Double Eyelid Surgery - What is It?

What is double eyelid surgery? I don't understand what it means to have double eyelids? 

Doctor Answers 24

Double Eyelid Surgery - What is It

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Double eyelid surgery is the creation of a fold in the upper eyelid in Asians.  Typically Patients of Asian descent do not have the upper eyelid fold and some desire to “westernize” their eyes by obtaining this fold through surgery.

Houston Plastic Surgeon
4.8 out of 5 stars 116 reviews

Asian eyelid surgery- Double eyelid surgery in Los Angeles

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Double eyelid surgery is a type of upper Blepharoplasty or eyelid surgery  designed for oriental eyelids which do'nt have an eyelid fold. this procedure creates the upper eyelid fold to make the eyelids look more Caucasian.

Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.4 out of 5 stars 51 reviews

"Double Eyelid Surgery" Creates a Crease in the Asian Eyelid

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About half of people of Asian descent will not have a distinct crease in the upper eyelid.  Some may elect to have a surgeon create this crease.

"Double Eyelid Surgery" is the term used for creating the crease.


Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.7 out of 5 stars 45 reviews

The crease separates the eyelid into two segements

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Double eyelid surgery refers to a procedure used to create a crease in the eyelid for those who don’t have one. Roughly 50% of Asians have a crease that forms when they open their eyes. This crease essentially divides the eyelid into two segment, hence the therm “double eyelid”.

When a patient does not have a double eyelid but desires ones, the surgery creates a tiny scar under the surface of the skin that tethers the skin to the underlying muscle so that when the eye is opened it folds inward creating the crease. This is a popular procedure and when done well looks very natural

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
4.9 out of 5 stars 114 reviews

Double eyelid surgery

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Double eyelid surgery is the same as blepharoplasty. The term is used when performed on Asians who do not have an eyelid crease. The difference is that the surgeon needs to be extra careful not to create an overly high crease, must change the angle of the incision line and must maintain a natural appearance. See an eyelid specialist who has experience with Asian eyelids and challenging cases.

Extension of Blepharoplasty Surgery for Asian Eyes

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                  The double eyelid procedure is performed to make Asian eyes look more western. The procedure is an extension of Blepharoplasty surgery that dramatically changes the appearance of the eyes by creating an upper eyelid crease. The procedure is associated with high levels of patient satisfaction. 

Double Eyelid Surgery

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It is a type of blepharoplasty designed for oriental patients who don't have an upper eyelid that creases. This procedure surgically creates a crease by making an incision on the upper eyelid.This is something that some Asians opt for to create a crease to give the client more "westernized" eyes.


Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

Definition of Double Eyelid Surgery

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Double eyelid surgery refers to a procedure to give an Asian eyelid with no upper eyelid crease
a more western appearance (also called eyelid westernization). This procedure typically involves approaching the eye through a blepharoplasty incision in the upper eyelid crease. Extra skin and fatty tissue is often removed. The skin is then sewn down to the deeper layers of the eyelid to create a crease. This allows for the different appearance.
It also allows women to place make-up on their new upper eyelid.
Recovery is similar to blepharoplasty; sutures in for a week, make-up can be applied after ten days, most activities resumed and getting back out in public by two weeks.

For those seeking a new appearance to their eyelids, double eyelid surgery can be a great option.

Mark Hamilton, MD
Indianapolis Facial Plastic Surgeon
4.8 out of 5 stars 50 reviews

Double eyelid surgery

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 Double eyelid surgery is intended for patients frequently of Asian heritage to create a more “westernized look”. A westernized look means creating a distinctive upper eyelid crease just above the lash line.


Yael Halaas, MD
Manhattan Facial Plastic Surgeon
4.8 out of 5 stars 43 reviews

Lid crease creation

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The term for this surgery is unusual as we are not forming a double eyelid.   The purpose of the surgery is to form a more distinct crease in the upper eyelid that many Asians do not have.  It is usually done under local anesthesia.

Mikel Lo, MD
Tucson Oculoplastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.