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Double Eyelid Surgery with Eyelid Muscle Adjustment Technique

Double Eyelid Surgery with Non-Incisional Eyelid Muscle Adjustment

This is a non-incisional technique for adjusting the eyelid muscles to naturally reshape the eyes. It involves stitching the point where the eyelid muscle connects to the eyelid skin. It can correct sleepy-looking eyes, uneven double eyelids, and droopy eyelids—making the eyes appear larger, brighter, and more lively. The eyes become naturally bigger without external scarring. Recovery is minimal, allowing patients to return to daily life quickly.

Advantages of Non-Incisional Eyelid Muscle Adjustment Technique

Short surgical time: approximately 30–60 minutes
No external scarring, as the procedure is performed inside the eyelid
Minimal swelling and bruising, fast recovery
Naturally symmetrical eye appearance post-surgery

Limitations of Non-Incisional Eyelid Muscle Adjustment Technique

Sutures may loosen if the eyes are rubbed vigorously
Not suitable for patients with severe ptosis
Cannot remove excess fat
Sutures may loosen if not tied securely

Double Eyelid Surgery with Incisional Eyelid Muscle Adjustment

This technique adjusts the pulling strength of the eyelid-opening muscle to enhance eye brightness and definition. It involves making an incision along the upper eyelid.

Advantages of Incisional Eyelid Muscle Adjustment Technique

Results in naturally larger, brighter eyes
Suitable for all cases of droopy eyelids, sleepy eyes, and dull-looking eyes
Allows removal of excess fat from the eyelid
Eyelid crease remains intact

Limitations of Incisional Eyelid Muscle Adjustment Technique

More complex procedure requiring a highly skilled surgeon
Sutures must be removed due to external incision
More swelling and bruising compared to the non-incisional method
May leave minor visible scarring
Longer recovery time than the non-incisional method

During Double Eyelid Surgery

Both non-incisional and incisional eyelid muscle adjustment techniques are performed while the patient is awake. Local anesthesia is used. During surgery, the surgeon will ask the patient to open and close their eyes to assess and adjust the eyelid crease for symmetry. Double eyelid surgery and eyelid muscle adjustment must be performed by a board-certified specialist with high expertise, as it is a delicate procedure requiring precision.

Eyelid Muscle Adjustment Is Often Recommended Alongside:

Forehead lift
Forehead tightening
Endotine surgery

This is because patients with ptosis often raise their brows to help open their eyes, leading to forehead wrinkles. Combining eyelid muscle adjustment with double eyelid surgery addresses both concerns.

Double Eyelid Surgery Is a Personalized Cosmetic Procedure

It serves both corrective and aesthetic purposes. There are multiple techniques, and the results depend on the patient’s specific concerns. To achieve beautiful, natural-looking results that suit the facial structure, patients should research thoroughly. Each method has its pros and cons, and the surgeon’s expertise plays a crucial role in achieving optimal outcomes.

For Those Looking for a Double Eyelid Surgery Provider

You can consult with Dr. Beam (Dr. Kunaporn Tangthanawat), a board-certified facial plastic surgeon at BLS Surgery Center. She offers one-on-one consultations, analyzes and designs eyelid creases individually, creates natural-looking folds, and adjusts lash angles for enhanced eye charm. Consultations are free of charge.