There are few reasons why double eyelid fold loss occurs. 1. Ptosis. If a patient has eyelid ptosis (weakness of eyelid elevating muscle), the fold loss will likely occur. And this is especially evident in patients with unilateral eyelid ptosis. In these patients, one will lose the fold on the side with the eyelid ptosis … Read More

This is a part two of the ideal or good condition for double eyelid surgery. In the prior section, we discussed that thin eyelid and normal protruding eyes will lead to good double eyelid surgery result. The other two factors that will lead to a favorable result in double eyelid surgery are wide horizontal length … Read More

Double eyelid fold selection is affected by whether the eye itself is protruding or it is deep set. This can be subtlely different even within the same patient. This is because the bone that surrounds the eye is asymmetric as mentioned in the prior blog. So in an eye that is protruding, you would want … Read More

Heavy, swollen look above the double eyelid fold or crease can occur after the double eyelid surgery.  This is especially common after having an incision double eyelid surgery.  This is because after making an incision, the lymphatic channel that drains the fluid is disrupted.  Therefore, fluid tends to accumulate below and above the double eyelid … Read More

There are patients who have thin eyelid skin without any excess eyelid skin that desires double eyelid surgery. These patients are candidates for suture technique / non-incision double eyelid surgery. However, their eyelid muscle function is weak. Therefore, when they try to use tape or glue to form a double eyelid at home, it often … Read More

When patients use tape or glue on their eyes to create a double eyelid fold, they are creating a fold by connecting skin to skin. This method does not induce any weight on the eye muscle. In contrast, surgery is connecting the skin to eye elevating muscle (levator muscle). Therefore, in a double eyelid surgery, … Read More

What is one’s natural eyes and what is one’s real eyes? Some patients present with their natural eyes with very small double eyelid folds or without any double eyelid folds. They are interested in having a double eyelid surgery but they are concerned that their natural eyes will be gone. However, what they do not … Read More

One of the most common questions patients have during a consultation is whether they are a candidate for a suture technique double eyelid surgery. This is actually a simple question that patient can also determine for her or himself. Suture technique double eyelid surgery should be done when 1. Patient has eyelid symmetry 2. Patient … Read More

When we talk about upper eyelid fold or upper eyelid crease in Asians, we are referring to double eyelid fold or double eyelid crease. We have discussed different types of Asian double eyelid fold or Asian double eyelid crease—such as infolds and outfolds. Yet when we compare to upper eyelid fold or crease in Caucasians, … Read More