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What is double eyelid surgery and why is it performed?

Double eyelid surgery, also known as Asian blepharoplasty, is a cosmetic procedure that creates an eyelid crease in individuals with monolids, where there is no natural fold in the upper eyelid between the eyelashes and the eyebrow.

The surgery aims to enhance the appearance of the eyes by increasing the space between the upper and lower lids, making the eyes appear larger and more symmetric.

Double eyelid surgery is performed for several reasons, including:

·        Creating the appearance of a crease above the eye

·        Changing the eye to a more "almond" shape

·        Making the eye appear larger

·        Decreasing eye puffiness by removing fat around the eye

·        Fixing functional problems with the eye, such as excess skin that droops over the eye or an eyelid position that causes the eyelashes to brush against and irritate the eye.

There are different techniques for performing double eyelid surgery, including:


·        Incisional double eyelid surgery: This involves making incisions to remove excess skin and fat and create a new eyelid crease.

·        Non-incisional double eyelid surgery: This is a less invasive approach that does not involve making incisions. Instead, sutures or threads are used to create a crease in the eyelid.

Double eyelid surgery is particularly popular in Asia, where it is the most commonly requested surgery.

It has become an integral part of growing up in some cultures, with parents offering it to children as a reward.

The procedure is typically performed on an outpatient basis, and the surgery itself takes approximately 1-2 hours.


How is double eyelid surgery performed?

Double eyelid surgery, also known as Asian blepharoplasty, is a cosmetic procedure that creates an eyelid crease resulting in a larger and more symmetric, almond-shaped eye.

There are different methods of performing double eyelid surgery, and the specific technique used may vary depending on the individual's needs and preferences. Here are some common methods:

1.   Full incision double eyelid surgery: This procedure involves making a full incision along most of the new eyelid crease. Excess fat and skin can be removed from the upper eyelid during this surgery. Removable sutures are used to hold the eyelid in place during the healing process. There may be a light scar along the crease.

2.   No incision double eyelid surgery: This method is less invasive and does not involve making a visible incision. Instead, the surgeon creates small holes in the eyelid and threads permanent sutures through them to create a crease. This technique is considered more reversible compared to other methods.

3.   Partial incision double eyelid surgery: This method is suitable for patients who do not have excess fat or skin in their eyelids. It involves creating several tiny holes instead of a full incision. Sutures are passed through these holes to mimic fibrous attachments naturally present in double eyelids. This technique may produce a double eyelid that unfolds in the future.

4.   Suture technique: This technique involves piercing the upper eyelid with non-incisional wounds and suturing the eyelid for three holes. The sutures are used to create the desired double eyelid crease.

It's important to note that the choice of technique depends on various factors, including the patient's specific needs, the surgeon's expertise, and individual preferences. Each method has its own advantages and disadvantages, and a skilled surgeon will be able to determine the most suitable approach for each patient.

It's recommended to consult with a qualified plastic surgeon to discuss the options and determine the best course of action for double eyelid surgery.


What type of anesthesia is used during double eyelid surgery?


During double eyelid surgery, the type of anesthesia used can vary. Here are the different options that may be used:

1.   Local Anesthesia: Local anesthesia is commonly used in double eyelid surgery.

Lidocaine is a commonly used drug for local anesthesia during double eyelid incision.

It provides numbing of the area and allows the patient to remain awake during the procedure.

Local anesthesia is considered safe and has minimal risks.

2.     General Anesthesia: In some cases, general anesthesia may be used for double eyelid surgery .

General anesthesia involves the use of medications to induce a state of unconsciousness, allowing the patient to be completely asleep during the procedure.

This type of anesthesia may be preferred for more complex cases or if the patient prefers to be completely unaware during the surgery.

3.    Sedative Anesthesia: Sedative anesthesia, also known as twilight anesthesia, may be used for double eyelid surgery.

This involves the administration of medications that induce a state of relaxation and drowsiness, but not complete unconsciousness.

The patient may be awake but in a sedated state during the procedure.

The choice of anesthesia depends on various factors, including the complexity of the surgery, the patient's preference, and the surgeon's recommendation. It is important to discuss the options and any concerns with the surgeon prior to the surgery to determine the most suitable anesthesia approach for the individual case.


Will I feel any pain during the surgery?

During surgery, if you receive anesthesia, you will not feel any pain. Anesthesia is used to keep you unconscious and prevent you from experiencing pain during the procedure.

Even though you may be unconscious and unaware of your pain, your body can still sense pain and respond to it.

