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Important Questions to Ask About Suture Double Eyelid Surgery
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Important Questions to Ask About Suture Double Eyelid Surgery

If you are considering a Double Eyelid Surgery, also called blepharoplasty, then you should certainly have some questions in mind. What’s best is to get those questions answered in your consultation session to leave no room for doubt and be confident about your upcoming session.

One of the most commonly asked questions is: “What is Double Eyelid Surgery?” However, there are a lot of other queries that patients have in mind and we are here to address them in this article.

You might also have one or more of the following questions unanswered:

  • What is the procedure of blepharoplasty?
  • Am I the right candidate?
  • How will I be anesthetized?
  • What is the duration of the procedure?
  • What should I expect after the surgery?
  • Is there any risk of complications?
  • Are the results permanent?
  • Can I wear make-up over and around my eyes

In this article, we answer all these questions and also confer to whether it is really worth undergoing Double Eyelid Surgery in Singapore.

The Procedure

What Is Double Eyelid Surgery Or Blepharoplasty?

Although it is considered as a surgery, upper blepharoplasty is a simple and quick cosmetic procedure that deals with the skin on upper eyelids. This procedure defines the upper eyelid crease or creates it all together. It is the most common procedure requested in Asian countries and the third most common among Asian-American people [1].

Types Of Double Eyelid Surgery

There are two types Double Eyelid Surgery:

1. Incisional Double Eyelid Surgery – This technique involves surgical incisions to remove any excess fat and skin effectively. This technique is also used in patients who wish to alter their eyelashes’ direction and angle them upward. However, surgery involving incisions would leave a scar hidden along the crease line.

2. Non-incisional Double Eyelid Surgery – for those who wish to avoid the cut. It is called the suture or stitching technique in which a natural-looking fold is created without actual incision. This technique is suitable for those who have a slight sunken eyelid or want to widen or narrow the gap between their double eyelid and lash line.

How Does Blepharoplasty Or Double Eyelid Surgery Work?

There is no one specific technique for all. The type of incision and surgical procedure varies according to each individual’s needs. After obtaining your informed consent and anesthetizing you for the procedure, your specialist will mark the incision on your eyelid.

The incision will be made on your upper eyelid, and part of the orbicular, skin, and fat tissue may be removed. Finally, stitches are used to close the incisions, and the procedure is completed [2].

How Will I Be Anesthetized And How Long Will It Last?

Double Eyelid Surgery can be performed under local anesthesia or intravenous sedation, depending on your case and its requirements. Local anesthesia is applied as a superficial subcutaneous injection along the marking on the upper eyelid crease [3].

The duration of the procedure will vary according to your case but would last between 20 to 60 minutes.

The Right Candidates

You are the right candidate for Double Eyelid Surgery if you have:

  • Monolids
  • Sunken eye deformity that affects your eyelid crease
  • Asymmetrical double eyelid crease
  • Saggy eyelid skin
  • Double eyelids that are too narrow or wide
  • Good health and realistic expectations [2]

Results Of Double Eyelid Surgery

What Should I Expect After The Surgery?

Double Eyelid Surgery creates a vibrant double-eyelid fold. Research has found the procedure’s results to create folds that imitate ‘the movement of the congenital supratarsal fold in Asians.’ High patient satisfaction rates have been further reported.

Expect a recovery period of 5-7 days for adequate healing if you choose to undergo Non-incisional Double Eyelid Surgery. Should you prefer the Incisional Double Eyelid technique, a recovery period of 7 to 10 days will be adequate for healing and your specialist would call you for stitch removal 7 days after your procedure.

Before resorting to the procedure, discuss your desires with your consultant but don’t go overboard in your expectations. Be realistic and expect a practical outcome [3].

Are The Results Permanent?

Yes, in most cases, the results of Double Eyelid Surgery are permanent. However, in some patients, the eyelid crease may fade due to loosening of the suture and the process of aging, which causes drooping of the upper eyelids or a less defined eyelid crease [4].

Risks And Complications

Is There Any Risk Of Complications?

Although Double Eyelid Surgery is not associated with serious risks, there are some limitations to the procedure. These include:

  • Possibility of unnatural-looking outcomes
  • Extended swelling due to an aggressive fold design
  • Variable distance connecting the eyebrows and lid junction
  • Dry or irritated eyes
  • Asymmetrical results
  • Not meeting too high of expectations [4]

What About Makeovers? Can I Wear Contact Lenses After The Surgery?

Avoid wearing makeup until you have achieved full recovery after the surgery as the chemical products in the makeup may irritate your eyelid skin.

It is advised to wait for a period of 7 – 10 days before starting to wear makeup or any other products over and around the eyes. Also, consider replacing old cosmetic products and clean all brushes regularly to avoid infection [6].

Spectacles are recommended post surgically for 1 to 2 weeks. If you use contact lenses, postpone wearing them for at least 2 weeks for adequate healing and to avoid irritation or risk of infection [7].

Is It Really Worth The Money?

Double Eyelid Surgery in Singapore is a cost-effective procedure for people having mono-lids or looking to redefine their existing double eyelid crease. The surgical procedure gives a bigger appearance to the eyes and makes them look more alert. Different techniques will be recommended to meet the needs of individual patients.

If you intend to have double eyelids as a permanent feature to complement your look, Double Eyelid Surgery might be right for you. However, it is imperative to consult credible board-certified plastic surgeon for undergoing this procedure to avoid any setback and reduce the risk of complications.

About Dream Aesthetics and Plastic Surgery

Bespoke surgical for cosmetic or medical reasons is what Dream covers to bring out the beauty in every individual. Going beyond the aesthetics and working on physical anomalies are what we value the most in leading our patients to cherish self-improvement and confident lifestyles.

Derived from Associate Professor Vincent Yeow’s long-standing experience performing plastic surgery in Singapore, our treatment plans deliver physical remodelling in our patients’ favour. One of the notable remodellings is droopy eyelid correction. The ptosis surgery used for treatment eventually fixes drooping eyelids, improves vision and enhances appearance.

Most importantly, as a trustworthy plastic surgery and aesthetic clinic, we treasure positive and natural outcomes for each individual. We will ensure to deliver the beauty refinement of your dream without compromising your safety and privacy.


1. Nguyen, M. Q., Hsu, P. W., & Dinh, T. A. (2009). Asian blepharoplasty. Seminars in plastic surgery, 23(3), 185–197.
2. Susumu Takayanagi, MD, Asian Upper Blepharoplasty Double-Fold Procedure, Aesthetic Surgery Journal, Volume 27, Issue 6, November 2007, Pages 656–663,
3. Trapasso, M., & Veneroso, A. (2014). Local anesthesia for surgical procedures of the upper eyelid using filling cannula: our technique. Plastic and reconstructive surgery. Global open, 2(5), e143.
4. Kim, Hong & Hwang, Kun & Kim, Chang & Kim, Kenneth. (2013). Double-Eyelid Surgery Using Septoaponeurosis Junctional Thickening Results in Dynamic Fold in Asians. Plastic and reconstructive surgery. Global open. 1. 1-9. 10.1097/GOX.0b013e318293dc69.
5. Taghv G H. Double Eyelid Surgery. Cosmetic Town Journal. 2017.,over%20the%20surgically%2Dcreated%20crease.
6. Ford D. Wearing Makeup After Your Eyelid Surgery. 2018.,the%20area%20around%20the%20incisions.&text=This%20will%20take%20at%20least,your%20incisions%20can%20completely%20heal.
7. Klapper, S. R., & Patrinely, J. R. (2007). Management of cosmetic eyelid surgery complications. Seminars in plastic surgery, 21(1), 80–93.