For many Asians, a lack of eyelid crease has been troublesome for them as it highly affects their appearance and confidence. The addition of a crease could lead to a more symmetric, almond-shaped eye that cosmetically transformed you into a better-looking one. Here, the double eyelid surgery could become a surgery that could transform your life within a single operation.

This article will provide information on double eyelid surgery, including all you need to know if you consider a double eyelid surgery in Bangkok for a defined crease.

What is double eyelid surgery?

Double eyelid surgery or Asian blepharoplasty is a surgery to permanently create upper eyelid creases. Double eyelid surgery is associated with East Asian people, as 50 percent of East Asian people are born without their supratarsal or upper eyelid crease. In medical terms, one who had a “monolid” or an obfuscated crease is due to the different points of fusion between the orbital septum and the levator aponeurosis. 

For one with a normal creased eyelid, the levator aponeurosis is fused with the orbital septum approximately 8-10 mm above the supra-tarsal border, leaving a fusion of the aponeurosis, septum, and tarsal plate, which creates a fold in the skin at least 3-4 mm above the lid margin. However, people who lack a superior eyelid crease had the levator aponeurosis insert lower than 8mm above the supra-tarsal border, resulting in a fusion of the aponeurosis, septum, and tarsal plate at less than 2 mm above the lid margin, too short to create a fold visible as the eyelid crease.

In addition, 90 percent of Asian adults are characterized by what is called the Epicanthal Fold – a crescent-shaped portion of skin at the medial aspect of the superior lid that descends along the border of the nose toward the canthus to meet the medial portion of the lower eyelid. In combination with a lack of eyelid crease, the fold also leads to a greater intercanthal distance, resulting in visibly smaller eyes compared to normal ones.

Here, the double eyelid surgery, which has been performed since 1896, is purely for aesthetic purposes, to help the patient achieve a more aesthetic, round-eyed, and expressive look.

Why permanent surgery, not tapes?

A modern development has enabled the double eyelid crease through non-invasive measures using specialized adhesive tapes and glues. These products create a fold by sticking themself to the eyelid skin that forces it to fold. These tapes and glue are cheaper and let you test out a different look without a long-term commitment. Thus, the results are variable on each application, and may be peeling, or move out of place throughout the day. In addition, the repeated stretching and pulling of the delicate eyelid skin can lead to irritation, skin thickening, and a loss of elasticity, which may even cause the eyelids to sag prematurely.

By comparison, permanent double eyelid surgery could result in a permanent natural-looking crease. Unlike temporary adhesives, a surgery not only comes with lasting results that eliminate the need for daily maintenance but can also address underlying issues with your eyelid crease, like excess skin or fat that contribute to a puffy or hooded appearance, providing a more comprehensive and aesthetically consistent outcome within a single operation. 

Here, if you are considering double eyelid surgery or even other aesthetic treatments related to your eyes and surrounding areas, consider contacting us for additional information and consultation.

How is double eyelid surgery done?

Same as the standard eyelid surgery, the double eyelid surgery is considered a minor surgery for those who wish to have a larger, more rounded eye appearance. While the results should be a permanent double eyelid crease, a surgery may end with eyelids with uneven height or shape, excessively high folds, blepharoptosis, ectropion, or upturned cilia. However, these complications are preventable if the procedure is done under professional hands. 

The ideal candidate for double eyelid surgery should be a non-smoker, healthy individual aged over 20 that does not have medical conditions that can impair healing or serious eye conditions. We recommend that you consult with an ophthalmologist for an appropriate treatment plan if you are currently with eye disease like glaucoma, dry eyes, or detached retina; diabetes; thyroid disorders; and cardiovascular disease, including high blood pressure.

If you are a fit candidate for a double eyelid surgery, after a proper eye and facial assessment by trained physicians, including a vision test and photography. You will be discussed for the treatment plan and visible results after the surgery. If you accept those conditions, you will be recommended to stop smoking; avoid taking drugs that increase bleeding and bruising, such as aspirin, NSAIDs, blood thinners, and some herbal supplements; and also the adjustment of your current medications if necessary. 

On the operation day, the process for double eyelid surgery begins with the application of anaesthesia and numbing agent directly to the eyelid to ease the process. Then, the process of eyelid marking is performed in the upright position to allow visualization of the final gravitational position of the eyelid, followed by the sterilization of the area. 

The current common technique for double eyelid surgery includes a non-incisional suture ligation technique and an external incisional surgical technique. For the non-incisional suture ligation technique, a crease is created by suture fixating the orbicularis oculi muscle or the subcutaneous tissues to the levator aponeurosis or tarsal plate. Meanwhile, the external incisional surgical technique uses an incision on the upper eyelid 7 mm from the ciliary margin. This was closed by passing a suture through the lid from the conjunctiva to the superior tarsal border of the anterior skin edge to the tarsal plate.

The double eyelid surgery would last only a few hours. If your condition is stable after the operation, you can leave for home with a return for the removal of the surgical stitches after 4-6 days. For the post-surgical care, most of them are no different from normal eyelid surgery, with a possibility of blurred vision, watering eyes, swelling, bruising, and some discomfort. This could be relieved by cool compresses to reduce swelling with ice packs, sleep with your head raised higher than your chest, prescribed eye drops or ointments, and paracetamol for pain management. Bruising may be visible for two weeks. A desk job is allowed after a week, while driving has to wait for 2 weeks, and physical activity for at least 2-4 weeks.

Double eyelid surgery at Radiance Skin Clinic

Radiance Skin Clinic, a professional aesthetic clinic located in the heart of Bangkok, is ready to provide you with aesthetic double eyelid surgery by a trained and highly skilled plastic surgeon under our professional surgical facilities. Our team of professional aesthetic dermatologists, ophthalmologists, surgeons, and technicians is ready to provide you with personalized care from full eye and facial assessment, careful preparation, advanced surgical techniques, and continuous post-operative care to fulfill your need for widening and heightening of your eyes for aesthetic purposes.

For foreign patients, Radiance Skin Clinic is considered the best option for expats who are looking for double eyelid or other aesthetic eye surgery in Bangkok. Not only do we perform the procedure with precision and a focus on natural-looking results, but we can also provide you with additional services that make you feel assured and convenient, with a translator, transportation arrangements, and accommodations for ones who plan for a surgery in Thailand from abroad.

If you are currently looking for double eyelid surgery in Bangkok for a defined crease or other solutions on aesthetic eye surgery, visit our team for a consultation at our clinic located at Maneeya Center between 10 am and 7 pm, or leave a message on our online channel here.

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