6 Minute Read

Single Eyelids

Key Facts

There are 2 main techniques for creating double eyelids. One is of course via surgery which is called incisional blepharoplasty and the other, non-surgical called non-incisional blepharoplasty.

Many people view the eyes as the most attractive part of the face. The eyes are also very important in conveying lots of emotion and non-verbal cues in day to day interactions. Therefore, the adage “the eyes are the windows to the soul” could not be truer. Yet, when the eye aperture is small, much of the gleam in the eyes are obstructed.

Eye contact is also quickly lost. Such is the case with most of the East Asian population of Chinese, Korean, and Mongolian descent. Single eyelid or monolid with “burden” factors is a common feature among the aforementioned population.

As illustrated above, the burden factors which are a thick fat pad plus excess skin pulls the upper eyelid down causing a smaller eye opening. This is made worse by eyelashes that are angled downwards, partially obstructing view.

Apart from being cosmetically undesirable, single eyelid with burden factors also present a challenge for the person to see in everyday life. The upper eyelids tire quickly as they are too heavy to be kept open.

He / she will also inadvertently raise the forehead muscles from time to time to help widen the eye aperture to see better, and soon end up with deep forehead wrinkles at a very young age. Socially, the person may even be viewed as always being un-energetic, sleepy or lazy.

Hence, it is no wonder that double eyelid creation has become one of the most popular cosmetic procedures in cosmetic surgery for East Asians with single eyelids, not just for aesthetic purposes but most are willing to do it just to see better.

Once the double eyelid has been created, it is much easier to apply makeup around the eyes. In fact, with the help of a lid crease and appropriate technique, makeup can give the illusion of bigger eyes, which is a much coveted feature among the East Asians.

There are 2 main techniques for creating double eyelids. One is of course via surgery which is called incisional blepharoplasty and the other, non-surgical called non-incisional blepharoplasty.

In surgery, an incision is made along the whole upper eyelid, fat pads are removed partially, and certain layers of the skin is anchored to deeper structures to create a lid crease. Surgery is the preferred method if the fat pads are especially thick or if there is excess skin to be trimmed.

Some clients with eyelid ptosis (“droopy eyelid) can have the ptosis corrected as well during the same surgery. The downside of surgery however will be the longer downtime with more swelling and bruising.

On the other hand, there are countless ways to create double eyelids via the non-surgical method. The gist of this method though will be by passing multiple non-absorbable sutures through the upper eyelids, then tying them up to create the double eyelid. Double eyelid creation

The procedure is much shorter compared to surgery with brief downtime, but client selection is more limited. Suitable candidates for the non-surgical method should be young with minimal loose upper eyelid skin and thin fat pads. The crease created may not last as long too because the knots become loose with time and soon unravel.

A word of caution that is to beware of replicating the exact double eyelid of a Caucasian eye on an East Asian face. Due to the flat profile and shallow eye socket of the East Asian skull, a high Caucasian-like double eyelid crease will look off-putting.

Instead, a subtle double eyelid will be most suited to the East Asian face. Hence, be realistic with your expectations and don’t be afraid to take your time to look for a surgeon with an aesthetic eye to craft the double eyelid for you.

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