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Sieber Plastic Surgery San Francisco

What Is Double Eyelid Surgery?

Double Eyelid Surgery

It is not uncommon for people of Korean, Japanese, Chinese, and other North Eastern descents to desire larger looking eyes and more eyelid visibility. Naturally, these individuals tend to have a smaller lid height when compared to those of other backgrounds. The procedure that can help achieve these goals is called double eyelid surgery.

What Is Double Eyelid Surgery?

Double eyelid surgery — sometimes referred to as Asian eyelid surgery, Asian blepharoplasty, or double eyelid blepharoplasty — is a type of facial cosmetic eyelid surgery that creates an additional crease in the upper lid.

The surgery involves make an incision on the upper eyelid and removing excess eyelid skin and excess fat. Sometimes, a small amount of muscle is also removed. The incision is then carefully closed, and the incision line will create a new crease, which gives the patient additional visible eyelid space.

Double Eyelid Surgery vs Upper Eyelid BlepharoplastyWhat Is Double Eyelid Surgery

Patients frequently confuse double eyelid surgery with upper eyelid blepharoplasty. The two are very similar, but they are performed for different reasons.

As stated above, double eyelid surgery is performed primarily on individuals of North Eastern descent, who desire more of an eyelid appearance when their eyes are open. These patients have what’s called a monolid eyelid, and they feel that their eyes don’t open far enough. They would like to have that extra crease above their eyes.

On the other hand, upper eyelid blepharoplasty, or upper eyelid surgery, is usually performed on mature men and women of any descent who have signs of aging on their eyelids and something called ptosis

With that said, surgery on the upper eyelids can be performed on anyone of any age. It’s also not uncommon for younger patients to desire more of a lifted appearance on their upper lids and brow area and to undergo eyelid surgery to achieve that result.

What Is Eyelid Ptosis?

Ptosis is basically a drooping eyelid. It occurs when the upper lids sag, droop, and basically fall over the eye. Patients often find drooping eyelids unattractive on themselves, and they want their eyes to appear brighter and more open.

There’s also the potential for vision complication. Many patients who experience eyelid ptosis struggle to see because their upper lids are actually falling over their line of vision. In these cases, blepharoplasty can sometimes be covered by insurance because the procedure will restore vision and is therefore “medically necessary”.

Who Is a Good Candidate for Double Eyelid Surgery?

Double eyelid surgery is for patients who typically have monolid eyelids and who desire double eyelids with upper eyelid folds. These patients want an added upper lid crease and more space for their upper eyelids. They also typically desire a wider, more open appearing eye.

Patients should not have any major ongoing medical treatments or conditions, and they should be in good health and have realistic expectations. It is ideal when patients are nonsmokers as ceasing smoking is a prerequisite for surgery.

Double Eyelid Surgery Recovery

Following double eyelid surgery, mild bruising and swelling is common. You should see this significantly reduce in just a few days. Most patients will need to have their sutures removed about one week after surgery.

Before you have Asian eyelid surgery performed, be sure to ready your home by cooking make-ahead meals, buying some healthy snacks, setting up some entertainment, picking up your prescriptions, and readying some comfy clothes and a comfortable space where you can rest and heal.

Be sure to follow your surgeon’s directions for self-care as you recover. You’ll have directions on how to wash your face and care for your incision sites, how to sleep, what to refrain from (exercise, driving, etc.), and when to come in for followup appointments.

Double Eyelid Surgery CostFAQ: Double Eyelid Surgery

Does double eyelid surgery leave scars?

As for the visibility of the incision double eyelid surgery usually leaves a very faint scar just where the new eyelid crease is located. You can see examples of the scars left after this surgery in double eyelid surgery before and after photos. Typically, the eyelid scars are barely visible at all following a double eyelid procedure.

How much does double eyelid surgery cost?

Depending on the geographic location, the surgeon, the patient, and the proposed surgical approach, double eyelid surgery cost can vary widely. You’ll need to set up a consultation appointment if you want a quote for your particular surgery.

Are there double eyelid surgery risks?

Risks come with all types of plastic surgery, including double eyelid surgery. The most common potential complications include bleeding, anesthesia reactions, irritation and dry eyes, infection, and the development of a hematoma.

Fortunately, complications are uncommon following this procedure. Rarely, you’ll hear of a double eyelid surgery gone wrong. But in most of these cases, the surgeon was not adequately skilled or trained, or the patient did not care for their incision sites properly.

Call to Request a Consultation with Dr. Sieber

Double board certified plastic surgeon Dr. David Sieber performs Asian double eyelid surgery and other cosmetic surgery procedures at his San Francisco practice.

He can perform double eyelid surgery on patients with monolids who seek additional eyelid creases. And he can also help patients who want to reduce excess skin and fat on their upper lids to promote a more wide awake and open look.

To find out which procedure would be best for you, please give our office a call today and set up your own personal consultation appointment with Dr. Sieber.



Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

SF Scientist

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*


Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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