Asian Double Eyelid Surgery – FAQ – Dr Peter Kim

If you are unhappy about your eyelid shape and would like to create or reshape the double eyelid, you have come to the right place. Dr Peter Kim is one of the experts in this field. If you are enquiring about Asian Eyelid Lift Surgery, please click here.

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What is the difference between double eyelid and eye lift surgery?

There are two different cosmetic eyelid surgeries in Asians: Asian Double Eyelid Surgery and Asian Eye Lift Surgery. They are both called Asian eyelid surgery and it is confusing to the public.

Let me clarify this point for you.

This is an example of Asian Eyelid Lift Surgery

If you would like to read more about Eyelid Lift Surgery, please click here,

This is an example of Asian Double Eyelid Surgery.

before & After photos - double eyelid surgery - stitch technique - Dr Peter Kim

This webpage will discuss Asian Double Eyelid Surgery.

What is double eyelid surgery?

What is double eyelid surgery?

Double eyelid surgery, is also known as Asian blepharoplasty, Asian double eyelid surgery, or Asian eyelid surgery. It is a cosmetic procedure that creates or reshapes a crease/fold in the upper eyelid.

The eyelid crease/fold is also known as supratarsal fold (supratarsal crease), double fold, upper eyelid fold, eyelid fold, or more simply double eyelid. Double eyelid is a lay term used to describe the crease/fold in the upper eyelid. This eyelid crease/fold is highly desirable in Asians as it makes their eyes appear more attractive.

This is example of a classic double eyelid surgery where a double fold was created in a monolid eyelid.

before & After photos - double eyelid surgery - stitch technique - Dr Peter Kim

This is example of double eyelid surgery where one shape of double eyelid was re-shaped to another shape: small type B double eyelid was reshaped to type C double eyelid.

What percentage of Asians get eyelid surgery?

Generally, half of the world’s East-Asian population are born with double eyelids, while the other half has monolids. One in five people in Korea undergoes some form of cosmetic procedure, with double eyelid surgery being the most common.

According to a study published in the Archives of Plastic Surgery, double eyelid surgery was consistently the most popular cosmetic procedure in Korea, Hong Kong, Taiwan and China. In Asia, where it is estimated that 50-80% of women have had the procedure.

In Sydney, double eyelid surgery is becoming increasingly popular among Asians.

Why is double eyelid surgery popular in Asia?

There are a number of reasons why double eyelid surgery is so popular in Asia. The reason why this surgery is so popular in Asia is because of the aesthetics of the double eyelid. For many Asians, the double eyelid crease is seen as a sign of beauty. The double eyelid creates a more youthful and refreshed appearance. It also makes the eyes look bigger and more open. This surgery is perfect for those who want to improve their appearance and make a good first impression.

What are the benefits of double eyelid surgery?

There are many benefits associated with double eyelid surgery.

The most obvious benefit is the improved appearance of your eyes and to make them look more open. Double eyelids make people look more receptive and alert. It also makes it easier to apply makeup. Some are pleased to avoid eyelid taping, which can irritate the skin.

Double eyelid surgery can also help improve vision. In some cases, the upper eyelid skin can droop and hang over the eyelashes, causing obstruction of vision. In some cases, double eyelid surgery can also improve vision by creating a more open eyelid. The surgery can also help with functional problems, such as difficulty wearing makeup and ingrown eyelashes.

Why do Asians seek double eyelid surgery?

There are a few of the most common reasons for Asians to undergo double eyelid surgery:

  • to create double eyelids from monolids
  • to change the shape of double eyelids from one form to the other.
  • to make the eyes bigger horizontally
  • to make the eyes bigger vertically

This example demonstrates the above points.

What are the different types of double eyelid surgery?

There are three types of double eyelid surgery: partial incisional technique, full incisional technique and non incisional technique (suture method: Durable Suture Technique).

What is the right double eyelid surgery technique for me?

The choice of the best double eyelid surgery approach for you depends on your current and desired eyelid shape and the surgeon’s skill. Both are equally important.

