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A double eyelid is an eyelid with a crease on the upper lid. They are often associated with beauty in Asian cultures.
Double eyelids are a dominant gene. They are expressed more often than the recessive monolid gene.
Despite having normal eyelids, some people opt for double eyelid surgery for cosmetic reasons.
Other reasons for eyelid surgery include:
Double eyelid surgery creates creases in the upper eyelids. The result is double eyelids.
This type of surgery is a form of blepharoplasty. This is the medical term for eyelid surgery.
The surgery usually involves just the upper lid. It’s sometimes called Asian eyelid surgery or Asian double eyelid surgery.
Double eyelid surgery may be performed for one or more of the following reasons:
Each case is different. Your cosmetic surgeon will develop a plan with your goals in mind.
Eyelid surgery should be performed by a plastic surgeon with experience in this type of procedure.
Here are some questions to consider during your consultation:
Be aware that some type of anesthesia will be used, and your eyes will be sensitive. You won’t be able to drive yourself home. This means you’ll need to arrange transportation in advance.
There are three main techniques for double eyelid surgery. The option your surgeon chooses depends on your preferences and needs.
During full incision double eyelid surgery, the surgeon makes an incision along most of the new eyelid crease. They use removable stitches to hold the eyelid in place during healing.
This procedure works best for patients with excess fat and skin that must be removed from the upper eyelid.
There may be a small scar along the crease.
The partial incision procedure is similar to a full incision, except the surgeon makes the incision as small as possible to minimize the size of the scar.
This procedure may be the best option for patients who want double eyelids but don’t have much excess skin or fat.
This procedure is the least invasive double eyelid surgery. This is because no incisions are required.
Non-incisional cosmetic surgery may be a good option for those who don’t need any fat or skin removed.
The surgeon makes small holes in the eyelid. Then, they thread permanent stitches through the holes to create an upper eyelid crease.
This procedure is the most ‘reversible’ out of all the options. However, the crease may come undone over time.
The most common complication following double eyelid surgery is an asymmetrical result. This complication can only be avoided with careful incision placement by your surgeon.
In some cases, eyelid surgeries need to be repeated.
Redness and swelling are side effects of eyelid surgery that should resolve after a few weeks.
Less common complications may include:2
Speak with your doctor or surgeon about which surgical risks apply to you.
Understanding what is involved in cosmetic eyelid surgery and weighing the benefits and risks will help you decide if the procedure is right for you.
Recovery from upper lid blepharoplasty differs depending on the technique used.
Incisional techniques may leave a scar. However, those who received eyelid surgery that involves non-incisional methods may experience more and longer-lasting swelling and inflammation following surgery.
Timelines for double eyelid surgery recovery depend significantly on the type of surgery performed.
With incisional techniques, you will have stitches placed that may need to be removed after several days. The initial healing time is approximately two weeks. However, full healing can take months.
With partial and non-incisional techniques, you are likely to heal from surgery in around two weeks.
Your doctor or surgeon will give you specific instructions on how to look after your eyelids following surgery.
They will also inform you how to manage the pain and discomfort, including:
The average fee of cosmetic eyelid surgery is $4,120.3 However, this cost is only part of the total price.
You must also consider the cost of:
Speak with your plastic surgeon to determine your final fee. A surgeon’s fee will be based on:
Many plastic surgeons and eye doctors offer patient financing plans for eyelid surgery.
Most health insurance does not typically cover cosmetic surgery or its complications.
However, when double eyelid surgery is performed to remove the redundant skin covering the eyelashes, insurance may cover it.
Be sure to review your policy carefully.
Remember that the surgeon’s experience and your comfort with them are just as important as the cost of surgery.
Eyelid surgery is not suitable for everyone.
Here are some considerations regarding who makes a good candidate for eyelid surgery:1
Speak with your eye doctor or surgeon about your:
Depending on the type of procedure, double eyelid blepharoplasty may be permanent or reversible.
If you have had double eyelid surgery in which the surgeon made a full or partial incision, the procedure usually cannot be reversed.
However, if you had a no-incision procedure using permanent stitches, your doctor may be able to remove them to re-create monolids.
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