Double eyelid surgery, also known as upper blepharoplasty, is a procedure that creates or enhances an upper eyelid crease. This is commonly performed to improve the appearance of the eyes by making them appear more open and defined.
It can also address functional concerns such as drooping eyelids that obstruct vision. The procedure is customised to suit each individual’s anatomy and aesthetic goals, providing natural-looking results that harmonise with the rest of the face.
Candidates for Double Eyelid Surgery and its Benefits
Double eyelid surgery is suitable for individuals who:
- Lack a visible upper eyelid crease and wish to create one.
- Have asymmetrical creases they want to correct.
- Experience drooping eyelids that interfere with vision.
- Seek a more refined and open upper eyelid appearance.
Benefits include:
- A defined upper eyelid crease for a more structured and refreshed appearance.
- Improved symmetry between the eyes, enhancing facial balance.
- Functional improvement by addressing sagging eyelids that obstruct vision.
- Enhanced aesthetic options, such as easier makeup application.
- Natural results that integrate seamlessly with individual features.
Double Eyelid Surgery Techniques
Double eyelid surgery modifies the upper eyelid to create a visible crease. It is performed using one of three primary techniques, each tailored to the individual’s anatomy and preferences.
Incisional Method
This approach involves making an incision along the desired crease line. Excess skin, fat, or tissue is removed, and the crease is permanently formed by securing it with sutures. This technique is suitable for those with heavier eyelids or excess skin, as it follows for more comprehensive reshaping and lasting results.
Non-Incisional (Suture)
In this method, sutures are strategically placed through small punctures in the eyelid to create a crease. It does not involve cutting the skin, making it less invasive with a quicker recovery period. This is best suited for individuals with thin skin and minimal excess fat or tissue.
Partial-Incision Method
Combining features of the incisional and non-incisional techniques, this method involves making small incisions to remove limited tissue while also using sutures to create the crease. It offers a balance between durability and minimal invasiveness.
The choice of technique depends on factors such as eyelid thickness, skin laxity, and desired outcomes.
The Procedure: What to Expect
Consultation
The process begins with a thorough consultation. The surgeon evaluates the individual’s eyelid anatomy, skin quality, and overall facial structure. This includes discussing desired outcomes and determining the most suitable technique. Tools like digital simulations or reference photos may be used to provide a clear visualisation of expected results.
Anaesthesia Administration
Double eyelid surgery is usually performed under local anaesthesia with or without sedation. In some cases, general anaesthesia may be used, particularly for individuals undergoing combined procedures or those with specific medical needs.
Surgical Process
The surgical process for double eyelid surgery depends on the technique. The incisional method involves creating an incision to remove excess skin or fat and secure the crease with sutures.
The non-incisional method uses sutures threaded through small punctures to form a crease without cutting the skin. The partial-incision method combines small incisions with sutures, balancing durability and minimal scarring. Each approach is tailored to the individual’s needs.
Securing the Crease and Final Steps
After forming the crease, the surgeon secures it using sutures specific to the chosen method. In the incisional method, sutures are placed along the incision, while in the non-incisional method, they are tied through small punctures. The partial-incision method combines small incisions with sutures for added stability. A light dressing or ointment is applied, and patients receive recovery instructions and follow-up schedules.
The procedure typically lasts one to two hours, depending on the technique and complexity.
Recovery after Double Eyelid Surgery
Recovery varies depending on the technique used, but the general process is as follows:
First Week: Swelling and bruising are most noticeable during this period. Cold compresses can help reduce swelling, and the eyelid area should be kept clean and dry. The stitches are usually removed after 5–7 days for incisional methods.
Two to Four Weeks: Swelling continues to subside and the new crease becomes more defined. Most daily activities can be resumed, although heavy physical exertion and makeup application should still be avoided.
Several Months: Full healing occurs over several months, with the crease settling into its final position. During this time, the appearance of the eyelid becomes increasingly natural.
Patients are advised to follow post-operative care instructions provided by their surgeon, which may include applying prescribed ointments, avoiding direct sunlight, and attending follow-up appointments to monitor healing.
How long do the results last?
The longevity of results depends on the technique chosen and individual factors.
Incisional Method: Results are typically permanent as the crease is secured through structural changes in the eyelid.
Non-Incisional Method: Results may last 5–10 years but can vary depending on factors such as skin elasticity and lifestyle habits.
Partial-Incision Method: Results are generally long-lasting, offering a middle ground between the other two techniques.
Natural ageing and changes in skin elasticity over time can influence the appearance of the eyelid, but the enhancements from surgery remain noticeable for years.
Possible risks and complications
Double eyelid surgery is generally well-tolerated, but potential risks include temporary swelling, bruising, or discomfort, which usually resolve during recovery. Minor asymmetry or uneven creases may occur but can often be adjusted if needed.
Rare complications include infection, excessive scarring, or numbness around the incision site, while tightness in the eyelid area typically improves over time. Following post-operative care instructions and selecting an experienced surgeon can help minimise these risks.
Conclusion
Double eyelid surgery enhances the appearance and function of the upper eyelids, providing a defined crease that complements an individual’s natural features. The procedure is tailored to achieve results that align with personal preferences and anatomical considerations.
Contact Dr Marco for a consultation to discuss your goals and explore a personalised approach to double eyelid surgery.