One of the most popular plastic surgery procedures in Singapore is double eyelid surgery. It is no secret that anatomically, a lot of Singaporeans do not have a double eyelid.
Possessing double eyelids gives a more alert and energetic look and is said to be more attractive compared to single eyelids. This is why the procedure is very popular, particularly with Singaporean women. Double eyelids also reduce the need for eye makeup as makeup can be used as a temporary quick fix to achieve the look.
Some Singaporean men also desire to have double eyelids although not as much as women.
If you are one of the many people in Singapore who are looking for solutions, this post covers a lot of topics that would benefit your search, such as:
- The different types of double eyelid surgery
- The cost of double eyelid surgery in Singapore
- What happens during double eyelid surgery
- Recovery time after double eyelid surgery
- Other ways of getting double eyelids without surgery
Why don’t I have double eyelids?
Double eyelids are formed by the attachments between the eyelid opening muscle and the eyelid skin. For people without double eyelids, these attachments are often weak or even absent.
Getting double eyelids without surgery
To get double eyelids that are defined, symmetrical, and last for a long time or even permanently, then surgery is the best option. There are however a few methods you can use to get double eyelids without surgery, but these are only temporary fixes. Two of the most popular methods are:
1. Double eyelid tape or glue
Double eyelid tape and glue are available in a lot of beauty shops and is a quick way to get a double eyelid look. The tape or glue is attached to the eyelid skin and forms a temporary crease that gives the appearance of a double eyelid. However, the appearance of the “double eyelid” is shallow and may be asymmetrical if not applied correctly. The effect only lasts for up to a few hours since the adhesive slowly weakens.
Use these sparingly though, as regular and continuous and use will cause your eyelids to look droopy and loose.
2. Plexr plasma soft surgery
This is a non-surgical procedure (despite the name) that uses an applicator that emits a small electrical arc. When applied to the skin, the plasma arc stimulates its tightening. It is often used to tighten loose or droopy double eyelids. Effects can last from 12 up to 18 months.
This procedure, however, cannot be used to create double eyelids from single eyelids.
Types of double eyelid surgery
There are two options that my patients can choose from when it comes to double eyelid surgery. These are:
1. Non-incisional surgery (stitching)
In a non-incisional double eyelid surgery, sutures are stitched on each eyelid which attaches it to the deep eyelid muscle. This gives the appearance of a double eyelid crease.
A non-incisional surgery procedure lasts for just 15 to 35 minutes and causes some mild swelling and bruising after. My patients have a downtime of approximately 5 to 10 days after the procedure and they can expect their natural looking double eyelids to appear in 3-5 weeks.
The double eyelid crease created from this procedure will last for 1 to 2 years depending on several factors, such as the strength of the suture and the aftercare. This requires a greater amount of care and discipline compared to the other technique but has a faster recovery time and less scarring.
2. Incisional surgery (cutting)
For this procedure, I will first perform an incision on the skin of the eyelid to indicate the location of the double eyelid crease. After which I will permanently attach each eyelid skin with its respective eyelid muscle to create a double eyelid.
The great thing about this technique is that unlike the stitching technique, I can also correct other eyelid problems such as asymmetry, excess skin or fat, and droopy eyelids. I will be able to diagnose these other issues during the assessment and address these during the procedure. In addition to this, I can also enlarge the size of the eye or change its shape during the surgery.
The whole procedure takes about 40 to 60 minutes and some moderate swelling and bruising may occur. The downtime is longer compared to the stitching technique, which can last from 2 to 4 weeks depending on how you recover. Unlike the stitching technique where the double eyelid can disappear after a few years, the effects of incisional surgery is permanent.
Although the stitching method has the advantage of having less scarring and a quicker procedure and recovery time, in my opinion, the cutting method is the overall superior procedure for a couple of reasons:
- The appearance of the double eyelid is tighter and more defined.
- The double eyelid is permanent, and no additional procedures are needed to maintain the appearance.
- The additional procedures that can be done during the surgery, such as removing loose skin and increasing the size of the eyes.
