Asian Double Eyelid Surgery – Is This Procedure For Me?
Home > Insights > Eyes > Eyelid > Asian Double Eyelid Surgery – Is This Procedure For Me?
asian double eyelid surgery - is this the right procedure for me

Asian Double Eyelid Surgery – Is This Procedure For Me?

If we say that brighter eyes add to your beauty, many of you will agree with us. How about eyelids? Did you know that they too play a vital role in your appearance? The crease separating the skin below the eyebrow from the upper eyelid affects your beauty more than you think. Having no eyelid crease could make your eyes look smaller and tired, and this is a common problem many Asians face.

The double eyelid surgery (also known as “Blepharoplasty surgery”) is pretty famous among the facial harmony admirers and it is one of the most commonly performed facial cosmetic procedures. So is this procedure meant for you? Let’s find that out!

Read on for a comprehensive guide on the two main types of this procedure; “cutting” and “stitching.”

What Is Double Eyelid Surgery?

Double eyelid surgery is a surgical procedure which creates an upper eyelid crease. During this process, the skin is anchored to the underlying muscle in order to formulate a new crease. Excision of excessive fat is added to the procedure to depuff heavy or thick eyelids if necessary. As a result, this operation transforms your single eyelids into double eyelids.

What Are The Different Types In Double Eyelid Surgery?

There are two main types available;

  • Cutting method (also known as “incisional method”)
  • Non-cutting method (also known as “stitching or suturing method”)

You could figure out the best type for you, after weighing the pros and cons, with the help of an experienced consultant.

The Cutting Method

incisional double eyelid surgery technique

In the cutting method, the surgeon places an incision along the eyelid. This method helps to remove excess fat, muscle, and skin. Therefore, this enhances the shape of the eyes. This method allows you to achieve well-defined eyelid crease permanently, and that is the reason behind its popularity. Obtaining a scar is a disadvantage in this invasive procedure. Yet, since the eyelid skin is very thin and the scar blends in to the surrounding skin, it will not be very obvious, and you could always cover it up with a little make-up.

The incision could be either a “full incision,” where the surgeon uses the entire length of the new eyelid crease or a “partial incision,” where the cut is shorter. If the procedure involves the removal of excess fat, it needs a full incision. A partial incision helps achieve less scarring and swelling.

As the procedure is a bit complex with the cutting method, the recovery period is longer.

The Suturing Method

non-incisional double eyelid surgery process

When we refer to the suturing method, the surgeon makes tiny holes across the eyelid to put sutures through them. These stitches bind the eyelid skin to the deeper tissues. This technique is a speedy and less invasive procedure where you will not end up with scars. Reversibility is an important advantage of this method. This method is ideal for people with no excess fat or skin in the eyelids. Yet, this is not as permanent as the previous method, and the crease could become less prominent as your skin ages.

What Are The Steps Of Double Eyelid Surgery?

double eyelid surgery preparation singapore

First, the surgeon does the preoperative marking on the upper eyelids. The surgeon does this marking with you sitting with a neutral gaze with your eyebrows in the normal position. The next step is to give anesthesia. Local anesthesia is given through a few injection points across the eyelid. Individuals who prefer a more comfortable procedure experience can choose to go for sedation, and one will be put to sleep through IV injection. Finally, the surgeon does the cutting or suturing method as discussed in your treatment plan.

Is Double Eyelid Surgery Meant For Me?

There is no age limitation for this surgery or any special requirements. It is available for both sexes. This procedure is not only for people who lack an eyelid crease. Some people have very vague eyelid creases while some have multiple creases per eye. There are also people with uneven eyelid creases while some people have excess skin in their eyelids. All of these types of people are acceptable candidates for double eyelid surgery.

Double eyelid surgery is also performed to correct non-cosmetic conditions such as drooping eyelids (ptosis) and in-growing eyelashes.

What Are The Benefits I Can Gain From A Double Eyelid Surgery?

Though there is no visual disturbance with having a single eyelid, it causes many cosmetic issues such as a bored and sleepy appearance, crowded eyelashes, and difficulties in make-up application. Double eyelid surgery enhances the shape and the brightness of your eyes thereby adding a more alert and pleasant appearance to your face. Application of eye shadows or eyeliner may be less challenging and one can explore more make up styles. Removal of excess fat and skin could be done by the cutting method. It could reduce the puffiness of your eyes and contribute to the improvement of the shape of the eyes.

This surgery can correct droopy eyes. Correction of in-growing eyelashes ceases the irritation of the cornea. The use of contact lenses also becomes easier.

The Things You Should Know If You Like To Undergo Double Eyelid Surgery

What Are The Available Crease Types?


types of double eyelid crease

There are two main types of creases;

  • Parallel
  • Tapered

The parallel crease does not come into contact with the inner corner of the eye, while the tapered crease does. Naturally, Asians can have either of these. Hence, you could choose the best for you with the help of sophisticated technology to simulate the expected outcomes.

Can I Determine The Height Of My New Crease?

Definitely! “Crease height” means the distance from the lash line to your new crease when the eyes are closed. There are three types of heights labeled as low, medium, and high. The heights of these types are respectively 6-7mm, 7-8mm, and 9-10mm.

double eyelid surgery crease height

Aftercare Of Double Eyelid Surgery

After the surgery, you will not be able to drive alone. Therefore, you should be prepared for this issue beforehand. As advised by your doctor, you should take medications to reduce pain and inflammation and topical antibiotics to prevent infections. You can minimize the swelling by keeping ice packs for about three days. It is essential to reduce screen time to rest the eyes. Remember to avoid intense activities like lifting heavy objects or activities that need bending over. Always try to keep your head above chest level. You could use dark shades to protect your eyes from sunlight and dust. Removal of the stitches will happen after one week.

recovery after double eyelid surgery

How Will I Feel After Double Eyelid Surgery?

You will feel tolerable pain and tightness at the surgical site the very next day. In the first few days, your eyes will feel puffy and heavy. The duration of the swelling varies. It is more likely to occur in people who are prone to allergies.

The downtime varies according to the type of surgery technique used. Appearance of a bruise around the surgical site after about 24hours is quite a normal phenomenon. This bruising will take around seven to ten days to subside. Moreover, in the cutting method, the wounds take about 10 to 14 days for complete healing.

What Are The Complications I Could Have After Double Eyelid Surgery?

Generally, the risk of medical complications after this surgery is low though there is a possibility for bleeding and infections and a rarer chance for vision problems. Cosmetic complications like asymmetry are more common. Yet, these complications could be easily prevented by choosing a well-experienced facial plastic surgeon specializing in double eyelid surgery.


Double eyelid surgery is one of the most popular procedures within Asian cosmetic industry, as it improves facial harmony in many ways. This surgery could be conducted by either the cutting or the stitching methods according to suitability. Reasons such as absent or abnormal eyelid creases and possession of structural deformities in the upper eyelid make you an ideal candidate for this procedure. A well-experienced surgeon could always guide you in determining the appropriate method, crease type, and height and would minimize the chances of cosmetic complications.



1.Naik MN, Honavar SG, Das S, Desai S, Dhepe N. Blepharoplasty: an overview. J Cutan Aesthet Surg. 2009;2(1):6-11. doi:10.4103/0974-2077.53092