Double eyelids are those where the skin of the upper lid has a shallow groove above the lid margin, and when the eyes are opened the skin below this groove moves up, while the skin above this groove hangs loose and folds downward at the heavy lid groove. To form a pair of beautiful double eyelids, one must take into account the shape and width of the eyelids, the degree of upper lid swelling, the width of the lid fissure, the curvature of the lid margin, the ratio between the height and width of the eyes, and the eyebrow-eye spacing.
1.What kind of eyes are suitable for double eyelid surgery?
The eyes that are suitable for double eyelid are.
① those with larger eyes and thinner upper lid skin.
② those with one single eye and one double eye, or those with different widths and narrows
(3) Those who have double or half double eyelids, i.e., although they have double eyelids, only the outer half is left or disappears completely when they open their eyes wide.
(iv) Those with loose and sagging upper eyelid skin that presses on the eyelashes or blocks part of the visual field.
⑤ Those whose eye shape is less beautiful, such as octagonal eyes and large and small eyes, can also be improved by double eyelid surgery.
(6) For people with ptosis, double eyelid surgery can be performed at the same time as corrective surgery.
The eyes that are not suitable for double eyelid surgery are.
① those with too small eye fissures and too wide distance between the eyes.
② those with already wide eye fissures, short round eyes, strabismus, protruding eyes, etc.
③ the distance between the upper eyelid margin and the brow arch is too close.
④ those with ectropion or incomplete closure of the eyelid
⑤ those with infected upper lid skin.
⑥Patients with serious medical diseases, scarring or psychosomatic disorders.
2. Can I have double eyelid surgery for one single eye and one double eye?
Some people are born with one eye with single eyelid and the other eye with double eyelid, resulting in a large eye and a small eye, giving a feeling of asymmetry. Can the other eye be turned into double eyelid through surgery? The answer is yes. So, should we just turn the single eye into double eyelid, or should we redo both eyes? This is determined on a case-by-case basis. If the natural double eyelid has a very beautiful double eyelid, there is no need to remodel it, so let it prevail and change the single eyelid on the opposite side into a double eyelid that is symmetrical with it, but the final result can only be as close as the two sides, and it is still difficult to achieve complete symmetry. If the shape of the eye with natural double eyelids is not very ideal, or the double is very shallow or only half, it is best to operate both sides at the same time, so that you can get a more symmetrical and consistent double eyelids.
3.What is a blister eye? Can they be reshaped?
The blister eye is a special type of eye where the upper lid skin is loose, the orbicularis oris muscle is too thick, and there is too much fat under the skin, resulting in a bloated upper lid and a narrow lid fissure, which is not uncommon in the East. In normal people, there is an appropriate amount of fatty tissue around the eye to protect it, but when there is too much fat, it can easily form a blister eye. The blister eyes can be improved by double eyelid surgery through incision. During the surgery, excess skin, subcutaneous fat tissue, hypertrophic orbicularis muscle and excess fat in the orbital septum should be removed. After surgery, the patient’s eyes will open up, the upper lid will thin, and the appearance of the blister eye will improve significantly. It is not advisable to attempt to do double eyelids on blistered eyes with the buried line method because the eye fat is not reduced and it is difficult to make firm adhesions between the skin and the lid plate with the buried line alone, so the double eyelids are generally not very good looking and tend to narrow or even disappear.
4. My eyes are single eyelids, and they are swollen and thick as if I hadn’t slept, will my eyes look good with double eyelid surgery?
Single eyelids do not mean that they are not beautiful, and it is not necessary to evaluate the standard of beauty to see whether a person has double eyelids or not. But it is undeniable that double eyelids give people a stronger sense of three-dimensionality, and it is easier to set off the charm of the eyes. As the global aesthetic tends to be unified, more and more people agree that the thin skin, double eyelids, big eyes and upturned eyelashes of Europeans and Americans are beautiful. For this reason, double eyelid surgery has been one of the most performed procedures in plastic surgery in Asia. In your case, because your eyes are swollen and your skin is thick, you tend to give a tired or unrefined look, which can be improved by double eyelid surgery. The surgeon will remove the excess skin and swollen fat while doing double eyelid surgery according to your condition to make the result better after the surgery. Not only will your eyes look much larger, but your eyelids will be thinner and your eyelashes will be uplifted after the surgery. You can expect to have big, bright eyes within a few weeks after surgery.
