The most common worry about incision double eyelid surgery is the scar, and it is a fair question — this technique does involve a real incision. The reassuring answer is that the incision is placed exactly along the new crease line, so when your eyes are open the scar sits folded inside the fold and is hidden from view.
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.
The defining feature of incision double eyelid surgery is that it creates a permanent crease through a full upper-lid incision, and that incision is placed precisely along the line where your new double eyelid fold will form. This is the key to why the scar is so discreet: the cut, and therefore the scar, becomes the crease itself. When your eyes are open, the eyelid skin folds inward at exactly that line, tucking the scar up and inside the fold where it cannot be seen.
This is a deliberate design choice, not luck. The surgeon plans the incision height to suit your eye shape and the look you want, then closes it carefully so the healed line follows the natural curve of the lid. Because eyelid skin is some of the thinnest on the body, a well-placed and well-closed incision here tends to settle into a fine line rather than a raised or wide scar — quite different from scars on thicker skin elsewhere on the body.
It is worth understanding that this is a genuine trade-off compared with the non-incision approach, which uses sutures without a long cut and so leaves no continuous scar line. The incision method is chosen when a stronger, more lasting crease is needed or when the lid has excess skin or fat to address — and the scar, hidden in the fold, is the accepted exchange for that durability.
With your eyes open — how people see you in conversation — the scar is hidden inside the crease and, once healed, is generally not noticeable. This is the situation that matters most for everyday life, and it is why so many people who have had incision double eyelid surgery are not identifiable as having had it: the line is doing its job as the fold, invisibly.
With your eyes closed — for example when you look down or sleep — the scar line along the lid can be faintly visible, especially in the early months while it is still pink. As healing progresses the line fades toward your skin tone and becomes much harder to see; for most people it eventually reads as a subtle line that is easy to miss and simple to cover with a little eyeshadow if you wish. The degree to which it remains detectable when closed varies between individuals and improves with time.
Setting honest expectations matters here. The incision technique does not leave no mark — it leaves a well-hidden one. A careful surgeon will explain this plainly at consultation rather than promising an invisible result, and will assess your skin and lid to give you a realistic picture of how your particular scar is likely to settle. You can raise exactly these concerns in an online consultation before deciding.
Scar healing follows a predictable arc. In the first week, the incision is a fresh closed line held by sutures; you will see the stitches and some swelling and bruising along the lid. The sutures are removed at about 7 days, and at that point the line is still new — typically pink or slightly red, and a little firm to the touch. This early appearance is completely normal and is not the finished result.
Over the following weeks to a few months, the scar enters its remodelling phase. The redness gradually fades, the firmness softens, and the line becomes flatter and paler. It is common for a scar to look its most noticeable somewhere in the early weeks before it begins to improve — so judging the final result at one month is misleading. By around three months the line has usually calmed considerably, and it continues to mature and fade for up to a year as the crease itself settles into its natural shape.
Throughout this time the swelling that makes the crease look high and tight early on also subsides, so the whole eyelid increasingly looks like the intended result rather than a healing one. The detailed week-by-week picture of swelling and recovery is on the incision double eyelid recovery timeline page; this page focuses on the scar line specifically, which is the slowest-maturing element.
Good early scar care genuinely influences how well the line settles. In the first week the priorities are keeping the incision clean and dry as instructed, not rubbing or pulling at the eyelid, and not picking at any crusting along the line. Once the sutures are out and the surgeon confirms the wound is sealed, gentle care can continue: following any guidance on cleansing, and protecting the area.
Two factors stand out for scar quality. The first is sun protection — fresh scars can darken if exposed to strong sunlight, so shielding the area with sunglasses and a hat in the early months helps the line fade evenly rather than pigmenting. The second is patience: scars improve slowly, and resisting the urge to judge or treat the line too aggressively early on is part of letting it heal cleanly. Your surgeon will advise if and when any scar-softening measures are appropriate for you.
Avoiding smoking and excess alcohol in the early healing period also supports better wound healing generally, as both can impair the way tissue repairs. None of this is complicated, but doing it consistently in the first weeks gives the scar a strong chance to settle into the fine, hidden line the technique is designed to produce. The pain and comfort side of these early days is covered on the incision double eyelid pain and anaesthesia page.
Several things shape the final quality of an incision double eyelid scar, and only some are within anyone's control. Surgical factors matter: precise incision placement along the natural crease, gentle handling of the thin eyelid tissue, and careful closure all favour a fine line. This is one reason the choice of surgeon weighs heavily on the outcome — experience with the specific anatomy of the eyelid shows in how scars settle.
Individual factors matter too. Skin type and natural healing tendency vary from person to person; some people scar more readily than others, and a candid surgeon will take your skin and any history of poor scarring into account when discussing what to expect. Whether ptosis correction or other eyelid work is combined can also affect the extent of the incision. None of these are reasons for alarm — they are simply why honest, individualised assessment beats a generic promise of an invisible scar.
The remaining factor is aftercare, which is where you have the most influence: sun protection, gentle handling, not smoking, and following your surgeon's guidance in the weeks after surgery. Combine a well-placed incision by an experienced surgeon with consistent aftercare and patience, and the scar typically does exactly what it is designed to do — disappear into the fold.
Garnet is a single-surgeon clinic in Apgujeong, Seoul, where Dr. In-Soo Baek (Korean medical licence no. 77407) is a board-certified plastic surgeon and the only operating doctor. He plans the incision placement, performs the surgery and reviews every follow-up himself — which matters for scarring, because the person assessing how your line is healing at 1, 3 and 6 months is the same person who designed and closed the incision. That continuity makes it easy to track the scar honestly across its long maturation.
Because most scar maturation happens in the months after you leave the clinic, structured follow-ups and the ability to reach the surgeon by messenger after you return home both help — you can send a photo and get a clear answer on whether your line is settling as expected. The clinic addresses only the area you came for, so the assessment of your eyelid and scar is unhurried and specific to you. You can begin with a no-obligation consultation to discuss realistically how your scar is likely to heal.
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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