Eyelid Surgery
Eyelid surgery can correct uneven double eyelids, or create clear, symmetrical double eyelids for those with single eyelids or hidden double eyelids. This is achieved by adjusting the upper eyelid skin, reshaping the eyelid area, and tightening the eye muscles for a more refined and lifted look. The result is a fresher, more youthful appearance around the eyes and the overall face.
Long-incision eyelid surgery is a double eyelid technique suitable for cases with excess eyelid fat and drooping or sagging skin. The incision is made from the inner to the outer corner of the eye, allowing for significant removal of excess skin and fat. This method is ideal for older patients or those with a genetic tendency toward droopy eyelids or excess eyelid skin.
Things to Know Before Getting Double Eyelid Surgery
Double eyelid surgery corrects upper eyelid issues that may be present from birth—such as single eyelids (Asian eyelid type), age-related drooping, unclear eyelid creases, or hidden double eyelids—or caused by genetics and other factors like eyelid muscle weakness.
When planning surgery, the following factors are considered:
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Surgical method: Options include short incisions, long incisions, suture-only techniques, or removal of excess skin. The most suitable method will be determined based on each patient’s condition.
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Pre-surgery evaluation: Eyebrow position can affect the symmetry of eyelid creases—about 50% of upper eyelid surgery patients have uneven eyebrows, which may cause asymmetry after surgery. Surgeons may recommend techniques such as eyebrow lifting or sub-brow lifts to correct this.
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Other conditions: Some patients have eyelid muscle weakness, which can cause droopy eyes or partially cover the pupil. These cases may require eyelid muscle tightening to allow the eyes to open more fully. Excess or insufficient eyelid fat may also require removal or repositioning.
Surgical Methods
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Suturing technique
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Involves stitching at three points to create a crease without incisions.
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Best for patients with no excess eyelid skin and minor issues.
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Pros: Minimal scarring, quick recovery.
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Cons: Higher risk of issues such as premature suture loosening or allergic reactions.
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Short-incision technique
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Involves a small incision (about 1 cm) to stitch the inner eyelid muscle.
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Suitable for younger patients without excess skin.
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Pros: Small scar, quick recovery, and longer-lasting results than sutures alone.
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Full-incision technique
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Suitable for all patients, especially those with excess skin or fat.
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Allows correction of eyelid muscle droop or eyebrow lift at the same time.
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Pros: Clear crease and long-lasting results.
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Cons: Longer swelling/bruising and recovery time compared to the first two methods.
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Elegant Eyes Technique – Suitable for
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Single eyelids (small eyes without a crease)
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Hidden double eyelids (crease covered by drooping skin)
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Uneven eyelid creases
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Drooping eyelids with excess fat (may also affect vision)
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Deep-set eyes (hollow eye sockets making the face look tired)
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Weak eyelid muscles (sleepy-eye appearance, incomplete opening)
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Revision cases (previous double eyelid surgery requiring correction)
Pre-Surgery Preparation
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Check for any chronic illnesses.
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Stop taking supplements about 3 weeks before surgery (some affect blood clotting).
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Surgery time: around 1 hour.
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No hospital stay required.
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Return for suture removal 7 days after surgery—eye makeup can be worn after suture removal.
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Swelling begins to subside within 1–2 weeks.
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Final results settle in about 3 months.
Post-Surgery Care
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Apply cold compress for 48–72 hours, then switch to warm compress.
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Sleep with head elevated.
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Clean with normal saline twice a day and apply antibiotic ointment.
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Keep the wound dry for about 72 hours.
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Avoid rubbing eyes.
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Stop blood-thinning or anticoagulant medications for the first week.
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Avoid exercise for 2 weeks; light exercise is allowed after that; normal exercise at 2 months.
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Limit computer/phone use to reduce swelling.
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Visit the clinic for check-up and suture removal in 5–7 days.
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24-hour aftercare support is available from the clinic.
