Article

What to Know About Double Eyelids: Surgical Options Techniques and More

Topic: Health EducationPublished November 4, 2020

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Double eyelid surgery is a specific type of eyelid surgery, in which creases form in the upper eyelids, creating double eyelids.

You can choose this procedure, called blepharoplasty, if you want to correct a condition - such as drooping eyelids or eye bags - or if you want to change the appearance of the eyelids.

Read on as we delve deeper into ทำตาสองชั้น surgery what you can expect from the results.

What are double eyelids?

Some people have visible eyelid creases, known as double eyelids. Some were born without eyelid creases. This is called a single or monolithic cover. There is nothing wrong with the drugs.

Some reasons why you may want double eyelid surgery include:

  • Your eyelids are interfering with your vision.
  • You have a single eyelid and a double eyelid and you want them to match.
  • Permanent creases can help make your eyes look bigger.
  • It will be easier to apply certain styles of makeup.

People all over the world receive double eyelid blepharoplasty. It's themore common cosmetic surgery in East Asia.

Surgery for double eyelids

Recommendations

Eyelid surgery should be performed by a qualified plastic surgeon, experienced in this type of procedure. Here are some things to discuss during your surgical visit:

  • what do you expect to get out of surgery?
  • any problem you have with your eyes or the area around your eyes
  • your medical history, including pre-existing conditions, prescription drugs and known allergies
  • whether the incisional or non-incisional technique is a better option for you
  • specific details of the procedure, including what type of anesthesia will be used
  • what you need to know about risk and recovery

Incisional and non-incisional techniques can be performed on an outpatient basis. You will have some type of anesthesia and your eyes will be sensitive, so you will not be able to go home. Make sure to organize transportation in advance.

Incisional procedure

These are the basic steps for double eyelid surgery using the incisional method:

  • The proposed double eyelid line will be carefully measured and marked with a pen.
  • Intravenous sedation or general anesthesia will be administered, along with local anesthesia.
  • Several small incisions will be made along the line of the double eyelid.
  • The marked skin will be removed.
  • The orbicularis muscle of the eye and the adipose tissue will be removed between the incisions.
  • The incisions will be closed with glue or stitches on the skin that will need to be removed four or five days after surgery.

The incisional technique can be a good option if you have thick skin, need to remove more skin and fat or look for a permanent result. This procedure is not reversible. Some potential risks are:

  • allergic reaction to anesthesia
  • infection
  • temporary or permanent changes in vision
  • visible scar

Non-incisional procedure

A double eyelid can also be created without an incision. This procedure is called the buried suture technique. It is also performed under general anesthesia or with IV sedation and local anesthetic.

As with the incisional technique, the eyelid will be carefully measured and marked. Then, a series of small perforations are made in the skin along the line.

The sutures are placed through the punctures and tightened until the desired crease is formed. The sutures will remain under the skin, out of sight. You will not need to return to remove them.

You will have less scarring with the non-incisional procedure and can be reversed. The non-incisional technique can be a good option if you don't need to remove more skin and fat. Some potential risks are:

  • double fold asymmetry or loosening
  • suture irritation
  • infection
  • puncture marks visible when eyes are closed
  • cyst including a buried spot

Recovery time and expectations

The initial healing time after the incisional procedure can last up to two weeks. It may take several months to heal completely. While you are recovering, you may have:

  • bleeding from the incision
  • bruises
  • swelling, changes in skin sensation
  • dry eyes, sensitivity to light
  • ache

These symptoms must be temporary. Here are some tips to relieve irritated eyes:

  • Use cold compresses as recommended by your doctor.
  • Apply lubricating ointment or any other prescribed medication.
  • Wear sunglasses when you are outside until you are completely healed.

With the non-incisional technique, you can expect a full recovery within two weeks.

For any of the procedures, follow the surgeon's discharge instructions. Antibiotics can be prescribed to protect against infections. Take them all, even if you feel totally healed. Be sure to report any signs of infection or post-operative side effects immediately.

Further reading

Further Reading

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