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Important Facts that You Should Know about Double Eyelid Surgery

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Double Eyelid Surgery

The first thing a person notices when you meet is your eyes. If you have a sagging upper eyelid, sagging skin or wrinkles around the eyes, then they will make you look like you are stressed, aged or even overtired. Enhancing the look of the eyes and removing the unwanted fat on the eyelids gives you a younger look as well as gives you clearer sight.


Double eyelid surgery is one of the most common cosmetic surgeries done on the upper, lower or both of the eyelids. However before you proceed to undergo the procedure, you should know as much information about it as possible. The following are basic facts that you should know about double eyelid surgery:

What exactly is double eyelid surgery?

This is medically referred to as blepharoplasty; the double eyelid surgery treatment changes the appearance of the eyes by creating a more symmetrical crease on the eyelids. Some skin and fat may be carefully taken out in the process.

How double eyelid surgery differs from eyelid surgery done on Caucasian patients

Both of these treatments have a similar objective but the technique used needs to be transformed so as to match the individual patient’s eyelids. A Caucasian eyelid forms a U shape and it is more defined while an Asian also known as oriental eyelid is more parallel to the margin of the eyelid. A surgeon should consider these forms for a successful operation.


Most Asians undergo this procedure to reduce the puffiness or noticeable hooding while others are usually looking for a lifted eyelid crease.

Double stitch and twisting (DST) Technique

DST, Double stitch and twisting technique is one of the procedures used in double eyelid surgical procedures. The previously used suture technique created many complications, it had a high damage rate and it created an inadequately defined eyelid crease but DST technique addresses these problems.

The stitches made using this technique are more secured and they do not easily crack. Also the creases or folds produced are scarless. Another major benefit of this technique is that it recovers faster and easily and it can be reversed if the patient is not happy with the results.

The anaesthesia used during double eyelid surgical treatment

This surgical procedure uses local anaesthesia together with intravenous sedation.

How to know if you are a good candidate for the surgical procedure

In order to undergo double eyelid surgery, you should have good health. This means excellent skin quality for a tight and more defined outcome. For people with a high tendency of getting saggy or baggy eyelids, the procedure should be performed at a young age because it is easier to manipulate the structures when the skin is young.

Persons suffering from diseases such as high blood pressure, retinal detachment, clotting, glaucoma, hypothyroidism or any chronic illness have a high risk of developing severe complications.

A patient should be prepared mentally and have realistic expectations about the procedure so as to pass as a good candidate.

How long does the procedure take?

The length of a double eyelid surgery depends on extent of the work being done; some patients may only want the upper eyelid to be done while others will want both the lower and the upper eyelids. Usually it takes about three hours.

Possible complications after the procedure

Bruising, swelling and redness is expected which extends from the eyes to the face. The eyes also become very sensitive to light and you may experiences blurred vision which fades away with time.

In extreme cases, you may have a problem closing the eyes which will require a correction surgery.

Recovery time for a double eyelid surgery

After 3-5 days you can be able to read or even watch TV but you should limit the time to avoid straining the eyes. However, you need to spend time off job for about a week or until the bruising and swelling has alleviated.

Also, you should avoid any strenuous activities for at least six weeks and protect the eyelids with special sunscreen and sunglasses.

How to avoid scarring after the procedure

The incision made by the surgeon makes is positioned in the fold. However, there are cases when excess fat tissues are taken out, in such a case, the incision should be made under the lower eyelid which helps to conceal the scar. However you should not worry about the scar as it is often a thin line that runs across the eyelid and it fades with time.

About Louisa Hoffman

Louisa Hoffman

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