Various Types of Double Eyelid Surgery

Did you know that there are various types of double eyelid surgery?

There are minimally invasive double eyelid surgery to more invasive double eyelid surgery that is offered at Dream Medical Group in Los Angeles. The surgery is for both men and women and all of these various types of double eyelid surgery are safe and effective ways to create a double eyelid fold. The surgeries are customized for specific patients and they are cost-effective ways to create a natural-appearing double eyelid fold. A skilled physician can provide the procedure to a wider range of patients. More precise incisions and methodology means a safer procedure, regardless of the type of the surgery.

What Are All The Various Types of Double Eyelid Surgery?

Double eyelid surgery can be broken down into 2 main types. One is a non-cutting or suture method. The other is cutting or open method double eyelid surgery. There is also partial incision double eyelid surgery. This is essentially cutting only the central part of the eyelid, but not excising any excess skin.

Choosing the right type depends on the consultation process. Work openly with your surgeon to discuss your needs and communicate any medical history you might have. These are influential in ensuring a safe and effective process.

Why are there different types of double eyelid surgery?

The reason for different types of double eyelid surgery has to do with a patient’s anatomy. If the patient does not have any excess skin, then a non-incision double eyelid surgery can be performed. However, if there is excess skin that has to be removed, then an incision double eyelid surgery should be performed. One may think that only older patients have excess skin. However, it is not uncommon for young patients to have excess upper eyelid skin hooding. In these patients, if the excess skin is not removed, then the double eyelid fold will appear too small. In addition, the double eyelid fold can loosen over time.

Suture Technique Double Eyelid Surgery

Suture technique, or non-incision double eyelid surgery came to practice 20 years ago. This method was, and still is, a popular method to create double eyelids. The popularity of this method is because the surgery is quick, less expensive than the traditional incision method, and does not leave any scars. This method is ideal for patients who do not have any eyelid ptosis (drooping) and for those who do not have any excess skin.

The surgery is performed by making small stab or pin-prick incisions. Fat in the eyelid can be removed from one of these small openings in patients with fatty or puffy eyelids. Then, a permanent nylon suture can be passed from the skin to the deeper layer of the eyelid. There are various patterns and amounts of the passing of sutures that can be done. In general, the more the sutures are passed from the skin to the deeper layer of the eyelid, the stronger the double eyelid fold will be. One of the negatives of the suture technique or the stitched, non-cutting double eyelid surgery is that the double eyelid fold can loosen over time. The fold loosening occurs because of the permanent suture tears or cheese-wire through the eyelid skin. The effect is that the double eyelid fold will appear small or the fold will completely disappear.

The recovery process takes about 1-3 weeks. The stronger the double eyelid fold is made, the longer the recovery will be.

Incision (Open) Double Eyelid Surgery

This method of surgery involves cutting the eyelid skin. The advantage of this method is that you can excise any excess eyelid skin that is hooding over. In addition, you can take out or insert fat, as needed, for eyelid volume adjustment. Lastly, you can perform complex or advanced eyelid ptosis correction though this open approach.

Am I A Candidate for Suture Technique Double Eyelid Surgery?

The best way to tell if you are a candidate for a suture method double eyelid surgery is by seeing a board-certified plastic surgeon for a private consultation. If a fold can be made and it says in place for more than a few seconds, then you can qualify for the non-incision method double eyelid surgery. Another important factor is if you do not have any excess eyelid. 

If you have excess eyelid skin, then the double eyelid fold will be covered and the fold will appear smaller than ideal height. The last way to determine whether you are a candidate for non-cutting double eyelid surgery is by applying tape or glue on your eyelids. For Asian patients who have successfully applied tape or glue on their eyelids are a good candidate for this stitch method double eyelid surgery. These patients have relatively thinner eyelid skin and have good eyelid elevating muscle (levator muscle) to lift and make the double eyelid crease.

Before the creation of the three-dimensional suture technique double eyelid surgery, a patient having eyelid ptosis was a contraindication for a suture method double eyelid surgery. However, now with this 3DST method, eyelid ptosis can be corrected without making an incision. Your candidacy will be the core topic of the consultation, and you can ask any questions you might have.

Results

You will notice a double eyelid right after surgery. However, the swelling will persist until your eyelids are completely healed. The newly created double eyelid fold or crease will make your face look beautiful and much brighter. It will also bring balance and harmony to your overall appearance.

The non-incision or suture method double eyelid surgery is not a permanent double eyelid fold. Therefore, you can lose the fold within a few years after surgery. The duration of the surgery is anywhere from 1-15 years. However, for the incision or cutting method double eyelid surgery, the results will last much longer as the double eyelid fold is significantly more secure.

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