What To Know About Double Eyelids

In double eyelid surgery, the upper eyelids are surgically folded inward to create the appearance of two eyes rather than one.

Blepharoplasty is a surgical treatment that can improve the appearance of your eyelids or fix a medical problem, such as sagging eyelids or bags under the eyes.

Read on to learn more about sweet double eyelid (ตาสองชั้นหวาน ๆ, which is the term in Thai) surgery, what to expect, before and after photos, alternatives to surgery, and more.

Surgery For Double Eyelids

Incisional Procedure

Here are the fundamentals of incisional double eyelid surgery:

  • A pencil mark will be placed at the precise measurements for the suggested double eyelid line.
  • Local anaesthetic will be used with intravenous sedation or general anaesthesia.
  • Multiple tiny incisions will be made along the natural crease of your upper and lower eyelids.
  • The affected area of the skin will be excised.
  • The surgeon will cut out the orbicularis oculi muscle and any excess fat between the incisions.
  • Four or five days after surgery, you’ll need to remove the skin glue or stitches used to close the incisions.

If you have thick skin, want to get rid of excess skin and fat, and want the results to last, the incisional method could be a viable choice. There is no way to undo this process. Possible dangers include anaphylaxis, infection, eyesight impairment (temporary or permanent) scarring, and allergic reaction to anaesthesia.

Non-Incisional Procedure

Incisions are not required to develop a double eyelid. The term “buried suture technique” describes this method. It can also be done using intravenous sedation and local anaesthetic instead of or in addition to general anaesthesia.

The eyelid will be measured and marked just as it would be for an incisional procedure. Next, punctures are produced in the skin regularly following the drawn line.

The punctures are then used to thread sutures, which are tightened to create a crease. The stitches will be hidden beneath the skin. There is no need to come back and get them taken off.

The non-incisional method leaves less of a scar and can be undone if necessary. The non-incisional process could be viable if you don’t require significant amounts of skin and fat removed. Possible complications include loosening of the double fold, asymmetry, infection, discomfort from the sutures, visible puncture marks when you close your eyelids, and an inclusion cyst caused by a hidden stitch.


Eyelids that have two distinct creases are known as “double eyelids.” Double eyelid surgery aims to create or enhance a crease in the eyelids. Discuss the procedure’s benefits and risks with your eye doctor and a board-certified plastic surgeon to see if you are a good candidate.