Double Eyelid Surgery: What You Need to Know

Double eyelid surgery, or blepharoplasty, is one of the most popular cosmetic procedures. It enhances the eyes by creating a defined crease, making them appear larger, brighter, and more youthful.

There are two main types of double eyelid surgery:

• Incisional Double Eyelid Surgery
• Non-Incisional (Suture) Double Eyelid Surgery

Both techniques have their benefits depending on your eyelid structure and desired outcome.

1. Incisional Double Eyelid Surgery

This method is ideal for those with droopy, thick, or sagging eyelids, or who desire a permanent and defined eyelid crease. It is performed under local anesthesia and typically takes about 1 hour.

How It Works

• The surgeon designs a personalized eyelid crease after consultation.
• An incision is made on the eyelid to remove excess fat, skin, and muscle.
• The upper eyelid is stitched to the levator muscle to create a lasting fold.
• This procedure forms a permanent crease, lifting and widening the eyes.

Recommended For:

• Droopy eyelids
• Thick or sagging eyelids
• Ptosis (eyelid muscle weakness)
• Individuals seeking permanent results

Aftercare Tips

• Apply ice packs regularly for 2–3 weeks.
• Avoid smoking and alcohol 2 weeks before and after surgery.
• Refrain from wearing contact lenses for at least 2 weeks.
• Eye makeup can be resumed after 1 week.
• Sleep on your back to minimize swelling.

2. Non-Incisional Double Eyelid Surgery (Suture Method)

This less invasive method is also known as thread double eyelid surgery. It is suitable for patients with thin eyelids and no excess skin. There are no incisions, and the recovery is faster.

How It Works

• A crease is designed based on your eye shape and facial proportions.
• Fine sutures are inserted to create the eyelid fold, without cutting the skin.
• The stitches attach the eyelid skin to the levator muscle, forming a crease.
• The entire procedure takes 30–60 minutes, with no hospital stay needed.

Recommended For:

• Patients with thin eyelids
• Mildly asymmetrical eyelids
• Those seeking subtle, natural-looking results
• Individuals without excess eyelid skin

Aftercare Tips

• Mild swelling or bruising may occur; apply cold compresses for 15 minutes daily.
• Avoid strenuous activity and rubbing the eyes for at least a week.
• Refrain from smoking and drinking for 2–3 weeks post-op.
• Eye makeup and contact lens use should be delayed for at least 1–2 weeks.
• Always follow your surgeon’s aftercare instructions.

While non-incisional surgery has faster recovery, the sutures may loosen over time, requiring adjustments or a revision procedure.

Choosing the Right Procedure

Consulting with a qualified plastic surgeon is essential. They will assess your eyelid structure, skin thickness, and goals to determine the best option for you. Whether you want a defined crease, a subtle enhancement, or a solution for droopy lids, there’s a suitable approach tailored for every eye shape.

Ready to Enhance Your Eyes?

Book a consultation with a certified plastic surgeon to explore which type of double eyelid surgery fits your needs. A customized plan ensures natural results with long-lasting effects.