Often referred to as Double Eyelid surgery, this treatment is designed to introduce a crease into the upper eyelid where one doesn’t exist naturally. It makes an aesthetic change to the appearance of the eye. A crease is not evident in about 50% of Asian origin people, and is the most sought after treatment of this group, particularly among the young as it is considered more aesthetically pleasing. The procedure creates a permanent change that does not need to be ‘topped up’ or repeated.
Asian eyelid surgery is not to be confused with blepharoplasty – a common cosmetic surgery technique which removes excess fat from patients suffering from hooded and puffed eyelids, usually as they reach a later stage in life. Asian eyelid surgery involves very little removal, if any, of excess fat, and is designed to create a crease in the eyelid away from the line of the eyelashes.
There are two approaches to creating a crease on the eyelid – the suture technique and the incision technique.
The suture technique uses a series of stitches, which are left in place beneath the skin of the eyelid, to create the desired effect; however, this has been found to be more intrusive, less long lasting – the results have been known to fade within months – and can cause more scar tissue beneath the eyelid.
The preferred method is the incision technique, and although the recovery time is far longer, the results are more precise. There are fewer risks of side effects and the change is permanent.
Clients are treated with mild sedation and a local anaesthetic prior to commencement of the treatment. This allows them to stay relaxed and awake during the procedure, so that they can open and close their eyes when requested, to help the surgeon achieve the overall desired result.
A fine incision is made into the eyelid, reaching deep into an area of orbital fat. A small strip of skin is removed, and, if necessary, a small amount of this orbital fat may also be taken away. A crease is then created, crafted to form the shape and take the desired position on the eyelid.
The height and shape of the crease varies according to the patient’s desired results. In most cases, there is no need to remove any fat. Some patients opt for nasal surgery, too, to augment the nasal bridge and bring about the overall desired effect.
Sutures are used to close the wound and are removed after the 4th or 5th day. The whole procedure is complete in about one to two hours.
Does it hurt?
Patients experience a little pressure during the procedure but are sedated, and can generally relax. The recovery time is extensive. Initially there is swelling around the eyes, which lasts for several weeks, and some bruising which is usually gone after the first week.
It is important to be mindful that the overall results are not apparent until 2 – 6 months following the operation. It takes time for the swelling to completely subside and initial results are not representative of the final outcome.
Patients are advised not to take part in vigorous exercise for about 10 – 14 days following the surgery.
A word of caution
Eyelid surgery is one of the most precise cosmetic surgery techniques available, and should only be carried out by experienced, qualified surgeons.
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