Double Eyelid Surgery and Loss of Function?

is there any loss of eyelid function after Double eyelid surgery or do they have the same function(s) and movement as before the surgery?

Doctor Answers 10

Eyelid surgery should not alter eyelid function

Eyelid surgery, especially when done for purely cosmetic purposes should not alter eyelid function. It is normal to have some temporary changes in the immediate post operative period. But they should all go away in time. 

New York Oculoplastic Surgeon

Asian eyelid surgery and function

There should be no functional loss after asian eyelid surgery.   Techniques to create the eyelid fold are cosmetic procedures that should have no functional sequealae.

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 209 reviews

No loss of function to double eyelid surgery

There is no functional sequelae from receiving an Asian Blepharoplasty (double eyelid surgery). The mechanics of blinking should not be affected assuming the procedure is done properly and no too much skin is removed in the incisional technique or there is not too much tension with the non-incisional technique. 

George Min, MD
Bellevue Plastic Surgeon
5.0 out of 5 stars 28 reviews

No loss of eyelid function after double eyelid surgery

When performed correctly, there is no loss of eyelid function after eyelid surgery. Movement is the same except with the double eyelid procedure, where more of a crease is formed rather than a single eyelid.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Often function is improved

The double eyelid operation often works to OPEN the eyes wider, besides giving the impression of a more open eye. You can see that in many before-and-after photos in a well-done double eyelid operation.

Jeffrey Schiller, MD
Edison Oculoplastic Surgeon
5.0 out of 5 stars 11 reviews

Asian eyelid procedure should not affect eyelid function

Dear Alhambra333,

The Asian eyelid procedure should not affect eyelid function. The procedure is done near the lid margin, and it involves the creation of attachments from the lid skin to the underlying tissues which are involved in opening the eye. Once these attachments are created, a crease will be seen whenever the eye opens. It is the attention to detail when creating the attachment that will ensure a proper height, symmetry, and shape of the crease.

As long as it is done properly, there will be no effect on the function. No surgical procedure is without risk, so I recommend you consult with a board certified plastic surgeon who has experience and is comfortable with this procedure. Good luck.

Best regards,

Lawrence Tong MD FACS FRCSC

Lawrence Tong, MD
Toronto Plastic Surgeon
4.7 out of 5 stars 44 reviews

If done correctly there should be no loss of function of your eye after Asian Double Eyelid Surgery

If done correctly there should be no loss of function of your eye after Asian Double Eyelid Surgery. There are very important functional things in your eye that are manipulated during the creation of the Asian double eyelid crease.  It is quite a bit more complicated than when doing a blepharoplasty for other cosmetic reasons, such as for extra skin and tissue.  Almost anything could happen if your surgeon is not careful from eyesight function to eyelid opening function. You can read more about Asian Double Eyelid Crease Formation.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 84 reviews

Eyelid function should not change with Asian Eyelid Surgery

The eyelid has two main functions: 1) closure to protect the eye, 2) elevation out of the visual axis to allow sight. Properly performed double lid crease surgery or Asian eyelid surgery should not compromise these two functions.

Carlo Rob Bernardino, MD
Monterey Oculoplastic Surgeon
3.4 out of 5 stars 5 reviews

Loss function after doublid surgery

When performed properly there should be no loss of funtion of the upperlids . The main function of upper lid is closing and blinking.An improperly performed procedure with damage to the levator muscle may result in drooping of the lid.  You should discuss with your surgeon all the potential complications before the surgery.

Zain Kadri, MD
Los Angeles Facial Plastic Surgeon

Asian eyelid surgery and lid function.

The primary function of the eyelids is too protect the eyes. It provides mechanical protection as well as lubrication for the cornea. Any eyelids surgery must minimize any risk of interfering with the protective function of the eyelids.

The eyelids must fully close and continue to produce the mucous and oils necessary to protect the tear film and the cornea. It is common to have dry eyes, temporarily, for a short time after surgery, but once resolved, eyelid function should return to normal.

Some people are at higher risk for dry eyes and eyelid malposition after surgery. Sometimes the signs are subtle, so it is important to see a board certified plastic surgeon or ophthalmologist who is properly trained in eyelid surgery, and who has experience with Asian eyelids. In the San Francisco Bay Area, and most metropolitan areas, this should not be a problem.

Joseph Mele, MD
Walnut Creek Plastic Surgeon
4.5 out of 5 stars 17 reviews

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.