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Double vs Single eyelid

The eyelid is the key distinctive feature of the Asian eye. The most obvious characteristic of Asian eyelid is the absent or very low lid crease and fuller upper eyelid. 

 

Type of Asian upper eyelid

The central part of the eyelid is categorized into 3 types

  1.  single eyelid

  2. low/incomplete/partial eyelid crease

  3. double eyelid

Double eyelid surgery

 

There are 3 main type of operations

  • Closed technique: Is the surgery without incision on the skin, some doctor will use term " 3 point suture" for this type of operation. Good in young patient without redundant eyelid skin and good in thin eyelid patient

Pros:

No incision on skin, no scar formation, fast/immediate recovery

Con:

Not long lasting. Can result in unnatural looking eye if perform in patient with puffy eyelid

 

  • Open technique: Is the standard long incision technique, the length of incision is equal to your eyelid crease length in the wound and might need to extend further laterally in older individual. This technique can remove excessive skin and fat, best for one with puffy eyelid and older people.   

Pros:

Long lasting result, more natural look. Can be combine with blepharoptosis surgery to enlarge eyelid aperture

Con:

Longer recovery time. Scar on the upper eyelid. Need stitches removal

  • Small incision technique: Is the adapt version by combine closed and open technique, with only around 1 cm length of incision at the center of your eyelid, above the cornea.

Pros:

Faster recovery than open technique and long lasting result. Can combine with blepharoptosis surgery to enlarge the eye aperture.

Con:

Good result only in young patient without significant excessive skin at the lateral corner of the eye. Might look unnatural in puffy eyelid patient. 

 

 

Dr.Preamjit interview  "Double eyelid surgery with epicanthoplasty" (Thai language)

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