Double Eyelid Surgery (Asian Eyelid Surgery)

Nearly half of asians are born with no upper eyelid crease (single eyelid), which can cause the lashes droop in the visual axis (lash ptosis) or give rise to a sleepy appearance.

Treatment Summary

Nearly half of people with Asian ethnicity are born with no upper eyelid crease (single eyelid), which can cause the lashes droop in the visual axis (lash ptosis) or give rise to a sleepy appearance. Dr Shah-Desai is a leading international oculoplastic surgeon who performs double eyelid surgery in London. She creates 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 – cut is hidden in the natural eyelid crease
  • Long-lasting results – lasts up to 10 years
  • Unrivalled expertise – performed by leading oculoplastic surgeon

Before & After Double Eyelid Surgery

Asian eyelid surgery before and after pictures. Disclaimer: Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

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Patient Questions

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 – giving them a sleepy look. They can also have fat or excess skin in their lower lids, which can cause the lashes to turn inwards and touch the eyeball (epiblepharon). If left untreated this can cause scarring of the front surface of the eye, light sensitivity and ocular discomfort.

Double eyelid surgery can correct both of these issues by creating a more visible upper eyelid crease and removing excess fat and/or skin. There are also options to have a non-surgical double eyelid treatment, suitable for mild-moderate eyelid concerns, which Dr Shah-Desai can discuss at your consultation.

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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 – giving them a sleepy look. They can also have fat or excess skin in their lower lids, which can cause the lashes to turn inwards and touch the eyeball (epiblepharon). If left untreated this can cause scarring of the front surface of the eye, light sensitivity and ocular discomfort.

Double eyelid surgery can correct both of these issues by creating a more visible upper eyelid crease and removing excess fat and/or skin. There are also options to have a non-surgical double eyelid treatment, suitable for mild-moderate eyelid concerns, which Dr Shah-Desai can discuss at your consultation.

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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.

For correcting a lower lid epiblepharon, often an incision is required to be placed in the lower lid, which is visible. For fat excision this scar can be hidden just below the eyelashes or hidden in the inner part of the eyelid.

Surgical vs non-surgical 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.

Non-surgical blepharoplasty uses plasma to tighten loose skin and allows Dr Shah-Desai to correct mild-moderate eyelid concerns. This is a gentler correction and has less downtime association with the treatment. It’s perfect for people who want a gradual correction.

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 two weeks the wounds will have healed significantly and the stiches will have been removed.

For non-surgical double eyelid treatment the eyelids swell temporarily, which settle in 48-72 hours, and may require use of oral anti-inflammatory tablets. The carbon crust scab which forms takes from 4 to 10 days to disappear. It is important not to scratch, pick or rub the area treated as a pinkish skin discoloration or hypo/hyperpigmentation could persist.

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 or upper lid fold : 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 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.

Surgeons from all over the world come to learn her peri-ocular techniques through her academy OFAA – which she set up to improve safety and results in the aesthetic industry.

Asian Blepharoplasty Reviews

Double Eyelid Surgery Cost

Plasma from £550/session
Closed Double eyelid surgery £1,500
Double eyelid surgery £3,500

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