Many people who had double eyelid surgery by the buried-suture method find that the fold comes undone over time, or that they are simply not happy with it.
"Can I just have the buried-suture method again?"
"Should I switch to an incision this time?"
The answer to this question is simpler than you might think.
✔️ When a buried-suture revision is possible
The buried-suture method fixes the fold with thread, without cutting the skin.
Recovery is quick and it leaves almost no scarring, which is why it is a popular choice for a first double eyelid surgery.
However, if there is a lot of eyelid fat or the skin is thick, the chance of the fold coming undone over time increases.
If any of the following applies to you, a buried-suture revision may be possible.
✅ The double eyelid line has come undone or become buried
✅ You want to change the height or shape of the line slightly
✅ Your eyelids are thin and have little fat
✅ Scarring or adhesion is not severe
✔️ When you should switch to an incision
Because the incisional method cuts the skin directly to fix the line,
it holds far more strongly, and it can also address fat and excess sagging skin at the same time.
Many cases that are difficult to solve with the buried-suture method can be corrected at the root with an incision.
If any of the following applies to you, consider an incisional revision.
👉 You have repeated the buried-suture method several times, or scar tissue has formed
👉 Your eyelids are thick or have a lot of fat
👉 The asymmetry is severe or the line is irregular
👉 You want a definite, long-lasting result over the long term
✔️ Why is revision surgery more difficult?
Unlike a first operation, a revision means working again on tissue that has already been operated on.
Operating on tissue that has developed scarring or adhesion raises the difficulty, and makes the result harder to predict.
In particular, if the buried-suture method has been repeated two or three times or more,
scar tissue accumulates inside, and a later incisional revision can become considerably more difficult.
Rather than thinking "let me just try the buried-suture method one more time,"
this is exactly why it matters to have the right method for your eyes properly assessed now.
✔️ In the end, what matters is examining the eyes in person
Even with the same symptoms,
eyelid thickness, skin elasticity and the presence of existing scarring
can make the appropriate method completely different.
For some patients a buried-suture revision is right,
and for others an incision is the way to go this time.
Rather than deciding on internet information alone,
having a specialist examine you directly is the most accurate and the safest approach.
