The Differences Between Buried Suture and Blepharoplasty

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What are the differences between buried suture and blepharoplasty? Although they both are techniques to create double eyelids, there are certain differences between the two methods that can confuse some clients.

Dr. Phung Manh Cuong explains the difference between buried suture and blepharoplasty

The Differences Between Buried Suture and Blepharoplasty

The majority of Asian has small eyes, monolid condition, concealed, asymmetrical eyelid, etc., creating the exhausted look. Therefore, many people seek the solution of either buried suture or blepharoplasty to improve the look of their eyes.

Both of these techniques are ways to bring about the wonderful double-lidded eyes for anyone in need.

However, what are the difference between buried suture and blepharoplasty? Which one is the better option? The factors below will give you the most objective answer!

Suitable candidates

Buried suture is only suitable for people under 30 years of age as their eyes don’t have many signs of senescence and saggy fat and skin, meanwhile, blepharoplasty is the optimal technique for people over 30 years old, especially those with lots of saggy skin and fat at the upper eyelid. In addition, people with ptosis, multiple creases, or hidden eyelid can choose blepharoplasty for the best aesthetic results.

In short, there are more suitable candidates for blepharoplasty than the buried suture.

While blepharoplasty is for people over 18 years old, the buried suture technique is only applied for subjects between 18 to 30 years old.

The performed technique

Buried suture is a manual technique that requires no surgery or invasion and can be done rather quickly. From the predetermined markings, the doctors will apply a technique of inserting sutures to connect the eyelid skin with the eye elevating muscles or the tarsal plate to form the new lid creases.

In contrast, a blepharoplasty is a minor surgery that combined both techniques of removing the saggy skin and the eye fat to create new eyelid creases. The surgeon will measure and mark the position of the new lid creases before then use a specialized tool to get rid of the saggy skin, excess fat. Finally, the new lid creases are made after the eyelid skin and the elevating muscles are sutured.

In summary, blepharoplasty requires surgical intervention while the buried suture eyelid surgery technique doesn’t require it.

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Recovery time

With the buried suture eyelid surgery technique, the doctor will create 5 – 7 tiny punctures to insert the suture. Therefore, it will only take 2 – 3 days for the eyelid to heal and return to its original condition.

Whereas, the surgeon will have to create incisions to get rid of the saggy skin and excess eyelid fat. Consequently, 3 – 5 days will be needed to allow the wound to heal completely. From the 10th day, the wound is pretty much healed with the creases being stable and natural.

The recovery time of the buried suture will be much quicker than that of blepharoplasty.

The operation time

The operation time of the buried suture technique is quite fast as it will only take about 20 minutes.

This, however, will be between 30 to 45 minutes for the blepharoplasty technique, depending on the technique applied and the flaws of the patient’s eyes.

The effectiveness and durability

Both the buried suture technique and the blepharoplasty technique can create natural and big round eyes. However, blepharoplasty has much better effectiveness and permanent results. These of the buried suture techniques, however, will depend on the type of thread used to form the connection between the skin and the eye elevating muscle.

The cost

At Gangwhoo Cosmetic Hospital, the price between blepharoplasty and buried suture technique is not too different. In particular, the buried suture technique costs around 8,000,000 VND and the blepharoplasty technique averagely cost 10,000,000 VND vary on the technology applied. When comparing this price to other cosmetic facilities, this is rather reasonable and suitable for many candidates, regardless of whether they are an office worker or a freelancer.

The advantages of the buried suture technique and blepharoplasty

As mentioned, the difference between buried suture technique and blepharoplasty will depend on the flaws of the eyes. In fact, it is difficult to determine if one offers a better result than the other as each of them has its own pros and cons.

The pros and cons of the buried suture technique

In recent years, the buried suture double eyelid surgery is chosen by many. However, aside from the outstanding benefits that it provides, this technique still has some limitations to it.


  • The recovering time (from 5 – 7 days) and the operation time (around 20 minutes) are rather quick.
  • It is not invasive and painful.
  • The cost is much lower than blepharoplasty.
  • The suture can be removed in the future if the client is unsatisfied.


  • The effects of the service will only last for a couple of years (3 to 5 years) and would require an additional procedure in the future if the person wishes to maintain the results.
  • It will only correct the small defects like hidden eyelids, monolid, and asymmetrical lids. It cannot deal with ptosis, fat accumulation, small eyes, etc.

The pros and cons of the blepharoplasty technique

Blepharoplasty has many benefits such as correcting all the flaws of the eyes and maintain the results for a long period of time. However, due to the invasive nature of this technique, more time is required for recovery, as well as it can cause pain and redness.


  • Take care of the flaws of the eyes like ptosis, droopy eyelid, or eyelid fat accumulation entirely. Furthermore, it can also create beautiful and natural double lidded eyes.
  • The canthus can be extended in cases of small eyes.
  • The results can last for a long time (7 to 10 years) and the creases can be maintained for a lifetime with proper care.


  • It takes more time for recovery than the buried suture technique (about 7 to 10 days or even more).
  • The surgery is invasive, causing pain and swelling.
  • The cost is higher than that of its counterpart.
  • The operation time can take quite long (30 to 45 minutes).

Should you choose blepharoplasty or the buried suture technique?

The Differences Between Buried Suture and Blepharoplasty
The Differences Between Buried Suture and Blepharoplasty

If whether to choose blepharoplasty or buried suture technique is what has been bothering people with the desire to beautify their eyes then Dr. Phung Manh Cuong, with his years of experience and expertise are here to show you his opinion.

You will either choose to have blepraroplasty or buried suture based on the condition of the eyes and your age. To ensure that all the flaws of the eyes are taken care of, as well as the eyelid creases are harmonious and symmetrical, you should head to Gangwhoo Cosmetic Hospital to have your condition checked. Only then can the most optimal and suitable technique can be applied.

Do you wish to have a youthful double eyelid?

Do you want your eyes to be breathtaking without any signs of scarring?

Head to Gangwhoo Cosmetic Hospital to become beautiful and youthful today!


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