If We All Have the Same Sized Eyeball, Why Can't People with a Double Lid Have a Monolid? Can Someone Please Explain In-depth?

I really wanna know how you can't just take the crease and pull it down or up through surgery to modify the shape of it. I mean, I've read another article about a girl that wants a mono lid like I do, and the doctors said that the scarring would be terrible and the doctor couldn't do it or something. I don't think it's true; I feel doctors just don't wanna waste their time on a surgery that may or may not be successful. Maybe make the eyelid more fatty with injections, so you have more skin?

Doctor Answers (2)

Correcttion of double eyelid


In patients of Asian ancestry there is often a lack of a well-defined upper eyelid crease.  This is related to several aspects of the anatomy.  First, the levator muscle, which lifts the eyelid when we look upward, is not anchored to a structure known as the tarsal plate.  Also there tends to be extra fat in the more superficial plane of the eyelid.

Techniques to correct this involve a reduction of the upper eyelid fat and a surgical attachment of the levator fascia to the upper edge of the tarsal plate.  This is often referred to as an anchor blepharoplasty.

Chicago Plastic Surgeon
5.0 out of 5 stars 8 reviews



Unless you have a good understanding of the anatomy of the eyelid, it would be impossible to fully describe this to you. There are fibers from the levator muscle [opens the eyelid] to the skin that forms the lid crease.

Some asians do not have these type of attachements: hence the single eyelid.

Trying to remove these attachments to remove the skin is near impossible because where-ever you cut the attachments, scarring will reform and cause further attachments. Hence a vicious cycle.

Yes you are right:  Surgeons do not want to waste time on surgery that will NOT be effective. Patients shouldn't want it either.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 23 reviews

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