When getting double eyelids for the first time, it’s natural to feel anxious: worried about pain, scarring, unnatural results, or choosing the wrong method and regretting it for years. In fact, there is no absolute “better” among the suture, partial incision, and full incision methods – the key is which one suits your eyelid condition better. How long does recovery take, how many years will the result last, and will there be a scar when you close your eyes? – these are the details you care about most, and they are clearly compared below. After reading, you will at least know which type of procedure you should focus on.
Primary blepharoplasty refers to the first double eyelid surgery on someone who has never had any eyelid procedure before. The core mechanism is to create an artificial adhesion between the upper eyelid skin and the tarsal plate or levator aponeurosis, forming a natural double‑eyelid crease. Korean doctors generally adopt the anatomical repositioning philosophy, carefully dissecting subcutaneous tissue, avoiding major blood vessels and lymph networks, and suturing in a tension‑free manner. This involves layered appositional suturing of the skin, orbicularis oculi muscle, and levator aponeurosis, ensuring a smooth crease when the eyes are open and an inconspicuous trace when closed.
If you match the following characteristics, Korean primary blepharoplasty may be worth considering:
Absolute contraindications include: severe keloid tendency, coagulation disorders, active eye infections (e.g., conjunctivitis, stye), pregnancy and breastfeeding. Minors must have parental consent after reaching adulthood.
Korean primary blepharoplasty is mainly divided into three techniques. The doctor will recommend the most suitable option based on your eyelid condition, desired outcome, and budget. Reference prices at mainstream clinics in Gangnam, Seoul, for 2026 (in KRW) are as follows:
| Procedure | Technical Features | Suitable Candidates | Price (KRW) |
|---|---|---|---|
| Suture Method | No incisions; sutures create adhesion under the skin. Minimally invasive, fast recovery, but not permanent. | Young people with thin eyelids, no excess fat, and tight skin. | ₩900,000 – 1,400,000 |
| Partial Incision | Small incision to remove some fat, combined with sutures. Combines minimally invasive with durability. | Mildly puffy eyelids, mild laxity – between the suture and full incision methods. | ₩1,200,000 – 1,800,000 |
| Full Incision | Full‑thickness incision, removes excess skin, muscle, and fat then sutures. Stable and long‑lasting. | Thick eyelids, loose skin, excess fat, or those seeking a long‑term result. | ₩1,800,000 – 3,000,000 |
If you also need to address epicanthal folds or ptosis, combined procedures such as epicanthoplasty or levator correction may be performed, with additional costs.
At specialised primary blepharoplasty clinics in Gangnam, Seoul, the standard process is as follows:
Step 1 – Pre‑operative design: The doctor uses professional tools to mark the crease position, width, and curvature, adjusting repeatedly with 4K endoscopy and simulation systems.
Step 2 – Local anaesthesia: Local anaesthesia is used; you remain awake but pain‑free throughout.
Step 3 – Incision and treatment: Depending on the method, sutures are placed or incisions are made, with careful handling of orbital fat and muscle tissue.
Step 4 – Suturing and shaping: Using 8‑point fine suturing or multi‑layer appositional techniques to ensure a natural crease with an invisible scar when closed.
Step 5 – Post‑operative compression: Bandaged for 24 hours to prevent haematoma, with dressing change the next day.
Surgery takes about 30‑60 minutes. Intraoperative bleeding is controlled to within 1ml, and pain tolerance is generally good.
The results of primary blepharoplasty appear in two phases:
Duration varies by method: Suture approx. 3‑5 years; Partial incision approx. 5‑8 years; Full incision can last 10+ years, and in some cases, permanently. Actual duration is influenced by individual differences, ageing, and post‑operative care.
Q1: Is primary blepharoplasty painful?
The procedure is performed under local anaesthesia, so you won’t feel pain. After the anaesthesia wears off, you may experience mild pressure, but it is generally tolerable; the doctor will prescribe painkillers to help if needed.
Q2: How long does it take to look natural?
Generally, sutures are removed at 7 days; swelling subsides significantly in 2 weeks; the crease reaches a natural look in 1‑3 months. Recovery varies by individual, and following post‑operative care instructions can speed up the process.
Q3: How much does primary blepharoplasty cost in Korea?
2026 reference prices in Gangnam, Seoul: Suture ₩900,000‑1,400,000; partial incision ₩1,200,000‑1,800,000; full incision ₩1,800,000‑3,000,000. Combined epicanthoplasty or levator correction will cost extra. Final pricing is determined during consultation.
Q4: Which hospitals in Korea are good for primary blepharoplasty?
Gangnam, Seoul, has several specialised oculoplastic clinics, such as I Contact, GIO, and VG Bellec. It is recommended to choose a clinic with KFDA‑certified equipment and surgeons who specialise in eyelid surgery with extensive experience.
Q5: Will there be a scar when closing the eyes?
With fine techniques like full‑layer 8‑point suturing, clinical data show that the invisible‑scar rate can reach 98%. Patients with a keloid tendency should inform the doctor in advance for evaluation.
Any surgery carries certain risks. Possible Side Effects of primary blepharoplasty include:
Rational Advice: The key to minimising risks is to choose a Certified medical institution and an Experienced Physician. Have a thorough consultation before surgery, clearly understanding your eyelid condition and setting realistic expectations. Strictly follow post‑operative care instructions, keeping the wound clean and dry.