There are several methods for creating double eyelids.
May 11, 2023
Source: Cainiu Health
Dr. Li Qiang
Introduction
In general, double eyelid surgery can be performed using various methods such as the incision method, suture method, or Korean-style three-point eyelid technique. The incision method involves making a cut to remove loose skin, the orbicularis oculi muscle, and excess fat. Under direct vision, the skin is then sutured directly to the orbicularis oculi muscle or the levator palpebrae superioris aponeurosis to create a double eyelid. This method requires cutting through the skin, resulting in relatively greater trauma, but allows for adjustments to the structures of the upper eyelid via the incision.
Generally, there are several methods for creating double eyelids, including the incision method, suture (buried suture) method, and Korean-style three-point double eyelid surgery. The details are as follows:
1. Incision Method
This method involves making an incision to remove loose skin, the orbicularis oculi muscle, and excess fat. Under direct vision, the skin is then sutured directly to the orbicularis oculi muscle or the levator palpebrae superioris aponeurosis to form a double eyelid crease. This technique requires cutting through the skin and results in relatively greater trauma. However, it allows structural adjustments of the upper eyelid via the incision. The outcome is reliable and long-lasting, making it suitable for all types of single eyelids.
2. Suture (Buried Suture) Method
The suture method is suitable for young individuals who have large eye fissures, thin eyelids without puffiness, no loose eyelid skin, normal skin elasticity, and no epicanthal folds. Advantages include simple procedure and ease of mastery. It causes minimal trauma, with sutures fixed between the upper eyelid dermis and the anterior surface of the tarsal plate or the superior edge of the levator palpebrae superioris aponeurosis, resulting in a natural-looking crease. As there is no incision, postoperative tissue reaction is mild, and daily activities or work are generally unaffected.
3. Korean-Style Three-Point Double Eyelid Surgery
Korean-style three-point surgery mainly includes the three-point suture technique and small-incision approach, involving three tiny incisions. With smaller incisions, recovery after surgery is faster, swelling subsides quickly, and side effects are minimal. However, patient selection for this procedure is relatively strict. It works best for individuals with tight, firm skin, thin eyelids, and no puffy eyes.
Besides the above methods, another technique is the stitching (suture-only) method. It is important to note that each surgical method is designed for different eyelid conditions and individual needs. It is recommended to consult thoroughly with a qualified medical professional before making a decision.
