How does buried-suture ptosis correction work?

Instead of a long skin incision, it uses a limited approach and sutures to secure the tissue and adjust the eyelid height and the way the eye opens. Even without a long visible incision, it is surgery in which the tissue is fixed in place. Suitability depends on the spare skin, eyelid thickness and muscle function, so when excess skin needs to be fully trimmed or the tissue has to be checked directly, another approach is considered as well.

Is buried-suture ptosis correction a non-surgical treatment?

No long skin incision does not mean that no operation takes place. Sutures and tissue fixation through small access points still require anesthesia and aftercare. Swelling, bruising, infection, suture irritation and changes in closure remain possible. Consultation explains the access and the role of sutures in the proposed plan.

What does loosening mean after buried-suture correction?

Fixation can loosen or tissue can change, altering the crease or lid height over time. Changes in opening function and changes in the fold are assessed separately. Any repeat correction requires review of remaining skin, existing sutures and function. Initial counseling therefore covers possible loosening and further correction without promising a fixed duration.

Can buried sutures also remove excess eyelid skin?

A suture approach alone has limits when excess skin needs removal. The reason skin overlaps the eyelid and the brow position must first be assessed. An incisional approach or upper blepharoplasty may be compared when skin treatment is needed. Suitability is based on tissue and function, rather than scar length alone.

What if a small knot is noticeable after buried-suture correction?

Swelling or a suture knot may produce a small lump or foreign-body sensation. Pressing it or trying to remove a thread can damage the wound or cause infection. Persistent redness, pain, discharge or eye-surface irritation should prompt an earlier review. Examination determines whether observation or treatment is required.

Buried-suture Ptosis CorrectionGangnam, Seoul

Assess suitability for a suture-based approach without a long skin incision. Skin excess, opening function and fixation conditions guide its limits and recurrence counseling. At QD Clinic in Gangnam, Seoul, South Korea, we examine you first and then decide with you on the approach that suits your concerns.

Diagram explaining assessment and surgical planning

Who it’s for

People without much excess skin who want to know whether a small-access suture approach is possible
People seeking assessment of opening function and lid height
People who want to compare the features and possible loosening of buried sutures with other methods

Assessment includes eyelid height, opening strength, brow position and eye closure. A photograph or procedure name cannot determine suitability; another approach or observation may be advised after examination.

How it works

This approach uses limited access and sutures to adjust eyelid position where suitable. The absence of a long incision does not make it a non-surgical procedure. Skin excess, thickness and muscle function determine whether it is appropriate. Direct tissue assessment or substantial skin removal may require another method; the suture technique is selected after examination.

THE MECHANISM, STEP BY STEP

01Skin excess and eyelid thickness
Assess skin, fat, lid height and muscle function to establish suitability.
02Function suitable for a suture approach
Plan the crease and access, explaining when an incision would be preferable.
03Fixation conditions and possible loosening
Perform the planned fixation, check symmetry and closure, and arrange suture-site review.

Treatment areas

Eyelid assessment: Skin excess and eyelid thickness
Surgical approach: Function suitable for a suture approach
Recovery and follow-up: Fixation conditions and possible loosening

What the procedure is like

1Assess skin, fat, lid height and muscle function to establish suitability.
2Plan the crease and access, explaining when an incision would be preferable.
3Perform the planned fixation, check symmetry and closure, and arrange suture-site review.

Anesthesia, surgical scope and expected duration are agreed after an in-person examination. Arrange the day of surgery, transport home and follow-up together.

Recovery & aftercare

Swelling, bruising, foreign-body sensation and suture irritation can occur without a long incision. Avoid rubbing or handling sutures; persistent lumps, pain or irritation need review.
Check swelling, bruising, closure, dryness and wound healing. Follow the individual instructions for cooling and washing, and avoid rubbing the eyes.
Wound review and any suture removal depend on the approach. Contact lenses, eye makeup and exercise resume according to wound and ocular-surface assessment.

