Double Eyelid Surgery

$3,500

All inclusive. No more to pay.

All consultation fees are reimbursed if you proceed with blepharoplasty surgery with us.

EXPERT IN ASIAN EYELID SURGERY (DOUBLE EYELID SURGERY) IN SYDNEY – DR PETER KIM

Why Choose Us?

Dr. Peter Kim is widely recognised as an expert in Asian upper blepharoplasty and stands among the most experienced doctors in performing this specialized procedure. <Click here to read more about the credential>.

We are a dedicated blepharoplasty clinic. As we go through a large volume of blepharoplasties, we are able to provide you with an affordable and professional blepharoplasty service.

What is the purpose of this post?

This post requires approximately 20 minutes of reading and is centered around Dr. Kim sharing insights into Asian upper blepharoplasty.

It aims to assist prospective patients in making informed decisions.

We hope you find this post helpful in guiding you through your journey and encourage you to seek a consultation with Dr. Peter Kim to explore how he can enhance the beauty of your eyes.

Aim of Asian Blepharoplasty

The primary goal of Asian blepharoplasty is to create an attractive and aesthetically pleasing upper lid crease (double eyelid). An eye with double eyelid is considered to be more attractive.

Double eyelid surgery is all above creating a pleasing upper lid crease.

Defining Asian Eyelid Surgery

Asian eyelid surgery, known in Australia as an upper blepharoplasty for Asians or Asian blepharoplasty, is commonly referred to by Asians as “double eyelid surgery.”

This photo on the left is monolid and photo on the right is the double eyelid. Note the difference between the monolid and double lid is the presence of upper lid crease. This upper lid crease is what Asians call it a “double eyelid.”

There are two types of Asian blepharoplasty.

There are two types of Asian blepharoplasty. The approach to creating double eyelids in younger Asians is philosophically and practically different from that of mature Asians. This will be discussed below.

First approach is for younger Asians.

In this group, they usually either lack in upper lid crease (i.e. monolid) or have indistinct upper lid crease. The aim of double eyelid surgery in this group is to create their desired upper lid crease as demonstrated in the following photos.

This is an example of a young Asian person with monolid. Upper lid crease (double eyelid) was created non-surgically by inserting threads.

 

This is an example of young Asian person who had a small and indistinct upper lid creaes (double eyelids). She had an double eyelid surgery to make her upper lid crease more defined..

There are two ways of creating double eyelids in younger Asians.

First is non-surgical. Double eyelids can be created by non surgically inserting “threads”. The mechanism is similar to thread lifts.

Second is surgical. Double eyelids are created by making skin incision and removing the fat.

Whether through surgical methods or threads, a permanent upper eyelid crease (double eyelid) can be created.

Double eyelid “threads” are particularly popular due to their ability to create the upper lid crease (double eyelid) without leaving a visible scar.

However, it’s important to note that not everyone meets the criteria for non-surgical double eyelid threads. (Dr Kim published papers on this topic).

Second approach is for older Asians.

In this group, the aim is to give upper eyelid a lift. Upper eyelid skin can be lifted by directly removing the sagging skin at level of upper lid crease (upper blepharoplasty) or by lifting the skin from just below the eyebrow (sub-brow lift).

This diagram shows two surgeries: upper blepharoplasty and sub-brow lift. They can be performed in isolation or in combination.

Alternately, two procedures can be combined at the same time, to produce the most natural double eyelids. This procedure is called “Combined upper blepharoplasty and sub-brow lift” (Dr Kim published paper on this topic).

This patient had excessive upper eyelid skin which was removed, bulging fats removed, and new small and natural double eyelids created. This procedure is Asian Blepharoplasty. The cost is $3500.
Excess and sagging upper eyelid skin and fat were removed under local anaesthesia. $3,500. Photos were taken 6 weeks after the surgery.

Which double eyelid is best for me?

That depends on your personal choice.
 
There are four general shapes of double eyelids you can choose from as shown below.
 
which double eyelid procedure is best for me? Try picking one of these four shapes.
 
