Alias Name
Open-incision Double Eyelid, Double Eyelid Surgery

Procedure Detail
Incision double eyelid surgery operates by designing the double eyelid lines, making the incisions in the eyelids, removing muscle and fat, and then tying down the muscle and the skin to fixate them.  The newly created double eyelid fold or crease will make your face look beautiful and much brighter. It will also bring balance and harmony to your overall appearance. The key is selection of the proper technique for each individual patient based on the preoperative assessment and patient preferences.

Features
Incision double-eyelid surgery can achieve greater satisfaction. This procedure is safe and can be used to perform complex or advanced eyelid ptosis correction through this open approach.

Benefits
Enlarge eyes, enhance “brightness” of eyes.  “Westernize” the appearance of an Asian eyelid to a certain extent.

Recommended
Sunken eye deformity, desire a wider double eyelid, new double eyelid line, excess skin hooding.

Suitable Candidate
Excessive fat, drooping and sagging of skin around eyes.

Popularity
⭐⭐⭐⭐⭐

Safety
⭐⭐⭐⭐⭐

Complexity
⭐⭐⭐⭐✩

Pros
The incision method is a reliable technique that has the additional benefit of removing wrinkles between the new double eyelid line and eyelashes. This technique is also useful in those who desire a wider or narrower double eyelid or in those who have slight sunken eye deformity. If patients wish to change the direction of the eyelashes to angle them slightly upward, the incision technique should be the method of choice.

Cons
A disadvantage of the incision method is that patients may have a visible scar show on the double eyelid line when they close their eyes. And this procedure require a skillful surgeon to perform.

Unsuitable Candidate
Patients with eyes infections; heart, liver, kidney and other vital organs, blood, and immune system disease; severe scars, or abnormal blood coagulation mechanism; menstrual and lactating; facial paralysis and Lagophthalmos; congenital amblyopia , Inner eye or outer eye with acute or chronic infection.

Scar
No

Treatment Time
1-1.5 hr

Anesthesia Method
Local anesthesia

Treatment Course
Single time

Procedures Technique
Surgery

Sustainability
Permanent

Recovery Period
3-6 months

Qualification
Practitioner in medical aesthetics or plastic surgeon

Pain Scale
Medium pain

Before the Procedure

1. Do not take medicines containing aspirin two weeks before surgery, because aspirin will reduce the function of platelet clot.

2. Patients with hypertension and diabetes should inform their doctors of their condition at the first visit so that the doctor can confirm Surgical plan.

3. Make sure you are healthy before the operation, without infectious diseases or other body inflammation.
4. Do not put on makeup before the operation.
5. Women should avoid procedure during menstrual periods; 6. Smokers should quit smoking one week in advance.

0-3rd days
Severe swelling period from 0 days to 3 days Recovery tips:
The most severe period of postoperative symptoms, including pain, obvious swelling, tight-pulling eyelids, and more discharge; there are signs of bleeding are normal.

Aftercare methods:

1. Change the dressing on the second day after the operation.

2. Apply cold compress, be careful not to put the ice pack directly on the eyelids, do it repeatedly.

3. Do take Oral anti-inflammatory and Swelling medicine.

4. Do more eye-opening exercises.
5. Clean the wound secretions with saline or alcohol before going to bed.

4-6th days
4 to 6 days rapid swelling period Recovery Tips:
The swelling situation has improved significantly. It may be normal to have mild bruising. A slight itching at the wound is a sign of healing.

Caring methods:

1. Keep the wound at the surgical site clean and dry, and no wetness before removing the stitches.
2. Rest levitated to promote better healing and improve swelling.
3. No smoking, no alcohol and no spicy food.

7th days, suture removal
Recovery tips:
7 days later go to the hospital for suture removal (because of the different surgical procedures, you need to follow the doctor’s order to remove the sutures).

Caring methods:

1. Keep the wound clean to prevent infection;

2. Within 24 hours after the stitches are removed, the wound should not be wetted; 
3. Do not rub the wound, apply scar ointment to dilute the scar.
4. Pay attention to a light diet and no spicy and irritating food.

8-15th days
8 to 15 days swelling period Recovery Tips:
During the period of swelling, the changes are more obvious. There may be redness and bruising around the wound, and it will gradually become lighter. Generally, after ten days, the postoperative effect has begun to show, but there will still be swelling.

Aftercare methods:

1. Keep the wound at the surgical site clean and dry.
2. Take proper rest and do more eye-opening exercises to promote blood circulation.
3. Those who wear contact lenses should avoid doing so for 2 weeks after surgery.

16-30th days
Recovery tips:
It may take a few weeks for healing to be complete, during which time you should not wear eye makeup.

Aftercare methods:

1. 1 month after surgery you should expect 80 percent of the swelling to have subsided.

31-180th days
31-180 days stable stage
Recovery tips:
1 month after surgery you should expect 80 percent of the swelling to have subsided. For the non-incision or suture technique double eyelid surgery, the final result will occur at the 2 months period! the final result will occur at about 6 months after surgery.

Aftercare methods:

1. In terms of daily activity, you should avoid any contact sport that may hit your eyelid. In addition, you should avoid direct sun exposure and applying makeup along the newly formed double eyelid for at least 1 month.

Reminder
The above postoperative care is for reference only. Due to individual differences and different surgical procedures, the recovery cycle, suture removal time and aftercare methods will be different. The specific plan is to follow the doctor’s advice.