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EYELID REVISION

Buried Suture Removal

A non-incisional procedure with minimal tissue manipulation.

"

The best revision is the one
that resolves the issue with the least intervention.

"When a satisfactory result can be achieved with minimal manipulation, that is the preferred form of eyelid revision. Removing the buried sutures from a non-incisional fold is one such example."

— Dr. Choi Dong-Il, Director

ABOUT

What Is Buried Suture Removal?

The precise removal of the buried sutures placed during a non-incisional double eyelid procedure.

Locating and Removing the Buried Sutures

The most commonly performed double eyelid procedure today is the non-incisional, buried suture method. Removing those buried sutures, however, is not straightforward. The fine sutures embedded beneath the eyelid skin must be located and extracted through small pinholes, which requires more experience and a more refined technique than removal through an open incision.

※ Surgical and recovery details may vary depending on the patient's individual condition.

VISUAL · GIF
Pinhole suture removal animation
PROCEDURE INFO

Procedure at a Glance

From surgery time to return to daily life.

Surgery Time
30–60 minutes
Anesthesia
Sedation / Local
Visits
1–2
Stitch Removal
After 5–7 days
Hospitalization
Same-day discharge
Daily Activity
After 3–7 days
Buried suture removal procedure

Buried Suture Removal Procedure

RETURN TO BASELINE

Will the eyelid return to its original appearance after the sutures are removed?

In most cases, yes. In a small number of patients, the fold may not fully release. Gentle massage of the eyelid afterward can help support a more complete return to baseline.

CANDIDATES

Suitable Candidates

Clinical situations in which buried suture removal is most effective.

01

An unsatisfactory result
after a non-incisional procedure

02

A persistent foreign-body
sensation or discomfort

03

A natural pre-existing fold
distorted by buried sutures

04

A fold set too high
that the patient wants reversed

CLARIFICATION

A common question, addressed: is an incision required?

When a satisfactory result can be achieved through minimal tissue manipulation, that is generally the preferred form of eyelid revision. Adjusting an eyelid fold is rarely simple, but lowering a non-incisional fold is one approach that allows the line to be corrected with minimal manipulation.

Is an incision required? NO.
No Incision Required

At our clinic, the suture is removed through a small pinhole placed at the same site as the original buried-suture entry point, minimizing tissue trauma.

A Signature Technique

Because the tissue is neither cut nor pulled outward, additional damage is essentially avoided — only the suture itself is removed. This is a signature technique developed by Dr. Choi Dong-Il, rather than a borrowed method.

DOCUMENTATION

Every Suture Removal Documented

To prevent any uncertainty about what was removed, every suture is photographed during the procedure.

Full Photographic and Video Documentation

Occasionally we see patients who were told elsewhere that their sutures had been removed, yet still report a foreign-body sensation. We have, on more than one occasion, heard the patient say "I was told the suture was removed — but I never actually saw it", and have subsequently located and removed the suture ourselves. To prevent this kind of uncertainty, every suture removal at our clinic is photographed and the documentation is kept on file.

📷
PROOF · PHOTO
Suture removal photo placeholder
CASE VIDEO

Buried Suture Removal: Unedited Footage

Unedited surgical footage, shown for clinical reference.

RAW VIDEO
Suture removal in progress

The Removal Process

Precise removal performed through small pinholes.

RAW VIDEO
After recovery

After Recovery

A clean recovery with minimal manipulation of surrounding tissue.

SIGNATURE

Three Principles in Buried Suture Removal

Minimal manipulation, performed precisely.

01

A careful diagnosis by an experienced, board-certified plastic surgeon.

02

An individualized design that takes the eye shape, current condition, and overall facial balance into account.

03

Thorough planning and refined surgical technique to minimize tissue trauma.

Important Information Possible postoperative complications include bleeding, infection, and inflammation. Severity may vary by individual; please proceed with appropriate caution.
BEFORE & AFTER

Patient Results

All photographs shown are taken six months after surgery.

Buried Suture Removal BEFORE Buried Suture Removal AFTER
BEFORE
AFTER
#BuriedSutureRemoval

Buried Suture Removal

KNSY Case #323
Eyelid Revision After Buried Suture Removal BEFORE Eyelid Revision After Buried Suture Removal AFTER
BEFORE
AFTER
#BuriedSutureRemoval#EyelidRevision

Eyelid Revision After Buried Suture Removal

KNSY Case #431
See More Before & After
REAL VIDEO

Real Footage · Q&A

What untying differs from releasing adhesions and removing the suture — plus the actual removal in close-up.

EXPERT GUIDE · Q&A

Buried-Suture Removal · 20 Common Questions

The 20 questions patients ask most often about undoing a buried-suture eyelid, answered in one sitting.

EXPERT GUIDE

Untying vs. Releasing Adhesions vs. Removing the Suture

The three procedures sound similar but have different goals. This is what each one actually does.

REAL CLIP · UP CLOSE

Buried-Suture Removal — Up Close

The actual removal in close-up, including the size of the micro-puncture left behind.

REAL CLIP · ASMR

Buried-Suture Removal — ASMR Cut

A short, quiet ASMR-style edit of the removal process.

EXPERT GUIDE

Director's Surgical Notes

Key considerations before surgery, explained on video by Dr. Choi.

FAQ

Frequently Asked Questions

Will the fold release once the sutures are removed?
In most patients, the fold releases naturally after the sutures are removed. Some residual creasing may remain, and gentle massage afterward can support a more complete release.
Is an incision required?
No. The sutures are removed through a small pinhole placed at the original buried-suture entry point, with essentially no additional tissue trauma.
Can all of the sutures be removed?
With careful localization, nearly all sutures can be retrieved. Every removal is photographed and documented in the patient's record.
Is a separate revision surgery needed after suture removal?
It is not required. If a new fold is desired, however, the procedure can be combined with a fresh eyelid surgery during the same session.
Is recovery longer than after the original buried-suture surgery?
Recovery is generally similar, or slightly shorter, since no significant incision is involved.
Important InformationAs with any surgery, possible complications include bleeding, infection, and inflammation. Individual results vary.
CONSULT

Schedule a Consultation

Every inquiry is reviewed personally by Director Choi Dong-Il.

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