What to expect over time

A general guide to how the days and months after treatment usually unfold. Results vary by individual.

Early recovery
Check swelling, bruising, closure, dryness and wound healing. Follow the individual instructions for cooling and washing, and avoid rubbing the eyes.
Review appointments
Wound review and any suture removal depend on the approach. Contact lenses, eye makeup and exercise resume according to wound and ocular-surface assessment.
Settling
Lid height and crease appearance can change as swelling settles. Follow-up compares function and symmetry rather than judging the final result immediately.

How it compares

Comparison	Buried-suture Ptosis Correction	Partial-incision Ptosis Correction
Scope of correction	Assess suitability for a suture-based approach without a long skin incision. Skin excess, opening function and fixation conditions guide its limits and recurrence counseling.	Limited incisions provide access to selected eyelid tissues. Assessment distinguishes what can be addressed through small openings from conditions requiring wider exposure.
Recovery and follow-up	Swelling, bruising, foreign-body sensation and suture irritation can occur without a long incision. Avoid rubbing or handling sutures; persistent lumps, pain or irritation need review.	Small incisions can still develop scarring, firmness, bruising and swelling. Healing and fixation are reviewed individually rather than predicting recovery from incision length alone.

Safety & considerations

Possible reactions

Swelling, bruising, bleeding, infection and scarring at incision or suture sites are possible.
Overcorrection, undercorrection, asymmetry, crease changes, recurrence and further correction are discussed.
Incomplete closure, dry eyes, corneal irritation and, rarely, complications affecting vision can occur.

Before surgery

Report previous eyelid or forehead surgery, eye conditions, contact-lens use and dryness.
Discuss medicines, supplements, bleeding disorders, allergies and smoking; do not stop prescribed medicines yourself.

Sudden vision changes, severe pain or rapidly increasing one-sided swelling require immediate contact with the medical team or emergency care. Correction, scars and recovery vary between individuals.

Your care at QD Clinic

Eyelid assessment
Assess skin, fat, lid height and muscle function to establish suitability.
Surgical approach
Plan the crease and access, explaining when an incision would be preferable.
Recovery and follow-up
Perform the planned fixation, check symmetry and closure, and arrange suture-site review.

Frequently asked questions

Instead of a long skin incision, it uses a limited approach and sutures to secure the tissue and adjust the eyelid height and the way the eye opens. Even without a long visible incision, it is surgery in which the tissue is fixed in place. Suitability depends on the spare skin, eyelid thickness and muscle function, so when excess skin needs to be fully trimmed or the tissue has to be checked directly, another approach is considered as well.
No long skin incision does not mean that no operation takes place. Sutures and tissue fixation through small access points still require anesthesia and aftercare. Swelling, bruising, infection, suture irritation and changes in closure remain possible. Consultation explains the access and the role of sutures in the proposed plan.
Fixation can loosen or tissue can change, altering the crease or lid height over time. Changes in opening function and changes in the fold are assessed separately. Any repeat correction requires review of remaining skin, existing sutures and function. Initial counseling therefore covers possible loosening and further correction without promising a fixed duration.
A suture approach alone has limits when excess skin needs removal. The reason skin overlaps the eyelid and the brow position must first be assessed. An incisional approach or upper blepharoplasty may be compared when skin treatment is needed. Suitability is based on tissue and function, rather than scar length alone.
Swelling or a suture knot may produce a small lump or foreign-body sensation. Pressing it or trying to remove a thread can damage the wound or cause infection. Persistent redness, pain, discharge or eye-surface irritation should prompt an earlier review. Examination determines whether observation or treatment is required.

For international patients

Consultation in English / 中文 / 日本語 · WhatsApp · WeChat · KakaoTalk · a 4-minute walk from Sinnonhyeon / Nonhyeon Station (hours in KST).

How many days should I stay?

Surgery and course-based treatments need a check-up. We tell you before you book whether that means staying longer or coming back another time.

For International Patients