What are your treatment options for double eyelids and external eye corners?

  Patient: Hi Dr. Lin, I am a single eyelid girl and I have always wanted to open my eyelids, but I have a small eye fissure and the width and length of my eyes are small, do I need to open the outer corner of my eyes again? I also have a small distance between my eyes, so I don’t think I should open the inner corner of my eyes. What kind of surgery can I get to make my eyes bigger? Thank you! The length of your eyelids is still physiological, which is normal. Because each person has a size cheek, the lid length will also vary. Asian races most commonly have an inner canthus, which tends to give the impression that the two corners of the eyes are wide. I generally only advocate having the inner and outer canthus opened in those patients with congenital narrow lid syndrome. The reason you don’t advocate it at your age is that the scar is more pronounced here and it will be long, red for more than six months. You can improve the appearance with a double eyelid opening.  Patient: Thank you Dr. Lin. I was worried that opening only double eyelids would show my eyes round, that’s why I wanted to open the outer corner of my eyes to lengthen them a bit. I’ve seen the scar on the inner corner of my eyes and it’s acceptable, but I don’t know if the scar on the outer corner will be more obvious. Thank you, Dr. Lin.  Doctor: There are two types of outer canthus surgery, one is to shift the outer canthus to the outside and suture it, the lid fissure will be longer but the height will be smaller; the other is to cut the outer canthus, the lid fissure height and length will be improved, but the new lid margin has no eyelashes, can you accept it? My advice is to just open a double eyelid. “Natural is beautiful”, there is a degree of surgical improvement, you can’t just do whatever you want.  Patient: Is a buried line or an incision suitable for my eyes? If I have an incision, should I open them in a fan shape or parallel? What day of the week does Dr. Lin see you? Is there a limit to the number of patients who can register on the day of the clinic? How long does it usually take for the surgery after the clinic? How long after the surgery can I go to work?  Doctor: It is best to simulate the results on the spot to see whether it is open, fan type or parallel type. In the morning clinic, if there are no special circumstances, the surgery is performed in the afternoon of the same day. After surgery will be swollen, two or three days after surgery is the most serious, and then gradually recede, a week to remove the stitches should be able to go out. It will be natural in about a month.  Patient: Thank you very much Dr. Lin for your patience! Can I make an appointment with you here for this Friday morning? I only have two days off, Friday and Monday, plus 4 days on my double holiday. I may not be able to get your appointment if I arrive in Shanghai on Friday. Do I have to do the medication change on the next day and the stitch removal a week later at your hospital? If so, I need to book a hotel first.  Doctor: Yes, but please come as early as possible, because there will be no registration at noon and you won’t be able to pay for the surgery. It is better to change the medicine and remove the stitches here after the operation, so that everyone is at ease.  Patient: You will be doing the surgery yourself, right?  Doctor: I always do the surgery myself, you can rest assured of that.