How to Choose the Right Double Eyelid Surgery Clinic

Key Takeaway

• Double eyelid surgery is suitable for people with monolids, hidden eyelids, droopy eyelids, or sagging outer corners of the eyes that interfere with vision. It is also recommended for those with uneven eyelid creases or weakened eyelid muscle (ptosis).
• There are several double eyelid surgery techniques, including long incision, short incision, three-point suture, inner corner eye extension, and ptosis surgery. 
• When choosing a clinic for double eyelid surgery, it is important to select one that meets medical standards. The surgeon should have extensive experience in eyelid surgery and recommend a technique that suits your facial structure. The surgeon should also explain the procedure thoroughly before surgery. In addition, the clinic should be clean, well-equipped with latest technological device, conveniently located, have genuine patient reviews, offer reasonable pricing, and provide comprehensive pre- and post-operative care.

Many people considering double eyelid surgery often wonder, “Which clinic should I choose for double eyelid surgery?” When selecting a clinic, it is important to consider the surgeon’s expertise and experience, the clinic’s reputation based on genuine patient reviews, the availability of various surgical techniques tailored to different eyelid shapes, and whether the clinic meets recognized medical standards. In addition, this article will guide you through everything you need to know before undergoing eyelid surgery. 

Who is Double Eyelid Surgery Suitable for?

Double eyelid surgery is suitable for those with:

• Monolid who wish to achieve larger, more defined eyes and enhance their overall facial appearance.
• Hidden eyelids caused by excess fat in the upper eyelids.
• Droopy eyelids or sagging outer corners of the eyes that interfere with vision.
• Uneven eyelid creases, whether one eyelid is higher than the other or the folds appear asymmetrical.
• Weakened eyelid muscles caused by genetics, aging, injury, or neurological conditions.

Who should not undergo double eyelid surgery

Double eyelid surgery is unsuitable for those with:

• Certain health conditions, including heart disease, diabetes, or high blood pressure
• Severely droopy eyes or thick eyelid skin 
• Incomplete eye closure (inability to fully close their eyes) 
• Bleeding disorder, which imposes high risks of excessive bleeding and other complications during surgery
• Recent eyelid surgery in which the surgical wound has not fully recovered

Different Eyelid Surgery Techniques

1. Full incision

The full-incision technique involves making an incision along the entire upper eyelid, from the inner corner to the outer corner of the eye. It offers a comprehensive solution for a wide range of eyelid concerns and is ideal for individuals with droopy eyelids, excess upper eyelid fat, or those seeking a well-defined, long-lasting double eyelid crease.

After eyelid surgery, it usually takes approximately three to six months for the creases to settle into place, depending on each individual.

Advantages

• Helps reduce the risk of droopy eyelids.
• Removes excess fat from the upper eyelids along the entire eyelid line.
• Creates a well-defined, proportionate, and natural-looking double eyelid crease.

Precautions

• Requires careful wound care and adherence to the surgeon's post-operative instructions.
• Involves a relatively longer recovery period, which varies depending on individual healing and post-operative care.

2. Short incision

The small-incision technique involves making a small incision, approximately 0.5–2 cm, in the center of the upper eyelid to remove excess fat and create a more defined double eyelid crease. Unlike the suture technique, this method allows the surgeon to remove excess eyelid fat while maintaining a very small incision, resulting in a more refined and natural-looking outcome. 

This technique is ideal for teenagers and individuals with thin eyelids, minimal excess fat, and mild eyelid drooping. It creates a natural-looking double eyelid crease while requiring only a small incision.

For those wondering where to undergo double eyelid surgery, we offer the Lovely No Stitch program, a minimally invasive double eyelid procedure with a small incision, as well as the Lovely No Stitch Levator technique, which combines the short-incision technique with levator muscle advancement. This approach also helps treat weakened eyelid muscles (ptosis), improving both eyelid function and appearance.

Advantages

• Lovely No Stitch Levator (small incision) the incision is approximately 2–5 mm. For procedures that involve ptosis surgery, the incision is approximately 9 mm.
• Results in less swelling and bruising compared with many other double eyelid surgery techniques.
• Creates a well-defined, aesthetically pleasing double eyelid crease that blends naturally with the original eyelid shape.
• Allows for the effective removal of excess upper eyelid fat, offering greater effectiveness than the three-point suture technique.
• Nine days after surgery, the sutures can be gently removed by yourself at home, without the need to return to the clinic.

