Double Eyelid Surgery - Hong Plastic Surgery

Double Eyelid Surgery – Upper Blepharoplasty

About 50% of Asians do not have a double fold. The presence of a double fold will give the perception of a bigger and more attractive eye. There are generally two ways to create a double fold namely the Stitch Blepharoplasty or Scar less Double Eyelid Surgery and the Open Upper Blepharoplasty

What Is A Scar less Double Eyelid Surgery Or Stitch Upper Blepharoplasty?

The Stitch Upper Blepharoplasty is done by applying 3 anchoring stitches and connecting sutures between the anchoring sutures to create a smooth double eyelid fold and make it permanent. The sutures are left permanently inside and the puncture holes healed without leaving any noticeable scar.

Who is suitable for the Scar less Double Eyelid Surgery?

It is suitable for young people who have thin upper eyelids without excess skin. For those with thick upper eyelids due to fat, the excess fat may be removed at the same time through an additional small incision.

How long is the double eyelid surgical procedure? What is the Recovery Time?

The procedure is done under local anesthesia. The duration is about 45 mins to 1 hour. After a cold compress for 30 mins, the patient may do home to rest. There will be swelling for the first 2 days and will subside thereafter. Patients can generally return to work after 1 week. The double fold will look natural when the swelling has fully subsided after a month.

What Is Open Upper Blepharoplasty?

The open method involves making an incision along the intended fold, cutting away some skin, muscle, and fat, and anchoring the lower skin flap to the levator to create a double fold.

Who is suitable for Open Upper Blepharoplasty?

  • Young patients with thick upper eyelids or fatty upper eyelids. An incision is made to remove excess skin and fat.
  • Older patients who have droopy upper eyelids due to excess skin or fat that is covering the double fold or eyelashes. The excess skin is removed to reveal the double fold and give a more youthful appearance. The original double fold is preserved. If there is asymmetry of the double fold, it may be corrected at the same time as the upper blepharoplasty surgery.

How long is the procedure? What is the Recovery Time?

The procedure is done under local anesthesia and takes about 1 – 1.5 hours. After a cold compress to reduce swelling, the patient may go home to rest. There will be swelling for the first 3 days and will subside thereafter. The patient can generally return to work after the removal of stitches in 1 week. The double fold will look natural after the swelling has fully subsided in a month.

What Is Ptosis Correction Surgery?

Ptosis of the upper eyelid is a phenomenon where the upper eyelid is unable to fully open and the vision may be impaired or blocked. The severity of the ptosis can be graded as mild, moderate, or severe. Moderate and severe ptosis is medically indicated for surgical correction because it obstructs the visual field.

How is the procedure done?

The surgery may be done under local anesthesia as day surgery. The upper eyelid muscle and its attachments to the tarsal plate are exposed through an upper eyelid incision. The upper eyelid muscle or levator aponeurosis is repositioned or reattached back to the tarsal plate with multiple sutures. At the same time, the double fold is created or preserved.

What Is Epicanthoplasty?

Some Asian eyes are almond shape, slit-like, or has a ‘Mongoloid’ appearance. It has a medial epicanthic fold or an extra skin fold drooping over the inner side of the eye, making the eye aperture appear smaller and shorter. Epicanthoplasty is a surgical procedure to open up the inside corner of the eye by eliminating or lifting the inner skin fold. It will make the eye look rounder or bigger. Epicanthoplasty is also called ‘Opening up the Inside Corner of the Eye’ in Singapore. This procedure is commonly done together with double eyelid surgery.

How is Epicanthoplasty done?

Epicanthoplasty is done by using a modified Z-plasty technique or to create 2 skin flaps and reorientate them to eliminate the skin fold. The procedure takes about 1 hour under local anesthesia.


What is downtime?

  • Swelling for the first 1-2 days; advised to do cold compress
  • warm compress after 2 days to help in the resolution of a bruise.
  • Recovery time about 1 week

What is the cost?

  • Ranges from $2500 to $3500 per procedure.
  • Medication: $100- $20
  • 7% GST

What are the risks?

  • Immediate risk: bleeding, hematoma, and infection.
  • Longer-term risk: dry eye, change in the shape of the eye or ectropion, asymmetry and scarring, hollowness of eye, loss of double fold (<5% to minimal)

How long does it last?

  • The effect of surgery is long-lasting, usually more than 5 years.


  • Usually a cosmetic surgery; not covered by insurance.
  • Exception: Severe ptosis which obstructs the visual field.
The information written and published on this website is not intended to substitute the recommendations of a trained professional and does not replace a professional consultation.
It is advisable to undergo a formal consultation to help establish a relationship between the doctor and yourself, accurately determine your concerns/problems, and get the appropriate treatments for them.
It is also imperative to note that the contents of the website with respect to treatments, results and pricing can vary from individual to individual, and can only be accurately determined by the doctor upon diagnosis.
Do note that all medical treatments will only be administered upon proper consultation, with the requirement that patients be above 21 years of age to provide legal consent.

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Double Eyelid Surgery – Upper Blepharoplasty

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