Incision double eyelid surgery goes far beyond simply creating a crease - it is the most comprehensive approach to correcting various structural concerns of the eyelids. It is ideal for those with thick eyelid skin where the non-incision (suture) method easily loosens, severe ptosis, significant asymmetry, unsatisfactory results from a previous surgery, or severe multiple creases caused by sunken eyelids.

Some worry that the incisional method leaves noticeable scars or looks unnatural. However, the key isn't whether an incision is made, but rather meticulously refining the necessary tissue and securely anchoring the crease at the right depth for your specific eye structure.

At LAB29, we adhere to fundamental surgical principles and delicate techniques to craft a line that harmonizes naturally with your unique eye shape and facial features.

1. Long-Lasting, Stable Creases
By precisely anchoring the tissue according to your eyelid structure, we create a refined line that stays securely in place over time.

2. Comprehensive Eyelid Correction
Address multiple concerns at once—including ptosis, asymmetry, triple/multiple folds, sunken eyes, and thick skin.

3. Ideal for Revision Surgeries
Directly evaluate and fix complex issues from previous procedures, such as scarring, asymmetry, unravelling creases, or lines that were set too high or low.

• Surgery time : 30 - 60 minutes

• Visits : 2 - 3 times

• Sedation Method : IV sedation + Local Anesthesia

• Stitch Removal : 5 - 7 days

When looking straight ahead, if the upper eyelid covers a significant portion of the pupil - making the eyes look small or tired - this condition is commonly referred to as ptosis (droopy eyelids). Ptosis is generally divided into two main types: pseudoptosis, where sagging skin hangs down over the eye, and true ptosis, where the muscle responsible for lifting the eyelid is physically weak.

For pseudoptosis, simply trimming the excess skin and redefining the eyelid crease often makes the eyes look significantly sharper and more defined. Enhancing the eye-opening power just enough based on individual needs helps clear up that tired look effortlessly.

On the other hand, true ptosis usually cannot be resolved by creating a double eyelid crease alone. In these cases, ptosis correction - adjusting the strength and symmetry of the eye-opening muscle directly - becomes essential. When ptosis is severe or highly asymmetrical, an incisional approach is often more suitable, as it allows the surgeon to directly inspect the eyelid structures and make precise adjustments.

Some patients ask if it’s possible to fix ptosis without creating a double eyelid crease. However, because ptosis correction is structurally intertwined with how a crease is formed, the two are almost always performed together - either combining non-incisional crease creation with non-incisional ptosis correction, or incisional crease creation with incisional ptosis correction.

The additional time required for ptosis correction depends on the severity of the condition and the technique used. A relatively simple non-incisional adjustment adds minimal time, whereas incisional ptosis correction requires more time, as the surgeon must repeatedly evaluate and fine-tune eye-opening power and left-right symmetry during the procedure. Because the degree of ptosis directly affects both surgical complexity and the recovery process, a thorough preoperative evaluation and a meticulously tailored plan are key.

The inner corner of the eye plays a crucial role in defining your overall double eyelid shape. Even at the same height, a crease can look drastically different - ranging from In-line and In-out, to Semi-out or Out-line - depending on where it starts and how exposed the inner fold is.

Surgical adjustments to this inner corner are broadly known as medial epicanthoplasty. Depending on your goals, this includes upper epicanthoplasty (upper epicanthoplasty) and medial epicanthoplasty (inner canthoplasty):

Upper Epicanthoplasty: Refines the starting point and angle of the eyelid crease.

Medial Epicanthoplasty: Adjusts the Mongolian fold to naturally reveal the inner corner of the eye.

For In-line or In-out lines, keeping the inner start low and subtle creates a balanced, natural look. For Semi-out or Out-lines, adjusting the height and exposure helps the crease show clearly from the very front.

Ultimately, canthoplasty isn't just about making the eyes wider - it’s about harmonizing your natural eye structure, Mongolian fold, and desired crease shape to perfect the inner corner.

• Surgery time : 30 - 60 minutes

• Visits : 2 - 3 times

• Sedation Method : IV sedation + Local Anesthesia

• Stitch Removal : 5 - 7 days

Changing your eye shape involves more than just double eyelid surgery. Procedures like lateral canthoplasty and lower canthoplasty allow us to adjust the horizontal length, vertical height, and the angle of the outer corners, transforming the overall size and shape of your eyes.

