Incisional Upper Blepharoplasty

Incisional Upper Blepharoplasty is a plastic surgery procedure to remove excess skin, fat or other tissue from the upper eyelid. The procedure may be used to treat correct certain eyelid defects like ptosis (droopy upper eyelids), or for cosmetic purposes. It is one of the 2 main types of plastic surgery procedures to effectively create the signature crease seen in double eyelids (the other procedure being suture-based double eyelid surgery).

In this method, the crease is created via an incision made on the upper eyelid, as opposed to suture-based procedures, where the creased is created via strategic stitching of the upper eyelids.

Surgery procedure

First, the surgeon will discuss with the patient which type of crease is preferred (height and orientation).

Once decided, anesthesia will be administered. The surgeon will make an incision on the upper eyelid. Excess skin, fat and tissue are removed, and some muscles may be reattached depending on the patient. The incision is then sutured and the procedure is complete.

The effects are immediately visible post-surgery. However, the eyes are expected to look unnatural for about 2 weeks after the surgery due to surgical wounds, bruising and swelling. The best results can be seen from 2 months after the procedure, when the wounds have recovered and most or all of the scars have subsided.

FAQ

What is the difference between incision and suture double eyelid surgery?

Type of Double Eyelid SurgeryIncision-basedSuture-based
Length of surgery45 - 60 mins15 - 40 mins
Dowtime2 - 4 weeks1 - 2 weeks
Swelling and bruisingMild to moderateMild
Best effects seen after2 - 3 months4 - 6 weeks
ScarsMore likely to be noticeableLess likely to be noticeable
Other benefitsCan correct other eyelid issues such as droopy, asymmetric eyelids etc.May not be able to correct other eyelid issues
Longevity of double eyelidsLong-lasting/Permanent, usually non-reversibleSutures may degrade over several years, causing the crease to deform/slowly fade away. Additional care is required to maintain the sutures.

Is the procedure painful?

Other than the mild sting felt when administering the anesthesia, you should not feel any pain or discomfort. If local anesthesia is used, there might be some numbness, mild pulling and pushing sensation around your eyes.

Is there any downtime?

There will be mild to moderate bruising and swelling around the eyes after the procedure. These will usually subside in about 2 weeks. Your eyes might experience some irritation depending on the condition, but this will ease in a few days.

Are there any side effects/possible complications?

The wounds from the surgery may become infected/inflamed if it is unable to heal properly. The doctor will usually provide some medication to prevent this.

As skin and tissue are removed from the eyelids, the results from the procedure may be difficult to reverse should you change your mind in the future. The changes are usually permanent and irreversible. You should consult the surgeon in detail to understand all the potential risks/complications involved before proceeding.

What should I take note of before the procedure?

Avoid wearing double eyelid glue/eyelid stickers for about 2 weeks before to ensure that your eyelids are in their natural state during the procedure. This will reduce the chances of future complications.

Avoid tobacco and smoking for about a month before the procedure.

As with all surgical procedures, you should avoid blood-thinning and other related medication before the surgery to prevent excessive bleeding.

What should I take note of after the procedure?

You should avoid putting make-up and other cosmetic products (eyeliner, eyeshadow) around your eyes for up to 2 weeks as advised by the doctor.

The doctor may request that you avoid wearing contact lenses for several days after the procedure, depending on the individual.

Avoid putting excessive force on/around the eye area (general rubbing of your eyes, using makeup remover etc) until the wounds are completely healed to minimise the risks of infections and other complications.

Am I suitable for Incisional Upper Blepharoplasty?

You are suitable for Incisional Upper Blepharoplasty if you:
⦁ Have no upper eyelid crease
⦁ Have asymmetrical/uneven/multiple/hidden upper eyelid creases
⦁ Suffer from ptosis (upper eyelid droop)
⦁ Have excess fat in the upper eyelids.
⦁ Want to achieve a skinny eyelid look.
⦁ Have no major health issues

Please consult the surgeon before the procedure. He will advise you accordingly.

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