Double Eyelids

/ˈdʌb ə ˈʌɪ lɪd/ each of the upper and lower folds of skin which cover the eye when closed.
Double Eyelids

An eyelid is a thin fold of skin that covers and protects the eye and it is one of the thinnest skin in the body. The eyelids function to spread the tears and other secretions on the ete surface to keep it moist, since the eyeball, cornea, must be continuously moist. Eyelids keep the eyes from drying out when asleep, and the blink reflex protects the eye from foreign bodies. Most Asians have smaller and shallower eye sockets compared to our western counterparts, and Asians eyes are generally smaller too, and therefore there is a beauty pursuit among Asian to have double eyelids in order to achieve large and beautiful eyes.

Types of eyeshapes

  • Almond shaped

    Almond shaped eyes means the inner corners are more tapered and the other sides are more rounded, giving rise to the shape of an almond. Almond shaped eyes are considered as the best looking eye shapes as they ooze femininity and sexiness. Many celebrities are spotted with almond shaped eyes. Kim Kardashian, Beyonce, Anne Hathaway, Zoe Saldana, Rihanna and Jessica Alba are just examples for celebrites with almond shaped eyes.

    almond shaped eyes - Dark Eye circles by Dr Gerard Ee Singapore Kim Kardasian with almond shaped eyes - Dark Eye circles by Dr Gerard Ee Singapore
  • Roundish almond shaped

    Roundish almond shaped eyes have both the positives of a round shaped eyes and almond shaped eyes. Amanda Seyfried is a perfect example of someone having roundish almond shaped eyes.

    roundish almond shaped eyes - Dark Eye circles by Dr Gerard Ee Singapore Amanda Seyfried with roundish almond shaped eyes - Dark Eye circles by Dr Gerard Ee Singapore
  • Droopy shaped

    Droopy shaped eyes have a downward looking shape and people with droopy shaped eyes are often associated with the feeling of tiredness, inattentiveness, and sometimes friendliness. Paris Hilton is an example of someone having droopy shaped eyes.

    Droopy shaped eyes - Dark Eye circles by Dr Gerard Ee Singapore Paris Hilton with Droopy shaped eyes - Dark Eye circles by Dr Gerard Ee Singapore
  • Round shaped

    People with round shape eyes have eyes that appear very large and open looking, which often gives the girl-next-door innocent look. While people with round shape eyes don’t ooze the same amount of sexiness as people with almond shaped eyes, it does give people the much younger impression. Zoe Deschanel is a ome celebrities with round shaped eyes are Katy Perry, Zoe Deschanel and Penelope Cruz.

    Round shaped eyes - Dark Eye circles by Dr Gerard Ee Singapore Katy Perry Round shaped eyes - Dark Eye circles by Dr Gerard Ee Singapore

Types of eyelids

  • Low Height/hidden

    Low height or hidden double eyelids are often seen in Asians, and such eyelids typically cause the eyelashes to curl down, making the eyes look smaller and tired. People with low height or hidden double eyelids often have droopy shaped eyes as a result, and a double eyelid procedure to create a tapered fold double eyelid or parallel fold eyelid would achieve an almond shaped eyes or almond roundish shaped eyes.

    Low height or hidden double eyelids - Dark Eye Circles by Dr Gerard Ee Singapore
  • Medium Height

    You often can see the eyelid fold in a medium height double eyelid and this is often a much sought after double eyelids by Asians, in order to achieve bigger eyes and less downward curl of their eyelashes. Medium height double eyelid is suited for most eye shapes except for droopy shaped eyes, which will further enhance the droopiness.

    medium height double eyelids - Dark Eye Circles by Dr Gerard Ee Singapore
  • High Height

    People with high height double eyelids are often constantly mistaken as looking very surprised. This is an undesirable type of double eyelid that most people hope not to have unless you have enough eyelid skin and deep eye socket. While there 3 main types of double eyelids in terms of height, another way of looking at double eyelids is the type of fold the double eyelid has.

    high height double eyelids - Dark Eye Circles by Dr Gerard Ee Singapore

Types of double eyelids fold

  • Tapered fold

    Tapered fold double eyelid means the fold is not consistent, with the start or end of the fold tapering inwards more or deeper compared to the other end of the fold.

