3-4 years ago, I was deciding between buried-suture and incisional double eyelid surgery, and in the end I chose buried-suture surgery.
Basically, rather than flashy eyes, I wanted eyes that suited the harmony of my face, so I went with buried sutures.
My skin is thin, but my swelling varies, so doctors with less experience recommended various procedures such as fat removal, incision, and canthoplasty. Looking back at the result, I think it would have gone badly if I had done that.
I had an outline without epicanthoplasty, and because my eyelids are on the thinner side, it turned out very natural but also moderately glamorous.
However, one side loosened quickly, so I received an AS revision, and that made me realize that even buried-suture surgery can cause side effects.
They said they were going to recreate the loosened line, but they set it high and tight, so the line was not natural. At the inner corner of my eye, my original double eyelid line and the surgical line overlapped, and a deep groove formed at the inner corner.
The whole line looks wrinkled, and even though my eyes have no fat, the upper eyelid became bulgy like a sausage. At the outer corner, the line should taper off slimly, but a deep crease cuts off abruptly, so it looks very unnatural.
In appearance, it really looks like a botched incisional sausage-eye result.
Also, my eyelids are not the type that cover the pupils, but only one eye now covers the upper part of the pupil, making it look sleepy. Even though the line height is actually higher, it covers the pupil more.
The bigger problem is that I developed double vision, where objects appear overlapped. I was told that double vision can occur if the surrounding muscles are not properly considered when creating the line. I was palpated by another board-certified plastic surgeon.
The pupil being covered + double vision -> if this keeps repeating, I end up using muscles around the eyes that I did not used to use, especially raising my eyebrows upward, and it can become like ptosis, so eventually I may end up having a surgery I would not have needed.
Because I unconsciously put force into my eyes, the fatigue is extremely high. I keep frowning, so wrinkles form between my brows, and especially because of the double vision, I get even more tired. Without realizing it, my hand goes to my eyes, and I keep rubbing them or blinking.
Since my first surgery was successful, I hope you will think very carefully before deciding on surgery itself, because if you take buried-suture surgery lightly, side effects like mine can happen.