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Double Eyelid Surgery
Double Eyelid Surgery, also known as East Asian blepharoplasty, is a type of cosmetic surgery in which the doctor reshapes the skin around the eye to create a creased upper eyelid. It is a popular procedure that can give you more youthful-looking eyes.
Incision or open method
The primary difference between the open method and the incision method for double eyelid surgery is the amount of skin to be removed. The open method requires more skin to be removed and the distance between the double eyelid line and the upper eyelid margin is typically 9 to 10 mm. The incision method requires the upper eyelid to be stretched upward. Skin between these two lines can be excised, and the result is a smoother upper eyelid.

Incision-based surgery requires a small incision made on the reverse side of the tarsus. The surgeon should insert a clear nylon suture into the incision, beyond the superior margin of the tarsus. He then carefully pulls it through a line on the skin surface. The suture should then be removed on the fifth or sixth postoperative day.
Depending on the type of excess skin and fat in the upper eyelids, the incisional method of Double Eyelid Surgery is an ideal option for patients with excess skin and fat. This method leaves a small scar that is nearly undetectable. While there is a chance that this type of scar might not be completely cosmetically acceptable, it will be gone within 6 months.
After complete recovery, most patients’ double eyelids appear natural. This type of surgery has a high success rate and 92% of patients are satisfied. Figure 7 shows representative cases of Double Eyelid Surgery.
Natural-looking results
If you want a more youthful look and a more appealing eye, Double Eyelid Surgery may be the perfect choice for you. This procedure involves making a small incision in the upper eyelid tissue, creating a small fold impression. This results in a smoother, natural-looking double eyelid. It can also eliminate puffiness, making your eyes look more open and balanced.
Surgical techniques to correct sagging upper eyelid skin may include canthoplasty, under eye fat repositioning, and forehead endotine / brow lifting. These procedures may be combined for optimum results. To maximize the potential benefits of double eyelid surgery, you should consider all your options thoroughly.
This procedure can yield natural-looking results, and Dr. Liew uses a technique called the “crease technique.” The surgeon creates a crease in the upper eyelid skin, which is attached to the levator muscle by a thread. This method is suitable for people with thin eyelids and offers fast recovery time and natural results.
Most patients were happy with the results. However, a few patients experienced asymmetries. One patient had multiple eyelids, while another suffered from a shift of the fold. However, these complications were corrected and the scars were practically undetectable after a year.
Recovery time
The recovery time after Double Eyelid Surgery varies from patient to patient. For some, it takes up to three to four weeks. Others may need several months to heal. However, the

majority of patients are ready to return to work or normal activities after about ten days. Some patients will experience a small amount of swelling, vision blurring, and pain, but these effects are typically temporary and will disappear with time.
After the procedure, patients will likely have some swelling and redness around the eye area. This may be worse early in the morning, but will improve as they sit and walk. Some patients may also experience bruising or tenderness around the incision site. The swelling should disappear within a couple of weeks.
The first week following surgery requires rest for the eyes. It is important to avoid rubbing or touching the surgical area. Instead, you should rest your eyes and avoid prolonged staring. Try to find other activities to keep your mind busy. You can try listening to audio books, solving puzzles, or playing video games. Try to limit your time in front of the computer and television.
Double Eyelid Surgery requires anesthesia, which is injected into the eye area before the procedure. The surgeon then removes excess skin, muscle, and fat tissue from the eyelids using an incision in the eyelid. A doctor may also use sutures to close the incision, resulting in a double eyelid.