Double Eyelid Surgery
Double Eyelid Surgery
The eyes are at the center of the face and communicate with those around us without words. As the saying goes, the eyes are the windows to the heart. When we look at someone’s face, the eyes are the first thing we notice. Changes to the features around the eyes can therefore have a clear positive or negative effect on the face. Double eyelid surgery is one option for people who want to feel more confident and improve their appearance, especially those with single eyelids or people over 35 whose upper eyelid skin has begun to droop, making the eyelid appear to have only one crease.
Khun Fren: Double Eyelids with a Hidden Crease
Khun Jib: Hidden Double Eyelids and Congenital Ptosis on the Left Side
Removal of Liquid Chin Filler, Silicone Implant Augmentation, and Double Eyelid Surgery
Preoperative Consultation
- Determine the desired width of the eyelid crease
- Decide how much eyelid fat to remove
- Decide whether to remove the fat at the inner corner of the eye as well
- Decide whether excess or sagging skin should also be removed
Surgical Techniques
Method 1: 3-, 5-, or 7-point suturing without an eyelid incision
This procedure uses sutures to create an eyelid crease, so the sutures may come loose. It is suitable for people with a single eyelid, little eyelid fat, and no drooping skin. Because excess fat and skin cannot be removed with this method, its advantages are that swelling is usually mild and there is no incision to care for—only small puncture marks. Results are visible after the procedure, and recovery time is short.
Method 2: Incisional Eyelid Crease Technique
The eyelid is opened from the inner corner to the outer corner, along the desired crease line. There are two surgical techniques:
- Conventional surgery using a scalpel, together with a sharp-tipped electrosurgical needle
- Laser surgery, which also uses a laser
Advantages
- Promotes wound healing by stimulating collagen production
- Helps the skin and muscle tighten and align better
- Swelling subsides quickly
- Less blood loss
Method 3: Creating an Eyelid Crease Through a Small Incision
Surgical Steps
- Inject local anesthetic into the eyelid
- Make an incision along the eyelid crease and remove fat and excess sagging skin
- Secure the eyelid crease to the muscle that opens and closes the eyelid
- Close the skin incision with sutures
- Surgery takes 30 – 90 minutes
Postoperative Care
- To reduce swelling, sleep with your head elevated and apply a cold compress to both eyes 4 times a day for about 3–7 days.
- Take all medication as prescribed. If you have an allergic reaction, such as itching, a red rash, nausea, vomiting, or chest tightness, stop taking the medication immediately and see a doctor.
- Return to have your sutures removed 5–7 days after surgery.
- After the sutures are removed, swelling may persist for about 2 weeks to 1 month. The incision should heal and look natural after approximately 3 months.
- If the incision is bruised, you may apply a warm compress starting 2 weeks after surgery, about 2–3 times a day for 3–5 days.
- If you notice anything unusual with the incision, such as significant eye redness, irritation, or the wound separating, see a doctor immediately.
- You may wear contact lenses after 7–14 days.
- Avoid alcohol and smoking for 2 weeks after surgery.
Possible Complications
Double eyelid surgery can have complications, but they are generally minor, such as uneven creases between the two eyes or the crease disappearing.
Surgical Procedure
