Double Eyelid Suture vs Surgery: Which is Right for You in Kuala Lumpur?

For many people in Kuala Lumpur exploring double eyelid enhancement, one of the biggest decisions is: should I go for a non-incisional suture (stitching) method, or full eyelid surgery (incisional)?

Both techniques can deliver natural-looking double eyelids, but they differ in procedure, downtime, cost, and longevity. This guide will break down each option and help you decide which is right for you — especially if you’re considering treatment at RJ Clinic in KL.

What Is Double Eyelid Suture (Non-Incisional) / Stitching?

Double eyelid suture, also called non-incisional double eyelid surgery, uses a series of tiny punctures and buried sutures to create a crease without cutting the skin. At RJ Clinic, we perform the Modified 4 Buried Suture Technique, which offers a more secure, longer-lasting result than older Double Suture & Twist (DST) methods.

Benefits of Suture Method:

• ✅ No skin cutting or external scar

• ✅ Short downtime — about 5–7 days

• ✅ Lower cost compared to full surgery

• ✅ Reversible and adjustable if needed

• ✅ Natural-looking, customized crease height (parallel or tapered)

Limitations:Results may soften over time (average longevity 3–7+ years) and are less suitable for patients with very thick, fatty, or saggy eyelids.

What Is Incisional Double Eyelid Surgery?

Incisional double eyelid surgery, also known as full incision blepharoplasty, involves removing a small strip of skin, fat, or muscle from the upper eyelid and creating a permanent crease with sutures.

Benefits of Incisional Surgery:

• ✅ Permanent crease — no risk of sutures loosening

• ✅ Ideal for thick or fatty eyelids

• ✅ Corrects excess skin, eyelid drooping, or ptosis

Drawbacks:

• ❌ Longer downtime — 2–3 weeks of swelling/bruising

• ❌ Higher cost

• ❌ Irreversible without additional surgery

• ❌ Fine line scar (usually hidden in crease)

Key Factors to Consider When Choosing

When deciding between suture vs incisional surgery, think about:

• Eyelid type: Thin/medium eyelids → suture is ideal. Thick, fatty eyelids or droopy lids → incisional recommended.

• Desired permanence: Suture can last years but might loosen. Incisional is permanent.

• Downtime: Suture downtime is typically 5–7 days, vs 14–21 days for surgery.

• Cost: Suture method at RJ Clinic is approx. RM 4,500, while incisional surgery usually costs more.

• Scarring: Suture has no visible scar; surgery leaves a fine hidden scar.

• Ptosis: If you have moderate to severe ptosis, you will need correction with the incisional method

Case Scenarios — Which Option Fits You?

Scenario	Best Option
Young patient with monolid and thin eyelids seeking quick recovery	Suture method
Office worker who needs minimal downtime	Suture method
Patient with significant eyelid fat or skin droop	Incisional surgery
Patient wanting a permanent result with zero risk of loosening or skin laxity	Incisional surgery

What to Ask Your Doctor During Consultation

Before deciding, ask your doctor:

• “Am I a good candidate for suture vs incisional?”

• “What crease height and shape suit my face best?”

• “When can I go back to work / apply makeup?”

• “What are possible complications or revision options?”

• “Do you have before/after photos for my eyelid type?”

At RJ Clinic, we personalize every crease design and guide you through recovery expectations so you know exactly what to expect.

Final Thoughts — Take the Next Step with RJ Clinic

Choosing between double eyelid suture and surgery is a personal decision. If you want natural-looking results, minimal downtime, and no external scar, the suture method may be the right choice for you. If you have thicker eyelids or desire a permanent, once-and-done solution, surgery might be worth considering.

RJ Clinic has performed over 1,800 successful double eyelid procedures in Kuala Lumpur using the Modified 4 Buried Suture Technique. Book a consultation today to see if this treatment is right for you — and start your journey to brighter, beautifully defined eyes.