How the double eyelid surgery is done
Before the procedure, I will be using a marker to indicate the exact position of the incisions or stitches on your eyelids to ensure symmetry and precision. I will also show you a simulation of the final appearance of your eyelids after the procedure.
After this, you will be sedated, and local anesthesia will be applied on your eyelids. This is to minimize the pain and discomfort felt during the surgery.
Finally, the surgery itself is performed where depending on the method could last from 15 minutes to up to an hour. When the surgery is finished, you will feel some slight bruising and swelling on your eyelids. You will then be released and advised to rest and allow your body to recover.
You may take pain killers during recovery to minimize the discomfort and pain from the swelling, stitches or incisions.
Longevity of the double eyelids
In the case of incisional double eyelid surgery, the effects of the procedure are permanent. This is because the incision always forms a scar tissue between the attached eyelid skin and muscle. This scar tissue ensures that the double eyelids become permanent, which is not the case with non-incisional double eyelid surgery.
In non-incisional double eyelid surgery, since the eyelid skin and muscle are attached solely by the stitches, there is always a chance that scar tissue does not form. Some factors that can lead to the failure of scar tissue formation include:
- If you have thick or heavy upper eyelids, you shouldn’t be undergoing non-incisional surgery since it will be harder for the stitches to stay in place. If the proper assessment was done beforehand, you should’ve been recommended the incisional surgery method.
- If you constantly rub your eyes (consciously or not), the sutures can become loose and affect the overall appearance of the double eyelids. This weakens the attachments and your double eyelids might become asymmetrical and even disappear.
- If you have eczema on your eyelids, this can cause irritation and might cause you to rub your eyes. Ensure that you have a full consultation before undergoing the procedure.
Scarring and other side effects of surgery
For non-incisional surgery, there is very little to no scarring at all. This is advantageous if you have a regular job and can’t afford to have a long downtime after the procedure. Since there isn’t much scarring, you can go back to work as soon as you are able.
For incisional surgery, however, scarring always occurs but will disappear after 3 to 6 months depending on how liberal you are in applying the scar gel. The scarring and long recovery time are a small price to pay for permanent, more defined and symmetrical appearance of double eyelids.
For both procedures, there will be mild to moderate bruising and swelling on the eyelids. These side effects should disappear within a few weeks though and shouldn’t be any cause for concern.
If complications do occur, such as infection or asymmetry, contact your doctor and have a follow-up consultation.
Recovery after the surgery
Recovery times are quick for the non-incisional double eyelid surgery and you may resume normal activities in as early as 3 days. Even if there is some mild bruising or swelling, it shouldn’t be much of a problem when it comes to doing work.
On the other hand, the recovery time for the incisional double eyelid surgery is a lot longer. Since an incision is made, the wound left by it will need time to close up and heal, which can take up to a week. The full effects of the procedure will also take time to appear as your eyelids might look high in the first few months after the surgery. Your double eyelids will steadily correct itself and become natural-looking within 1 to 2 months.
I advise my patients that they avoid strenuous exercise, such as long-distance running and weightlifting, during recovery. This is to ensure that your body gets enough rest and utilizes your energy to healing and rejuvenation. Painkillers and cold compresses will also help in reducing the swelling and bruising that naturally occurs after surgery.
Cost of double eyelid surgery in Singapore
The cost of double eyelid surgery in Singapore depends on a few factors, such as the thickness of your eyelids and the eye size and shape.
For the procedure utilizing the stitching technique, the surgery costs between $3000 - $4200.
Incisional surgery is a bit more expensive and can cost from $4800 - $5600.
In Singapore, the non-incisional technique is slightly more popular due to the fact that a lot of Singaporeans have full-time jobs and the procedure has a shorter recovery time and more affordable.
Double eyelid surgery is the most popular type of cosmetic surgery in Singapore and it is very important that you are fully informed before you make a decision. Always remember to consult with your doctor so that he/she may advise you on how to best solve your problem. I hope my article has given you enough information about double eyelid surgery to give you confidence in undergoing the procedure. Thank you for reading!