Double eyelid surgery, also known as Asian blepharoplasty is a procedure to create an upper eyelid crease, make it more defined or consolidate multiple creases to give the appearance of bigger eyes, a more alert look and symmetry for both eyes.
There are 3 types of double eyelid procedures:
1. 3-point suture – A non-surgical procedure that is also known as Korean double eyelid, where double eyelids are created by weaving a suture underneath the skin.
2. Partial incision – A procedure where a small incision is made in the central upper eyelid to create a more natural appearing crease.
3. Full incision – A procedure where incision is made along the length of the upper eyelid for a more distinct, longer-lasting crease.
Asian eyelids are generally categorized into 4 types:
1. Monolid – There is an absent of upper eyelid crease that separates the eyelid into two parts
2. Double eyelid – There is an upper eyelid crease to separate the eyelid into two parts
3. Multiple eyelid – There are multiple upper eyelid creases, which can be hereditary or resulting from double eyelid surgery where the new crease does not coincide with the previous crease
4. Hooded/ Sagging eyelid – There is excess skin on the upper eyelid so it appears droopy, which may result in the upper eyelid crease not being visible
The type of double eyelid procedure one should undertake depends on a person’s age and whether there is excess skin or fat on the upper eyelid area. Generally, the 3-point suture and partial incision methods are more suitable for younger patients up to the age of 30 plus with less skin laxity. If there is excess skin or fat or if the eyelid is sagging, the full incision method is necessary to yield better results.
The recovery time depends on the type of double eyelid procedure undertaken and is generally as follows:
- 3-point suture - Around 3 to 5 days
- Partial incision - Less than 7 days
- Full incision - Around 7 – 10 days
The patient is provided an anti-bruising and anti-swelling cream as well as ice compression for 3 days. He or she should try to keep the head propped up for the same period. The patient is also put on oral antibiotics and painkiller for 3 days and given a scar treatment gel.
Eyelid tape and eyelid glue are temporary measures to achieve double eyelid and require daily maintenance. They are useful to gauge what a crease would look like in you and whether you like it, as different eyelid creases can be created depending on the size, shape and placement of the tape or glue. For a permanent solution however, double eyelid surgery is the only option.