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What is Involved in Double Eyelid Surgery?

Slightly more than half of all Asians are born with an upper eyelid that is not attached to the levator muscles — the muscles that control the movement of the upper eyelid.

When the eyelid is attached to the levator muscles, it forms a crease that helps to define the upper arc of the eye, which also makes the eye appear larger than it would without the crease. From an aesthetic viewpoint, many Asians without this crease feel that, as well as lacking definition, their eyes appear smaller than they should. For Asian women, not having an upper eyelid crease can make it exponentially more difficult to apply eye makeup properly.

For these reasons and more, many Asians without an upper eyelid crease elect to have a double eyelid surgery performed which creates that crease, and provides them with an eye shape they find more aesthetically pleasing.

Of the two most common methods used for double eyelid surgery, Americans most often avail themselves of the incision method. Although it requires longer recovery times, and carries a slightly higher risk of visible scarring than the non-incision method, it provides the surgeon with a great deal more control over the shape, position, and symmetry of the final results.

One of the main advantages of the incision method in comparison to other eyelid surgery techniques is that it allows the surgeon to remove any excess tissue, whether fat, skin, or even muscle, that may interfere with the final aesthetic. This is particularly important for patients who have experienced loosening of skin around the eyes as they aged, or who possess naturally chubby, or fatty faces.

With the incision method, an incision is first made in the skin of the eyelid. This incision is what will determine the shape and position of the final crease. Any excess tissue along the path of the incision is then removed, including a small piece of skin where the crease will be. The edges of the incision are then sutured together in such a way as to form a carefully shaped and sculpted upper eyelid crease.

The entire process can usually be completed in under two hours and, although every patient heals at a different rate, most people are able to return to work in under two weeks.
Before deciding if eyelid surgery is right for you and, if so, what procedure is most suitable, it’s important to sit down with Dr. Liu for a thorough consultation. Dr. Liu will discuss your goals with you in relation to your specific physiology, look at some before and after photographs of other patients with you, and help you determine the best course of action to achieve the results you want.

Dr. Perry Liu is a board certified plastic surgeon. His skills embody the convergence of art and medicine that is the essence of aesthetic and reconstructive plastic surgery. Dr. Liu is graduate of Duke University, and continued on to medical school at Emory University in Atlanta You can find Dr. Perry Liu on Google+.