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Double Eyelid Surgery: Procedure and Alternatives

Double Eyelid Surgery: Procedure and Alternatives

by Azka Munir · August 17, 2021

Our eyes have different shapes and sizes. One thing that makes eyes more distinct is the double eyelid. If you have a monolid, double eyelid surgery can change your appearance.

It gives the eyes a larger and symmetrical look. Southeast Asians and East Asians may have a monolid instead of a double eyelid. Therefore, this procedure is popular with them and can is also known as Asian Double Eyelid.

This article discusses this procedure, its preparation and aftercare. Keep reading to know if you should get it done to improve your aesthetic.


Do You Have a Double Eyelid?

You are born with an eyelid crease or you have a monolid.

Both of these do not pose any medical problem however, they can change your aesthetics.

Remember, both monolid and double eyelid look beautiful.

Though, if you want to change the way your eyes look, you can opt for this cosmetic surgery without hesitating.

woman after double eyelid surgery

In a monolid eye, there is no fold in the upper eyelid.

Double eyelids have a natural crease between the eyelashes (above the lash line) and the eyebrows but a monolid does not.

The creases give a larger eye appearance by increasing the space between the upper and lower lid.

However, the purpose of getting this eye surgery is not entirely cosmetic.

You may need to get it if you have a structural problem.

These include an inward growing eyelash or a droopy eyelid.

Thus by increasing space, you will not get irritation in the eye and can wear lenses.

Furthermore, you may want to get the surgery because your crease is not that visible while it exists.

It is also possible that you have one eye with a crease and one without it.

Therefore, you will need it to get an even look.

If you are into makeup, then getting a double eyelid will give you more chances to experiment with makeup and easily apply certain eye looks.

Therefore, you can get it for several reasons, aesthetics being the most common.


Double Eyelid Surgery vs Blepharoplasty

Blepharoplasty is the medical term for eyelid surgery.

Specifically, double eyelid surgery is a type of blepharoplasty.

There are several other kinds of blepharoplasty surgeries besides double eyelid blepharoplasty.

This surgery only occurs on the upper eyelid.

It does not absolve dark circles but only adds another crease to your eyelid.

This crease helps to make the eye look bigger.

That happens because the crease gives the eyes an almond shape i.e. elongates it a little.

While it may not do anything for your dark circles, it can still help with puffy eyes.

Your surgeon can remove the fat that surrounds the eye and gives them a puffy look.

Besides removing excess fat, they can remove excess skin which helps to stop your eyelids from drooping.

Furthermore, it can also help with curing trichiasis where your eyelashes cause eye irritation.

Therefore, consult your surgeon about what kind of blepharoplasty is ideal for you.

Before The Procedure

You should get your surgery only by a qualified and experienced plastic surgeon.

Before you begin, discuss your expectations and eye conditions with them.

Also, let them know about your medical conditions and medications.

Your surgeon will discuss the risks, side effects and recovery period with you beforehand.

Moreover, they will suggest the types of double eyelid surgery which will suit you with or without incisions.

Next, they will also discuss the type of anesthesia you will require and if you are a good candidate for that.

All the types of surgery are done on an outpatient basis.

Therefore, you can go home immediately, however, you will not be able to drive back.


Procedure and Types

There are three types of surgeries.

Incisional, Partial Incisional or Nonincisonal.

All three are done on an outpatient basis i.e. you can leave after your anesthesia wears off and do not need to stay overnight in the hospital.

Let’s discuss these below.

double eyelid surgery procedure

Full Incision/Incisional Surgery

The incisional procedure best suits patients with excess skin and fat that they want to remove.

Furthermore, if you have thick skin and are looking for permanent results, then this irreversible procedure is for you.

As the name suggests, your surgeon makes a full incision on the eyelid crease.

But first, they will mark the eyelid crease with a pen.

Next, your surgeon will give you local anesthesia along with general anesthesia through an intravenous line.

Then, they will make small incisions on the proposed eyelid crease.

Moreover, they will remove the marks of the pen and start removing the fat tissue as well as the orbicularis oculi muscle during the incisions.