Asian eyelid shapes are classified into five categories. The monolid and four distinct varieties of upper eyelid creases/folds:

4 popular double eyelid shapes

  • Type A: In-fold type in Japan, China, and Korea, where it’s quite common.
  • Type B: On-fold technique. This is the most popular double eyelid shape in Japan, China, and Korea.
  • Type C: Parallel fold type. This is the most common double eyelid shape in Vietnam, Thailand, and surrounding regions.
  • Type D: Eurasian fold type. This is the most popular double eyelid shape in the Northern and western parts of China and in Caucasians.

The most common eyelid shapes sought by Asians in Sydney are Type B and Type C. The choice of double eyelid shape is unique to each person, and it appears to be influenced by their ethnicity and cultural tradition.

The best double eyelid surgery techniques for you?

blepharoplasty sydney eye lift peter kim chatswood blepharoplasty sydney eye lift peter kim chatswood

Case 1. This person currently has no double fold and wishes to have a type A double fold shape. There is no excess upper eyelid skin and there is no bulging fat. The non incisional technique or suture method (Durable Suture Technique) was the best option for her. It leaves zero scarring, has a fast recovery time, and is cheaper.

Case 2. If the same individual wishes to have a type B double-fold shape, she will require a partial correction of the Mongolian fold. To reach this goal, she will require the full incision approach and epicanthoplasty. The downtime will be greater, scars in the inner corner of the eye may be visible, and the operation is more expensive.

Case 3. If the same person wants a type C double-fold shape, she will require complete removal of the Mongolian fold and some upper eyelid skin. The healing time would be significantly longer, scars would be more visible, and the surgery would be more expensive.

Case 4. If the same person wants a type D double-fold shape, she will require extensive surgery to remove the Mongolian fold as well as skin, muscle and fat. However, a Type D double fold would not look good on her face and the surgical risks that come with such a daring operation are unacceptable.

Depending on the individual’s desire, usually influenced by their cultural norm, an individual may request to have their eyelid shape altered to one of the four types of double eyelids. Once this decision is made, Dr Kim will use a set of appropriate surgical or non-surgical techniques to create one of the four desired double eyelid shapes.

How much does it cost to get double eyelid surgery?

The cost of double eyelid surgery will vary depending on the location of the surgery and the extent of the procedure. If you need Mongolian fold correction or ptosis repair, there is an additional fee. In general, you can expect to pay between $3500 and $5000 for the surgery.

We charge $3,500 for a standard double eyelid surgery or Durable Suture Technique. If you also need other procedures such as mongolian fold surgery or levator advancement procedure, there will be an additional cost.

What is involved in the surgery?

Double eyelid surgery is usually performed under local anesthesia, meaning that you will be awake during the procedure but your eyes will be numbed. Local anaesthetic injections are not particularly painful; nevertheless, there is a little discomfort associated with their administration. It is usually well tolerated.

In the non surgical approach, the Durable Suture Technique, Dr Kim will not make any skin incisions in the upper eyelid. A double crease/fold will be created and reshaped using the suture method. A few tiny permanent sutures are strategically placed in the upper eyelid crease to create a permanent double fold.

In the partial incisional technique, the surgeon will create the crease/fold using a smaller incision than the full incision approach. In this approach, bulging fat can be removed but not the excess skin. This technique is appropriate for someone with puffy eyes but not sagging eyes. Small incisions are closed with stitches.

In the standard full incision technique, the surgeon will make a larger incision in the upper eyelid crease. The advantage of this approach is that upper eyelid skin, fat and muscle can be removed or rearranged to create or reshape the crease/fold. The incisions will then be closed with stitches.

The surgery usually takes about 30 minutes to 2 hours depending on the complexity of the operation. You can expect to experience some swelling and bruising after the procedure. You may have blurred or double vision for a few hours. You will be discharged the same day, under supervision, and will need to take it easy for the next few days.

How would I feel after the surgery?

Most people will be able to see the shape of double eyelid immediately after the surgery.

Most people will experience some dryness, itchiness, and watering of the eyes for the first week after surgery.

It is important to avoid rubbing or touching your eyes during this time as this may undo the stitches securing the double fold. Simple measures such as applying a regular cold compress will help to reduce swelling.

You should also avoid activities that would increase your heart rate or blood pressure, such as strenuous exercise, for at least two weeks after surgery.

You will have a follow-up appointment with Dr Kim one week after the procedure to have your stitches removed.

You should be able to see the early results of your operation at this time.

