Each method of double eyelid surgery has its advantages and disadvantages. There is no best method for everyone. Each type of eyes requires different method. Thus, the best method is the most suitable one for your type of eyes.
Actually, a minimal-incision or full-incision double eyelid surgery and excess eyelid removal is a surgery to achieve a permanent crease. However, it is frequently asked why the double eyelid surgery by minimal-incision technique does not last long. In fact, a minimal-incision double eyelid surgery is suitable for a young person having little excess eyelid. If this method is applied to a suitable person, the crease will last permanently. But if it is applied to a person having great excess eyelid, the crease may seem smaller because the drooping of excess eyelid covers the crease. Hence, it may be misunderstood that the formed crease does not last.
Since there is an excision of the excess eyelid, the wound will be as long as the eyelid folds. When it is completely healed, the wound will be hidden in the fold so, it will be invisible. For some person who has severe blepharoptosis, the wound may be longer than the lateral canthus because the drooping eyelid needed to be removed. And when it is completely healed (after 3-6 months), the wound will be invisible.
In general, the minimal-incision double eyelid surgery will cause very little swelling. The eyes will look quite normal after 3 days of the surgery.
The fat can be partially removed. Still, the fat and thick eyelids should be removed by an excision of excess eyelid through an upper blepharoplasty as it will be more effective and provide more natural-looking double eyelid.
The upper blepharoplasty causes swelling diversely. Normally, it will be the most swollen a few days after the surgery and gradually subsides in 1-3 weeks. In this regard, each patient has different physical conditions. Some bleed easily or tend to be more prone to swelling. Some take vitamins that cause easily bleeding than usual. A patient, who has very thick eyelids, having fat excised greatly, will experience swelling quite long. A patient who previously had upper blepharoplasty will experience swelling relatively long. The most important factor is age. It is noticed that the swelling in young patients can heal very fast. Some who came for removing stiches were almost completely healed in 7 days. On the contrary, the patients of over 50-70 years old take 2-3 months to be completely healed.
The crease can last permanently but the drooping of eyelids increase as people age.
Typically, it will be much swollen a few days after the surgery. Thus, you are recommended to rest and carefully apply a compress. After that, the swelling will gradually subside. You can wear glasses to conceal the wound and go to work normally. However, the wound must stay dry and hygienic. Remove the stiches in 5-7 days.
Usually, the stitches must be removed 5-7 days after the surgery. But the absorbable sutures take at least 3-4 weeks to become dissolved and disappear. As a result, there is higher potential for keloid formation in response to the absorbable sutures.
You can put on makeup after the wound is healed and completely dry, after the removal of stitches to prevent the infection.
It is suggested to wear contact lenses after the removal of stitches.
Yes, it is.
Not 100%. Although the fat is of patient’s own, the transposition of fat can result in an uncertain survival rate of fat cells depending on various factors e.g. individual response, surgery technique etc.
If the fat disappears after the fat graft transposition, it shows that the growth rate of transposed fat cells is inadequate. Therefore, it is recommended to discontinue the fat graft transposition. Instead, an injection of fat or filler is recommended.