Double Eye Lid Surgery

What Is Eyelid Surgery?

Eyelid surgery, also known as blepharoplasty, is a cosmetic surgical procedure designed to enhance the appearance of the eyelids. It involves the removal of excess skin, fat, or muscle from the upper and/or lower eyelids, addressing concerns such as drooping eyelids, puffiness, or bags.
The goal is to rejuvenate the eyes, providing a more youthful and refreshed appearance. Eyelid surgery can be performed for aesthetic and functional reasons, improving vision in cases where sagging eyelids obstruct the visual field. The specific techniques and procedures vary based on individual needs and goals, aiming to achieve natural-looking and harmonious results around the eyes.

What Is Double Eyelid Surgery?

Double eyelid surgery, also known as Asian blepharoplasty, is a cosmetic procedure designed to create or enhance the appearance of a double eyelid crease. This surgical technique is popular among individuals with either a monolid or a less defined eyelid crease who desire a more prominent and aesthetically pleasing eye contour.
The procedure involves creating a surgical incision or using a non-incisional method to form the desired double eyelid crease. Surgeons carefully consider the patient’s facial anatomy, desired outcome, and overall facial harmony during the surgical planning.

Why Do People Undergo Double Eyelid Surgery?

People undergo double eyelid surgery for various reasons, and motivations can vary from individual to individual. Some common reasons include:
  • Many individuals in certain Asian cultures opt for double eyelid surgery to conform to beauty ideals prevalent in their society.
  • Some choose the surgery for personal aesthetics, believing that double eyelids enhance overall facial symmetry and attractiveness.
  • The surgery is sought after for a more defined and expressive eye shape, making eyes appear larger and more prominent.
  • Individuals with monolids or less defined creases may undergo the surgery to boost self-confidence and address perceived shortcomings.
  • Enhancing facial features through double eyelid surgery is a way to improve professional and social prospects.
  • The procedure corrects natural asymmetry or uneven eyelids, creating a more balanced and harmonious facial appearance.
  • Some view double eyelid surgery as a means of personal transformation, aligning their appearance with self-perception and desired image.

What Are The Differences Between Natural And Double Eyelids?


Natural Eyelids – Natural eyelids have a smooth and continuous eyelid contour without a distinct crease.
Double Eyelids – Double eyelids feature a visible crease above the eye, creating a divided upper eyelid.

Genetic Factors

Natural Eyelids – Determined by genetics and ethnic background, some individuals naturally have a single eyelid without a crease.
Double Eyelids – The presence of a double eyelid crease can also be genetically inherited or influenced by ethnic characteristics.

Cultural Perspectives

Natural Eyelids – While common in some ethnic groups, natural eyelids may not align with cultural beauty standards, favouring double eyelids in certain societies.
Double Eyelids – Double eyelids are often considered aesthetically desirable in various cultures, leading to the popularity of double eyelid surgery.

Eye Appearance

Natural Eyelids – Eyes with a monolid or natural eyelid appear softer and may convey a different visual impression.
Double Eyelids – Eyes with a double eyelid crease appear more defined, larger, and expressive.

Surgical Intervention

Natural Eyelids – No surgical intervention is needed to maintain natural eyelids.
Double Eyelids – Double eyelid surgery, or Asian blepharoplasty, is a cosmetic procedure designed to create or enhance the appearance of a double eyelid crease.

Aesthetic Preferences

Natural Eyelids – Some individuals embrace their natural eyelids, appreciating the unique beauty associated with monolids or smooth eyelids.
Double EyelidsOthers may choose double eyelid surgery to align with personal or cultural preferences for a more defined eye contour.

Who Are The Candidates for Double Eyelid Surgery?

The candidates for double eyelid surgery are individuals who meet certain criteria and have specific motivations. Ideal candidates typically exhibit the following characteristics:
  • Candidates should genuinely desire to enhance their eyes’ appearance and achieve a double eyelid crease for aesthetic reasons.
    Those with a monolid (no crease) or a less defined eyelid crease may be suitable candidates, as they seek to create or enhance the appearance of a double eyelid.
  • Ideal candidates understand the limitations and potential outcomes of double eyelid surgery. Realistic expectations contribute to overall satisfaction with the results.
  • Candidates should be in good physical health to undergo surgery safely. Mental health is also crucial, as a positive mindset and emotional readiness contribute to a smoother recovery.
  • Non-smokers are preferred candidates because smoking can negatively impact the healing process. Surgeons often recommend quitting smoking before undergoing the procedure.
  • Candidates with a stable and healthy weight are generally better suited for surgery. Significant fluctuations in weight can affect the results of the procedure.
  • Cultural understanding and consideration are important. Candidates should be aware of the cultural significance of double eyelids, especially if they seek the procedure for cultural or societal reasons.
  • A consultation with a board-certified and experienced plastic surgeon is essential. The surgeon will assess the individual’s facial anatomy, discuss goals, and determine the most suitable surgical approach.
  • Candidates should undergo the procedure for personal reasons rather than external pressures.

