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2026.07.04
What Is the Double Buried Suture Method (Natural Adhesion Method)? A Clear Explanation of Expected Results, Benefits, and Drawbacks
With deep medical insight cultivated as an internal medicine specialist, I bridge aesthetic surgery, dermatology, and internal medicine. Having spent my childhood in China, I communicate fluently in Japanese, Chinese, English, and Korean. Possessing an international perspective—evidenced by invitations to present at overseas conferences—I actively promote techniques as a Key Opinion Leader (KOL) for GOURI and REJURAN®. My specialty procedures include double eyelid surgery, skin-nurturing boosters, and body hyaluronic acid treatments. My approach leverages the holistic understanding of the body cultivated through internal medicine to guide patients toward natural, healthy beauty.
Some of you may be wondering, “How is this different from the standard suture method?” or “How long will the double eyelid crease last?”
In this article, a doctor explains how the natural adhesion method for double eyelid surgery works, as well as its expected results, benefits, and risks. At BIANCA CLINIC, we assess the condition of your eyelids and your desired design to determine the most suitable procedure from among several double eyelid surgery options.
What is the double-incision suture method (natural adhesion method)?
The double-incision suture method (natural adhesion method) is a technique that combines fixation with medical-grade sutures and natural tissue adhesion to create a double eyelid crease.
Double Eyelid Surgery Using Medical Sutures and Tissue Adhesion
The natural adhesion method is a double eyelid surgery technique classified as a suture-based procedure. It involves creating several small incisions, each about a few millimeters long, in the upper eyelid and using medical sutures to secure the double eyelid crease. A key feature of this method is that it adjusts excess fat and subcutaneous tissue as needed and utilizes the natural adhesion that occurs between tissues during the healing process.
Rather than relying solely on the thread for fixation, we aim to stabilize the double eyelid crease by promoting adhesion between multiple fixation points. However, the most suitable method varies depending on the thickness of the eyelid, the amount of fat, and the desired width of the double eyelid.
Differences from the Standard Buried Suture Method and Double-Incision Method
In the double-incision suture method, there are two approaches: one involves securing multiple points individually, and the other involves passing a single suture continuously along the double eyelid crease. The main characteristic of the natural adhesion method is that it utilizes tissue adhesion in addition to fixation with sutures.
The double eyelid incision method involves making an incision in the skin to create a double eyelid crease. While it may allow for simultaneous correction of sagging skin and fat, it tends to require more time for swelling to subside and for the incision to heal compared to the suture method. The natural adhesion method does not involve a long incision like the incision method; instead, it aims to achieve both a natural appearance and a stable eyelid crease.
It is important to assess the condition of the eyelids and discuss the desired design
We cannot determine whether the natural adhesion method is suitable without a consultation. We need to assess the thickness of the eyelids, the amount of fat, skin laxity, the presence or absence of ptosis, and any history of previous double eyelid procedures.
At Bianca Clinic, after discussing your desired double eyelid width and the overall look you want for your eyes, we will consider various treatment options—including not only the natural adhesion method but also other double eyelid suture methods and the double eyelid incision method.
If you would like to learn more about the details of this procedure, please visit the page on the double eyelid suture method (natural adhesion method).
▶Double Buried Suture Method: Natural Adhesion Technique Procedure Page
What results can I expect from the double-stitch method (natural adhesion method)?
With the natural adhesion method, you can expect to achieve a double eyelid crease tailored to your preferences, along with a natural appearance and long-lasting results.
The main changes that can be expected from the natural adhesion method are as follows.
- Creating a double eyelid crease tailored to your desired width and shape
- A natural look that blends seamlessly with the movement of your eyelids
- Stability and Longevity of Double Eyelid Lines
- Results with less scarring and swelling than the incisional method
With the natural adhesion method, we first confirm your desired double-eyelid width and shape, then design the line while taking into account the shape of your eyes and any asymmetry between the left and right eyes. Even if you prefer a flared or parallel shape, the extent to which these can be achieved varies depending on the structure of your eyelids, so simulation and a consultation are essential.
By taking advantage of the tissue’s natural adhesion, this method is said to produce a more stable double eyelid crease compared to the traditional double eyelid suture method, which primarily relies on sutures for fixation.
However, the line created using the natural adhesion method may not last forever. The line may become less defined or revert to its original state due to the threads loosening or coming loose, changes in the skin caused by aging, or habits such as rubbing the eyes.
Since the incisions are made along the double eyelid crease, they tend to be less noticeable after healing. However, immediately after the procedure, swelling and bruising may cause the double eyelid to appear wider than usual or result in noticeable asymmetry between the eyes. You’ll need to wait until the swelling subsides to see the final results.
