Double suture method for double eyelid: what happens to my natural crease when I do the DST?

Question

I am half Chinese and already have small creases. I want the DST to make the creases a bit higher and more defined. What happens to my natural crease when I do the DST? Do they disappear? Also, when the crease formed by DST fades over time, does that mean I'll be left with a monolid since my natural creases will be removed by the DST? Lastly, if a tiny bit of excess skin is removed during DST, how long is the cut?

Elbert T. Cheng, MD · Answer

Thank you for your question. DST (double suture technique) is a non-incisional double eyelid surgery. The intention is to produce a crease in the upper eyelid, creating what is commonly called a “double eyelid.”  Using this technique, your board certified facial plastic surgeon will introduce a suture through tiny entry-points, then tie the suture to the levator muscles, lifting the eyelid and creating the fold. No skin is excised during a DST procedure.
If you have a lower crease presently, a DST procedure introducing a higher crease will minimize or eliminate that crease since a DST will lift the skin. The lower crease will mostly likely reoccur as the skin gradually falls over time. While DST procedures have several advantages, these procedures are not as long-lasting or predictable as procedures which use incision. Having a consultation with a board-certified facial plastic surgeon in your area will help you select the right procedure based on your needs. Good luck!- Elbert T. Cheng, MD

Double suture method for double eyelid: what happens to my natural crease when I do the DST?

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Double suture method for double eyelid: what happens to my natural crease when I do the DST?

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Everything you need to know about Double Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.