Double Eyelid Surgery: Stitching vs. Cutting for Puffy Eyelids?

Q: Double Eyelid Surgery: Stitching vs. Cutting for Puffy Eyelids?

Hello： Patients with more pronounced upper eyelid swelling are more suitable for surgical intervention. <br>Excess fat should be removed through surgery, commonly referred to as liposuction, which is performed simultaneously during double eyelid surgery. <br>The costs are calcula

Double eyelids

My upper eyelid is a bit swollen.
Should I consider surgery or suturing? Or should I undergo liposuction instead? What is the approximate cost of eyelid liposuction?

Weiwei, 20~29 year old female. Ask Date: 2004/04/29

Dr. Luo Qihua reply Plastic Surgery

Hello: Patients with more pronounced upper eyelid swelling are more suitable for surgical intervention.
Excess fat should be removed through surgery, commonly referred to as liposuction, which is performed simultaneously during double eyelid surgery.
The costs are calculated together.
Overall, the price range for double eyelid surgery is between 20,000 to 35,000.

Reply Date: 2004/04/29

More Info

When considering double eyelid surgery, particularly for individuals with puffy eyelids, it's essential to understand the differences between the stitching (suture) and cutting (incisional) techniques, as well as the potential need for additional procedures like eyelid fat removal (blepharoplasty).
Stitching vs. Cutting Techniques:
1. Stitching (Suture Technique): This method involves creating a double eyelid fold by suturing the skin to the underlying tissue without making a significant incision. It is generally less invasive and may result in a quicker recovery time. However, one of the drawbacks is that the results can be less permanent, especially in cases where the eyelids are puffy. Over time, the sutures may loosen, and the eyelid fold may diminish or disappear, particularly if the skin is thick or if there is significant fat present.

2. Cutting (Incisional Technique): This approach involves making a more substantial incision along the eyelid, allowing for the removal of excess skin and fat. This technique is often recommended for individuals with puffy eyelids, as it provides a more permanent solution and allows for better contouring of the eyelid. The incisional method typically results in more visible scars initially, but these can fade over time. It is generally considered more effective for patients with significant eyelid puffiness or excess skin.

Consideration of Eyelid Fat Removal:
If your upper eyelids are puffy due to excess fat, you may benefit from a procedure that includes fat removal. This can be done concurrently with either the stitching or cutting technique. Eyelid fat removal can help create a more youthful and defined appearance, enhancing the overall results of the double eyelid surgery.

Cost of Eyelid Fat Removal:
The cost of eyelid fat removal can vary widely based on geographical location, the surgeon's experience, and the complexity of the procedure. Generally, you can expect to pay anywhere from $1,500 to $4,000 for eyelid surgery, including fat removal. It is advisable to consult with a board-certified plastic surgeon or ophthalmologist specializing in eyelid surgery to get a more accurate estimate based on your specific needs.

Final Recommendations:
Before deciding on the procedure, it is crucial to have a thorough consultation with a qualified surgeon who can assess your eyelid condition, discuss your aesthetic goals, and recommend the most suitable technique. They will evaluate factors such as the degree of puffiness, skin elasticity, and your overall health to determine the best approach.
In conclusion, if you have puffy eyelids, the cutting technique may be more appropriate for achieving lasting results, especially if fat removal is necessary. However, each case is unique, and a personalized assessment is essential to ensure the best outcome. Always prioritize safety and choose a reputable surgeon with experience in eyelid surgeries.

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