Are Double Eyelid Surgery Results Permanent?

It is important to see a plastic surgeon with significant expertise in Asian eyelid surgery before you embark on this face-altering path.

This is a very good question as it means you probably already know the 2 main types of surgery for the “double eyelid” procedure.

Regardless of technique, we would want the procedure to last your lifetime,

but this does not always hold true as we cannot stop the aging process or external events outside our control.

The incisional method is still the “gold standard” as it allows the surgeon to have full control and access to the anatomy (levator, tarsus, orbicularis, etc) to precisely place sutures.

It allows the surgeon to address any ptosis and any needed skin and/or fat excision.

It is the most “permanent” way to create the fold.

The non-incision/minimal incision method does not allow the surgeon to have access in the same way.

The procedure is designed to “trade” the scar and exposure for slghtly faster recovery and minimal scar.

In certain individuals, this procedure is adequate; but in others, skin, fat, levator, etc need to be addressed

and the non incision method may not even be the right option for you.

The non-incision or suture technique of Asian eyelid surgery can be life-long but there are a couple of things to know.

1. If the sutures are placed with absolutely no deep (but narrow) cutting then those tend to pull out since there is little to no scar tissue formed to aid the sutures.

2. If you wear contacts and place them by pulling up your upper eyelid everyday you can loosen the sutures hold over time.

3. As Dr. Kim said, the aging process will continue and you can have loose skin, fat, etc. contribute to the loss or hooding of your new eyelid creases, but that would likely be years from now.

4. If you have very thick upper lids with a lot of fat I feel like the suture technique this case is less than great, but the patients tend to be happy anyhow.

At GNG Hospital,

our eyelid specialists understand the difference in which procedure is needed for the appropriate eye.

Let us know if you have any questions about which surgery is right for you.