The swelling will make your eyes appear puffy. The swelling takes anywhere from a few weeks to three months to settle. Once the swelling settles, the double eyelids will appear natural and most people are happy with the aesthetic appearance of their double eyelids and find that it has improved their appearance.

How long does it take to recover from double eyelid surgery?

Most people take one week off from work or school to recover. You will need to avoid strenuous activity and exposure to sunlight during this time. After two weeks, you should be able to return to your normal activities.

How would I look after the surgery and during the recovery?

There is a signficant individual variations on how one recovers from the surgery.

Below is the example of a ‘typical’ recovery.

Can you tell if someone had double eyelid surgery?

Double eyelid surgery (full incision and partial incision) leaves visible scars. However, the incisions are strategically placed in the fold/crease and it is not visible when the eyes are open. However, there is a possibility that you may be able to see small scars when the eyes are closed. Scars are often mistaken for a natural looking crease. The partial incision approach leaves a smaller visible scar. The durable suture technique does not leave any scars.

In general, double eyelid surgery is considered a very successful procedure with high patient satisfaction rates.

What are the risks associated with double eyelid surgery?

Double eyelid surgery is an invasive procedure and as with any surgical procedure, there are risks associated with double eyelid surgery.

The most common complication is asymmetry, which can occur if the crease is not placed evenly on both eyelids. Prolonged swelling is the next most common complication. A temporary bruising, double vision and blurred vision, lasting usually less than one week, are also relatively common.

Infection, keloid scar, and persistent edema lasting more than three months are uncommon problems.

After some weeks, most scars do heal well. Any residual scar does appear as a natural skin fold and this can be easily disguised.

What are some of the reasons for dissatisfaction following double eyelid surgery?

There are a few patients who are dissatisfied after double eyelid surgery. The main reasons for dissatisfaction are asymmetry, prolonged recovery due to swelling and double-fold/crease reopening. If this is a problem, your surgeon may offer you revision surgery to improve your appearance. However, this option is usually not taken until after the swelling has completely gone, which takes around three to six months following surgery.

What to do if you are unhappy with your cosmetic eyelid surgery?

If you are unhappy with your surgery, go back to your surgeon. That person is most familiar with your anatomy, how your tissue reacts and what happened during the surgery. Also, they will know the best next steps.

A couple of hints when going back to speak with your surgeon.

Try to be specific with what is wrong. i.e. “I don’t like that the eyelid crease is high) as opposed to “I don’t like how the eyes look”.

If there is something that should be done, your surgeon will usually solve the problem if something is needed (or reassure you if there isn’t).

Be patient with your surgeon. They want to help you and make you happy. Give them a chance to fix the problem or reassure you.

Does double eyelid surgery last?

Double eyelid surgery is a permanent procedure. The double fold crease will not go away, and it will be there for the rest of your life. As you get older, however, your skin will sag, making your double eyelids less apparent. When you get older, you may need to have another blepharoplasty.

However, there is a chance that the double eyelid may open up and undo the double fold. This is due to the fact that sutures used to create double fold loosen over time. And this is more probable if you rub your eyes after the operation. And this is why we ask you not to rub your eyes after the surgery. If double fold loosens, Dr Kim will correct it for you. All you need to do is to contact us.

What are the results of double eyelid surgery?

The results of double eyelid surgery are usually permanent, although the exact results will depend on your individual situation. In most cases, you can expect to see a significant improvement in the appearance of your eyes.

Your consultation

If you are considering double eyelid surgery, we encourage you to schedule a consultation with Dr Peter Kim. During your consultation, your surgeon will evaluate your objectives and concerns to see if double eyelid surgery is appropriate for you and, if so, which technique is best for you.

Bring a picture of your desired eyelid shape so that Dr Peter Kim may create a personalized strategy to meet your objectives. Bring any questions you want Dr Kim to answer, as well as a list of queries. Most FAQs are listed on this webpage.

The consultation fee for a normal consultation is $150, whereas the cost for a long consultation is $300. There is no Medicare rebate.


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 the Asian Cosmetic Surgery Clinic’s results.

  • Copyrights reserved by Dr Peter Kim.

The Next Step

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.

Our principal clinic, Asian Cosmetic Surgery Clinic (Dr Peter Kim Cosmetic Clinic) is located in Chatswood. For your convenience, Dr Kim also consults at Haymarket, Eastwood and Cabramatta.

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