Double Implantation Natural Adhesion Method

The natural adhesion method is a double eyelid surgery technique that promotes adhesion between the levator muscle—the muscle that lifts the eyelid—and the eyelid skin to create a double eyelid line. It involves a specialized technique where 4 to 6 small holes, each about a few millimeters in size, are made in the eyelid. A single medical thread is then crossed and fixed to the levator muscle, creating multiple fixation points. When necessary, excess subcutaneous tissue or eyelid fat is removed. The body's natural healing process then causes adhesion to form at the small incision sites. This adhesion connects the multiple fixation points, creating the double eyelid line. The incision scars are hidden within the double eyelid line, making them virtually invisible.

Among the types of double-fold suture methods, techniques like the natural adhesion method that thread sutures through the double fold include the back-tied method. However, since the suture is tied on the inner side of the eyelid, there was a risk that if the suture became exposed, it could injure the cornea. The natural adhesion method ties the suture on the outer side of the eyelid, offering the advantage of being safer and better at avoiding corneal irritation.

There are two types of double eyelid surgery: the double eyelid suture method and the double eyelid incision method.

The double eyelid suture method is a procedure that creates double eyelids using ultra-fine medical sutures. Multiple fixation points are created along the desired double eyelid line to form the crease. This procedure typically involves relatively short downtime and is often chosen by those considering double eyelid surgery for the first time.

Double eyelid surgery is a procedure that creates a double eyelid crease by making an incision in the skin. It can also remove eyelid sagging and fat, making it suitable for those with heavy eyelids or who desire a distinct double eyelid.

The natural adhesion method is a type of double-buried suture technique that uses thread to form a double eyelid line. When necessary, it involves removing excess subcutaneous tissue or eyelid fat through an incision before promoting adhesion between eyelid tissues to create the double eyelid line. As it requires no incision and aims for a more natural finish, this new technique is gaining attention, particularly in Korea.

The natural adhesion method is gaining attention as a new double eyelid surgery technique that combines the advantages of both the double buried suture method and the double incision method.

Double eyelid surgery with incisions offers semi-permanent results but involves a longer recovery period and greater postoperative burden due to the incision. Conversely, the suture method requires no incision, resulting in a relatively shorter recovery time. However, a disadvantage is that the line may become unstable if the sutures come loose or slip. Furthermore, the limited number of fixation points can make achieving intricate designs, such as parallel double eyelids, difficult in some cases.

Among these, the natural adhesion method is gaining attention. While it uses sutures, it forms the double eyelid line through the adhesion of the eyelid tissues themselves. This feature reduces the risk of suture loss or loosening and offers superior durability compared to traditional buried suture methods. Furthermore, the natural adhesion method allows for greater design flexibility and can sometimes accommodate those desiring a distinct double eyelid, similar to the incision method. Since it does not use a scalpel, it leaves no scars like the incision method and generally requires less downtime.

In this way, the natural adhesion method is chosen by those seeking both a "natural finish" and "long-lasting results." While the choice between "buried suture or incision" has traditionally dominated double eyelid surgery, the natural adhesion method is gaining traction as a new option, particularly in Korea.