Double Eyelid Surgical Techniques

Incisional vs. Non-Incisional

There are two popular techniques available to perform double eyelid surgery, incisional and non-incisional techniques. During your consultation with Dr. Amadi, he will recommend the technique that will deliver the best results for you and your unique anatomy.


Incisional Technique

The most commonly performed technique with more permanent results is the incisional technique. This is the best option for people who want a more permanent, defined crease and want to resolve other eyelid issues as well such as drooping eyelids, excess fat, or asymmetry. A small incision is made across the upper lid and a minimal amount of skin is removed in the ideal location of where the double eyelid crease will form. Depending on the unique anatomy of the patient and their desired results, skin, muscle, or fat may be excised from the area. Dr. Amadi will then attach the levator palpebrae superioris (the muscle that is responsible for elevating the eyelid) directly to the dermal layer, creating a clearly defined natural crease. The incision will then be carefully closed with sutures and these stitches will be removed at your post op appointment, a week after your surgery with Dr. Amadi. 

Anesthesia Method: Local anesthesia and short term surface anesthesia
Surgery Time: 40 mins - 1 hour
Suture Removal: 4-6 days after surgery
Downtime After Surgery: About 1 - 2 weeks, moderate bruising and swelling
Longevity of Results: Permanent Crease

Non-Incisional Technique

The non-incisional technique (also known as suture technique) is minimally invasive and offers little downtime. No significant incisions are made but instead small punctures are created for sutures to be placed through. The sutures are then tightened until the desired crease is made. These sutures simulate the natural attachments that create an eyelid crease by creating a bond between the underlying deep tissue to the eyelid skin. This method is great for people with little excess eyelid fat. However, because this procedure does not include any skin, muscle, or fat excision, patients with redundant skin or excessive fat (“heavy burden”) would not be good candidates for this technique. The other drawback of this technique is that results are not as long lasting as the incisional technique, and may fade over time. Factors that may affect the longevity of your results include the strength of the suture over time, whether an adequate amount of scar tissue forms to keep the crease in place, and your post surgery after care (not rubbing your eyes, not bending down etc). Average length of results is 5-10 years. 

Anesthesia Method: Local anesthesia and short term surface anesthesia
Surgery Time: 30 mins
Suture Removal: Not necessary
Downtime After Surgery: About 5 - 10 days, mild bruising and swelling 
Longevity of Results: 5-10 years

 

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