Eye surgery

Incisional double eyelid surgery

VIEW's incisional method cuts along the eyelid line, removes excess fat and muscle, then sutures a permanent, well-defined crease. It takes 30 minutes to an hour and suits thick eyelids, heavy fat pockets or loose skin that non-incision methods cannot correct.

Who it suits

  • Thick eyelids with substantial fat or muscle
  • Sagging skin that hides the crease
  • Want a sharp, permanent crease

Technique highlights

  • Suitable for any eye shape, even thick eyelids with heavy fat
  • Removes the fat and muscle that obscure the fold for a clearer result
  • The dermis is sutured to the upper eyelid muscle for a lasting fold
  • Tissue damage is minimised during surgery to shorten recovery

Surgical steps

  • Consultation and eyelid-line design matched to the patient's facial proportions.
  • Under sleep sedation, an incision is made along the designed line — the procedure takes 30 minutes to 1 hour.
  • Excess fat and muscle are removed according to the patient's tissue, then sutured to form the crease.
  • The wound is checked under sterile conditions and sutures removed within 7 days.

Recovery & aftercare

  • Sutures are removed 7 days after surgery under sterile conditions.
  • Follow-up again at 2 weeks, with periodic checks over 1-6 months.
  • Back to daily life in about 7 days, though the line may look slightly unnatural at first.
  • The scar fades until it is barely visible once swelling subsides and tissue fully settles.

Risks & things to consider

  • Results depend on each patient's eyelid condition and aftercare, so identical outcomes cannot be guaranteed.
  • An incision placed too high can create an overly thick 'shell' fold, so precise design matters.
  • Patients with previous eye surgery may have existing scar tissue, requiring an experienced surgical team.
  • There is a risk of bleeding, infection or post-operative inflammation.

Frequently asked questions

Can the crease turn into a thick 'shell'-like fold?

With careful individual diagnosis and precise incision placement this is avoidable; it typically only happens when the line is cut too high.

Will the scar be large?

It may look slightly unnatural while still swollen, but becomes nearly invisible once healed — though prior surgery can leave some residual tissue changes.

Is a hospital stay needed, and when are sutures removed?

No hospital stay is needed — you go home the same day, and sutures come out within 7 days.

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Source: th.viewplasticsurgery.com