Double Eyelid Surgery, also know as “ Asian Blepharoplasty ”, is a surgical procedure designed to give a refreshed, wide-awake appearance in Asian patients.
This is often done for those of Asian descent who may not have a visible crease but who desire one.
If you’re thinking of getting double eyelid surgery read on to hear everything you need to know.

What is Double Eyelid Surgery
Double eyelid surgery, also known as blepharoplasty, is a cosmetic surgical procedure that creates a natural-looking upper eyelid crease. The surgery involves making incisions in the eyelid to remove excess fat and upper eyelid skin, and then creating a new crease line that enhances the appearance of the eyes.
This procedure is most commonly performed on people of Asian descent who have a single eyelid or a low crease, but it can also be performed on people of any ethnicity who want to enhance the appearance of their eyes. Double eyelid surgery is typically performed under local anesthetic and can be done as an outpatient procedure.
The recovery period varies but typically involves swelling and bruising for several days or weeks. It is important to choose a qualified and experienced surgeon to ensure the best results and minimize the risks associated with any surgical procedure.

History and Cultural Context of Double Eyelid Surgery
Double eyelid blepharoplasty has a long history and cultural significance in many East Asian countries, particularly in South Korea, Japan, and China. The procedure first became popular in the 1950s, and it has since become one of the most commonly performed cosmetic surgeries in the region.
In many East Asian cultures, having a double eyelid is seen as a desirable physical trait that is associated with beauty, and youthfulness. Some people also believe that having a double eyelid makes the eyes look bigger and more expressive.
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The cultural significance of double eyelids has been attributed to a variety of factors, including the influence of Western beauty standards, the desire to look more professional and sophisticated, and the belief that having double eyelids is a sign of good luck and prosperity.
Double eyelid surgery has also been a topic of controversy and debate, with some critics arguing that it perpetuates unrealistic beauty standards and reinforces stereotypes about East Asian features. However, proponents of the procedure argue that it can boost self-confidence and help people feel more comfortable and accepted in a society that values certain physical traits.

Why has Double Eyelid Surgery become Popular in recent Years?
Firstly, the procedure has become more widely available and affordable, with advances in surgical techniques and technology making the surgery safer and more effective. This has made it more accessible to a wider range of people, including those who may have previously been deterred by the cost or the potential risks of the procedure.
Secondly, there has been a growing awareness and acceptance of cosmetic surgery in many parts of the world, with more people opting to undergo procedures to enhance their appearance or address specific concerns. This trend is particularly prevalent among younger generations, who are more likely to view cosmetic surgery as a viable option for improving their self-confidence and overall well-being.
Thirdly, the influence of social media and popular culture has also contributed to the popularity of double eyelid surgery, with many celebrities and influencers in the region openly discussing their own experiences with the procedure and promoting its benefits.
Finally, there is also a cultural element to the popularity of double eyelid surgery, with the procedure being seen as a way to conform to certain beauty standards and social norms in many East Asian societies.
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Double Eyelid Surgery Different Techniques
There are several techniques that can be used to perform double eyelid surgery, depending on the individual’s needs, type of eyelid and preferences. Some of the most common techniques include:
- Full-incision method: The full incisional method involves making a full incision along the upper eyelid to remove excess skin and fat, and then creating a new crease line using sutures or other techniques. This method is typically used for people with thicker skin or more pronounced eyelid folds. This is even done under local or general anesthesia.
- Partial-incision method: The partial incision method involves making a small incision along the upper eyelid to remove excess skin and fat, and then creating a new crease line using sutures or other techniques. This method is typically used for people with thinner skin or less pronounced eyelid folds.
- Non-incision method: Also known as the suture technique, the non-incisional procedure involves creating a new crease line using specialized sutures that are placed along the upper eyelid. The non-incisional technique method is typically used for people who have very thin skin or who prefer a less invasive procedure.
- Combination method: This involves combining two or more of the above techniques to achieve the desired results.
Regardless of the specific technique used, double eyelid surgery is typically performed under local anesthesia and can be done as an outpatient procedure.

