Can double eyelid surgery be performed using the suture technique?

Suture-based double eyelid surgery is a technique that involves embedding sutures beneath the skin. It is suitable for individuals with minimal orbital fat in the upper eyelid, thin and tight eyelid skin, unilateral single eyelids, or those whose double eyelid creases appear intermittently. It is also appropriate for corrective procedures when the double eyelid fold has partially faded or disappeared following prior double eyelid surgery. So, can individuals who already have double eyelids undergo suture-based double eyelid surgery? Below, we address this question.

Can individuals with pre-existing double eyelids undergo suture-based double eyelid surgery?

Yes—provided the original double eyelid fold is relatively narrow or shallow. However, a small proportion of patients may develop double or multiple eyelid folds postoperatively, though this occurrence is uncommon. If the pre-existing double eyelid crease is positioned relatively high or is asymmetrical, and the patient dislikes its current location, placing new sutures at a lower position will likely result in multiple eyelid folds. Conversely, few patients request a narrower double eyelid fold while retaining their existing higher-positioned crease. Suture-based surgery is generally not recommended for individuals with significantly loose or swollen eyelids, as outcomes often fall short of expectations. Regarding longevity, the duration of results varies depending on individual factors—particularly the condition of the periorbital skin—but most patients maintain satisfactory results for approximately three to five years.

Knowledge Extension: Postoperative Care Instructions for Suture-Based Double Eyelid Surgery

1. Maintain a light diet

Following surgery, the delicate periorbital skin sustains some degree of trauma. Therefore, dietary choices should emphasize light, easily digestible foods. Consume ample fresh vegetables and fruits rich in vitamins, minerals, and trace elements, which support wound healing. Avoid spicy, stimulating, greasy, or hard-to-digest foods during the early recovery phase. Resume these foods gradually only after complete wound healing.

2. Manage local swelling

Redness and swelling are common immediately after suture-based double eyelid surgery. Accordingly, follow your physician’s guidance regarding anti-inflammatory and analgesic medications. Keep the surgical site dry and clean—avoid contact with water. In the immediate postoperative period, apply cold compresses to reduce swelling; after three days, switch to warm compresses to further alleviate residual edema.

The above outlines whether individuals with pre-existing double eyelids can undergo suture-based double eyelid surgery. We hope this information proves helpful.