It is not easy for a person to choose one of these four shapes. This is why a consultation with Dr. Peter Kim is important. During the consultation, Dr. Kim will create several shapes for you to consider and choose the best eyelid shape for you. Then, he will develop a customized plan on how to achieve your desired eyelid shape.
 

Consultation

 
Consutlation is where you will get a customised and personal advice relevant and specific to you.
 
When you come in to see Dr. Kim, he will take your instructions and create the several double eyelid shapes that suits you.
 
Photo of the left is the original eye. Photo on the right is the predicted eyelid shape after the surgery.

This patient was offered two choices. (left) before (middle) predicted outcome after upper blepharoplasty (right) predicted outcome after combined sub-brow lift and upper blepharoplasty.
 
If you agree with the desired shape, then Dr. Kim will advise you on how to achieve your desired eyelid shape. In the above example, this patient was offered a sub-brow lift to lift the skin at the level of the eyebrow, and “threads” were placed in the upper eyelid crease to make the double eyelid more distinct.
 

Please have a look at the below tabs for more information about specific procedure.

 

Double Eyelid Surgery For Younger Asians (Photos)

Double Eyelid Surgery is very popular in young Asians. They can create double eyelids non surgically (using Durable Suture Technique) or surgically. The choice depends on individual’s anatomy and the desired eyelid shape.

Double Eyelid Surgery For Mature Asians (Photos)

Double Eyelid Procedures are very popular for mature Asian eyes. 

Which Procedure is right for me?

Which double eyelid procedure is best for me?

It all depends on what is your current eyelid shape and what eyelid shape you desire. 

The choice of the technique used depends on your current eyelid shape and the desired eyelid shape. We work backwards from your desired eyelid shape and plan to create your desired eyelid shape from your current eyelids.

You can choose the shape of double eyelids you wish for

These four types of eyelid shapes can be created/reshaped by altering the eyelid anatomy below.

Depending on what shape you would like to have, one more more of the following procedures may be needed to create, reshape or lift the double eyelids.

  • Full incision v Partial incision v Non-incision (non surgical)
  • Levator Lifting
  • Mongolian fold Surgery (epicanthoplasty)
  • Sub-Brow lifting

These procedures are generally done under local anaesthesia in doctor’s procedure room.

They are not covered by Medicare or private insurance.

More information on each of the procedures are listed below.

Asian Double Eyelid Surgery (Surgical Procedure)
Double eyelid surgeries are a popular surgical procedure for Asians who wish to create or reshape their double eyelids. It is Dr Kim’s intention to create the double eyelids non surgically whenever possible.
 
A surgery is required where there is excess skin hooding and where fat removal is desirable.
 
It is a procedure in which the upper eyelid crease is created or reshaped by removal of excess skin, removal of fat, creating double eyelids and stitching the skin. In some patients, where there is droopy eyebrows, sub-brow lifting will be recommended at the same time.
 
The procedure is performed under local anesthesia and usually takes about 60 minutes. It can be done in our clinic.
 
The result is permanent.
 
A consultation is essential to determine whether you may benefit from it, which procedure you require and to ensure that Dr. Kim can meet your expectations.
Double eyelid Threads (Durable Suture Technique)
Stitch double eyelids (Durable Suture Technique) are a popular as it is a non-surgical procedure for Asians who wish to create or reshape their double eyelids.
 
It is a procedure in which the upper eyelid crease is created by stitching it down to the tarsal plate. These stitches are called durable sutures. That is why our technique is called the Durable Suture Technique. Dr. Kim invented this technique, and it was originally published in the Australasian Journal of Cosmetic Surgery in 2009. A 15-year follow-up study on the use of this technique was published in the American Journal of Cosmetic Surgery in 2023.
 
It is popular because it is a quick, non-invasive procedure that does not leave a scar.
 
The procedure is performed under local anesthesia and usually takes about 30 minutes. It can be done in our clinic.
 
