Features of Double Eyelid Plastic Surgery

There are several different techniques to create a double eyelid crease. Each has its advantages and limitations. Your plastic surgeon will use the style that best suits your facial structure.

Adding an eyelid crease can help improve the appearance of your eyes. It can also reduce the flatness of your upper eyelids.

Eyelid creases

The crease in your upper eyelid between your eyelashes and eyebrow is an important feature that helps define the look of your eyes and balance the rest of your face. Some people naturally have a deep crease, but others do not have one at all. Double eyelid surgery, or blepharoplasty, is designed to create a crease and improve the look of your eyes. It can also correct problems that cause a droopy eyelid or irritate your eyes (trichiasis).

In addition, double eyelid surgery can help to increase the height of the upper eyelid crease. The desired eyelid crease height can be determined during a cosmetic consultation with your surgeon. The oculoplastic surgeon will consider your desired appearance, as well as your facial features and anatomy, to create an attractive and natural-looking eyelid crease.

Oculoplastic surgeons have found that people with a medium crease are more satisfied with their results than those who chose a small or large crease. They believe that this may have to do with the fact that Asians generally have more fat in their upper eyelids, which could affect how well a crease looks.

If you are a good candidate for this procedure, you will have a natural-looking double eyelid crease in harmony with your anatomy. After the procedure, your eyelids will be swollen for a few days, making it difficult to open your eyes fully. After the swelling subsides, you can see the results of your new double eyelid crease.

Increased self-confidence

The eye area is an integral part of a person’s appearance. The periorbital region can influence emotion and expression and give people an impression of age and health. Double eyelid plastic surgery gives the formation of a more awake and alert look that can positively impact how you are perceived.

Many East Asians have a single upper eyelid crease that can lead to a sleepy or aged look. Having a pronounced double eyelid crease can make people feel more confident and capable of performing tasks such as applying makeup. This is why the procedure is becoming so popular with Asians.

A pronounced double eyelid crease can also help with eye symmetry, so some people opt for this cosmetic procedure. Furthermore, it can enhance the look of sagging eyelids and the area beneath the eyes.

Several types of blepharoplasty procedures can be used to create a crease. Some are more invasive than others. For example, the full incision technique requires an incision along most new crease lines.

The buried suture technique is less invasive than the incision method and can be performed under local anesthesia. It involves creating a crease by puncturing multiple small holes in the skin. The surgeon then ties the tissue together to form a double eyelid crease. This method is also less expensive than the incision method.

Less eyelid sagging

Performing eyelid surgery is a highly intricate procedure that demands high expertise and accuracy. The results must appear natural and subtle, so your plastic surgeon should understand your unique traits well. 

Some people have a single eyelid, called a monolid, while others are born with a distinct double eyelid fold. While there’s nothing medically wrong with either, some patients feel self-conscious about their appearance and may wish to have a more distinct crease.

A blepharoplasty, or eyelid lift, can help create a new and more defined double eyelid. The procedure also tightens loose skin and removes excess fat in the upper eyelids to reduce puffy eyes. The result is an attractive, younger-looking face.

While a double eyelid procedure can correct problems with the shape of your eyelids, it cannot address other issues like sagging or wrinkles. For this reason, you should always consult a board-certified facial plastic surgeon when considering a cosmetic enhancement. In addition, you should only undergo blepharoplasty for personal reasons, not because of pressure from family or friends. Otherwise, you risk regretting your decision later on. This is particularly important for procedures that can’t be reversed, such as eyelid surgery.

Improved vision

People with monolids often get double eyelid plastic surgery because they want a more dramatic or youthful look. However, this procedure is not just cosmetic; it can also correct their vision, such as drooping eyelids (ptosis) or inward-growing eyelashes (trichiasis). Doctors may sometimes perform ptosis correction during the same operation that creates a new double eyelid.

Ideally, patients should be mature enough to understand the consequences of their choice and be fully committed to it. Before being considered for this procedure, patients should undergo a comprehensive eye exam, including a visual field test. This will help the doctor assess whether the patient’s eyes are healthy for the procedure.

To achieve a successful double eyelid, it is essential to establish a strong and consistent bond between the levator palpebrae superioris muscle and the skin of the upper eyelid. If this connection is weak, the fold will be high or low, and it might disappear completely when the periorbital muscles contract.