Possible risks and complications with Double Eyelid surgery
As with any surgical procedure, there are potential risks and complications associated with double eyelid surgery. Some of the most common risks and complications include:
- Infection: Any surgery carries a risk of infection, which can lead to complications such as scarring or even loss of vision in severe cases.
- Bleeding: Bleeding is a common complication of surgery, and can sometimes require additional medical attention.
- Swelling and bruising: Swelling and bruising are normal after double eyelid surgery, but excessive swelling or bruising can lead to discomfort and longer recovery times. The degree of swelling varies between patients
- Changes in vision: Double eyelid surgery can sometimes lead to changes in vision, including temporary blurred or double vision.
- Scarring: While scarring is a normal part of the healing process, excessive scarring can sometimes occur after double eyelid surgery.
- Asymmetry: In some cases, the crease created during double eyelid surgery may not be symmetrical, leading to an uneven appearance of the eyes.
- Dissatisfaction with results: While double eyelid surgery can enhance the appearance of the eyes, there is always a risk that the results may not meet the patient’s expectations.
- Dry eyes : For the first few weeks your eyes may be dry, this can be treated with eye drops
Eligibility for Double Eyelid Surgery Procedure
Eligibility for double eyelid surgery typically depends on a variety of factors, including the patient’s overall health, their goals for the procedure, and their specific anatomical features.
In general, good candidates for double eyelid surgery are:
- Healthy individuals: Patients should be in good overall health and free from any underlying medical conditions that could increase the risks associated with surgery.
- Adults: Double eyelid surgery is typically not performed on children or teenagers, as their facial features are still developing.
- Those with a single eyelid or low crease: People with a single eyelid or a low crease are the most common candidates for double eyelid surgery.
- Realistic expectations: Patients should have realistic expectations for the results of the procedure, and should not expect to completely change the appearance of their eyes.
Double Eyelid surgery Recovery
The recovery time for double eyelid surgery varies depending on the individual and the specific technique used, but in general, most people can expect to return to normal activities within two to four weeks following the procedure.
After the surgery, patients are typically advised to:
- Apply cold compresses: Cold compresses can help reduce swelling and bruising in the first few days following surgery.
- Keep the head elevated: Keeping the head elevated can also help reduce swelling and improve healing.
- Use prescribed eye drops or ointments: Patients may be prescribed eye drops or ointments to help reduce the risk of infection and promote healing.
- Avoid strenuous activity: Patients should avoid strenuous activity, such as exercise or heavy lifting, for several weeks following the procedure.
- Protect the eyes from the sun: Patients should wear sunglasses and avoid direct sunlight for several weeks following the procedure to protect the delicate skin around the eyes.
- Attend follow-up appointments: Patients should attend all scheduled follow-up appointments with their surgeon to ensure proper healing and identify any potential complications early on.
It is important to carefully follow all postoperative instructions provided by your surgeon to ensure the best possible results and minimize the risks of complications. Patients should also be aware that it may take several weeks or even months for the final results of the procedure to become fully visible and for complete healing.
Why Do People Choose Double Eyelid Surgery?
There are several reasons why people choose to undergo double eyelid surgery. Some of the most common reasons include:
- Enhancing the appearance of the eyes: Double eyelid surgery can create a crease in the eyelid, which can make the eyes appear larger, more awake, and more youthful.
- Correcting asymmetry: Some people may have uneven eyelids or a single eyelid, which can create an asymmetrical appearance. Double eyelid surgery can help create a more symmetrical and balanced look.
- Boosting confidence: For some people, the appearance of their eyes may cause self-consciousness or insecurity. Double eyelid surgery can help boost confidence and self-esteem.
- Improving vision: In some cases, excess skin on the upper eyelid can droop and interfere with vision. Double eyelid surgery can help remove this excess skin and improve vision.
- Cultural or societal pressure: In some cultures or societies, having double eyelids is considered more attractive or desirable. Some people may choose to undergo double eyelid surgery to conform to these standards.
How to Prepare for Double Eyelid Surgery
Preparing for double eyelid surgery typically involves several steps to ensure the best possible outcome and minimize the risks of complications. Some of the steps that patients may be advised to take include:
- Choose a qualified and experienced surgeon: It is important to choose a surgeon who has experience performing double eyelid surgery and who is board-certified in plastic surgery or ophthalmology.
- Have an initial consultation with the surgeon: Patients should have a thorough consultation with the surgeon to discuss their goals for the procedure, unique needs, medical history, any concerns or questions they may have, and to ensure that they are a good candidate for the surgery.
- Follow preoperative instructions: Patients will receive specific instructions from their surgeon on how to prepare for the surgery, which may include avoiding certain medications, stopping smoking, and abstaining from alcohol or caffeine.
- Arrange for transportation: Patients will need to arrange for transportation to and from the surgical facility on the day of the procedure, as they will not be able to drive themselves home.
- Plan for recovery: Patients should plan for a period of rest and recovery after the surgery, which may involve taking time off work or arranging for help with childcare or other responsibilities.
- Purchase supplies: Patients may need to purchase supplies such as cold compresses, gauze, and prescription medications before the surgery.
- Arrange for postoperative care: Patients may need to arrange for postoperative care, such as help with changing bandages or administering eye drops, depending on their individual needs.
It is important for patients to carefully follow all preoperative instructions provided by their surgeon to ensure the best possible outcome and minimize the risks of complications.
What does Double Eyelid Surgery Do?
Double eyelid surgery, also known as blepharoplasty, is a cosmetic procedure that creates a crease in the upper eyelid. This procedure is typically performed on individuals who have a monolid or single eyelid, which means their upper eyelid does not have a natural crease.
During the surgery, an incision is made along the upper eyelid, and excess skin, muscle, and fat are removed. The surgeon then creates a crease in the eyelid by attaching the remaining skin and muscle to the underlying tissue. This results in a more defined eyelid contour and the appearance of a natural crease.
Double eyelid surgery is popular among individuals of Asian descent, as many people in this ethnic group have a monolid. The procedure can also be performed on individuals of other ethnicities who desire a more defined upper eyelid.