The result is permanent, but not everyone is suitable for this procedure.
 
A consultation is essential to determine whether you may benefit from it and to ensure that Dr. Kim can meet your expectations.
 
Following are some cases of double eyelids created using Durable Suture Technique:
small double eyelids reshaped to bigger double eyelids on fold type of double eyelids reshaped to parallel folds double eyelids created from monolids on fold type of double eyelids reshaped to outfold type
More examples of Durable Suture Technique – non surgical double eyelid plasty
 

This is the paper that was published in the American Journal of Cosmetic Surgery on Durable Suture technique – non surgical double eyelid plasty – by Dr Peter Kim. He has presented his 15 years of experience in DST.

Am J Cosmet Surg 0.0:07488068221148315
Mongolian Fold Surgery (Epicanthoplasty)
 Some poeple have medial epicanthal folds, also known as mongolian folds, which distorts the shape of asian double eyelids. If you wish to remove mongolian folds, then you have come to the right place. We specialise in mongolian fold surgery also known as epicanthoplasty.  
 
Here is an example of Mongolian fold (Epicanthal fold).
 
 
It is a flap of skin located in the inner corner of the eyelids. Up to 50% of Asians are born with mongolian folds.  In this patient, the mongolian fold was pulling down the inner part of double fold. So her natural double fold shape was type B or on-fold shape. She wanted to have type C or parallel fold double eyelids. By removing the mongolian fold through a procedure called medial epicanthoplasty, we have managed to create a parallel fold.
 
 
The biggest concern following epicanthoplasty is visiable scar. Scars generally heal well and it is not noticeable after 3 months as shown. However, some scars dont heal well and may need corrective treatments.
 
The cost for Mongolian fold as a stand alone procedure is $3,500.

This is the paper published in the Australasian Journal of Cosmetic Surgery on Dr Peter Kim’s epicanthoplasty technique in 2010. Dr Kim has used the same technque since 2010 and they are still relevant in epicanthoplasty in 2023.

Sub-Brow Lift
When sagging upper eyelid skin is caused by the heavy eyebrows, the best solution is to lift the upper eyelid skin from eyebrow.
 
This is called sub-brow lifting and Dr Kim has published his technque in the American Journal of Cosmetic Surgery titled “Combined Sub-Brow Lift and Upper Blepharoplasty to Minimize the Supratarsal Fold Thickness and Lateral Hooding: A Concept and Review of Cases”.
 
In those with heavy eyerbows, it can produce a more naturally appearing results.
 

Following are some of the results.

The cost for subrow lift is $4,000
Droopy Eyelid Surgery (Ptosis)
Droopy eyelid surgery is complex and has high recurrence rates.
We shorten the levator muscles non surgically.
This patient had one half of eyelid affected by ptosis. 
 
 
The cost for droopy eyelid surgery is $5,000.
Post Op Recovery


This patient had Asian upper blepharoplasty lift surgery.

This patient had Asian upper blepharoplasty lift surgery.

This patient had upper blepharoplasty lift surgery.

This patient had Asian upper blepharoplasty lift surgery.

This patient had non surgical double eyelid stitch called the durable suture technique. Results are before, 1 week, 6 weeks and 3mths. 

This photo demonstrates the post operative recovery following sub brow lift and upper blepharoplasty.

Complications

There are a number of complications that are generally associated with all surgeries, and some specific to upper blepharoplasty. Most complications are temporary and heal spontaneously.

Some of the things that could go wrong are:

  • scarring is unavoidable (we place the scar in the crease to make it less perceptible)
  • pain (usually paracetamol is sufficient),
  • prolonged swelling lasting for months and in rare event upto a year,
  • bleeding after discharge (need to return to the clinic to stop the bleed),
  • assymetry (10% normal) requiring correction,
  • abnormal scars (requiring scar injections and other corrections),
  • blurred vision (usually few days due to swelling),
  • dry eyes (need some lubricating eyedrops),
  • over and under correction (careful planning to avoid this),
  • not meeting patient’s expectations,  
  • infection (we routinely give antibiotics),
  • allergic reaction,
  • double eyelids gets undone,
  • We are not aware of any cases of blindness and death from blepharoplasties performed under local anaesthesia as these complications are usually related to the general anaesthesia. Under general anaesthesia, these complications were reported.
Our Expertise

Dr Peter Kim has published numerous papers on the topic of Asian Double Eyelid Surgery and blepharoplasty.