Anesthesia works by blocking the transmission of pain signals to your brain, so you will not feel any discomfort during the surgery.

It's important to note that there is a very rare occurrence called anesthesia awareness, where a patient becomes aware or conscious during surgery while under general anesthesia. However, even in these cases, patients usually do not feel pain.

The goal of anesthesia is to ensure that you are comfortable and pain-free throughout the surgical procedure.After the surgery, when the anesthesia wears off, you may feel some pain and discomfort. The speed of your recovery and the level of pain you experience will depend on the medications you received and other factors such as your age.

It's common to experience some pain after surgery, but your healthcare team will provide you with appropriate pain management strategies to help alleviate any discomfort.

If you have any concerns or questions about pain management during or after surgery, it's best to discuss them with your healthcare provider. They can provide you with specific information and address any concerns you may have.

How long does double eyelid surgery typically take?

Double eyelid surgery typically takes around one to two hours.

The exact length of the surgery can depend on several factors, including whether the patient is treating both upper and lower eyelids, the amount of excess skin and fat that needs to be removed, and the specific technique used by the surgeon.

Some sources suggest that the surgery can take as little as 45 minutes to one hour for an upper blepharoplasty.

The incision is then closed with sutures that will be removed in clinic 4-6 days after the surgery.


What are the risks associated with double eyelid surgery?

Double eyelid surgery, also known as blepharoplasty, is a cosmetic surgical procedure that aims to create a crease in the upper eyelid.

As with any surgical procedure, there are risks associated with double eyelid surgery. Here are some of the potential complications:

·        Hematoma: This is a collection of blood that can occur under the skin, often caused by inadequate hemostasis, improper application of epinephrine, or poor coagulation.

·        Infection: Infection can occur after any surgical procedure, including double eyelid surgery.

·        Dry eyes: Double eyelid surgery can cause dryness and irritation in the eyes.

·        Difficulty closing the eyes or other eyelid problems: This can occur if too much skin or tissue is removed during the procedure.

·        Asymmetry in the crease: The crease created during the surgery may not be symmetrical, leading to an uneven appearance.

·        Bleeding: Bleeding can occur after the procedure, ranging from slight bleeding underneath the eye, causing bruising, to more serious bleeding that requires medical attention.

·        Scarring: Scarring is a potential complication of any surgical procedure, including double eyelid surgery.

·        Blindness: Although rare, blindness is a potential complication of eyelid surgery.

It is important to note that these complications are uncommon, and most people who undergo double eyelid surgery do not experience any serious problems. However, it is important to discuss the potential risks with your surgeon before undergoing the procedure.

What is the recovery process like after double eyelid surgery?

Recovery after double eyelid surgery can take several weeks to several months.

The recovery process can be broken down into three parts: bruising, swelling, and the maturation of the incision/scar.

Bruising usually goes away first, taking about 2 to 3 weeks.

Swelling can last for 1 to 3 weeks after surgery, and the appearance of the eye may continue to improve for 1 to 3 months.

During the recovery period, it is important to keep the eyelid clean and avoid rubbing it.

The following are some tips to help speed up the recovery process:

·        Use ice packs on the eyes, especially during the first 3 days after surgery.

·        Clean the eyelid as instructed by the doctor.

·        Avoid strenuous activities, such as heavy lifting or exercising, for at least 7 days after surgery.

·        Wear dark sunglasses to protect the eyes from wind or sun.

·        Take regular naps as the eyes can become tired easily during the recovery period.

·        Cover primary responsibilities ahead of time to focus on resting.

·        Use cold compresses to reduce swelling, eye drops to prevent dry eyes, and an ointment to keep the eyes lubricated.

·        Avoid activities that can cause dry eyes, such as reading or watching TV for extended periods of time.

It is important to note that scars from surgical incisions can take up to a year or more to reach their maximum improvement.


Will I need to take time off work or school after the surgery?

The time off work or school after surgery can vary depending on the type of surgery and individual circumstances. Here are some general guidelines:

1.   Family and Medical Leave Act (FMLA): If you are eligible for FMLA, you may be able to take leave for medical reasons, including surgery. FMLA allows eligible employees to take up to 12 weeks of unpaid leave in a 12-month period for certain medical and family reasons.


2.   Medical Clearance: Before returning to work or school after surgery, it is important to obtain medical clearance from your doctor. This certificate gives you the go-ahead to resume your regular activities.

3.   Recovery Time: The recovery time can vary depending on the type of surgery. For example, after a tonsillectomy, most adults may need to take up to two weeks off from work.

