Are you tired of looking tired? It does seem unfair when all you have is a zest for life, and yet your eyes seem to tell otherwise.

For some people – Asians in particular – having monolids can have its drawbacks. Some Asian eyelids come with no folds making it appear puffy, sleepy, or heavily hooded. Although harmless, this could ruin a first impression. These are just some of the reasons why double eyelid surgery, or Blepharoplasty, continues to gain popularity among this group.Adding to that, the changing perceptions of beauty also played a role thanks to the K-Pop phenomenon, where large, rounded eyes trump single folded eyelids and almond-shaped peepers. Meanwhile, others also chose to brave the knife for reasons that go beyond aesthetics and more of comfort or a better field of vision.

If you are one of those who wishes that you could apply your eyeliner better, or appear more bright-eyed, then you might have considered a double eyelid surgery at some point.  But you just don’t jump right into it without educating yourself on the pertinent details, right?

So, let’s take a closer look at the different techniques used in this procedure to help you achieve the desired result.


Double Eyelid Surgery: How you can benefit from it

Also referred to as Asian Blepharoplasty, this treatment is requested by Asian patients not because they seek to westernize their appearance, although there are rare cases. It can help improve the eye area by removing the excess skin and fatty tissues that can result in hollowness and sagging skin. Along with these concerns is the fact that the skin on the eye area is delicate, hence any sagging can easily make one look tired and the signs of aging could become more pronounced.


Types of Double Eyelid Surgery Techniques


1. Incisional

Incisional double eyelid surgery is an older technique which is done in very specific circumstances such as excess skin hooding on the lids or ptosis (severe eyelid drooping). This approach allows the surgeon to see the structures that needed to adjustments to create the crease.

This technique is more invasive because it requires an incision where the scar creates the crease.  The surgeon creates the incision along the position of the new crease which is measured precisely. The tissue underneath is then attached to that incision line and then stitched together. Once the stitches are removed, what is left is a scar which is formed between the underlying muscle that lifts the eyelids and the overlying skin.

The incisional technique is also deemed to be superior to other eyelid surgeries because it allows the extended capability to modify and enhance the eyelids while addressing the signs of aging. It can provide lasting effects which are applicable to all eye shapes.


2. Partial Incisional Double Eyelid Surgery

In a partial incisional double eyelid surgery, the process involves the creation of a minor incision on the eyelid to remove excess fat tissues and loose muscle tissues. The muscles are then tightened and sutured to form a new crease. The main reason behind the partial incision is to reduce scarring and procedural discomfort.

There are three potential complications that could occur with a partial incision technique and these are, suture extrusion, loss of lid crease, and asymmetry. However, there is also literature which claims that the “partial incision approach is a simple, safe, and straightforward approach to double-eyelid creation that can be performed even by surgeons with relatively little experience in the technique”.


3. Suture

Also referred to as non-incisional double eyelid blepharoplasty, this method uses silk sutures to the upper eyelid margin. A very fine stitching technique is done to compress the skin down to the muscle that causes the eyelid to open which also creates the crease.

The suture method has been gradually modified over the years. Under this technique are also other variations such as the:

  1. Non-buried method

In what is said to be a simple technique, the suture is placed through the skin and into the dense connective tissue on the eyelid or its upper border and then tied above the skin. The sutures are then removed after a few days.

  1. Buried method

This method is widely used because it does not involve suture removal and it causes less scarring. Today, there are different types of continuous buried methods where some involve burying a single knot in the eye muscle to reduce complications. There are modified techniques that have been introduced over the years, but the biggest takeaway with this approach is that it allows variety in the width of the fold. This enables the surgeon to retain the anatomical characteristics that are typical of a patient’s ethnicity, hence resulting in a more natural look.

This information is just an introduction to what one can expect with this procedure. To know which double eyelid surgery technique is most appropriate for you, a personal consultation is necessary. It allows the surgeon to evaluate you and explain the procedureextensively.

Book a consultation with Dr. Andrew Kim today to learn more about double eyelid surgery in detail.