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.
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.