Eye Surgery

Non-Incisional Double Eyelid Surgery



Non-Incisional Double
Eyelid Surgery

Non-incisional double eyelid surgery is a relatively short operation time and quick recovery period, and it is also a surgery with high patient satisfaction. Suitable for young patients with thin eyelids. According to Dr. Chen’s expertise, he will always advise patients to utilize sutures to fix double eyelid folds if they can be created with them. The procedure is straightforward, the recuperation time is brief, and patient satisfaction is very high. After the operation, it is rather simple to adjust if you don’t like it. Before performing the procedure, the doctor will simulate the production of various heights of double eyelid folds using double eyelid hooks. The patient is instructed to evaluate his appearance in a mirror to see whether he likes the high double eyelid fold’s form and curvature. The appearance of the double eyelid is typically mimicked before surgery, which will be close to the final outcome once the swelling has subsided.

Would sewing create the double eyelid crease, and if so, will it make it disappear quickly? Although the double eyelid crease’s suture may become loose and dissolve, this is not as common as people may think. Disappear of double eyelid wrinkles don’t happen as frequently as people think. Typically, the double eyelid folds are covered rather than disappearing because the eyebrows and eyelids fall to hide them. Consequently, double eyelid surgery may be a better solution for patients with drooping brows, drooping eyelids, excessive eyelid fat, etc. To fix it, incisional double eyelid surgery might be more appropriate. Patients must carefully consider their options and consult with their doctors to choose the best action before having surgery.

Non-incisional double eyelid surgery

People who are younger and do not have loose or sagging eyelids are suitable for sutures to create double eyelids. Currently, Dr. Chen frequently uses the following two suture techniques.
1. The first type, “Stapling Double Eyelid Surgery,” is more frequently heard. Using sutures to flow back and forth through the conjunctiva on the inner surface of the eyelid and the skin outside the upper eyelid, this surgical procedure will leave 6–8 incisions approximately the size of a pinhole above the eyelid. The sutures will be used to mimic the fibers connect between skin and levator muscle. The eye lift power system and the surface of the eyelid are connected by fibers that extend to the epidermis, creating double eyelid folds. Due to the small size of the wound, almost no scar is visible, and the postoperative traces are concealed in the folds.Unless the wound is accidentally infected or inflamed, white dotted scars may appear.
2. The second type, "Seamless Non-incisional Double Eyelid Suture". A fully seamless non-incisional double eyelid suture procedure is possible for some people. The connection between the eye lift power system and the eyelid surface is made to form a double eyelid crease through 6–8 conjunctival incisions that are less than 1 mm in diameter. The upper eyelid is uninjured, but the inner side of the conjunctiva has a wound. You can use skin care and makeup right away after surgery because there is no need to clean the wound or change the dressing.

As for which kind of non-incisional double eyelid suture surgery is suitable for you, you need to visit the outpatient clinic and on-site evaluation by the doctor to decide the most suitable surgery method for you.

Stapler Stitching Non-
Incisional Double Eyelid
Seamless Non-incisional
Double Eyelid Surgery
Incisional Double Eyelid
young people,
single eyelid,
hidden loose eyelid
young people,
single eyelid,
hidden loose eyelid
Single eyelid,
Have excess fatty
deposits causing
Have loosening or
sagging skin causing
excess folds
Surgery Time1 hour1 hour1~2 hour
Local anesthesiaLocal anesthesiaLocal anesthesia
Prosquick recovery after
simple post-operative
eyelid fold adjustment
The eyelids are
completely wound-free,
after procedure can
immediately apply
makeup and eye
short operation time
and quick recovery
Removes loose upper
eyelid fat and skin. *but
not recommended for
"too much" removal of
thin upper eyelid and fat
ConsUnable to improve the
aging and sagging of
eyebrows and eyelids
It is difficult to adjust
the eyelid fold after
Difficult to rebuild and
longer recovery period
7 days7 days7~14 days
Close to
Natural Look
Normally one month,
The higher the non-
incisional double eyelid
fold, the longer the
recovery period
Normally one month,
The higher the non-
incisional double eyelid
fold, the longer the
recovery period
2-3 months above

The expertise of Dr. Chen in patient care is "surgical comparison." The above methods all require full communication between the patient and the doctor to discuss the most suitable surgical method for the patient.

Preoperative Preparation and Anesthesia

1. Before surgery, please let your doctor know if you have any drug allergies.
2. Anticoagulant medication must be stopped one week before to surgery in order to prevent intraoperative and postoperative bleeding.
3. Smoking should be avoided for at least two weeks before to and following surgery.
4. It is advised that medical professionals regulate and stabilize systemic disorders such as excessive blood pressure, heart disease, diabetes, abnormal thyroid function, etc. before undergoing surgery.
5. Please let your doctor know before surgery if you or anybody in your family has keloid or hypertrophic scars.
6. Because the patient’s eyes must frequently cooperate during the procedure to ensure precise symmetry, it is advised to do eyelid surgery while the patient is under local anesthetic.

Recovery process and post-operative care

1. To lessen discomfort and bruising, it is advised to apply ice for 10 minutes every hour for the first 5-7 days following eyelid surgery.
2. For three days following surgery, prophylactic oral antibiotics, anti- inflammatory, analgesic, detumescence, and other medications will be administered.
3. To replace the dressing, eye ointment will be prescribed by eyelid wound care. Once each in the morning and evening, change your clothes. Clean the site with normal saline or boiled water, remove any scabs or secretions, and then apply fresh ointment.
4. A week following the procedure, the sutures will be taken out.
5. It is advised to warm the skin (to the temperature of face wash water in the morning in winter) for 10 minutes every hour after the stitches are removed to hasten the healing of bruises.
6. Each person's level of postoperative swelling and bruising is different. It usually becomes apparent three to four days following surgery, and most people can feel better approximately two weeks later.
7. After the procedure, you can wash your face as usual, take a bath, dry your skin right away, and then apply the ointment. But refrain from swimming, wading in the stream alongside the sea, and taking a dip in the hot springs.
8. After surgery, stay away from strenuous activities like hard training, running, mountaineering, rock climbing, etc. It may raise blood pressure, result in bleeding, or leave wounds open.
9. The diet is generally healthy, but stay away from alcohol, smoke, and spicy food (too spicy and salty)

Sequelae and Complications

1. Asymmetry is the most frequent side effect of eyelid surgery, and some individuals require revision surgery.
2. There is a danger of infection, hemorrhage, inadequate wound healing, etc. with any operation.
3. Although all surgeries leave scars, the plastic surgeon will meticulously stitch and use extremely thin sutures to tuck the scars into the creases of the skin and the borders of the hair, making them less noticeable and more difficult to locate. Even so, the scar may still be momentarily red and elevated (1-2 months after the operation) until it stabilizes, but after two to six months the scar will often gradually fade and become less noticeable.

Any surgery or treatment carries risks, and the results can differ depending on the patient's condition. Each patient may require a different type of surgery and treatment. Complete communication and in-depth examination with the surgeon are necessary prior to surgery.