Skip links

Double Eyelid Surgery: Which Method is Right for You?

Long the world’s capital when it comes to cosmetic surgery procedures such as breast enhancement and liposuction, for more specialized procedures like Asian double eyelid surgery, Beverly Hills has, perhaps understandably, lagged behind places like Taiwan.

Double eyelid surgery, or Asian blepharoplasty, is a surgical method of creating a crease in the upper eyelid for people of Asian descent, approximately half of whom do not have an upper eyelid crease. While many people in South Korea and Taiwan are electing to get this eyelid surgery, Beverly Hills has seen a much slower rate of adoption. This is partly because of the lower percentage of Asian people in Beverly Hills when compared to Taiwan or South Korea, and partly because when it comes to such a specialized eyelid surgery, Beverly Hills simply doesn’t have that many plastic surgeons properly trained in how to perform it.

There are three methods of surgically creating a crease in the upper eyelid of a patient who doesn’t already have one. The most common method used today is the DST, or Double Suture Twist method, followed by the full incision method, and then the partial incision method which is seldom used.

The DST Method

The DST method involves pinching the skin of the eyelid to form a crease and then sewing the crease in place using sutures. The benefits of this method are that it is generally much quicker to perform than the other methods, and is significantly less invasive. In the case of patients who are unhappy with their results, it is also easier than the other methods to perform corrections. Because it is less invasive, there is also generally less swelling, and less chance of scarring.

Unfortunately, this method is only suitable for those with sufficiently thin skin in the eyelid, and who don’t have significant fatty deposits around their eyes. Also, the same aspects that make it easier to fix errors and problems likewise make this method more prone to an unfolding of the crease. Nonetheless, the fact that it is faster, less invasive, and generally provides a shorter recovery time makes the DST method the most popular method of eyelid surgery Beverly Hills surgeons perform.

The Full Incision Method

For patients with thicker skin, or with too much fatty tissue in the eyelid, it is sometimes necessary to use the incision method. With this method, an incision is made, and fatty tissue is first removed before the incision is sewn back up to form the eyelid crease. This method provides more control over the position, shape, and size of the full and has less chance of unfolding in the DST method, but is more invasive and can result in more significant scarring.

In order to determine which method is right for you, and what results you can expect to achieve, it is important to sit down with Dr. Liu for an in-depth consultation. He will be able to make recommendations based on your specific physiology and goals, and answer all your questions.
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+