You don't need to cut the skin, just fix several places along the drawn double eyelid line with stitches to make double eyelids. Suture (or polymer suture) is directly buried between skin and meibomian through suture, so that the upper eyelid skin and meibomian adhere to form double eyelids. Compared with the cutting method, the embedding method is not durable enough. It should be noted that the catgut embedding method in double eyelid surgery is suitable for single eyelid with thin eyelid skin and thin orbicularis oculi muscle, without epicanthus and drooping eyelid skin. It depends on the condition of your eyes. If the skin is not slack, you can do this method.