Precaution

• Not suitable for individuals with severely sagging eyelids or a significant amount of excess eyelid skin.
• The double eyelid crease may become obscured by drooping eyelid skin more easily than with the full-incision technique.

3. Three-point suture

The three-point suture technique creates a double eyelid crease by making three small openings along the predetermined eyelid crease. A specialized suture is then threaded through these openings to secure the skin to the underlying levator muscle, creating a natural-looking double eyelid fold without requiring a full incision.

Advantages

• Leaves no long visible incision scar when the eyes are closed, resulting in a more natural appearance.
• Causes less swelling and bruising, with a shorter recovery period.
• Requires less procedure time than the full-incision technique.
• Ideal for younger individuals, those with thin eyelid skin, or anyone seeking a less invasive alternative to traditional eyelid surgery.

Precautions

• May not be suitable for individuals with thick eyelids or significant excess fat, as the double eyelid crease may loosen or become less defined over time.
• Cannot effectively treat severe eyelid drooping or remove large amounts of excess or sagging eyelid skin.

4. Inner corner eye extension

Inner corner eye surgery (epicanthoplasty) is a surgical procedure that remove excess skin covering the inner corners of the eye (epicanthal fold). It is often referred to as a "closed inner corner." The procedure helps reveal more of the eye, creating a larger, longer, and more open appearance. It is commonly performed alongside double eyelid surgery to achieve a more balanced facial appearance.

This technique is suitable for individuals with prominent epicanthal folds that cover the inner corners of the eyes or those whose eyes appear narrow or hidden, making the double eyelid crease less visible.

Advantages

• Creates the appearance of longer, larger, and more defined eyes compared with double eyelid surgery alone.
• Helps balance the distance between the eyes for improved facial proportions.
• Provides the eyes a softer, more approachable, and more youthful appearance.
• Performed using Dr. Roungkaw Technique, carefully tailored to each individual's eye shape and eyelid anatomy.

Precautions

• Requires a highly experienced surgeon to minimize the risk of noticeable scarring around the inner corner of the eye.

• Mild redness around the inner corners may be more noticeable during the initial healing period, but it typically fades over time with proper wound care.

5. Ptosis surgery

The levator muscle advancement technique is designed to correct weakened eyelid muscles (ptosis) while creating a well-defined double eyelid crease. During the procedure, the surgeon works on the deeper levator muscle layer to adjust and strengthen the eyelid-lifting muscle. This allows droopy or heavy eyelids to open more fully, improving both eyelid function and appearance. The technique is particularly effective for correcting sleepy-looking eyes, droopy eyelids, and uneven eyelids while achieving natural-looking results.

Advantages

Allows the eyes to open more fully while creating a well-defined double eyelid crease, reducing the appearance of sleepy or heavy-looking eyes.

• Improves eyelid symmetry by balancing the opening of both eyes.
• Helps reduce the habit of raising the eyebrows or wrinkling the forehead to compensate for droopy eyelids, which may help minimize the development of forehead lines over time.
• Restores volume to hollow-looking eyes and smooths multiple eyelid folds, creating a more youthful and defined appearance.
• Provides longer-lasting results than conventional double eyelid surgery by maintaining the eyelid shape.

Precautions

• The procedure is more complexed than first-time eyelid surgery, which must be performed by experienced eyelid surgeon.

10 CHECKLIST: How to Choose Double Eyelid Surgery Clinic

Reliable clinic with clinic operating license

Verify that the clinic is legally licensed to ensure it meets official medical standards and regulatory requirements. A reputable clinic should clearly display its 11-digit medical facility license number, confirming that it is properly registered and authorized to operate. Choosing a licensed clinic helps ensure you receive treatment in a safe, regulated environment while reducing the risk of poor surgical outcomes, hygiene-related issues, or complications that may require corrective surgery in the future.

Experienced and verifiable surgeon 

Selecting a surgeon with specialized experience in double eyelid surgery is essential for achieving natural-looking results. An experienced surgeon can recommend the most appropriate technique based on your eyelid anatomy and aesthetic goals. You should also verify the surgeon's credentials through the relevant medical licensing authority to confirm that they are a licensed physician with valid professional qualifications. This helps protect you from unlicensed practitioners or individuals falsely claiming to be medical professionals.