4.   After arthroscopic knee surgery, most people can get back to desk work, school, or sedentary activity within 3 to 5 days.

After umbilical hernia repair, adults can usually return to work after about a week.

5.   Individual Considerations: It is important to listen to your body and follow your doctor's instructions regarding returning to work or school. Factors such as the nature of your job or school activities, physical exertion required, and any potential risks or limitations should be taken into account.

Remember, these are general guidelines, and it is essential to consult with your healthcare provider for personalized advice based on your specific surgery and recovery progress.


Are there any restrictions on activities after double eyelid surgery?

After double eyelid surgery, there are some restrictions on activities to ensure proper healing and minimize complications. Here are some common guidelines:

1.   Avoid strenuous activities: It is important to avoid activities that can strain or put pressure on the face and eyes, such as bending, lifting heavy objects, or engaging in vigorous exercise.

2.   Take time off: Plan to take time off from work, school, or daily activities to allow your eyelids to heal properly.

3.   Use ice packs: Applying ice packs on your eyes during the first few days after surgery can help reduce swelling.

4.   Clean your eyelids gently: Follow your doctor's instructions on how to clean and care for your eyes after surgery. Use gentle techniques and avoid rubbing your eyes.

5.   Use prescribed eye drops or ointments: Your doctor may prescribe eye drops or ointments to prevent dryness and keep your eyes lubricated. Follow their instructions on how to use them.

6.   Avoid wearing contact lenses: It is generally recommended to avoid wearing contact lenses for about two weeks after the procedure.

7.   Sleep with your head raised: Sleeping with your head elevated above your chest can help reduce swelling and promote healing during the first few days after surgery.

8.   Rest and relax: Healing after eyelid surgery requires energy, so it is important to rest when you feel tired. Avoid pushing yourself and take naps as needed.

9.   Follow your doctor's instructions: It is crucial to follow your doctor's specific instructions for post-operative care. Do not make any changes to the instructions without consulting your doctor first.

It is important to note that these guidelines may vary depending on individual circumstances and the specific instructions provided by your surgeon. It is always best to consult with your surgeon for personalized advice and recommendations regarding activities after double eyelid surgery.

How long will it take for the swelling and bruising to go away after double eyelid surgery?

After double eyelid surgery, it is common to experience swelling and bruising around the eyes.

The duration of swelling and bruising can vary depending on the individual and the extent of the surgery. However, most sources suggest that the swelling and bruising will gradually subside over the course of several weeks .

Here are some estimates from the sources:


·        Swelling: Swelling will gradually disappear over the next two weeks, although it can take up to 6 to 8 weeks for swelling to resolve fully.

·        Your eyelid may be swollen for 1 to 3 weeks after surgery, and residual swelling might last for several weeks.

·        Bruising: Bruising may take about a week or two to go away completely.

Most visible bruising is gone within two weeks after upper or lower eyelid surgery, but in some cases, it can persist for three to four weeks.

Your eyelid may be bruised for 1 to 3 weeks after surgery.

It's important to follow your doctor's instructions on how to care for your eyes after surgery, as this can help minimize swelling and bruising.

Applying a cold compress to the area in the first few days after surgery can also help reduce swelling and bruising.

If you have concerns about the duration of your swelling and bruising, it's best to consult with your doctor.

How Much Can I Save on Double Eyelid Surgery Abroad?

Double eyelid surgery is a cosmetic procedure that can be done abroad at a lower cost than in Western countries. The cost of double eyelid surgery abroad varies depending on the country and clinic, but most Westerners can save at least 50% by heading abroad for double eyelid surgery.

Here are some examples of the cost of double eyelid surgery in different countries:

·        Thailand: On average, double eyelid surgery in Thailand is likely to cost AUD $3,900 (EURO €2,600; UK £2,100; US $3,000; CAN $3,900) .

·        Turkey: In Turkey, the average blepharoplasty (eyelid surgery) price ranges from €1850 - €2200, which is significantly less than the cost in the US or UK.

·        Mexico: Eyelid surgery in Mexico can cost as much as $6,000 USD in the US, but it is typically less expensive in Mexico.

·        Czech Republic: In the Czech Republic, upper and lower eyelid surgery can be performed separately or both together under local or general anesthesia, and takes between 1 and 2 hours. The cost starts from 969 £ .

It's important to note that the cost of double eyelid surgery abroad may not include additional expenses such as travel, accommodations, and post-operative care. It's also important to research the clinic and surgeon thoroughly before undergoing any cosmetic procedure abroad.




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