What Are The Different Kinds Of Double Eyelid Surgery?

There are two types of double eyelid surgery, each employing different techniques to create or enhance the appearance of a double eyelid crease. These methods are known as the incisional and non-incisional techniques.

1. Incisional Double Eyelid Surgery

This method involves making small incisions along the eyelid to remove excess skin, fat, or muscle and create a distinct eyelid crease. The incisions are carefully placed to achieve a natural-looking result. Incisional double eyelid surgery suits individuals with excess skin or those seeking a more dramatic change in eyelid appearance.

Key Points:

  • Involves small incisions along the eyelid.
  • Removes excess skin, fat, or muscle.
  • Suitable for those with significant skin laxity.

2. Non-Incisional (or Suture) Double Eyelid Surgery

The absence of external incisions characterises the non-incisional method. Instead, the surgeon creates the double eyelid crease by strategically placing sutures or making small punctures in the eyelid tissue. This technique is often chosen for its quicker recovery time and minimal scarring.

Key Points:

  • No external incisions are made.
  • Crease is formed using sutures or small punctures.
  • Preferred for minimal scarring and faster recovery.
These methods can be further categorised based on specific techniques within each approach. Surgeons may tailor the procedure to individual needs, considering factors such as eyelid anatomy, patient preferences, and the desired outcome.
It’s important for individuals considering double eyelid surgery to consult with a qualified plastic surgeon who can assess their facial anatomy and recommend the most appropriate technique. The choice between incisional and non-incisional methods often depends on factors such as the amount of excess skin, the desired level of eyelid definition, and the surgeon’s expertise.

What Happens During Double Eyelid Surgery?

Double eyelid surgery involves a consultation with a plastic surgeon to assess facial anatomy, discuss goals, and determine the appropriate surgical approach. On the day of the surgery, the patient receives anaesthesia, with the type depending on the surgeon’s recommendation.
The incisional method, chosen for more significant changes, involves making small incisions along the crease line to remove excess tissue. In the non-incisional method, sutures or small punctures create the double eyelid crease without external incisions.
The surgeon adjusts eyelid tissues for symmetry and desired appearance before closing incisions with sutures. Recovery and monitoring follow in a designated area, with postoperative care instructions given, and subsequent follow-up appointments assess healing results and provide additional instructions.

What’s The Recovery And Postoperative Care For Double Eyelid Surgery?

The recovery and postoperative care for double eyelid surgery are crucial aspects of ensuring a smooth healing process and achieving optimal results. Here is an overview of the typical recovery and care after double eyelid surgery:

1. Patients are monitored for comfort and stability as they wake from anaesthesia.
2. Cold compresses reduce swelling, and elevating the head minimises it.
3. Follow the prescribed medication schedule for pain relief and infection prevention.
4. Steer clear of strenuous activities to prevent complications and support proper healing.
5. Shield eyes from sunlight and environmental factors with sunglasses and caution.
6. Rest the eyes to minimise strain, especially avoiding extended screen time.
7. Regular appointments with the surgeon monitor healing, assess results, and provide further instructions.
8. Follow recommended scar care routines for incisional surgery, including scar ointments.
9. Swelling and bruising diminish within weeks, but full recovery may take months. Patience is key.

The information written and published on this website is not intended to substitute the recommendations of a trained professional and does not replace a professional consultation.
It is advisable to undergo a formal consultation to help establish a relationship between the doctor and yourself, accurately determine your concerns/problems, and get the appropriate treatments for them.
It is also imperative to note that the contents of the website with respect to treatments, results and pricing can vary from individual to individual, and can only be accurately determined by the doctor upon diagnosis.
Do note that all medical treatments will only be administered upon proper consultation, with the requirement that patients be above 21 years of age to provide legal consent.