Personalized surgical techniques 

Choosing the right double eyelid surgery technique based on each individual's eye anatomy is essential for achieving the best possible results. Because every patient has unique eyelid characteristics and concerns, a single technique is not suitable for everyone. A thorough consultation and pre-operative assessment by an experienced surgeon are therefore crucial to evaluate your eyelid structure and recommend the most appropriate treatment approach for your specific needs.

Detailed explanation of chosen techniques

Receiving honest and straightforward consultation from both the surgeon and staff before the procedure helps ensure a more satisfying result. Even if you have already done your own research, an in-depth discussion allows you to gain a clearer and more accurate understanding of the surgical process.

This includes choosing the most suitable technique for your individual eye anatomy, setting realistic expectations for the outcome, and learning how to care for yourself properly after surgery. These steps help make your double eyelid surgery worthwhile and better aligned with your needs.

Clean and hygienic environment 

The hygiene standard of the clinic is another crucial factor which should not be overlooked when choosing a double eyelid surgery clinic. All surgical procedures should be performed in a sterile environment to minimize the risks of infection. The overall cleanliness and organization reflects the standard maintained in the operating room.

Modern medical equipment

Choose a clinic that is equipped with comprehensive medical equipment and facilities. A reputable clinic should have the necessary equipment to support both routine procedures and emergency situations, including cardiac monitoring equipment, blood pressure monitors, modern surgical instruments, and standard emergency resuscitation equipment. Well-equipped facilities help ensure patient safety throughout the surgical process.

Easily accessible

Choosing a clinic in a convenient and easily accessible location—whether near major landmarks or public transportation—can make the entire treatment process more convenient. From the initial consultation and the day of surgery to follow-up appointments and suture removal, an accessible location helps save time and reduces the inconvenience of traveling throughout your treatment journey.

Real patient reviews

Reading reviews from real patients is an important step when choosing a double eyelid surgery clinic. In addition to reflecting the clinic's experience and credibility, authentic reviews allow you to evaluate the surgeon's skills and aesthetic style across a variety of cases. Before-and-after photos, in particular, can help you determine whether the results align with your expectations, especially when they showcase natural-looking eyelids that complement each patient's facial features.

Reasonable pricing

When comparing the cost of double eyelid surgery, it is important to consider both the fairness of the pricing and the quality of care provided. A reputable clinic should clearly explain all costs involved, ensuring that pricing is transparent with no hidden fees. Be cautious of prices that seem unusually low, as they may indicate substandard facilities or treatment by unlicensed individuals posing as qualified medical professionals.

Pre and post-operative care

Ongoing follow-up after double eyelid surgery is an essential part of the recovery process. Regular follow-up appointments allow the surgeon to assess the healing of the eyelid crease, monitor for potential side effects or signs of infection, track swelling as it gradually subsides, and ensure that suture removal and other aspects of aftercare follow the recommended treatment plan.

At Lovely Eye & Skin Clinic, our Lovely Special Care team provides dedicated one-on-one support throughout your recovery after surgery with Dr. Roungkaw. From answering your questions to closely monitoring your healing progress, our team is committed to helping you recover comfortably and achieve the best possible outcome.

 

Where to Get Double Eyelid Surgery

• Surgical techniques: Prices are vary depending on the complexity of each technique. For example, Lovely No Stitch technique generally has a different starting price than the full-incision technique used to remove excess eyelid skin. Additional procedures, such as levator muscle advancement or orbital fat grafting, will also increase the overall cost due to the greater complexity of the procedure.
• Experience of the eyelid surgeon: Surgery performed by a board-certified, experienced eyelid surgeon typically reflects a higher level of expertise, precision, and a lower risk of complications.
• Clinic standards: Clinics with sterile operating rooms that meet international standards, along with advanced medical equipment and technology, often charge more because of the higher cost of providing quality patient care.
• Eye problems of each individual: First-time procedures for patients with favorable eyelid anatomy are generally less complex. However, cases involving excess eyelid fat, severe eyelid drooping, or revision surgery after previous eyelid procedures is more complicated. Therefore, it is typically more costly.

