Double Fold Upper Eyelid surgery, or Blepharoplasty, creates a double
fold in the Asian upper eyelid and is designed to enhance the appearance
of the unique and delicate Asian eye by forming a narrow 'double' fold that
will enhance, but not change, the qualities of the eyelid.
Frequently Asked Questions.
How is the surgery performed?
The surgery consists of an incision
in the upper eyelid, removal of redundant skin and formation of a 'double'
fold with permanent stitches inside the eyelid. The outside skin incision
is also stitched. Infrequently, an additional incision is made at the inside
corner of the eyelid if required.
Will the surgery result in permanent scarring?
Scars are a result
of any surgical procedure. The incisions made to accomplish the goals of
the procedure are barely visible after several months as they are placed
within the normal creases and folds of the upper and lower eyelids. In patients
who only need removal of fat from the lower eyelids, the incision can be
made on the inside of the eyelid and will, therefore, result in an invisible
How long does the procedure take?
Usual length of operating time
is one and a half to two hours. There is little discomfort during or after
Will I need Anesthesia?
The operation is usually done under local
anesthesia, with sedation, as an outpatient. Ideally, sedation should be
kept light so that the surgeon can check the position of the new crease
during surgery by asking the patient to open the eyes.
Before your procedure.
Shower and shampoo the morning of surgery. Wash your eyebrows and thoroughly
remove all eyelid cosmetics. Do not reapply cosmetics to your eyelids or
face. Skin should be healthy and free of any irritation around the planned
surgery site. If you have been using glue or tape regularly to form a fold,
it is important to discontinue this for a few days prior to the operation.
These agents can cause irritation to the skin that will interfere with the
surgery. If skin irritation or sunburn is excessive, the operation may need
to be rescheduled to a later date. After recovery, you will need a responsible
adult to take you home.
After your procedure.
A responsible adult must be available to take you home after the procedure.
You should rest as much as possible, preferably in bed or in a recliner.
A bandage over the eyes is not necessary. In the evening, you may take a
bath if someone is there to help you. Avoid straining or bending over. Watching
television is acceptable.
To prevent swelling, apply clean cold compresses to the eyelids as much
as possible until you go to sleep. Gauze pads or a clean towel may be soaked
in a basin of ice cubes and applied directly. Alternatively, a large Ziploc
bag may be partially filled with ice cubes or a bag of frozen peas may be
placed over a moist gauze or towel. Commercially available gel filled vinyl
masks may also be used.
Your surgeon will prescribe appropriate pain medication, although little
is usually required.
The degree of bruising is usually minimal and gone in about a week. All
sutures are removed by your surgeon in three to six days.
Makeup should be withheld for one to two weeks and your surgeon will instruct
you when it is safe to resume its use. Do not use contact lenses for approximately
one week since the placement may injure the stitch line.