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Double Eyelid Surgery (East Asian Eyelid Surgery)

Double eyelid surgery enhances the upper eyelid in patients who have an eyelid without a well-formed crease, which is a normal anatomic variation that’s common among people of East Asian descent. Also known as East Asian eyelid surgery, the procedure is most often performed to give the upper eyelids a well-defined and more visible crease, making eyes appear more open, alert, and expressive.

Natural-Looking Results

East Asian eyelid surgery creates a natural-looking crease that is ethnically correct while providing for an eyelid platform that creates the desired open appearance. When the eyelids completely heal, the crease blends in harmony with the patient’s unique eyelid structures. To achieve a good result, the surgical plan must be customized to the individual’s anatomy and cosmetic wishes.

Improved Functionality

Although the procedure is primarily cosmetic, some patients may choose to incorporate the techniques of East Asian eyelid surgery in functional surgery. Specifically, the repair process of conditions such as ptosis or dermatochalasis in East Asian patients can utilize the Double eyelid technique to achieve a harmonious outcome.

The Procedure for Double Eyelid Surgery

This specialized blepharoplasty performed at Kahana Oculoplastic and Orbital Surgery involves one of two procedures. The technique Dr. Kahana administers will be based on the shape of your eye and the goals you have in mind.

Incisional Approach

Small incisions are made in the upper eyelid to remove excess skin, fat, and tissue, while the remaining skin and muscle are secured to create a new crease. This commonly used approach allows for greater control over the contour of the upper eyelid.

Here are some important points regarding the surgical process, downtime, and longevity:

  • Anesthesia: Local anesthesia with or without mild sedation
  • Surgery Duration: 40 minutes to 1 hour
  • Suture Removal: if non-absorbable sutures are used, they are usually left in place for 6-14 days, depending on the situation
  • Post-surgery Downtime: Approximately 1 to 2 weeks, with moderate bruising and swelling
  • Results Longevity: Permanent crease (however, it does not stop the aging process)

Suture Approach

Ideal for patients with minimal excess eyelid skin and fat, this less invasive approach involves placing sutures through the eyelid to create a crease.

  • Anesthesia: Local anesthesia with or without mild sedation
  • Surgery Duration: Approximately 30 minutes
  • Suture Removal: 6-10 days post-surgery
  • Post-surgery Downtime: Approximately 4-5 days, with mild bruising and swelling
  • Results Longevity: 5 to 10 years or longer

Key Success Factors for East Asian Eyelid Surgery

The incisional approach to East Asian eyelid surgery is generally considered permanent, as the technique produces structural changes in the eyelids that result in a lasting crease. These changes typically settle and mature for several months after the surgery, with tissues completely settling within about a year.

Although this approach is designed for permanence, long-term appearance of the results can be impacted by skin quality, lifestyle habits and natural aging. For example, routine exercise, a balanced diet, and a good skin care routine including quality moisturizers and sunscreens can optimize the benefits of your procedure.

These recommendations also apply to results generated by the suture approach, which is not quite as resilient as the incisional method. It’s important to remember that as people age, their skin loses elasticity. Over time, this can impact the appearance of eyelids, even after surgical procedures such as double eyelid surgery.

Selecting a Qualified Specialist

Dr. Kahana is a specialist with advanced training in both ophthalmology and plastic surgery, with a particular focus on eyelid surgery. He is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). With 20 years of experience, Dr. Kahana has the skills and insight to optimize results while reducing complications.

Consider the Advantages of Combining Rejuvenating Procedures

For a more comprehensive and balanced outcome, patients often combine procedures such as lower eyelid surgery, CO2 laser skin resurfacing, Botox treatments, and more. In addition to experiencing a single recovery period through simultaneous healing, patients can lower their costs, as surgical and anesthesia fees are often reduced compared to staged procedures. Complementary rejuvenation can also generate consistent results by allowing the surgeon to perform precise, balanced refinements and adjustments during the procedure.

 

Dr. Alon Kahana and Dr. Spadaro conducting an eye exam

Frequently Asked Questions

Ready to Transform Your Appearance?

Your journey toward a fresh, rejuvenated look begins with a private consultation with Dr. Kahana at Kahana Oculoplastic and Orbital Surgery.

To schedule your evaluation, please call 248-800-1177 or click the link below

Dr. Spadaro, Sara Turner, PA-C, Dr. Kahana, the Providers at Kahana Oculoplastic and Orbital Surgery
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