Non incisional blepharoplasty, so called buried double fold operation in Asia, although a common procedure, has a some complications such as inclusion cyst or granuloma or loss of crease. To obviate this problem, we tried to modify existing suture method. Three sutures(medial, middle, lateral) were located on the skin crease site as superficial as possible to anchor the dermis for secure fixation, and we've located suture knot on the orbi-cularis oculi muscle as deep as possible. Between January 2001 and February 2004, 162 patients were operated with these procedure by one surgeon, we could trace 63 patients for postoperative follow-up, there were no postoperative findings of inclusion cyst or granuloma or loss of fold crease except 1 case of short crease. This simple suture operation could be one of useful non-incisional methods for Asian blepharoplasty.