Double Eyelid Surgery: Techniques and Key Considerations

Double eyelid surgery, commonly known in Thailand, involves various techniques, with three primary methods being the most popular in the country.

Double Eyelid Surgery Techniques

Suturing Technique (Non-Incisional Method)

This technique involves placing sutures at strategic points to create a double eyelid crease without making incisions. It is suitable for individuals with minimal excess eyelid skin.

Advantages include minimal scarring, a short recovery period, and a natural-looking double eyelid. However, potential drawbacks may include suture loosening, breakage, or allergic reactions to the suture material in some cases.

Short Incision Technique

Growing in popularity, this method involves a small incision—approximately 1 centimeter—along the eyelid crease, allowing the surgeon to adjust internal tissues and muscles.

This technique is ideal for younger individuals or those with minimal excess skin. Compared with the standard incision method, it offers faster recovery, less swelling, and reduced bruising.

Standard Incision Technique

The standard incision technique is suitable for a wide range of patients, particularly those with significant excess eyelid skin or fat.

While this method provides long-lasting and reliable results, it may involve a longer recovery period, with more swelling and bruising compared to the suturing and short incision techniques.

Choosing the Appropriate Technique

Selecting the most suitable double eyelid surgery technique requires a thorough assessment and consultation with a qualified specialist. The physician will evaluate facial proportions, eyelid anatomy, skin condition, and muscle strength to determine the most appropriate approach for each individual.

Candidates for Double Eyelid Surgery

Individuals with Single Eyelids

Common among Asian individuals, especially those with monolids or uneven eyelid folds, double eyelid surgery can help create a more defined and aesthetically pleasing eyelid crease.

Uneven Eyelids

Patients with asymmetrical eyelids may benefit from surgery to correct imbalances caused by skin laxity, muscle weakness, or structural differences.

Drooping or Excess Eyelid Skin

For individuals with drooping eyelids or excess skin that interferes with vision or daily activities, surgery can improve both function and appearance. Procedures may include skin and fat removal or fat repositioning.

Weak Eyelid Muscles

In cases of weak eyelid muscles, surgery combined with muscle tightening can improve the appearance of tired or drooping eyes, resulting in a more youthful and balanced look.

Preparing for Double Eyelid Surgery

Achieving optimal results from double eyelid surgery requires careful preparation. To minimize risks and enhance recovery, patients are advised to follow these guidelines:

Consultation with an Eye Specialist

Begin with a consultation with an experienced specialist to discuss concerns, expectations, and suitability for double eyelid surgery. The physician will conduct a detailed eye and eyelid assessment.

Preoperative Education and Preparation

Patients should understand the surgical procedure, postoperative care, and recovery timeline. Lifestyle modifications—such as avoiding smoking and alcohol prior to surgery—may be recommended to reduce complications and promote healing.

Dietary and Medication Adjustments

Diet and medication may need to be adjusted before surgery to reduce the risk of allergic reactions or complications. Patients should strictly follow their physician’s instructions regarding food and medication use.

Physical Health Optimization

Maintaining good overall health is essential. A balanced diet, regular exercise, adequate rest, and stress management can help prepare the body for surgery and recovery.

Strict Adherence to Medical Advice

Carefully following all preoperative and postoperative instructions provided by the physician is essential for a safe procedure and successful outcome.

Postoperative Care and Recovery

Proper postoperative care is crucial to prevent complications and support healing after double eyelid surgery.

First 48 Hours

• Apply a cold compress or cool gel pack with a cloth barrier to reduce swelling.

• Keep the incision area dry; gently blot any oozing blood with a clean cloth.

First 1–2 Nights

• Sleep with the head elevated to help minimize swelling.

Daily Wound Care

• Clean the incision area 1–2 times daily using a cotton swab soaked in sterile saline to remove dried blood or debris.

Antibacterial Ointment

• Apply the prescribed antibacterial ointment to the incision site at least twice daily, typically in the morning and evening.

Avoiding Water Exposure

• Avoid direct contact with water on the incision area to reduce the risk of infection.

Warm Compress (If Bruising Occurs)

• If bruising appears after the third postoperative day, a warm compress (not excessively hot) may be used to promote healing.

Medication Compliance

• Take all prescribed antibiotics and pain medications exactly as directed by the physician.

Lifestyle Adjustments

• Avoid pickled foods, alcohol, eggs, and seafood for approximately two weeks to minimize irritation and itching.

• Wear protective eyewear when outdoors to protect the eyes from dust and debris.

Follow-Up Appointment

• Attend the scheduled follow-up visit, typically within 5–7 days after surgery, for evaluation and further guidance.