Ahn JT, Sang-Hui Kim P. Combined Sub-Brow Lift and Upper Blepharoplasty to Minimize the Supratarsal Fold Thickness and Lateral Hooding: A Concept and Review of Cases. The American Journal of Cosmetic Surgery. July 2022. 

  • Abstract

    Despite upper blepharoplasty being the most popular periorbital rejuvenation surgical procedure, in Asians with moderate to severe blepharochalasis, the occurrence of postoperative puffy supratarsal fold (double eyelid) and residual lateral hooding is not uncommon. A qualitative retrospective analysis of before and after photos of 268 cases of combined sub-brow lift and upper blepharoplasty was done. A substantial number of cases had satisfying supratarsal fold thickness and improvement in lateral hooding. A combined sub-brow lift and upper blepharoplasty is an effective method to reduce the supratarsal fold thickness and lateral hooding in Asians with moderate to severe blepharochalasis.

Durable Suture Technique: A Simple and Versatile Nonsurgical Technique to Create/Reshape Double Eyelid in Asians. The American Journal of Cosmetic Surgery. Jan 2023. 

  • Abstract
    Nonincisional double-eyelid plasty, the Durable Suture Technique, is a popular nonsurgical procedure for creating double eyelids on monolids. We report cases where the Durable Suture Technique was successfully applied to other Asian cosmetic eyelid indications. A series of before-and-after photos of patients who underwent the Durable Suture Technique were shown to demonstrate that it is effective in reshaping and rejuvenating the double eyelids, as well as treating post-blepharoplasty complications. The rationale for applying the Durable Suture Technique in the above nonstandard indications was discussed. The Durable Suture Technique is a versatile, nonsurgical cosmetic eyelid enhancement procedure in Asians.

T epicanthoplasty: New Surgical Treatment of Asian Mongolian Fold. Journal of Cosmetic Surgery & Medicine. 2010; 5 (1):58-62.

  • Abstract:
    Epicanthal fold (Mongolian Fold) is a unique feature of the Asian eye. It is present in the majority of Asians and is frequently and culturally seen as being aesthetically displeasing. There are numerous epicanthoplasty techniques reported in the literature that have been shown to be effective. However, they are technically difficult, complex in design, and not simple to learn. T-epicanthoplasty is a surgical approach to correct Mongolian folds using transposition micro-flap surgery for the epicanthal fold. It is simple to learn and offers an effective solution to the treatment of this common Asian cosmetic concern.
Disclaimer

As per Good Medical Practice Guideline, we would like to notify you that:

  • Any surgical, invasive, nonsurgical, or laser procedure carries risks.

  • Complications do and can occur.

  • Previous success is not a promissory indication of future success.

  • Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

  • All before and after photos on this site are Dr Peter Kim’s work.

  • Copyrights reserved by Dr Peter Kim.

The next step

The cost for Double eyelid surgery and Double eyelid “threads” is $3500.

If you have any questions or concerns about double eyelid surgery, please feel free to contact us. Dr Kim has helped hundreds of patients achieve their desired results. We would be happy to discuss the procedure with you in more detail and answer any questions you may have. To book an appointment, call 9411 4880.

Mandatory two consultations are required before the surgery, a cooling off period, Body Dysmorphic Disorder Assessment and a referral from your GP.

General information about blepharoplasty can be found on this webpage. During the consultation, our doctor will provide you with specific advice after reviewing your case. This is why the consultation is important.

 For your convenience, Dr Kim  consults at Chatswood, Eastwood and Cabramatta.

Contact us for a complementary consultation: