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During the non-incisional double eyelid surgery, your surgeon utilizes sutures to mimic fibrous attachments in natural eyelid creases. A tiny incision produces undetectable scarring and leaves minimal to no swelling afterward.
Your plastic surgeon will first evaluate your eyes to determine if you have pre-existing eyelid folds or creases. He will also perform a visual field test to check for peripheral vision problems.
Minimal Invasiveness
As with most surgical procedures, a double eyelid procedure has potential risks. However, you can minimize your risk of complications and achieve the desired results by choosing a surgeon with experience and training in this surgery. The cosmetic surgeon at Dream Medical Group can discuss your options for creating a more natural-looking double eyelid crease and fold with you in a consultation.
Traditional double eyelid surgery involves an incision through the entire length of the desired crease. This allows your plastic surgeon to reduce skin excess, perform concomitant procedures, such as orbital fat removal or levator muscle tightening, and correct asymmetrical eyelid folds caused by preoperative marking differences, unequal tension of the upper eyelid skin during suture ligation, or dissimilarities in the amount of the fat excision.
This surgical technique has a significant drawback — it leaves a visible scar. The cosmetic surgeon can minimize this by making a tiny hole by the corner of your upper eyelid, where they will remove the excess fats and tightly link the skin to the muscle to create the new eyelid crease and fold. They can also produce undetectable scarring by placing sutures that will be removed in the clinic 4-6 days after your procedure. This minimally invasive procedure can have long-lasting, natural-looking results that last many years.
Minimal Recovery Time
While the non-incisional double eyelid surgery has a shorter recovery period, patients must follow our surgeon’s post-surgery care sheet to avoid complications and ensure a quick recovery. This can be done by avoiding heavy lifting or contact sports, avoiding excessive sun exposure, and following the surgeon’s suggestions on sleeping positions. This will help to keep the swelling down. It will take two weeks at the most for the eyelids to fully heal and look normal.
Our plastic surgeon will use a local anesthetic to numb the upper eyelid area. Then, he will mark a line on the lid, depending on its crease height and depth, guiding the procedure. This will also make sure that the resulting crease will be at least enough and that it is properly positioned.
Another way that our surgeon can create a natural-looking eyelid crease is by using the suture technique. With this method, the doctor will place one or more suturing dots on the upper eyelid and connect them with a permanent suture. This will create the tether point and give the illusion of a natural-looking double eyelid fold.
This method is most suitable for young patients who do not have excess fat or skin and do not wear contact lenses because the tether points can loosen over time. However, if the patient has hooding or excess skin, they will need an incision double eyelid surgery.
Few Complications
Double eyelid surgery is relatively safe and poses few complications as a minimally-invasive procedure. A hematoma can occur after the operation, but it is easily manageable by applying pressure or cold compresses on the affected area and promoting capillary constriction.
The surgical area will be sterilized and injected with local anesthetic. The surgeon will then mark the eyelid with vertical lines and stab incisions at the entry points of these lines. Some excess skin and fat will be removed if necessary. A crease will then be created in the marked areas, and the remaining skin will be stitched together with nylon sutures. If the patient has ptosis, this will also be repaired at this time.
A newer, more permanent, less invasive technique is called the “square method.” This method can create a crease through an incision on the eyelid crease itself. It is a good option for patients with thicker skin than a non-incisional surgery could cover, and it can also be used to correct a previous double eyelid surgery that has loosened over time.
Another less common complication of this procedure is hypertrophic scarring. This problem can occur long-term, especially with older patients or patients undergoing extensive plastic surgery elsewhere. It is important, to be honest with the doctor and let them know if you have a history of hypertrophic scarring.
Natural-Looking Results
The results from the double eyelid procedure can be stunning, making the eyes appear more youthful and luminous. The new crease can also make the eyelids look bigger and brighter and may even make your eyelashes look longer because of the increased surface area for them to hang onto. The new creases will also help correct drooping eyelid skin by creating a crease that keeps the lids up against the force of gravity.
The creases produced by this surgery are designed to be harmonious with the patient’s facial features and unique aesthetics. The surgeon can assess your face shape and other aesthetic elements to determine the ideal size and position of the creases.
Incisional Asian blepharoplasty can create more pronounced and natural-looking creases than the non-incisional methods because it allows the surgeon to adjust multiple factors of the upper eyelid. For instance, the surgeon can remove or insert excess fat to provide more definition. They can also tuck away or expose extra muscle to enhance the structure of the eyelid. The surgeon can also fasten the creases using a triple-looped thread, which is used for cardiovascular surgeries and provides a lower risk of loosening or breaking.
The incision-cutting method is the most popular style of Asian blepharoplasty because it can produce the highest-quality and longest-lasting results. The surgeon can use it to create a double eyelid crease with an incision along the full length of the upper eyelid or just above the outer corner. They can also use it to add or subtract eyelid skin, and they can use it to treat more severe eyelid ptosis by using a special technique.
