Double eyelid surgery is the most commonly performed cosmetic surgery in China, accounting for half of the cosmetic surgeries performed daily, but double eyelid surgery is never as simple as a minor surgery as one might think. The completion of a perfect double eyelid surgery involves the doctor’s full understanding of the patient’s needs and psychology, familiarity with the anatomical structure of the human eye, rich clinical experience in double eyelid surgery and skillful surgical techniques, as well as the correct aesthetic concept of the eye. Therefore, it can be said that it is easy to do a good double eyelid surgery, but not easy to do a good double eyelid; it is easy to do a good double eyelid, but not easy to do every double eyelid. Before surgery, you should pay attention to the communication and exchange with the doctor. Personalized design in double eyelid surgery The main methods of forming double eyelids are buried line and incision. These two methods have their advantages and limitations. This requires the surgeon to choose the most appropriate method according to the patient’s condition and requirements. The buried wire method has a fast recovery and a natural post-operative shape, but is only suitable for girls with non-loose skin and non-bulky upper eyelid skin tissues; the incision method has a wide range of applications and a stable post-operative shape, but has a slow recovery and visible post-operative incision marks. Nowadays, there are some misconceptions about the surgical method. Most people think that the buried line or minimally invasive small incision method of double eyelid shaping is not durable, and insist on the full incision method. The choice of double eyelid width is also a very important aspect of the surgical design, to choose the most reasonable width of double eyelid form according to their own conditions, to avoid blindly requiring too wide double eyelid. The purpose of double eyelid surgery is to make the eyes look better, the width of the double eyelid should be in line with the eye contour and size, if blindly increase the width of the double eyelid will instead affect the eye shape, but cause disharmony between the double eyelid and the eye fissure. In fact, many people do not understand the purpose of opening the inner corner of the eye, but if there is an inner canthus, the effect of the double eyelid will be discounted if the inner corner is not opened. There is a simple test to determine if the inner corner of the eye needs to be widened. If the double eyelid fold line is broken and completely hidden in the inner canthus when simulating the double eyelid shape with a toothpick, the inner corner of the eye needs to be widened at the same time as the double eyelid surgery. There are two main methods of double eyelid surgery: the buried wire method and the incision method. The double eyelids formed by the buried wire method are not durable and are prone to become shallow or disappear. The double eyelids formed by the incision method are stable and long-lasting, but compared to the buried wire method, the post-operative recovery period is long and the incision marks are obvious, so it is easy to see that surgery has been done. It can be said that both methods have their advantages and disadvantages. A small 0.5cm incision is made at the outer corner of the eye where the double eyelid fold line is located, and through special surgical instruments, the thickened tissue in front of the lid is removed and then sutured and fixed to form a stable double eyelid. The advantage of this procedure is that there is no more embarrassing incision scar on the upper eyelid after surgery and the resulting double eyelid fold line is stable and smooth. Moreover, because there is no full incision of the upper eyelid skin, there is little tissue damage and the post-operative recovery rate is similar to that of the buried eyelid. The swelling of the upper eyelid quickly subsides and the natural look is restored within a short period of time without being detected as a surgically formed double eyelid. The relationship between canthoplasty and double eyelid surgery I have met many girls in the clinic who do not know much about the role of canthoplasty. From my observation, many of the girls who request double eyelid surgery have inner canthus and need to have their eyes widened in order to form good-looking and long-lasting double eyelids. If the inner canthus is not opened, the effect of the double eyelid will be compromised and will not form a good-looking eyelid shape. How to avoid scar formation in canthoplasty is a concern for many girls who have concerns about canthoplasty. Avoiding scar formation in the canthus requires good surgical skills and a proper understanding of why canthoplasty occurs. Many doctors do not really understand the meaning of canthopexy surgery and are unable to design and operate flexibly in the specific surgery. Finding a natural double eyelid fold The design of the shape and width of the double eyelid is not based on the doctor’s preference or personal requirements, but on the natural conditions of the individual. Every single eyelid girl has an invisible double eyelid line. If you pay attention, you will find that many girls’ double eyelids appear gradually over time, so everyone will have invisible double eyelid folds, only some girls’ will deepen and eventually form double eyelids, while some will not. Through observation I found that there is not one but two invisible eyelid folds. One is located along the lid and the other is located at the upper edge of the lid, and these two folds are usually 1-2 mm apart. When the procedure is designed, a toothpick is used to gently compress these two locations on the upper eyelid, and then the patient is able to form these two folds by gently opening the eyes. A natural double eyelid can be formed along both crease lines, but it will still vary depending on the individual. For girls with small eyes and thick upper eyelid tissues, it is best to choose the next line, which is narrower, but avoids the unnatural and bloated eyelids that can result from your own limitations. If your condition is good, or if the shape of your eyelids has been adjusted by opening the canthus, you should try to choose the upper fold line, as the double eyelids designed from this fold line will be wider and better looking, and the long-term effect after surgery will be better. Double eyelid surgery with a small incision in the outer canthus There are two main methods of double eyelid surgery: the buried wire method and the incision method, the double eyelid formed by the buried wire method is not durable and is prone to double eyelid shallowing or disappearance. The double eyelids formed by the incision method are stable and long-lasting, but compared to the buried wire method, the post-operative recovery period is long and the incision marks are obvious, so it is easy to see that surgery has been done. It can be said that both methods have their advantages and disadvantages. The surgical method involves making a small 0.5cm incision at the outer corner of the eyelid fold line, removing the thickened tissue in front of the lid through special surgical instruments, and then suturing it in place to form a stable double eyelid. The advantage of this procedure is that there is no more embarrassing incision scar on the upper eyelid after surgery and the resulting double eyelid fold line is stable and smooth. Moreover, because there is no full incision of the upper eyelid skin, there is little tissue damage and the post-operative recovery rate is similar to that of the buried eyelid. The swelling of the upper eyelid quickly subsides and the natural appearance of the eyelid is restored within a short period of time without being detected as a surgically formed double eyelid.