Double Eyelid Surgery: Techniques and Key Considerations

Double eyelid surgery, commonly referred to in Thailand, involves several surgical approaches. Currently, three primary techniques are widely practiced in Thailand:

1. Suturing Technique (Non-Incisional Method)

This technique involves placing sutures at strategic points to create a double eyelid crease. It is suitable for individuals with minimal excess eyelid skin.

Advantages

• No surgical incision

• Minimal scarring

• Faster recovery time

Limitations

• The sutures may loosen or break over time

• Possible allergic reactions to the suture material

2. Short Incision Technique

Growing in popularity, this method involves a small incision (approximately 1 centimeter) along the eyelid crease, allowing the surgeon to secure the internal muscle structure.

Ideal for

• Younger individuals

• Patients with minimal excess eyelid skin

Benefits

• Shorter recovery period

• Less swelling compared to the full incision technique

3. Standard Incision Technique

This method involves a full-length incision and is suitable for all patients, particularly those with significant excess eyelid skin.

Advantages

• Provides long-lasting and stable results

• Suitable for complex eyelid conditions

Considerations

• Longer recovery time

• More swelling and bruising compared to other techniques

Choosing the Appropriate Technique

Selecting the most suitable double eyelid surgery technique requires a thorough evaluation by a qualified and experienced specialist. The physician will assess facial anatomy, eyelid structure, skin thickness, and individual aesthetic goals to determine the most appropriate surgical approach.

Candidates for Double Eyelid Surgery

Individuals with Single Eyelids

Common among Asians, individuals with monolids or minimal eyelid creases may choose this surgery to enhance eye definition and achieve a more balanced appearance.

Uneven Eyelids

Patients with asymmetrical eyelids caused by skin laxity, muscle weakness, or structural differences may undergo surgery to correct imbalance and improve symmetry.

Drooping or Excess Eyelid Skin

Excess skin or drooping eyelids can obstruct vision or interfere with daily activities. Surgery may involve removal of excess skin and fat or, in some cases, fat repositioning or injection.

Weak Eye Muscles

In patients with weak eyelid muscles, surgery combined with muscle tightening can improve eye opening, correct a tired appearance, and restore a more youthful and alert look.

Preparing for Double Eyelid Surgery

Achieving optimal results requires careful preparation before the procedure. To reduce risks and support recovery, patients should follow these guidelines:

Consultation with a Specialist

Begin with a consultation with an experienced eye or plastic surgery specialist. Discuss concerns, expectations, and medical history. The doctor will evaluate whether the procedure is appropriate for you.

Pre-Surgery Education and Preparation

Understand the surgical process, potential risks, and post-operative care. Patients may be advised to avoid smoking and alcohol consumption prior to surgery to enhance healing.

Dietary and Medication Adjustments

Follow your doctor’s instructions regarding food intake and medication use. Certain medications or supplements may need to be discontinued to prevent bleeding or allergic reactions.

Optimizing Physical Health

Maintain good overall health before surgery by eating a balanced diet, exercising regularly, and getting adequate rest to reduce stress and promote healing.

Strict Adherence to Medical Advice

Carefully follow all pre- and post-operative instructions provided by your doctor to ensure a safe procedure and smooth recovery.

Post-Surgery Care Instructions

Proper post-operative care is essential to prevent complications and achieve the best surgical outcome.

First 48 Hours

• Apply a cool gel pack with a cloth barrier to reduce swelling

• Keep the incision area dry; gently dab away any oozing blood with a clean cloth

First 1–2 Nights

• Sleep with your head elevated to minimize swelling

Daily Wound Care

• Clean the incision area 1–2 times daily using a saline-soaked cotton swab to remove dried blood

Antibacterial Ointment

• Apply the prescribed antibacterial ointment at least twice daily (morning and evening)

Avoid Water Exposure

• Prevent direct contact with water on the incision site to reduce the risk of infection

Warm Compress (If Bruising Occurs)

• If bruising appears after the third day, apply a warm compress (avoid excessive heat) to promote healing

Medication Compliance

• Complete the full course of prescribed antibiotics and pain medication as directed

Lifestyle Adjustments

• Avoid fermented or pickled foods, alcohol, eggs, and seafood for the first two weeks to reduce inflammation and itching

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

Follow-Up Appointment

• Attend the scheduled follow-up visit within 5–7 days for evaluation and further care instructions