Double eyelid surgery is a surgical procedure to add an eyelid crease where there is none. This can make the eyes look more prominent and accentuate their natural definition.
The procedure is performed under local anesthesia or IV sedation. It takes about 1-2 hours, depending on the technique used.
Preparation is Key
The eye is the most important feature of the face, and it can convey emotion long before other facial features can. Having a double eyelid crease can make the eyes appear larger and help make makeup application easier.
During this procedure, an incision is made on the upper eyelid and fat tissue and muscle are removed. The crease is then formed using sutures. The process is done on an outpatient basis and requires some anesthesia. You cannot drive yourself home afterward, so you should arrange for transportation in advance.
Once the crease is created, it is stitched in place with either a single or triple-looped suture. The triple-looped suture technique tends to be more stable and natural-looking than the single-looped suture.
A double eyelid procedure without consideration for the palpebral fissure slant angle may result in an unnatural upward or downward tilt. This can create a Trecher Collins appearance or an excessive upward tilt (a “hooded” eyelid). It is also possible for ptosis to be undetected and undiagnosed, resulting in unsatisfactory new creases.
Choosing the Right Surgeon
Before you have your double eyelid surgery, make sure to choose a surgeon with good experience. Look for surgeons who perform a lot of these surgeries every year. Their complication and readmission rates should be at least very low. This will give you a high chance of avoiding any post-surgery problems.
It is also important to remember that double eyelid surgery isn’t covered by insurance and can be quite costly. This is why you should be sure that this is what you want to do.
You may need to visit several clinics before finding the right surgeon. Sticking with the surgeon who invests most of their time in helping you achieve the right results is best. For instance, they should be patient and friendly enough to measure your eyes and simulate the eyelid crease shapes and heights you would like. They should also be willing to explain in detail what results you can expect from each method they offer. They should be able to show you high-definition videos of actual patients.
Getting the Right Measurements
While many people have a monolid or single eyelid, double eyelid surgery can create a crease to make your eyes look more prominent. It can also improve vision that the upper eyelid skin might obstruct. This is a popular procedure for Asian men and women who want to enhance their looks.
During your consultation, your surgeon will discuss the various options for creating an eyelid fold. They will show you before and after photos of individuals who look like you to help you decide which type of double eyelid crease would work best for your face shape.
For example, someone with a heavy-set face may benefit from deep and highly-positioned creases. In contrast, someone with lighter eyebrows might look better with thinner wrinkles that are more easily camouflaged. Once you decide on a design, your surgeon will draw it on the front of your eyelid using markings.
During the incisional blepharoplasty, your surgeon will create a crease by making several small incisions along the marked lines. Then, they will remove excess skin and fat tissue to achieve the desired result. This method is often preferred because it has a lower risk of scarring and can produce more natural-looking results.
Getting the Right Aftercare
Using double eyelid tape or glue to create a crease can work, but it takes a lot. It can also be dangerous if not done properly. It is important to have a professional perform this procedure.
It’s important to take it easy for a week after surgery and avoid activities that increase blood flow to the eyes. For example, you should avoid contact sports and any exercise that puts pressure on your head. Ideally, it would help if you also tried to limit your sun exposure, as it can be very damaging.
Our surgeon will mark the skin precisely where the new crease should be made during the consultation. They will also keep where any excess skin should be removed. They will then use either the Suture Technique or the Incisional Method.
Getting the Right Results
A double eyelid surgery can make a significant difference in the appearance of your eyes. However, it’s important to remember that the final results will depend on your facial features and personal tastes. For example, someone with more heavy-set eyes might look better with a deeper and higher eyelid crease, while someone with thinner eyebrows might look more natural with a lighter and lower crease.
During the initial consultation, your plastic surgeon will discuss which blepharoplasty method would suit you best. They may even show you photos of individuals who look like you and have similar facial features to help you visualize your expected results.
Non-incision, or suture technique, blepharoplasty has been in practice for 20 years and is often the preferred option for patients who want to avoid an incisional scar. It involves creating holes in the eyelids through which permanent sutures are passed to mimic fibrous attachments found in double eyelids. This technique is also less invasive than the incisional method and can be more resilient, allowing your new eyelid crease to remain stable for longer. Swelling is minimal and can be managed with pain-relieving medication, and bruising usually resolves within two weeks.