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Aesthetic Procedures: Eyelids

Aesthetic Procedures: Eyelids

Aesthetic Procedures: Eyelids

Double Eyelid Creation

Double Eyelid Creation-1
A double eyelid occurs when the upper eyelid forms a fold when the eye is open. A beautiful double eyelid helps gives the eye an attractive and alluring look. The mechanism behind this is fibrous attachments to the upper eyelid skin crease which arise from the muscle which helps us elevate the upper eyelid (the levator palpebrae superioris). The muscle helps us open our upper eyelids whilst simultaneously pulling on the crease and thus forming the double eyelid.

In East Asians, this crease is often lower or absent, leading to the ‘single-eyelid’ appearance. Whilst lower folds can suit some faces well, they often lead to a tired or dull appearance. Surgical techniques that have been developed to help with double eyelid creation include suture (‘scarless’) or the incisional technique. Your plastic surgeon will assess and discuss the best option for you.

Suture (‘Scarless’) Double Eyelid Creation

In the suture technique, the double eyelid is created through minimally invasive methods utilizing puncture access points in the upper eyelid. Fine sutures are placed carefully to create the attachments between the levator muscle and the skin. The access points usually do not require closing with suture.

ADVANTAGES
The advantages of the suture technique are reduced downtime (3 to 5 days of swelling compared to 2 weeks in the open technique), no suture removal, and reduced risk of a visible upper eyelid scar. However, there is a risk that the suture material is insufficient to maintain the double eyelid and the double eyelid may lower or disappear.

WHO IS THIS METHOD SUITABLE FOR?
The suture technique is suitable for patients whose upper eyelids are not too heavy and who do not desire a drastic change in appearance. It is a repeatable procedure, though in patients who have failed previous suture upper blepharoplasty, an incisional technique is recommended.
scarless-Double-Eyelid-creation

Incisional Double Eyelid Creation

Incisional double eyelid creation involves an incision where the new upper eyelid crease is to be placed, uncovering the underlying anatomy of the upper eyelid, and precisely suturing the corresponding muscle and skin to create the double eyelid. The incision is usually closed with non-absorbable sutures which are removed at 5 to 7 days post-operatively.

ADVANTAGES
The advantages of the incisional technique are the ability to accurately visualize and approximate the correct tissue layers and control the fold in the manner desired. Its disadvantages include a longer upper eyelid scar and more swelling and bruising, both of which may take a few weeks to heal.

WHO IS THIS METHOD SUITABLE FOR?
The incisional technique is suitable for patients who have heavier upper eyelids or who require concurrent procedures such as removal of excess skin or fat and can tolerate a few weeks of downtime. Ultimately, it provides better control to the double eyelid creation.
Incisional Double Eyelid Creation

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