Double Eyelid Surgery Treatment Summary
Nearly half of people with Asian ethnicity are born with no upper eyelid crease (single or mono eyelid), which can cause the lashes to droop in the visual axis (lash ptosis). Often the eyelid is droopy or has a Ptosis, giving rise to a “Tired/sleepy” appearance. Some patients also have a “mongoloid fold” or an epicanthic fold at the nasal corner. Eyelid surgery is an excellent way to correct this and it can be performed in different ways to fashion a bespoke upper eyelid whilst retaining ethnicity.
Dr Shah-Desai is a leading international oculoplastic surgeon who performs double eyelid surgery in London. She performs double eyelid surgery to create an upper eyelid crease to give a more wide-awake, refreshed look in Asian patients. She also provides non-surgical options for patients who want to avoid surgery.
- ‘No scar’ treatment – Non-Incision Surgery using sutures in the natural eyelid crease or Scar hidden in the natural eyelid fold
- Long-lasting results – can last from 2 to 10 years
- Unrivalled expertise – performed by leading oculoplastic surgeon
Frequently Asked Questions
Why choose double eyelid surgery?
Asian patients often have an upper eyelid crease, however it is so close to the eyelashes that it is not visible. They can also have fat or excess skin in their upper lids, which can cause the lashes to turn inwards and touch the eyeball, which if left untreated this can cause scarring of the front surface of the eye, light sensitivity and ocular discomfort. They often have a droopy eyelid called Ptosis and sometimes can have a nasal fold of skin called “Epicanthic or Mongoloid fold”.
Eyelid surgery can correct these issues by creating a more visible upper eyelid crease and removing excess fat and/or skin (Double eyelid Surgery). There are also options to have a non-incisional double eyelid treatment, for patients looking for reduced downtime and a temporary procedure without scars. The surgical procedure can be customized to retain ethnicity with a “lateral flare crease”, “nasal slant crease” or a “parallel crease”. Some patients desire a more “westernized look” and the crease can be modified accordingly. For the epicanthic fold, a “magic epicanthoplasty” hidden inside the inner corner of the eye cam help open the eye a bit more. In addition eyelid ptosis and eyelash ptosis can also be addressed to open up the eye, which Dr Shah-Desai can discuss at your consultation.
What does double eyelid surgery involve?
A crease is created in the upper lids, where a crease would naturally occur. Excess skin and muscle are removed, as well as fat, if it is contributing to a puffy look.
The procedure can be performed with an incision, which yields a scar that is hidden in the crease. Downtime with this procedure is 2 weeks and the scar can take longer to settle fully by 3 months.
A non-incision suture double eyelid surgery, does not leave a scar. The recovery is faster – approximately 1-2 weeks, however the procedure does not last long (think 1-4 years).
Surgical vs non-incisional Asian eyelid treatments
Surgical blepharoplasty is the ‘gold standard’ of correcting eyelid issues. It provides excellent, long lasting results for the patient and allows Dr Shah-Desai to treat moderate-severe cases with puffy upper eyelids & lash ptosis.
Non-Incisional blepharoplasty uses a stitch to tighten loose skin and allows Dr Shah-Desai to correct mild eyelid concerns. This is a gentler correction and has less downtime association with the treatment. It’s perfect for people who want a temporary correction without scars.
Double eyelid surgery recovery time
For surgical double eyelid treatment, it takes a week to recover from the initial surgery. During that time you can go about your normal activities while healing, though you will not be able to exercise or put your body through extraneous strain. After one week the stitches will be removed.
For Non-Incisional (closed) double eyelid Surgery the eyelids swell temporarily, which settle in 48-72 hours, and may require use of oral anti-inflammatory tablets.
What are the potential risks & complication of double eyelid surgical correction?
The risks of surgery include
Infection: this is very rare, occasionally the stitches may have an infective or inflammatory response, which settles with oral and topical antibiotics.
Scarring (generally hidden in the skin fold for blepharoplasty). Normally stitches are visible for the first week, then, when they are removed, a faint scar is visible. The scar may seem a bit thickened & red for 6 to 12 weeks, becoming almost invisible after that period. Not every scar heals equally well. A thickened or reddened scar can be improved with silicone scar remodelling gel, but the treatment needs to be continues for months to have a good result.
Large bruise or haematoma. This is minimised by avoiding heavy exercise for 2 weeks after surgery, stopping aspirin and other anticoagulants (if safe so to do) 2 weeks pre operatively, and regular use of ice packs. A haematoma may mean you have to go back into theatre to have the blood clot evacuated and then be re-stitched with the risk of a worse scar.
Theoretical risk to vision. Any eyelid surgery carries the risk that an undiagnosed infection or bleed could damage the optic nerve. This is so rare that in comparison a normal car journey is a much greater risk to your vision.
Asymmetry of eyelid shape, height, upper lid fold or fullness: this is rare, but can occur. Often asymmetry may be due to lid bruising and settles spontaneously as swelling resolves. Rarely, this may require revision surgery. Occasionally pre existing asymmetry of the face, eyebrow or eyeball position, may be responsible, however this will be discussed with you prior to the operation by your surgeon.
Temporary poor blink, as the muscle that shuts the eyelid has been cut to access the muscle that lifts the eyelid. Generally blink returns to normal within 12 week.
Droopy eyelid or lash ptosis: This can happen rarely and will need to be corrected by re-operation.
About Dr Sabrina Shah-Desai MS, FRCS
Dr Sabrina Shah-Desai is a leading international oculoplastic surgeon who is renowned as one of London’s leading eye rejuvenation experts. She has extensive experience in researching, teaching and performing eyelid surgery over 20 years.
Asian Blepharoplasty Reviews
“I am 25 and I had my Asian eyelid surgery with doctor shah-Desai 2 months ago. The result is so natural and exactly what I want. Really recommend if someone want to have Asian eyelid surgery in the UK!”