Removable sutures will hold your eyelid till it heals completely.

After the surgeon removes the tissues and muscles they close the incisions with glue or stitches.

They will ask you to come again to remove these stitches after four to five days.

Like every other plastic surgery procedure, it also has some side effects and risks.

Side Effects

  • This procedure will leave a visible scar which may heal over time
  • There can be a reaction to anesthesia
  • Since the results are permanent, it is irreversible if you don’t like the look
  • You also risk changes to your vision permanently or temporarily as well as an infection may occur leading to vision problems

incision procedure

Partial Incision

The procedure of a partial incision is similar to that of a full incision.

However, the surgeon does not make an incision as big as in full incision to avoid scarring.

It is ideal for people with excess fat and not excess skin or without an excess of both skin and fat.

This procedure gives more reliable results than that of a non-incisional procedure.

While your surgeon makes an incision on the border of the eyelid crease, they make it smaller to avoid scarring.

The small length of the incision is the opening for your surgeon to remove fat.

However, as there is a much small incision, it is a more difficult surgery in comparison to a full incision.

If the incisions remain smaller than 5 millimeters then it will not leave a scar.

Your surgeon will next close the incisions using sutures.

These sutures are similar to fibrous attachments in your eyelids.

They will remove the stitches in 4 to 5 days.

non-incision procedure

Non-incisional Procedure

An incision is not necessary to get a double eyelid.

In fact, you can get one without an incision using the buried suture technique.

First, the surgeon will give you both local and general anesthesia.

Next, they will mark the area of the crease and rather than an incision, make tiny punctures on this line.

Lastly, they will place sutures in the punctures.

They will tighten these till they form the exact crease that you desire.

The sutures are beneath your eyelid skin, hence you do not need to visit again for their removal.

This is a reversible procedure that is ideal for people with no excess skin or fat.

Moreover, there will be the least scarring and no swelling after this procedure.

However, there are certain cons too:


  • The results are not permanent hence, there is a chance of the double eyelid unfolding
  • The fold can also loosen and become asymmetrical
  • You may feel irritated because of the sutures
  • The puncture marks are visible when you close your eyes
  • There is a chance of infection
  • There can be a cyst because of a buried suture


Recovery and Alternatives

This procedure is performed on an outpatient basis.

Hence, you can leave on the same day.

However, your recovery time will be at least 2 weeks, especially for non-incisional procedures.

Proper healing can still take months for an incisional procedure.

double eyelid surgery recovery

During your recovery process, there will be minimal pain.

However, you can experience bleeding from the incision site and bruising that will go away after two weeks.

Your eyes will swell,  become dry and light-sensitive.

The swelling will be more in incisional procedures than in any other.

Furthermore, you should avoid driving or resuming work immediately.

You can do that in a weeks’ time.

Moreover, only get back to exercising or strenuous physical activity 2 to 4 weeks after the procedure.

Besides that, your surgeon will remove stitches in 4 to 6 weeks.

You can cope with swelling and bring using cold compresses.

If your doctor suggests a lubricating ointment or medicines to manage pain and speed up healing then use them religiously.

Tae antibiotics for the prescribed time, even after you think you have healed. This can prevent infection.

Furthermore, wear sunglasses to protect your eyes whenever you are outside.

blepharoplasty alternatives

Alternatives to Double Eyelid Surgery

If you do not want to undergo surgery but need double eyelids temporarily then you can try glues and eyelid tapes.

They will give a temporary appearance of a crease.

The good part is you can remove it if you don’t like it.

Moreover, if you plan to undergo surgery then using these you can see how a double eyelid will look on you.

However, consult your doctor before using them as their regular use can cause redness, allergy and irritation.

If you want to show that you have a double eyelid, then you will have to wear them daily.

Plus, they are obviously not as natural as surgery.

They will be visible and can also fall off.

Alqudrah Medical Center offers several cosmetic procedures such as:

The cost of these procedures and double eyelid surgery cost differs according to your condition and expectations.

So, if you want to change the look of your eyes, book your consultation with our surgeons today to give yourself a new, aesthetic look.

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