Double eyelid surgery

Eyes are the window to the soul, and it is also the first impression one gives. Double eyelid
folds can put the finishing touches to the eyes. Although double eyelid surgery is common, it
is not as a simple surgery as only drawing a line, but it needs to consider the balance of eyes
and the right eye shape, so the surgery is quite rigorous and meticulous.

The Formation of
Double Eyelids

Double eyelid structure

The Formation of
Double Eyelids

Opening eyes needs eye-opening muscles, including the levator muscle and Muller’s muscle.
Eye-opening muscles are like a hand with fingers, and they openthe eyelids by pulling the tarsus.
If there is a part where the eye-opening muscles and skin attach, opening eyes will wrinkle the skin inward, resulting in double eyelid folds.
Therefore, the purpose of double eyelid surgery is to make the adhesion of the skin under the double eyelid folds to the eye-opening muscles or the tarsus plate.

Non-incisional (buried)method

The buried method connects the subcutaneous layer and the eye opening muscles. Different from the traditional staple fixation method, the revised version of the buried method can be performed more naturally, making closing eyes seamless. The six-point fixation method can make the line smoother, and the double eyelids more stable, compared to the traditional three-point fixation method.

Non-incisional double eyelid surgery


The same as the buried method, the incisional method also creates a double eyelid by connecting the subcutaneous layer and the eye opening muscles. Through a larger wound, a whole layer of subcutaneous fat can be removed to improve puffy eyes, and severe ptosis can be corrected at the same time.

Incisional double eyelid surgery

Non-incisional method Incisional method
Operating time Half an hour 1.5 hours
Detumescence 90% for 1 week 90% for 2-3 week
Recovery period 1-2 week 1 month
Anesthesia Local anesthesia Local anesthesia

Methods of Surgery

There are two surgical methods of double eyelids: Incisional double eyelid & Non-incisional double eyelid.
The non-incisional type is very popular because it leaves no scar. Non-incisional method is always the first priority with the following four conditions:

1. Too many skin need to be excised.
2. Thick eyelids, whose orbital fat which cannot be extracted by minimal incisional wound.
3. Severe ptosis which can not be corrected by non-incisional method.
4. Re-do double eyelid surgery, switched from a higher to a lower position.

Types of eyes

Types of eyes