    Tapered fold double eyelids - Dark Eye Circles by Dr Gerard Ee Singapore
  • Parallel fold

    A parallel fold double eyelids means the fold is in parallel with your upper eye curve, and a parallel fold is often desired by most patients who seek to have their mono eyelids turned into double eyelids.

    Parallel fold double eyelids - Dark Eye Circles by Dr Gerard Ee Singapore

DIY to achieve double eyelids

  • Using 3M Magic Tape

    What you need: Scissors, floss stick, any scotch tape like 3M Magic Tape

    Step 1: Clean your fingers, hands and the scissors as we want to minimise bacteria from our hands and scissors entering the eyes.

    Step 2: Cut out the floss part of your floss pick to make sure there are no sharp edges.

    Step 3: Depending on the type of double eyelid shape you want, cut it out on the scotch tape.

    Step 4:An optional step, you may want to cut straight along the bottom part of the double eyelid shape tape that was prepared in step 3.

    Step 5: cut off the sharp edges of both sides of the tape to ensure that the tape doesn’t poke into your eyes.

    Step 6: Use the floss pick as a prong to secure the tape into place. Just gently poke along the tape to make sure it doesn’t lift. Try experimenting pasting the tape at different heights to of the upper eyelid skin to achieve different variations of heights till you get what you want.t

    DIY methods to create double eyelids are a temporary solution to what you hope for permanently. Next, read about permanent solutions to have the double eyelids you want.

Medical procedure to achieve double eyelid

  • Incisional Double Eyelid creation

    There are many blepharoplasty surgery techniques used to create double eyelids. In essence, the main differences between these blepharoplasty surgery methods lie in how long lasting and how much scar is left on the eyelid.

    Traditionally, only incisional (cutting) blepharoplasty surgery technique could produce lasting results to correct the various different eyelid conditions. However, the incisional blepharoplasty surgery technique will involve the blepharoplasty surgeon cutting and removing part of the upper eyelid skin, with the subsequent need for removal of stitches. There is also a potential noticeable long scar on the eyelids when they are closed. This method is however, a great and effective correction technique, if there is an excess of skin or muscle or severe eyelid skin drooping.

    The surgery time is about 30 minutes and you would be given local anesthesia. The stitches can be removed within a week and post recovery would take up to 5 days. This method of performing double eyelid surgery is suitable for patients with excess upper eyelid skin, thick eyelid skin or severe ptosis. This technique is performed by excising excess skin and soft tissue and fixation placement to the underlying eyelid structures. Depending on which underlying structure the crease is fixed upon, the fold will differ in its appearance and function.

    Incisional Double Eyelid creation - Dark Eye Circles by Dr Gerard Ee Singapore If you are hoping to have the double eyelid you desire, please call 65 6532 2400 to make an appointment with Dr Ee and he will advise you accordingly on the suitable procedures available for you or you can click here to send an email enquiry to Dr Ee or leave a comment below in the comments box.
  • Non-incisional Suture Double Eyelid creation

    Traditional non-incisional blepharoplasty surgery techniques that are being practiced may not produce lasting results and patients may have to repeat the procedure after a relatively short time. This is especially true of older suturing (“stitching”) blepharoplasty surgery techniques which are prone to thread slippage and breakage and resulting in loss of the created eyelid line. The suture method is suitable for patients that do not have redundant eyelid skin and have relatively thin or moderate eyelid thickness. Patients who suffer from ptosis (drooping eyelids) are not good candidates for this method of double eyelid surgery.

    The suture technique is less invasive and therefore results in less swelling and a shorter recovery time. Typically, after the suture technique double eye surgery, most swelling subsides within few weeks—although the final result comes in three to six months. There is relatively little bruising although it varies from patient to patient. One of the biggest advantages of the suture method is that the results most closely resemble a natural eye fold. A disadvantage of this method is that the results are not permanent. With this method the fold will eventually get smaller, weaker, and can even disappear due to suture loosening. There are also rare occurrences of suture rupture (i.e., breakage) necessitating revisional surgery.

  • Scarless Double Eyelid creation

    In recent years, a new and innovative ‘scarless’ double eyelids creation technique was invented. It is also known as the Double Suture and Twisted (DST) Technique for Scarless Double Eyelid creation.

