The Buried Suture Method
The buried suture method is a double eyelid surgery technique that creates a crease without making any incisions. Since it doesn’t involve removing skin, muscle, or fat, it has less scarring, a faster recovery time, and produces results that closely match what you envisioned before surgery! 
Incision: A surgical technique where the skin is cut with a sharp tool for treatment or modification.
Non-incisional DES Before & After
*The information on this page is for reference purposes only, based on generally accepted knowledge. It is not intended to serve as a medical judgment or diagnosis. Since details may vary depending on the medical institution, patient, or other factors, please consult a qualified medical professional before making any decisions regarding surgery or procedures.
Let’s keep it simple: What it is
The buried suture method is a super popular way to get natural-looking double eyelids without any incisions! Instead of cutting the skin, fine sutures are used to create and secure the crease, making this a minimally invasive procedure.
Since there's no skin or fat removal, it means:
Less scarring Faster recovery A result that looks just like what you imagined! Must know info!
Pros | Looks super natural with minimal scarring! |
Cons | The crease may loosen or disappear over time in some cases. |
Recovery Time | Stitches out in 3 days. Most swelling goes down in 2 weeks, and you can wear contacts again! |
Best For | Those who want a natural crease with no visible scars and a quick recovery with minimal swelling. |
Price (On UNNI App) | $300 ~ $2300 (as of Mar 2025, VAT included). |
How painful is it?
Did you know? This surgery is usually done under local anesthesia, so you'll be awake but won’t feel pain! Once the anesthesia wears off, the pain level varies -but on a scale of 1 to 10, most people rate it around 5!
"Hold up! This pain scale is based on reviews from Gangnam Unni staff who have actually had the procedure themselves!
This pain scale is based on reviews from Gangnam Unni staff who have actually had the procedure themselves! Pain levels can vary depending on the person, clinic, and even how you're feeling that day—so take this as just a rough guide! "
"Here’s all you need to Know
Natural Adhesion Method - A Type of Buried Suture Surgery!
Yep, natural adhesion is actually a variation of the buried suture method! The biggest difference?
The biggest difference?To create a stronger, longer-lasting crease, this method intentionally creates small adhesions (scar tissue formation) between the skin and deeper eyelid structures as it heals.
Curious about the latest double eyelid trend?
Who Should NOT Get the Buried Suture Method?
This method isn’t for everyone! If you have any of the following, it might not work well for you:
Your double eyelid disappears within 5 seconds when you make a crease with a toothpick. You have significant skin sagging. You have excess fat on your eyelids. Your eyelid skin is thick. You have severe ptosis (droopy eyelids). Your eyelids are asymmetrical (one mono, one double eyelid).If any of these apply to you, the buried suture method might not hold well—which means swelling, an uneven crease, or even the dreaded "sausage eyelid."
Sausage Eyelid: When excess skin or fat makes the double eyelid look puffy and unnatural.
Quick Self-Check: Do You Have Ptosis?
Not sure if you have ptosis (droopy eyelids)? Try this simple test!
Place your fingers on your forehead to stop yourself from raising your brows. Open your eyes naturally. If your upper eyelid covers more than 30% of your pupil, you likely have ptosis. If you do, you may need ptosis correction surgery instead of a regular double eyelid procedure. A consultation with a surgeon can help you decide! Does Buried Suture Prevent Puffiness? Not Always!"
A lot of people assume sausage eyelids only happen with incisional methods—but that’s not true! Even with the buried suture method, excessive swelling or fat can still lead to a puffy, unnatural crease.
So don’t just choose this method thinking it’s the "safe" option! It’s important to understand your eye shape and what will work best for you. Buried Suture vs. Incisional—Which One’s for You?"
It’s not just about your eyelid condition—other factors come into play, too!
Even if buried suture seems like the better fit, some surgeons recommend the incisional method for older patients due to natural skin sagging. On the flip side, even if incisional surgery is recommended, some people choose buried suture for a faster recovery (like needing to return to work quickly!). Bottom line? Keep an open mind during your consultation! The best choice isn’t always what you think—it’s what fits your unique situation best! Have you made up your mind?
Hope This Guide Helps You!
It’s your face, so take your time—no rush!
