What is double eyelid surgery?
In a lid with a natural crease, fine fibres connect the skin to the levator muscle; when the eye opens, the skin above folds neatly. A monolid lacks those connections, so the lid opens as one smooth surface and can hide the lashes.
Double eyelid surgery recreates that connection. The two main techniques are the non-incisional (buried suture) method and the incisional method, and they are part of the wider family of Asian eyelid surgery. If your eyes also open weakly, the crease is often combined with ptosis correction through the same incision.
Am I a good candidate for double eyelids?
- No crease, or a very low one that leaves no visible lid space.
- One crease on one eye only or folds that change through the day.
- Reliance on eyelid tape or glue every morning.
- Lashes pointing down because heavy skin pushes them.
- Adults in good health including men who prefer a subtle fold.
Men usually want a lower, straighter result — see male eyelid surgery for the design differences.
Non-incisional vs incisional double eyelid surgery
| Non-incisional | Partial incision | Full incision | |
| Suits | Thin lids, little fat | Mild fullness | Thick lids, extra skin |
| Fat removal | Very limited | Small amount | Yes |
| Scar | Barely visible points | Short line in crease | Fine line in crease |
| Main swelling | About 1 week | 1–2 weeks | 2–3 weeks |
| Risk of crease loosening | Higher over years | Moderate | Lowest |
What happens during double eyelid surgery?
Before & after
Before
After
More eyelid results are in our before & after gallery.
Double eyelid surgery recovery, week by week
| Day 1–3 | Swelling makes the crease look high and full; this is expected. |
|---|---|
| Day 5–7 | Stitches out after incisional surgery; most people go out with glasses. |
| Week 2–4 | Make-up and contact lenses resume; the fold looks more natural. |
| Month 2–6 | The crease relaxes to its final height and any scar fades. |
“The most common request I hear is: I want it to look like I was born with it. That is exactly how I plan it.”
Dr. Lee Yoo-jung · Chief DirectorWhat are the risks of double eyelid surgery?
Possible problems include asymmetry, a crease that is higher than intended or loosens over time (more likely with sutures), extra or multiple folds, prolonged swelling and, rarely, a visible suture knot. Removing too much fat can leave a hollow, aged look, so Dr. Lee is conservative. If you have had eyelid surgery before and are unhappy with it, revision blepharoplasty explains what can be corrected.
Frequently asked questions
Is double eyelid surgery permanent?
Incisional creases are long-lasting. Suture creases can loosen over the years, especially with thicker lids.
Will my new crease look natural?
It looks high and puffy at first, then softens over two to three months into its natural height.
Can I choose the shape?
Yes. You preview in-out, inside and parallel shapes with Dr. Lee and agree the design before surgery.
Do I need epicanthoplasty too?
Only if an inner-corner fold hides the start of the crease. Many patients do not; see epicanthoplasty.
When can I wear make-up?
Usually about two weeks after incisional surgery, and sooner after the suture method.
Can foreign patients have it on a short trip?
Yes. A five to seven day stay is generally enough for stitch removal and a check.