If you are considering places to get double eyelid surgery, Lovely Eye & Skin Clinic is recommended. The Lovely Specialist medical will provide guidance with Dr. Roungkaw Technique. You can discuss your goals and explore most suitable options before making decision. This can ensure natural-looking results that suit facial appearance. After surgical procedure, our Lovely Special Care team to provide dedicated follow-up and ongoing support throughout healing process.

Why Lovely Eye & Skin Clinic is Recommended for Double Eyelid Surgery?

1. Same standards as Dr. Roungkaw Technique: Every surgeon undergoes intensive training in every aspect of eyelid surgery, from double eyelid design and fat removal techniques to advanced procedures such asptosis surgery. Dr. Roungkaw closely evaluates each surgeon's skills and oversees quality control to ensure every procedure meets the clinic's high standards.

2. Natural-looking results: using Dr. Roungkaw Technique, we create well-proportioned, clearly defined double eyelid creases that look natural. Each eyelid design is carefully tailored to complement different facial features.

3. Personalized consultations: The Lovely Specialist perform a meticulous assessment of each patient's eyelid anatomy before recommending the most appropriate treatment. Every double eyelid design is customized to suit the individual's facial proportions, ensuring a natural result while addressing each concern effectively.

4. Surgical techniques: We offer innovative procedures such as New Lovely Microlaser, which uses laser technology to create cleaner incisions, minimize bleeding, and reduce swelling and bruising. We also provide Lovely Blepharoplasty Signature, a refined suturing technique that promotes tissue healing without leaving buried suture knots beneath the eyelid, resulting in a smoother, more natural-looking crease.

5. Comprehensive care from consultation: Our dedicated team provides detailed guidance before and after surgery, attentive support throughout the procedure, and close follow-up during recovery to ensure a comfortable experience and optimal results.

6. Extensive real patient reviews: We proudly showcase a wide range of before-and-after photos from real patients with different eyelid concerns. These cases reflect the extensive experience and expertise of our Lovely Specialist medical team.

Double Eyelid Surgery Reviews At Lovely Eye & Skin Clinic

Summary

Now that you know what to look for when choosing a double eyelid surgery clinic, it is important to consider several key factors, including the surgeon's expertise and experience, credible reviews from real patients, and the availability of surgical techniques tailored to each individual's eye anatomy. Another thing is selecting a licensed clinic that meets recognized medical standards, the surgeon provides a thorough consultation covering everything from pre-operative preparation, and the recommended surgical technique with post-operative care information.

For those seeking natural-looking, personalized results, Lovely Eye & Skin Clinic specializes in eyelid surgery with treatment plans tailored to each patient's unique facial features and eye anatomy. Our experienced surgeons carefully design the ideal double eyelid crease to complement your face, helping you achieve beautiful, balanced, and natural-looking results.

Frequently-Asked Questions (FAQ) About Double Eyelid Surgery

How long does the results last after eyelid surgery?

The duration of the results usually varies upon the surgical techniques used. The full-incision technique can typically provide results that last 10–15 years or longer, depending on post-operative care and the natural aging process of the skin.

 

When can double eyelid revision be performed after previous eyelid surgery?

Revision surgery cannot be performed immediately after the initial procedure. The eyelids need sufficient time to heal completely, and the swelling must fully subside so the final eyelid shape can be accurately assessed. In most cases, surgeons recommend waiting at least six months before considering revision surgery.

 

Can double eyelid creases get loosen after surgery?

Double eyelid surgery carries a small risk of the eyelid crease loosening or becoming less defined over time, although this is uncommon. The likelihood depends on the surgical technique used. In general, the three-point suture technique is more likely to loosen over time than the full-incision technique, which typically provides longer-lasting results.

 

What behavior should be avoided after eyelid surgery?

After double eyelid surgery, avoid getting the incision wet and refrain from rubbing your eyes during the first 5–7 days. You should also avoid sleeping on your stomach or side to prevent unnecessary pressure on the eyelids. In addition, avoid wearing eye makeup or contact lenses, and refrain from consuming spicy foods, fermented foods, and alcohol until your surgeon advises that it is safe to do so.

 

Information provided by Dr. Roungkaw Lovely Eye (Nutthamanee Siripakkaphant, M.D. Medical Licese No. 35780)
She pioneered Dr. Roungkaw Technique since 2010 and serves as co-founder of Lovely Eye & Skin Clinic