Uneven eyelids, also known as eyelid asymmetry, are a common feature among individuals of Asian descent. This natural imbalance may be slight or more pronounced, where one eyelid has a visible crease (double eyelid) while the other does not (monolid). Sometimes, the crease may be higher on one side. At times, one eyelid may appear more hooded or one eyelid may sit lower than the other eyelid.
When the difference is small, one may choose to leave it alone. However, when significant, it may affect a person’s self-image, especially when the asymmetry becomes obvious in photographs or under certain lighting. For some, uneven eyelids may also create practical challenges such as difficulty with eye makeup application. As a result, some individuals consider aesthetic treatments to improve symmetry. One of the most popular and widely considered procedures in Singapore and other parts of Asia is double eyelid surgery with or without a lifting component. This can help achieve a more balanced and symmetrical appearance.
What is double eyelid surgery?
Double eyelid surgery, also known as blepharoplasty, is a cosmetic procedure that creates a crease in the upper eyelid, forming what is commonly referred to as a double eyelid. The surgery can be either incisional or non-incisional, depending on the individual’s needs, eyelid type, and preferences.
- Incisional method: This technique involves making a small incision on the upper eyelid to remove excess skin, muscle, and/or fat. It is generally more suitable for those with thicker or sagging eyelids and provides long-lasting results.
- Non-incisional method: Also known as the suture method, this involves creating the eyelid crease using small sutures, with minimal cutting of skin. This option is considered minimally invasive, with a faster recovery time, and is ideal for individuals with thinner eyelid skin and less excess fat.
Double eyelid surgery may be combined with a small lift so that it not only creates a crease but also improves symmetry of eyelid height and contour.
Why do uneven eyelids occur?
There are several reasons why someone may have uneven eyelids. In many cases, it is simply due to genetics. Some have one double eyelid and one monolid since birth while others may develop asymmetry in crease or lid height over time due to ageing and simple wear-and-tear. Excessive eye rubbing and wearing of contact lenses are known risk factors. Occasionally, trauma may be the cause for the asymmetry.
How can double eyelid surgery help?
Double eyelid surgery with or without a lift is often sought after to address the aesthetic imbalance caused by uneven eyelids. During the procedure, the surgeon can create a matching crease on the monolid side or adjust an existing crease or eyelid height to achieve a more symmetrical appearance and achieve harmony in the upper facial features.
One can expect:
- Similar creases.
- Improvement in eyelid height and contour where needed.
- Increased confidence: A symmetrical appearance often boosts self-esteem, especially for those who have been bothered by their eyelids for years.
For best results, it is crucial to undergo a personalised consultation with a skilled surgeon who understands both the anatomy and aesthetics of Asian eyelids.
What to expect during recovery
Like any surgical procedure, there will be some recovery involved. Swelling, bruising, and mild discomfort are common during the initial days. Most people can return to work or school within one to two weeks, though the final results may take a few months to fully settle.
Pain is minimal and manageable with medication. Following your surgeon’s aftercare instructions will speed up healing. Taking care to avoid strenuous activities, keeping the eyelid area clean, and applying medications as prescribed can make a significant difference.
When considering surgery, it is also important to think about managing the downtime. This might involve taking a short break from work, adjusting social commitments, or planning the procedure during the holiday season. It is best to avoid scheduling vacations in the first few weeks after surgery.
Choosing the right clinic and surgeon
The success of double eyelid surgery relies heavily on the expertise of the surgeon. It is essential to choose a clinic that not only specialises in eyelid procedures but also understands the unique facial structures common among Asian individuals. A good surgeon will listen to your concerns, evaluate the root cause of your eyelid asymmetry, and recommend the most suitable method for correction.
Make sure to:
- Look through reviews of previous patients.
- Ask questions about techniques, risks, and outcomes.
- Discuss your expectations openly and honestly.
- Verify the qualifications and experience of the doctor.
Conclusion
Eyelid asymmetry is a natural and common condition, especially among individuals of Asian heritage. While it may not always pose a medical concern, it can be bothersome. Double eyelid surgery provides a safe and effective way to address uneven eyelids, helping individuals achieve a more balanced and harmonious facial appearance.
If you are considering addressing eyelid asymmetry and want to explore your options, contact Ava Eye Clinic today to schedule a consultation with our skilled and experienced eye specialist, Dr Audrey Looi. Our team is dedicated to helping you on this journey towards greater symmetry.