DST (Suture Technique) Asian Double Eyelid Surgery - Natural?

Is the DST (suture technique) asian double eyelid surgery look natural when the eyes are closed? I have heard that there will be a line / fold visible when the eyes are closed, which is not natural looking. Does the incisional method provide more natural looking eyes when the eyes are closed?

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DST natural looking

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6 Doctor Answers | Asked by natalie84 in Vancouver, BC

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It's the technician, not the technique, that is most important.

There are many different techniques for Asian eyelid surgery and they all have pros and cons. Most reputable surgeons don't just use one technique on every patient. Instead, they first understand what needs be done on their patients and choose the best technique to achieve the goal. Seeing a visible "fold/line" can potentially occur with any technique. It's the surgeon,not the technique, that is most important in achieving a good outcome in Asian eyelid surgery... more

Natural look with the suture technique

The suture technique results in very natural looking double eyelid creases. Even with the eyelids closed . The extremely fine sutures provide a gentle compression of the eyelid structures to form a crease from within that is not generally visible unless the eyes are open. Although the suture technique has limitations, for the right candidate it produces extremely natural result with a short recovery time.

Thomas Buonassisi, MD

28 reviews

Vancouver Facial Plastic Surgeon

www.8west.ca

Asian blepharoplasty and visible line when the eyelid is closed

Having a visible line after asian blepharoplasty is quite common and unavoidable most of the time. You can get an incision less method of creating the crease but in my opinion and the opinion of many other prominent Asian eyelid Surgery Surgeons is that the incision method is less reliable. Dermal levator fixation is the procedure performed by greater than 90% of asian blepharoplasty surgeons. This usually leads to less natural looking eyelids in my opinion. I prefer my technique that was... more

Philip Young, MD

6 reviews

Bellevue Facial Plastic Surgeon

DST - is it natural looking

The Double sutures with twisting is an excellent technique for the correct candidate. It requires both eyes to have good function of the eyelid - opening muscle (levator muscle). It does not allow for making the two eyes more symmetric if you have minor differences, and it should not be used if you have any ptosis. This is a subset of sutures based surgeries which is supposed to have more longevity than other types of suture based surgeries. It was described by Drs. Minami and Kure,... more

Charles S. Lee, MD

15 reviews

Los Angeles Plastic Surgeon

This varies with the eyelid.

DST can be very natural. The real issue is longevity, lash ptosis, and lack of customization of how the upper eyelid fold lays on the eyelid platform. For these reasons, I don't perform DST. DST is really a method for non-surgeons. If you have true eyelid expertise, the open method provides a superior method for definitively dealing the eyelid. However, it requires training, skill, experience, and yes more costly resources than threading a suture. For... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Asian Eyelid Surgery Suture Technique

Morning Natalie84, The answer is, yes, it looks natural. Both look very good and very natural in the hands of the right surgeon. You should go to a facial plastic or oculoplastic surgeon who does this frequently. My practice is essentially 99% Asian and most of the surgery I do is eyelids. I use the suture technique frequently, but not as often as the open technique since the open technique last forever vs. suture that can, in some cases, be less permanent.... more