Eye surgery at Marble Plastic Surgery: choosing the right technique
Marble groups its eye work into seven core procedures, chosen by eyelid thickness, levator strength and fat volume: thin lids with good muscle power suit the non-incisional method, thick or sagging lids need the incisional method, and a sleepy-looking eye needs ptosis correction on top.
Last updated: 2026-08-29
Non-incisional or incisional?
The non-incisional method passes sutures through small punctures, so swelling is light and recovery quick — ideal for thin lids with little fat. The incisional method opens along the crease and removes excess skin and fat, so it suits thick or sagging lids and patients who want a permanently fixed crease.
Both techniques set crease height against facial proportion and inter-eye distance rather than a single standard measurement.
When more than a crease is needed
A sleepy eye caused by a weak levator needs ptosis correction; epicanthoplasty releases a Mongolian fold covering the inner corner; lateral canthoplasty widens the horizontal length; and under-eye bags with a deep tear trough are treated by repositioning the fat rather than simply removing it.
Revision and senior eye surgery
Revision eye surgery starts by assessing scar tissue, the old crease position and how much skin is left before a new plan is drawn. Senior eye surgery focuses on removing the hooded upper-lid skin that presses on the lash line to widen the field of vision.
Related procedures at Marble Plastic Surgery
Non-incisional double eyelid surgery
Marble places a few small punctures along the fold line and ties the muscle to the eyelid skin, giving a natural fold with minimal bruising and fast recovery. Best for thin eyelids without much excess skin.
Incisional double eyelid surgery
The eyelid is opened so excess fat, skin and muscle can be removed, producing a clear, durable fold with a low chance of loosening. Suited to thick or drooping eyelids and to folds that came undone after suture surgery.
Ptosis correction
Corrects a weak levator muscle that makes the eyes look sleepy and half-open, adjusting muscle tension while forming the fold so the eyes open wider in one operation.
Epicanthoplasty & lateral canthoplasty
Lengthens the eye at the inner or outer corner and adjusts the outer-corner angle so the eyes look larger and better balanced. Usually combined with double-eyelid surgery.
Lower-eyelid fat repositioning
Bulging lower-eyelid fat is repositioned into the tear trough to correct dark, tired-looking under-eyes. When the skin is still firm it is done through the conjunctiva, leaving no external scar.
Revision eye surgery
The cause of the previous result — a fold that is too high, a fold that dropped, asymmetry or scar tissue — is analysed first, then a case-specific revision plan is made with the plastic surgeon.
Upper blepharoplasty for mature eyes
Treats sagging upper-eyelid skin that presses on the field of vision, using a sub-brow excision or an eyelid incision with muscle adjustment so the eyes look brighter and see more comfortably.
Frequently asked questions
- Does the non-incisional double eyelid last?
- It lasts well in thin lids with little fat, but in thick or sagging lids the crease is more likely to loosen, which is why the incisional method is usually recommended in that group.
- Can ptosis correction be combined with double eyelid surgery?
- Yes, and it is a common combination: creating a crease alone does not increase levator power, so the eye still looks sleepy unless ptosis is corrected at the same time.
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