Tips for Minimizing Discomfort and Promoting Healing
There are several tips that can help minimize discomfort and promote healing following double eyelid surgery:
- Use cold compresses: Applying cold compresses to the eyes can help reduce swelling and discomfort in the first few days following the surgery.
- Keep the head elevated: Keeping the head elevated can also help reduce swelling and promote healing.
- Take pain medication as prescribed: Patients may be prescribed pain medication to help manage any discomfort following the surgery. It is important to take this medication as prescribed by the surgeon.
- Use eye drops or ointments as prescribed: Patients may be prescribed eye drops or ointments to help prevent infection and promote healing. It is important to use these medications as prescribed.
- Avoid rubbing the eyes: Patients should avoid rubbing their eyes or pulling on their eyelids, as this can disrupt the healing process.
- Avoid strenuous activity: Patients should avoid strenuous activity, such as exercise or heavy lifting, for several weeks following the surgery.
- Eat a healthy diet: Eating a healthy diet can help promote healing and reduce the risk of complications. It is important to eat a balanced diet rich in vitamins and nutrients.
- Attend follow-up appointments: Patients should attend all scheduled follow-up appointments with their surgeon to ensure proper healing and identify any potential complications early on.
How long does double eyelid last?
Generally double eyelid surgery results should last up to 20 years. It’s important to remember that aging never stops which is why the results are not permanent. This is why younger patients can expect results to last longer.
Why do Koreans have double eyelid surgery?
Double eyelid surgery, also known as blepharoplasty, is a cosmetic procedure that creates a crease in the upper eyelid. This procedure is popular among individuals of Asian descent, including Koreans, as many people in this ethnic group have a monolid, double eyelid line or single eyelid, which means their upper eyelid does not have a natural crease as Western eyelids do.
There are several reasons why Koreans and the Asian population may choose to undergo double eyelid surgery. One of the most common reasons is to enhance their appearance and achieve a more defined eyelid contour and create a double eyelid line. In Korean culture, there is a strong emphasis on beauty and physical appearance, and having double eyelids is often considered a desirable trait.
Another reason why Koreans may choose to undergo double eyelid surgery is to improve their job prospects. In Korea, there is a perception that having double eyelids can make a person look more professional and competent, which can be advantageous in certain industries such as entertainment and hospitality.
Double Eyelid Surgery Before and After
Before the surgery, individuals with a monolid may have eyes that appear small or tired due to the lack of a natural crease in the upper eyelid. After the surgery, the creation of a crease can make the eyes appear larger, more alert, and youthful.
Before the surgery, the lack of a natural crease in the upper eyelid can also make it difficult to apply eye makeup. After the surgery, the crease can provide a better surface for eye makeup application and enhance the overall appearance of the eyes.
How much does it cost to get Double Eyelids?
The cost of double eyelid surgery, also known as blepharoplasty, can vary widely depending on several factors, including the surgeon’s experience and location, the type of procedure, and the extent of the work that needs to be done.
On average, the cost of double eyelid surgery in the United States can range from $3,000 to $7,000. However, the cost can be higher or lower depending on the individual case and the factors mentioned above
How Long after Blepharoplasty can I wear Makeup
After double eyelid surgery / blepharoplasty you will need to wait two to three weeks before wearing makeup. For the first couple of weeks, your eyes will be sensitive and maybe swollen so makeup use isn’t ideal.
Does Insurance Cover Blepharoplasty
Generally, insurance companies will cover blepharoplasty and eyelid ptosis repair if the eyelids are causing a significant obstruction of the upper visual field that affects daily activities and quality of life.
Double Eyelid Surgery Conclusion
Double eyelid surgery is a popular cosmetic procedure that involves creating a crease in the upper eyelid to open up Asian eyes and fat removal from Asian eyelids. This very popular procedure can be performed using several different techniques and is typically performed on an outpatient basis under local anesthesia.
People choose Asian double eyelid surgery for a variety of reasons, including enhancing their appearance, boosting their self-confidence, and correcting vision problems caused by droopy eyelids. However, it is important for patients to have realistic expectations for the outcome of the surgery and to carefully consider the risks and benefits before undergoing the procedure.
This surgery is also a good option for severe eye bags.
Overall, double eyelid surgery can be a safe and effective way to enhance the appearance of the eyes and achieve a more youthful, refreshed look with a more well-defined crease. With careful preparation, proper aftercare, and an experienced facial plastic surgeon, patients can achieve a successful outcome and feel more confident in their appearance.
As with any type of surgery, do lots of research and choose a surgeon with extensive experience.
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