In the past, techniques often involved directly cutting and widening the lateral canthus. Today, however, minimizing unnecessary tissue damage while securely adjusting the position of the outer eye corners is paramount. We focus on using minimal skin and conjunctival incisions to properly anchor essential structural components - such as the muscles around the eye corners, the tarsal plate, and the periosteum - into their ideal positions, naturally expanding and maintaining the eye shape.

Lateral and lower canthoplasties are frequently performed together. Expanding the eyes in only one direction offers limited change, and pulling them strictly outward can sometimes result in an overly narrow, elongated look. Combining lateral epicanthoplasty to secure horizontal length with lower epicanthoplasty to enhance vertical height and adjust the corner angle helps create a larger, softer, and more harmonious eye shape.

Ultimately, the goal isn't just to make the eyes bigger. It's about evaluating the unique eye shape, the position of your outer corners, and the exposure of your sclera (whites) and iris to achieve the most natural, balanced transformation possible.

• Surgery time : 30 - 60 minutes

• Visits : 2 - 3 times

• Sedation Method : IV sedation + Local Anesthesia

• Stitch Removal : 5 - 7 days

Along with Lateral Canthoplasty, procedures often mentioned include Fox Eye or Cat Eye surgery. As a specialized technique within outer canthoplasty, these procedures adjust the position and angle of the outer corner - moving it upward and outward - to create a longer, sharper, and more defined impression rather than simply enlarging the eyes.

If your eyes lack vertical height or the outer tail turns upward giving a restricted look, combining the procedure with lower canthoplasty helps open the eye downward. Conversely, if your eyes are already large enough or the outer tail droops naturally, elevating the outer corner appropriately can yield a much better balance for your facial features.

Even within outer canthoplasty, the direction of movement shouldn't be a one-size-fits-all approach. The decision between Lateral Canthoplasty and Fox Eye surgery must account for your current eye-tail angle, length-to-height ratio, and overall facial harmony to achieve the best result.

• Surgery time : 30 - 60 minutes

• Visits : 2 - 3 times

• Sedation Method : IV sedation + Local Anesthesia

• Stitch Removal : 5 - 7 days

As we age, fat under the eyes can bulge forward, while weakening skin elasticity accentuates lower lid wrinkles and dark circles. Lower blepharoplasty restores a smoother, flatter contour by addressing this protrusion and sagging.

When skin laxity is minimal and bulging fat is the primary concern - typically in younger patients - a transconjunctival approach is used. Accessing the area through the inside of the eyelid leaves no visible external scars while allowing the fat to be removed or redistributed into sunken hollows.

However, when significant skin sagging and fine lines are present, a traditional lower blepharoplasty is more suitable. Performed via a subciliary incision just below the eyelashes, this technique trims excess skin while reinforcing underlying muscles and support tissues as needed.

Ultimately, lower eyelid surgery isn't just about removing fat. A precise evaluation of fat protrusion, tear trough hollows, and skin/muscle laxity is essential to determine whether fat repositioning alone or a lower blepharoplasty is required.

• Surgery time : Fat repositioning 30 - 60 minutes / Lower Blepharoplasty  60 – 90 minutes

• Visits : 2 - 3 times

• Sedation Method : IV sedation + Local Anesthesia

• Stitch Removal : Fat repositioning not needed / Lower Blepharoplasty 5 – 7 days

With lower blepharoplasty, lateral canthopexy is often performed alongside skin and fat reduction to prevent the lower eyelid from sagging or turning outward after surgery.

When there is severe skin sagging and fat laxity, combined with weakened tarsal plate support, the risk of postoperative ectropion (eyelid turning outward) or lid sagging increases. In such cases, anchoring the outer corner (lateral canthus) to the sturdy periosteal structure restores essential tension and structural support to the lower eyelid.

Lateral canthopexy is not routinely required for every lower blepharoplasty. Instead, it is selectively applied after a thorough preoperative assessment of lower lid elasticity, degree of sagging, outer-tail position, and ectropion risk.

If your double eyelid crease is still intact but sagging skin below the eyebrows makes your upper lids feel heavy and hooded, a subbrow lift is an excellent option.

By making an incision right under the eyebrow, excess sagging skin is removed and gently lifted upward. The key advantage is that it clears away upper lid heaviness without drastically altering your existing crease shape.

This procedure is ideal for those with ample space between the eyes and eyebrows, where sagging upper skin - rather than the eyelid structure itself - is the main concern. Because the surgical area is focused, recovery is relatively quick, achieving a lighter, more refreshed look while preserving your natural impression.

• Surgery time: 30 - 60 minutes

• Visits : 2 - 3 times

• Sedation Method: IV sedation + Local Anesthesia

• Stitch Removal : 5 - 7 days