Roughly how much would it cost to fix a double/triple eyelid into a single eyelid? (Photo)

My left eye is a single eyelid, but my right eye has way more eyelid and sometimes can become a triple fold that won't go away no matter how I try to fix at it. What type of procedure would it take to make my right eyelid the same as my left one? And roughly how much would it cost?

Doctor Answers 6

Fold removal

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Thanks for your question.

If you wish to remove the folds of your right eyelid, it is possible to cut the attachments between the skin and deeper structures of the eyelid that are responsible for the fold.  The is the opposite of what we usually do in single asian eyelids, which is to create a fold.

A complication after double eyelid surgery is the creation of extra folds, often called triple folds.  I have never seen this complication in my practice after a non-incisional double eyelid procedure, but theoretically it is possible.  With incisional double eyelid procedures, especially with fat removal from the upper eyelid, additional areas of adhesion above the created eyelid fold can occur, which creates additional, unwanted folds.  

The surgery to correct this is to release these adhesions.  A similar procedure could be done in you.  There is a risk of recurrence and I would recommend the interposition of some of the fat in the upper eyelid between the orbicularis muscle and the levator muscle/aponeurosis to prevent recurrence.

Please seek a board certified plastic surgeon or opthalmologist that has significant experience in revisionary asian eyelid surgery.


Shim Ching, MD

Honolulu Plastic Surgeon
4.6 out of 5 stars 51 reviews


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A Left upper lid blepharoplasty with excess skin excision and new fold creation. There may be a need to operate on the right upper lid also to gain equality. The cost would be 3,000 for one lid and 5,800 for both if needed.

Fred Suess, MD (retired)
San Francisco Plastic Surgeon

Tarsal fold variations

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Often in Asians the skin is not attached to the tarsal plate, or cartilage that forms the support of the eyelid.  On one side it appears as you wish it and the other the skin appears unattached.  There is a difference in the fat compartments as well that must be addressed.  There may actually not be any difference in the amount of skin, just its distribution.  Prices will vary  but this is a procedure that can generally be done under local anesthesia with sedation. 

R. Laurence Berkowitz, MD
San Jose Plastic Surgeon
4.7 out of 5 stars 13 reviews

Roughly how much would it cost to fix a double/triple eyelid into a single eyelid

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Dear Jaximus,

You need to definitely consult with an experienced surgeon, preferably a Board Certified Facial Plastic and Reconstructive surgeon.  Price will vary from different surgeons but average would be approx. $4000. to $6000. You would need an exam to receive a definite quote. 

This is your face, and eyes are (most times) the first thing people look at, so I wouldn't try to go the cheaper route.  It would be harder to correct later if it was done incorrectly. 

Best of Luck!

Robert Shumway, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Triple eye lid

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Normally the eyelid skin forms one fold.
Patients with low brows may form an extra
fold. In your case there appear to exists
bilateral epicanthal folds. You should be
evaluated by a board certified plastic
surgeon with expertise in this area to 
recommend your best options. 
Best wishes.

Fernando Colon, MD
Columbus Plastic Surgeon
5.0 out of 5 stars 17 reviews

Cost vary. Your focus should be on finding the right surgeon rather than the lowest dollar.

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This is your face we are talking about.  You need an anchor blepharoplasty to create a single double fold on the left side that matches the right side as closely as possible.  This requires tremendous experience.  Many surgeons who offer eyelid surgery do not know how to properly expose the levator aponeurosis which is the upper eyelid tendon.  This tendon must be exposed to make a lasting repair that will hold up for the long term.  Do you homework.  See more than one surgeon.  The consultation should not be conducted by the surgeon from the door of the consultation room (i.e. "You'll do great with surgery.  My assistant Sally will answer all your questions and schedule your surgery").  

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 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.