    As noted by Dr. Charles Lee, certified plastic surgeon by the American Board of Plastic Surgery and American Board of Otolaryngology, a published report (over a 10 years follow-up) has shown that DST method of blepharoplasty surgery has approximately 1% risk of breakage and loss of fold per year. The duration of the procedure lasts less than an hour and there is shorter downtime and post-operative swelling, as compared to the incisional blepharoplasty surgery technique.

    Dr. Akihiro Minami (renowned plastic surgeon), the blepharoplasty surgeon who invented this innovative ‘scarless’ double eyelids creation blepharoplasty technique has performed 1,108 of such procedures during the past 10 years. The results demonstrate no case of loss of double eyelid line after follow-up periods ranging from 1 month to 7 years, with a mean follow-up time of 32 months.

    This technique embraces all the benefits of non-incisional blepharoplasty surgery techniques and yet produces longer lasting results comparable to some of the previous traditional incisional blepharoplasty surgery techniques.

    The DST method has been proven to last due to the unique double suturing within the eyelids. It produces virtually no scarring because no significant incisions are made. Thus, allows the procedure to be potentially reversible, simply by removing the sutures, in the event patients change their mind on their newly created double eyelids.

    The added advantage of the DST method is that because this blepharoplasty surgery method does not involve the removal of the upper eyelid skin, the worries of permanent deformity due to over removal of the upper eyelid skin and the resultant long scar is almost non-existent. The DST method can also correct all the above mentioned upper eyelid conditions, as well as revise some of the over or under correction of upper eyelid surgeries performed with the traditional cutting technique.

    The main risk for the DST method is suture failure. This happens when the suture in the double eyelid crease line breaks or become loose and results in loss of the double eyelid crease. This can happen when there is aggressive rubbing or can simply occur over time (usually over a few years).

    Scarless Double Eyelid creation - Dark Eye Circles by Dr Gerard Ee Singapore If you are hoping to have the double eyelid you desire, please call 65 6532 2400 to make an appointment with Dr Ee and he will advise you accordingly on the suitable procedures available for you or you can click here to send an email enquiry to Dr Ee or leave a comment below in the comments box.

Scarless double eyelid creation process

  • Eyelid creation

    The most important step is to be assessed by a trained doctor, who will assess the condition of your eyes and determine if you are a good candidate.

    Beauty lies in the eyes of the beholder. Because each individual’s definition of beauty is different, only a skilful and experienced doctor will be able provide you with personalized advice and do a variety of simulation on the eyelids, so that you will be able to decide for yourself if you like what you see and if the doctor’s “art” and aesthetic sense is consistent with that of yours.

    This allows you to make an informed decision instead of simply going ahead with the procedure, because that is what the practitioner can create. (NOTE: Not all doctors provide patients with simulation of the eyelids.) Next on, markings will be drawn on the upper eyelids before the exact procedure. Thereafter, local anaesthetic (LA) will be injected on the eyelids. Do expect some discomfort during the injection. The doctor will begin the procedure after about 15 minutes, so as to allow the LA to work and the blood vessels to constrict to minimize bleeding. No pain will be felt thereafter, but you may feel some pulling. The procedure will take about 30 minutes or less.

  • Healing process

    Swelling and bruising are inevitable after the procedure and the quality and rate of healing is unique for all individuals. For most patients, up to 50% of the swelling will subside after the first week, while the remaining swelling may take an average of 3 months or so to go down, although there are some patients whose swelling persists for more than 3 months.

  • Choices of anaesthesia

    We would recommend local anaesthesia (LA) over general anaesthesia (GA) when you are undergoing scarless double eyelid creation surgery.

    LA reduces the likelihood of failing to notice post operation complication such as bleeding, which can be overlooked if the patient is sedated and insensitive to pain and discomfort.

    Further, with the administration of LA, patients are less likely to feel nausea and/or throw up after the procedure, compared to when general anaesthesia is used. This is beneficial, because should vomiting happen, it may cause a rise in pressure and result in additional bleeding, swelling and bruising around the eyes.

If you are hoping to have the double eyelid you desire, please call 65 6532 2400 to make an appointment with Dr Ee and he will advise you accordingly on the suitable procedures available for you or you can click here to send an email enquiry to Dr Ee or leave a comment below in the comments box.
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