Double Eyelid Surgery: Risks, Benefits, and Long-Term Effects Explained

I want to get double eyelid surgery?

I am a girl who loves beauty...
I have had monolid eyes since I was little.
Ever since I learned to use double eyelid tape at 16, I have been applying it almost every day.
By the end of the day, even after removing my makeup, the shape of my double eyelids remains.
I have held onto the belief that if I keep doing this, I will eventually become a double eyelid person.
Three years have passed, and I still have to apply the tape every morning to achieve double eyelids (Is my eyelid too thick? I am afraid of surgery failure leading to droopy eyelids, which causes a lot of concern).
I looked online and found that prolonged use of tape may harm the eyelids.
Is it really possible for someone like me, who has been using double eyelid tape for a long time, to actually develop permanent double eyelids? I am also quite interested in getting eyelid surgery.
Doctor, could you please advise me: which procedure, sutured or incisional double eyelid surgery, has a lower risk and longer-lasting results?

Xiao Ting, 10~19 year old female. Ask Date: 2007/01/29

Dr. Lu Daokuan reply Plastic Surgery

If you are satisfied with the double eyelids created by tape, you might consider using sutures.
As you age, you can opt for surgery if needed.

Reply Date: 2007/01/29

More Info

Double eyelid surgery, also known as blepharoplasty, is a popular cosmetic procedure that aims to create a crease in the upper eyelid, giving the appearance of double eyelids. Many individuals, particularly those of Asian descent, seek this surgery to enhance their facial aesthetics. However, like any surgical procedure, it comes with its own set of risks, benefits, and potential long-term effects.

Risks of Double Eyelid Surgery
1. Infection: As with any surgical procedure, there is a risk of infection at the incision site. Proper post-operative care is crucial to minimize this risk.

2. Scarring: While surgeons aim to make incisions in inconspicuous areas, scarring can still occur. The visibility and severity of scars can vary based on individual healing processes.

3. Asymmetry: Achieving perfect symmetry can be challenging. Some patients may find that their eyelids are not perfectly even after surgery.

4. Changes in Sensation: Some patients report changes in sensation around the eyelids, which can include numbness or increased sensitivity.

5. Dry Eyes: Post-operative dryness is a common complaint, especially for those who already have a predisposition to dry eyes.

6. Eyelid Ptosis: In some cases, the eyelids may droop after surgery, which can require further surgical intervention.

7. Need for Revision Surgery: Some patients may not be satisfied with the results and may seek revision surgery, which carries its own risks.

Benefits of Double Eyelid Surgery
1. Enhanced Aesthetic Appearance: Many individuals feel that double eyelids enhance their facial features, making them appear more youthful and alert.

2. Improved Makeup Application: For those who enjoy wearing makeup, double eyelids can provide a more defined canvas for eye makeup.

3. Long-lasting Results: Unlike temporary methods such as eyelid tape or glue, surgical results can last for many years, often a lifetime with proper care.

Long-Term Effects
The long-term effects of double eyelid surgery can vary based on individual factors such as skin type, age, and the surgical technique used. Some individuals may experience changes in eyelid appearance over time due to aging, skin elasticity, and other factors. It is essential to have realistic expectations and understand that while the surgery can provide significant improvements, it does not stop the aging process.

Surgical Techniques: Suturing vs. Cutting
When considering double eyelid surgery, patients often wonder about the differences between suturing (non-incisional) and cutting (incisional) techniques:
- Suturing Technique: This method involves creating a double eyelid crease using sutures without making a full incision. It is less invasive and typically results in less swelling and quicker recovery. However, the results may not be as permanent as the cutting technique, and there is a possibility of the crease fading over time.

- Cutting Technique: This method involves making an incision along the eyelid to remove excess skin and fat, creating a more defined crease. While this technique can provide more permanent results, it also carries a higher risk of complications such as scarring and longer recovery times.

Conclusion
If you are considering double eyelid surgery, it is crucial to consult with a qualified and experienced ophthalmic or plastic surgeon who specializes in this procedure. They can assess your individual needs, discuss the best surgical options for you, and help you understand the potential risks and benefits. Additionally, if you have been using eyelid tape for an extended period, it is essential to discuss this with your surgeon, as it may have implications for your eyelid skin and overall results.

Ultimately, the decision to undergo double eyelid surgery should be made after careful consideration of your aesthetic goals, the potential risks involved, and a thorough discussion with your healthcare provider.

Similar Q&A

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Dr. Jiang Baicong reply Plastic Surgery
Xiao Hai: Any type of surgery that cuts beyond the dermis layer in humans will result in scar formation. Indeed, if you undergo a surgical double eyelid procedure, there will be a linear scar. If your eyelids have a natural double eyelid or multiple layers, it is generally safer ...

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