Patients can be divided into 2 groups -- young individuals with no sign of eyelid ptosis, and older individuals with eyelid ptosis.
For the first group (no eyelid ptosis), an individual may want to have double eyelids, or enlarge his/her existing double eyelids. These cases will benefit from a surgery to the eye skin (both short and long), and may involve removing a small portion of the skin. In most cases, the fat under the skin will be removed or touched up along with the eye skin, with the goal of making the eye appear larger and having a more prominent double eyelid.
For the second group (with eyelid ptosis), the surgeon may consider correcting the drooping eyebrow at the same time if necessary. If deemed not necessary, then the double eyelid operation will focus on removing the excess skin and fat, and creating the lid to taste. Upper Blepharoplasty can also help reduce the weakening of eye muscles due to aging.
Individuals with oriental brows who want to have double line eyelids
Oriental eyelids, Small eyelid folds, Unequal eyelid folds, Multiple eyelid folds
Eyelid ptosis(Mild degree), resulting in a worn-out look
Sunken eyes. In case of moderate to severe degree of sunken, one may consider lipofilling along with blepharoplasty
Bulging eyes due to excess amount of fat under eye socket.
Those who have had previous surgeries and would like to have a correction operation.
After applying anesthesia, the surgeon will remove excess skin from the upper eyelid, and then consider making adjustments to the amount of eye socket fat to the suitable level. The next step is to address the new fold. During the operation, the patient will be periodically asked to open his/her eyes to determine the appropriate appearance of the new fold.
As the eyelid contains several veins and arteries, the surgeon will be using an electrocautery to stop the bleeding throughout the operation. At the end of the process, the wound will be stitched and closed.
Apply cold pack to the area during the first 3 days.
Clean the area daily, avoid contact with water until suture removal date.
Remove the suture on Day 7. Patient can wash his/her face and apply makeup.
Avoid sunlight exposure during the first 3 months.
The swelling will be less noticeable after 3-6 months.
Side-effects are very unlikely to occur. There may be minor bleeding at the surgery area which will stop and need no further medical attention. In case of conjunctival swelling (Chemosis), the individual should apply artificial tear and clean the eyes frequently. This problem will be resolved spontaneously.
In the rare case that it happens, if there is bleeding in the eye socket (retrobulbar hemorrhage), causing pain, impairing vision, and/or causing excessive swelling, an emergent surgery is needed to drain out the blood and prevent it from pressing against the eyes and nerves.
How long will the change last?
For younger individuals, the double eyelid will last several decades. For older individuals, the change will typically last 5-10 years, after which the eye skin will droop with age, lifestyle, skin type. Drooping eyebrows can also shorten the effect of the surgery.