5.I want to have double eyelid surgery, but when I went to the hospital for consultation, the doctor said that I have “inner canthus” and I need to have surgery at the same time. Is there such a case?
The “inner canthus” is one of the characteristics of Mongolian eyes, which is a small piece of half-moon shaped skin in the inner canthus of the eye that shifts from the upper eyelid to the lower eyelid. The normal facial standard is “three stops and five eyes”, which means that the width of the face is equal to the width of five eyes, and the distance between the two eyes is just equal to the width of one eye, while people with “medial canthus” have smaller eyes and wider eye spacing because the medial corner of the eye is covered by the canthus. The distance between the eyes becomes wider, giving a sense of incongruity with a wide nose and two separate eyes. Therefore, correcting the canthus at the same time as double eyelid surgery will make the eyes look bigger and more radiant. It is important to note that canthoplasty will leave a slight surgical mark on the inner canthus of the eye. If you are very concerned about this fine scar, you can do the double eyelid surgery first, and then decide whether to do the canthal surgery according to the post-operative results.
6.What should I do before the double eyelid surgery and will it affect my work and study after the surgery?
Before double eyelid surgery, you need to do two routine pre-operative laboratory tests for blood and rapid hepatitis B surface antigen so that the doctor can understand the pre-operative physical condition. The recovery period will be longer. On the day of surgery, you can prepare a pair of sunglasses to cover up after the surgery. You can resume your normal office work or study the day after surgery, but avoid overworking your eyes. Avoid smoking, alcohol and spicy food after surgery, take oral antibiotics for 3-5 days, and apply cold compresses within 48 hours after surgery and hot compresses after 48 hours, which will help to reduce swelling and disperse bruises faster after surgery. One week after surgery to remove the stitches, 24 hours after the removal of the stitches wound can be wet.
7.Can I change my double eyelids again if they are done badly?
There are various cases of bad double eyelids, some are good to repair, some are difficult to change. In general, the buried wire method has less damage, no skin, muscle and fat are removed, and the damage to the local structure is small, so it is easier to repair. For the same incision method, double eyelids with slight deformity, narrower double eyelids, no fat removal and excessive skin removal during surgery are easier to modify, and vice versa are more difficult to correct. The difficulty of double eyelid surgery repair is related to the number of surgeries, the more the number of surgeries the more damage to the tissue, the more difficult it is to correct. Therefore, the second repair of double eyelid must be cautious, after the last surgery to wait for a certain period of time, such as more than six months, to wait for the recovery of local tissues, the shape of stable and then carry out, not to rush to modify, and to find experienced doctors surgery, in order to get the maximum safety guarantee.
8.How much time do I usually have to swell after double eyelid surgery? Is there any way to speed up the swelling?
The length of swelling after double eyelid surgery is directly related to the surgical method and the physical condition of each person. Generally speaking, the swelling of the buried wire method is lighter than that of the incision method, and it will subside faster, while the incision method will be a little longer. The swelling will take longer for the second surgery than the first surgery. Swelling is faster in patients with good skin elasticity than in those with sagging skin, and it is faster in young people than in older people. In order to reduce post-operative swelling, local cold compresses can effectively reduce bleeding and swelling within 48 hours after surgery, and hot compresses after 3 days can help promote venous blood and lymphatic reflux and accelerate swelling reduction. In addition, you can also take some drugs to reduce swelling, and pay attention not to use your eyes excessively and keep a good rest.
9.How should I take care of myself after double eyelid surgery?
Post-operative care should pay attention to the following aspects.
(1) Keeping the wound clean and preventing infection is important after blepharoplasty. If the wound is not clean, infection can easily occur and lead to poor wound healing and scar formation. If there is blood crust or discharge on the wound after surgery, wipe it with sterile saline or medical alcohol.
(2) Prevention and control of bleeding, bruising or hematoma in surgical wound: If small blood vessels are damaged during surgery or incomplete intraoperative hemostasis, external impact on the eye after surgery, intense exercise, strong breath-holding, etc. can cause bleeding and hematoma in the wound. Excessive or improper activities should be avoided as much as possible to prevent them from occurring, and local wounds can be bandaged with pressure or cold compresses with ice packs, but the pressure should not be high to avoid damaging the eye. Once bleeding and severe hematoma occur after the operation, a follow-up visit to the hospital should be made in a timely manner.
(3) It is better to put the pillow higher when resting in bed to avoid aggravating the wound swelling by too low head position.