Is it possible to get hidden double eyelids through eyelid surgery? (Photo)

Hello bubblekarp,  thank you for your question.  A lot of my patients who desire a natural eyelid crease and do not want to look too westernized would often opt for a small "inner" crease.  It can be performed surgically (either via a minimal incision technique/ full incision technique) and the crease can be designed to your desired width. Some patients would prefer the fold to be rather invisible medially and only have some pretarsal show at the end/laterally like the models as shown in your photos.   A photo of your own eyelids would be preferable to see if you are a candidate for double eyelid surgery or other adjunctive procedures (ptosis repair/ medial epicanthoplasty/ lateral canthal extension etc).  Hope that helps!Goretti H. Taghva MD

Thank you for sharing your question. It is possible to achieve the appearance you desire. See a very experienced Asian eyelid surgeon for comprehensive evaluation, discussion of goals and planning an appropriate treatment.Good luck,

You have a minor degree with internal muscle weakness. The correction of this will lead to a more alert look. It can be done through an incision on the skin or from the undersurface of the eyelid. A small crease is placed at the same time. The design and size of the crease can be marked out prior to taking you into the OR

Bubblecarp, it actually is very possible to achieve the appearance you seek through surgery.  You have a very slight ptosis of your lids and dermatochalasis (excess skin above your lashes).  This surgery is performed by forming a crease in the usual location as one for a "double" eyelid surgery.  A minimal ptosis repair is performed, followed by a small amount of fat removal, then removal of a small amount of skin. The result is that your residual overhanging skin can still lower your crease, but the ptosis surgery opens your eyes.  Hope this helps.  Cheers

It certainly would depend on your anatomy and goals as well as a few other factors but creating a very low crease that is almost undetectable is usually possible. I had a Korean patient recently ask me for a crease that was not visible when looking forward but only when looking down. She essentially said she wanted to look no different but still one of decrease and this was achievable. This is not that same patient but I will attach an example of a case that shows some very subtle results. You can use incision technique or suture technique to reach your goals but I tend to prefer incision technique. Make sure you get a consultation with someone who clearly performs Asian eyelid surgery very regularly. I think cases in which the patient wants to look natural have to be approached with care and planning so as not to create a result that is too dramatic. You can always do a little more surgery but if you go to far it's very hard to reverse it.Chase Lay, MDAsian eyelid surgery specialist