Which is better, non-incision double eyelid surgery or full-incision double eyelid surgery?

Dec 27, 2024 Source: Cainiu Health

Dr. Chen Lu

Introduction

Under normal circumstances, "scarless double eyelid" refers to the scarless double eyelid procedure, while "full-incision double eyelid" refers to the full-incision double eyelid surgery. Which procedure is better—scarless or full-incision—depends on individual eye conditions. When choosing a double eyelid surgical method, it is recommended to first understand your own condition and carefully weigh the advantages and disadvantages. Additionally, postoperative rest should be emphasized, and excessive eye use should be avoided to prevent interference with the healing process.

Generally speaking, the term "scarless double eyelid" refers to the scarless double eyelid procedure, while "full incision double eyelid" refers to the full incision double eyelid procedure. Which procedure is better—scarless or full incision—depends on individual eye conditions. If the eyelid skin is only mildly loose with minimal fat deposits, the scarless procedure is preferable. However, if there is significant eyelid laxity and thick fat deposits, the full incision procedure is more suitable. Detailed explanations are as follows:

The scarless double eyelid procedure creates a double eyelid by burying a suture. The general reference price for this procedure is 1,000–4,000 yuan per session, and visible improvement can usually be seen within 3–7 days. Possible postoperative symptoms include redness and swelling. If the fat around the eyelids is thin and the degree of laxity is mild, the scarless procedure is generally recommended. This method involves minimal trauma and rapid recovery, allowing a quick return to a natural appearance, but the results are relatively short-lived, typically lasting 1–3 years.

The full incision double eyelid procedure includes both internal and external incision techniques. It involves surgically cutting the eyelid to remove excess tissue and create a double eyelid. The general reference price for this procedure is 4,000–10,000 yuan per session, and visible improvement can usually be seen within 7–14 days. Potential postoperative risks include swelling, pain, and bleeding. This procedure is typically recommended for individuals with significant eyelid laxity and thick, evenly distributed fat deposits around the eyelids. However, it involves greater surgical trauma and slower recovery, although the results last longer, potentially up to 3–5 years.

Therefore, when choosing a double eyelid surgery method, it is advisable to first understand your own condition and carefully weigh the pros and cons. Additionally, postoperative care should include adequate rest and avoiding excessive eye strain to prevent complications and ensure proper recovery.

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Is it attractive for males to have fully incised double eyelids?

In general, a full-incision double eyelid procedure involves making an incision on the upper eyelid, removing excess skin and fat, and then attaching the eyelid skin to the tarsal plate at a specific height to create a double eyelid crease. Whether a full-incision double eyelid looks good for males depends on individual facial features and whether the surgical design aligns with male aesthetic characteristics. There is no absolute answer, but overall, the key is to achieve a natural and harmonious appearance.

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How to address difficulty lifting the eyelid after full incision double eyelid surgery

In general, the inability to lift the eyelids after full-incision double eyelid surgery may be related to postoperative edema, residual effects of anesthetic drugs, postoperative fatigue, conjunctivitis, or damage to ocular nerves. It is recommended to seek timely medical attention and follow the doctor's guidance for treatments such as general care or medication. Additionally, maintaining good daily habits and regularly cleaning the eyes to ensure ocular hygiene is important.

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Can individuals with a scar-prone constitution undergo full-incision double eyelid surgery?

In general, a scar-prone constitution refers to a瘢痕体质 (scar-prone or keloid-prone constitution). Individuals with such a constitution typically are not recommended to undergo full-incision double eyelid surgery. This procedure requires making incisions in the upper eyelid area, and postoperatively, hypertrophic scars may easily form at the incision sites. These scars can not only affect aesthetics but also lead to unnatural double eyelid lines, skin protrusion around the eyes, redness, swelling, and other adverse outcomes.

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Can full incision double eyelids be repaired three years after the procedure?

Whether the eyelids can be repaired three years after complete double eyelid surgery depends on the individual's constitution and recovery status. If the constitution is good and the recovery is relatively satisfactory, repair may still be possible. However, if recovery is poor and the individual's condition is relatively weak, repair might be difficult. Even if repair is feasible, an appropriate method should be selected according to individual circumstances, such as sutured double eyelids, fat grafting, or collagen filler injection.