The natural appearance of the results and how long they last may vary from person to person. It is important not to base your decision on the desired shape alone, but to consult with your doctor about the fixation method and double eyelid width that are best suited to the condition of your eyelids.
What are the advantages and disadvantages of the double-stitch method (natural adhesion method)?
The natural adhesion method can produce a natural double eyelid crease and provide stability, and while it tends to result in less scarring and downtime than the incision method, it carries risks such as swelling, bruising, and loosening of the sutures.
Benefits of the Double Buried Suture Method (Natural Adhesion Method)
The main benefits are as follows:
- It does not involve making a long incision in the skin, as in the open surgery method
- Helps you achieve a double eyelid crease that blends naturally with the movement of your eyelids
- Stability in the lineup can be expected due to the cohesion within the organization
- Since thread is used, adjustments can be considered depending on the situation.
With the natural adhesion method, because the sutures are inserted through a small incision, the extent of scarring and postoperative discomfort tend to be less than with the double-incision method. Swelling typically subsides within a few days, and bruising usually clears up in about 10 days; however, the severity of these symptoms and the recovery period may vary from person to person.
Because this procedure takes advantage of natural tissue adhesion, it may be suitable even for people who have had difficulty achieving stable results with conventional suture-based procedures. However, it may not be suitable for everyone with thick eyelids or those who have previously undergone a suture-based procedure.
Disadvantages and Risks of the Double-Stitch Method (Natural Adhesion Method)
The main disadvantages and risks are as follows.
- Swelling, bruising, and fluid retention may occur.
- You may experience a sensation of heat or heaviness around your eyes.
- The line may change due to the thread loosening or coming undone.
- The final result may differ from the desired width or any left-right asymmetry.
- Depending on the condition of your eyelids, this treatment may not be suitable for you.
Although we use eye drops and local anesthesia during the procedure, you may still experience some discomfort from the local anesthesia or post-operative pain. The degree of pain varies from person to person, and the use of anesthesia does not guarantee a pain-free experience.
For individuals with ptosis or significant skin laxity, it may be difficult to achieve the desired results with the natural adhesion method, and procedures such as the incision method may be more appropriate.
If you would like more detailed information about the specific medications used, potential risks, or post-procedure swelling, please feel free to ask the doctor during your consultation.
Frequently Asked Questions
Here are answers regarding how the natural adhesion method works, how it differs from other double eyelid procedures, how long the results last, downtime, and risks.
Q. What is the natural adhesion method?
A. The natural adhesion method is a technique for creating a double eyelid crease by making a small incision in the upper eyelid and threading medical-grade sutures through it to adhere the tissues. It is a type of double eyelid suture method characterized by its ability to achieve a natural-looking result and a stable crease without requiring a large incision in the skin.
Q. What is the difference between the natural adhesion method and other double eyelid procedures?
A. While the standard suture method primarily uses sutures to fix the double eyelid crease in place, the natural adhesion method utilizes both sutures and tissue adhesion. Unlike the incision method, it does not involve making a long incision in the skin; however, the most suitable method depends on the condition of the eyelid.
Q. What is the typical downtime for the double eyelid suture method (natural adhesion method)?
A. Swelling typically lasts a few days, and bruising usually subsides in about 10 days, though the severity and duration may vary from person to person. You may resume wearing eye makeup and contact lenses one week after the procedure.
Q. How long do the results of the natural adhesion method last?
A. Because this procedure creates a double eyelid line through tissue adhesion, it is highly likely to last for a long period—10 years or more. However, in some cases—such as for people who have a habit of rubbing their eyes or those whose eyelids have begun to droop due to aging—the line that was carefully created may revert to its original state.
Q. What are the disadvantages and risks of the natural adhesion method?
A. These include differences in the final results, such as swelling, bruising, puffiness, changes in the contour due to loosening of the sutures, and asymmetry between the left and right sides. In rare cases, you may also experience a feeling of discomfort or fatigue.
If you're interested in the double-incision method (natural adhesion method), please consult a doctor.
The double eyelid suture method (natural adhesion method) is a technique that creates a double eyelid crease by utilizing the adhesion between medical sutures and tissue, without making a long incision in the skin. While this method can produce a natural appearance and a stable crease, it carries risks such as swelling, bruising, and loosening of the sutures, and is not suitable for everyone’s eyelids.
At BIANCA CLINIC, we determine the best treatment method after assessing the thickness and sagging of your eyelids, as well as your desired double eyelid width. If you would like to know whether the natural adhesion method is right for you, please consult with a doctor during your consultation.
▶Double Buried Suture Method: Natural Adhesion Technique Procedure Page
