"How long will it last?" is one of the first questions people ask about an incision double eyelid, and the honest answer is reassuring: because the crease is a fully healed, fused fold rather than one held by internal stitches, it is the most durable double-eyelid method — the change itself does not reverse. What still happens is that the lid ages gently around it over the years, so it is lasting rather than a promise that nothing will ever change.
Garnet is well known for neck-wrinkle and lifting surgery. The facility is excellent and I’m thoroughly satisfied with the friendly consultation and the surgeon’s skill.
Director Baek In-soo, thank you so much. Thanks to you I keep getting told I look younger — it feels like I’ve gone back to my younger days.
I had upper and lower eyelid surgery and I’m really satisfied. The director and the manager were both so kind and clear.
I started with under-eye fat repositioning — the director and the manager are genuinely kind and good at what they do. I’ll be back.
I came on a referral and was very satisfied thanks to the doctor’s kind consultation and clear explanations. The nurses were friendly too.
I kept reading the reviews and came trusting the many mentions of skill and kindness. The clinic was busy with patients and spotless.
An incision double eyelid is generally the most durable way to create a double-eyelid crease, and most people who have it keep a clear, stable fold for a very long time — often for good, in the sense that the crease itself does not loosen. The reason is that an incision double eyelid creates the fold through a full upper-lid incision, so the crease heals as a fused line rather than being held by internal stitches that could relax. That is what makes it the longevity benchmark among crease methods.
It is still honest, though, to avoid calling it a guaranteed forever result. The crease itself is durable and does not reverse, but the eyelid is living tissue that keeps ageing — so over many years the fold can soften a little in appearance even though the crease is still there. 'Lasting' here means the structure holds while the lid matures around it, not that the eye is frozen in time.
So the accurate picture is a stable, fused crease that ages gracefully rather than one that loosens. If you are weighing this durability against the lighter recovery of a stitch method, our guide comparing non-incision and incision double eyelid lays out exactly how the two differ on how long they hold.
The durability comes from how the crease is formed. In an incision method the upper lid is opened, excess skin and, where needed, a little fat or muscle are refined, and the crease is created as the tissues heal together into a fixed fold. Because the fold is a healed, fused line rather than an adhesion held by buried sutures, there is no fixation to gradually relax — the crease is built into the healed anatomy of the lid.
This is exactly why an incision method holds well even where a non-incision crease might struggle. On thicker, heavier or oilier lids, or where there is significant skin excess, a fused fold carries that tissue reliably, whereas stitches would be under more strain. Removing the excess and setting a fused crease addresses the lid's actual structure, which is what gives the method its dependable longevity.
Because the crease is essentially set once it heals, precise planning of the height and shape at surgery matters enormously — this is a durable result, so it is worth getting right the first time. A measured, unhurried operation that sets a natural, well-judged crease ages far better than a rushed one, which is part of what the cost of the procedure reflects.
Being honest matters even for the most durable method: the crease itself does not reverse, but the lid keeps ageing around it. Over many years the upper-lid skin can loosen, the brow can descend and the fold height can appear to change as the whole eye matures — none of which undoes the fused crease, but all of which mean the eye softens gradually rather than staying identical to the day-one result.
In practice this is a slow, natural process, not a relapse. The crease stays where it was built; what changes is the surrounding skin and brow. Sometimes what looks like the fold 'getting smaller' many years later is actually skin descending over a crease that is still perfectly intact — a different issue that, if it matters, is addressed by refining the skin or brow rather than re-creating the crease.
The right way to picture it is comparative. Years on, your eyes still have the defined crease that was built, and you have simply aged forward from a set fold rather than from a monolid. The crease does not have to be untouched by time to be worthwhile — a durable, fused fold that the lid ages gracefully around is exactly what this method is designed to give.
The crease itself is durable across the board, so most of what varies is how the surrounding lid ages. Skin quality, age at surgery and brow position matter most — firmer skin and a well-supported brow keep the fold looking crisp longer, while heavier lids or a low brow can make the crease appear to soften sooner even though it is structurally intact. Genetics set the natural pace of that ageing.
Lifestyle plays its usual part. Heavy sun exposure, significant weight fluctuation and smoking all accelerate skin ageing around the eye and can make the fold look less defined over time. Protecting the delicate eyelid skin from the sun, keeping your weight stable and not smoking will not affect the fused crease itself, but they help the overall eye keep the look longer.
The single biggest controllable factor is the initial planning — because the crease is essentially permanent, the height and shape chosen at surgery shape how well it ages. A natural, well-judged crease ages more gracefully than one set too high or too deep. If you want to know how the result unfolds in the first weeks, our guide to when you will see results covers the early timeline.
Even though the crease is durable, it can still be revised. If the height or shape is not quite ideal — a little too high, too low or slightly asymmetric — a revision can adjust it, ideally once the initial result has fully settled. This is a considered step rather than a routine top-up, precisely because the fused crease is so stable that it is usually worth refining only when there is a clear reason.
Much later in life, if ageing has loosened the surrounding skin, some people choose to refine the lid — often this is really an upper-eyelid skin adjustment or a brow procedure rather than re-creating the crease itself, since the fold is still intact. Distinguishing 'the crease has changed' from 'the skin around it has aged' is exactly the kind of judgement an experienced surgeon makes at consultation.
There is no schedule you are obliged to follow, and most people simply keep their crease for the long term without needing anything further. If a revision or later refinement is ever wanted, having the same surgeon who planned and built the original crease — and who knows your lid — makes deciding what actually needs adjusting much clearer and safer.
Garnet is a single-surgeon clinic in Apgujeong, Seoul. Dr. In-Soo Baek is a board-certified plastic surgeon (Korean medical licence no. 77407) and the only operating doctor — he consults, performs the incision double eyelid himself and reviews every follow-up, and the clinic keeps the day to two surgeries so each case has the unhurried time that setting a durable, natural crease deserves. Because the fold is essentially permanent, the height and shape are planned carefully with your features in mind — ptosis correction can be combined where the eye-opening muscle also needs adjusting.
That single-surgeon model is directly relevant to how your crease ages: the same surgeon plans the height, creates the fused fold and then follows your healing at one, three and six months — and by messenger after you fly home — so the crease settles cleanly and naturally. And because he plans it knowing it will last, the aim is a crease that looks right not just at first but as the lid matures. Garnet is registered with Korea's foreign-patient programme for international visitors.
If you would like a realistic view of how an incision double eyelid would look and last for your eyes specifically, the ideal first step is a no-obligation online assessment. Send photos and get an honest answer about the crease, the height and its longevity before you plan any travel.
Send photos and your question before you travel. An English-speaking coordinator reviews every enquiry and replies with honest guidance on whether surgery is appropriate, the likely plan and timing.
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