incisional Methods

Category Buried Suture Incisional
Surgical Method Creating micro-holes in the eyelid skin and tying knots with suture thread Incising the eyelid skin, removing unnecessary muscle or fat tissue, and locating and securing the eye-opening muscle
Applicable Procedures
Thin eyelid skin
Elastic skin without sagging
- Thick eyelid skin
Severe skin sagging
- Excessive eyelid fat
Surgery Duration 20 min 40 min
Stitch Removal None After 7 days
Recovery Period 5~7 days 7~14 days
Advantages
- Less swelling and faster recovery since no incision is made
- No hassle of stitch removal
- Nearly invisible scarring
- Semi-permanent results with a single surgery
More diverse double eyelid crease designs possible compared to buried suture
Disadvantages
May loosen if knots are not secure
Since incision and suturing are involved, recovery takes longer than buried suture
- Some incision scarring may remain
Incisional Double Eyelid Surgery Go to Page

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Before & After

수술경과
2026.09.06

#SELSTAGRAM
#SISUNLISM
#EYE

Natural Adhesion Non-incisional Double Eyelid SISUN TV

Double Eyelid & Ptosis Correction Doctor's Note