Face

5 Things To Know Before Double Eyelid Surgery

Double eyelid surgery ranks amongst the top 3 most sought-after cosmetic surgery in Asia. For many oriental men and women with monolids, or single eyelids, adding a well-sculpted double eyelid fold will brighten and enlarge the eye and give a more alert appearance. Here are 5 important things to know if you are considering a double eyelid surgery.

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1.  Things To Avoid Before Double Eyelid Surgery

Before upper eyelid surgery, it is best to avoid supplements that may cause more bleeding during surgery.  Supplements such as ginseng, gingko, glucosamine, ginger, garlic (all the Gs) and fish oils, all promote circulation and hence bleeding, and is best avoided before a blepharoplasty.  If you are on blood thinning medications or have high blood pressure, there is risk of excessive bleeding and you must inform your plastic surgeon.

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2.  The Way to Go – Incision or Suture

In a double eyelid surgery, there are 2 ways a plastic surgeon can create a supratarsal crease (medical term for double eyelid fold). The choice largely depends on the condition of your upper eyelid tissues.

The first technique is a suture upper blepharoplasty, or SUB. This surgery creates a double eyelid fold by placing stitches through tiny 2 mm cuts along the fold. This technique is ideal for those with thin, non-saggy eyelid skin, and has the advantage of having less swelling and downtime.  However, this method is less suited for those with very puffy or loose eyelid skin. Suture blepharoplasty can sculpt a crease but does not remove excess skin and fat.

Suture Blepharoplasty

Suture Upper Blepharoplasty (SUB)

“For eyelids with loose skin or are puffy, I would suggest an incisional blepharoplasty, which creates a lasting double eyelid fold by placing an incision along the crease,” explains Dr Chia Hui Ling, Consultant Plastic Surgeon at SW1 Plastic Surgery Clinic.  Durability aside, the plastic surgeon can remove excess skin and fat in the eyelid during an incisional blepharoplasty.

double eyelid surgery

Bright-eyed after an incisional upper blepharoplasty

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3.  Bigger Eyes

Oriental eyes are commonly smaller and have an epicanthal fold, the extra skin that folds over the inner corner of the eye and makes the eye look shorter. Plastic surgeons often combine a double eyelid surgery with an eye-lift (ptosis correction) or an eye-widening procedure (epicanthoplasty).

Epicanthoplasty

Epicanthoplasty opens up the inner corners of the eyes

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4.  Tapered Or Parallel

double eyelids

Types of upper eyelids creases

There are 2 variations of double eyelid folds – tapered or parallel. In a double eyelid surgery, the fold can be “designed” by the plastic surgeon as such. The double eyelid folds in Asians are often of the tapered type, where the fold narrows into the inner corner of the eye. Some prefer the parallel folds, commonly seen in Caucasian eyes.  Discuss with your plastic surgeon your preferred option, as it is often possible for your surgeon to simulate the fold during consultation.

upper blepharoplasty

Tapered (left) versus Parallel (right) double eyelid folds

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5.  What To Expect After Double Eyelid Surgery

Swelling and bruising is expected in the first week. It is recommended to soothe the swelling with cold compress for the first 3 days. Starting warm compress from the 4thday to encourage circulation will help the bruising to settle. To accelerate healing, RecoveryRx®, a wearable device emitting pulsed shortwave therapy will aid in the reduction of pain, inflammation, oedema and accelerate the healing process. There may be subtle fullness of the eyelid for around 1 month after the surgery. The results usually gets better over time, reaching its final appearance at around 3 – 6 months after the eyelid surgery.

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