Natural adhesion vs buried suture double eyelid

Natural adhesion is, broadly, a type of buried suture method — a non-incisional way of creating the crease. Names and technical details vary between clinics, so it is more important to check how the crease is actually fixed than what the method is called.

What they share

• No long skin incision
• The crease is made with a suture through tiny openings
• Recovery tends to be quicker than with the incisional method

How they differ

"Standard" buried suture usually refers to tying the crease at a few points. Natural adhesion is generally described as passing and fixing the suture differently, with the aim of encouraging the skin and the lid-opening muscle to attach naturally.

The details and names differ between clinics. At Cejong, the natural adhesion method is also used, depending on the eye.

Which eyes is it considered for?

Non-incisional methods are generally considered when the lid is thin, there isn't much fat and there is little skin sagging. With thicker lids or sagging skin, a non-incisional crease can be hard to maintain, so the incisional method is also considered.

Frequently asked questions

Can natural adhesion come undone? With any non-incisional method the crease can become shallower or loosen over time. Eyelid structure and habits (such as frequent eye rubbing) can affect how long it lasts.

How long does swelling last? Usually shorter than after incision, but it varies. See Swelling after eyelid surgery.