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Double Eyelid Surgery

Facial plastic surgery has become a highly sought-after option for individuals looking to enhance or refine their appearance. These procedures may involve facial restructuring or the correction of imperfections to achieve a more balanced and harmonious look—particularly around the eyes, nose, lips, ears, and overall facial structure.

While facial surgery offers notable benefits, there are also important considerations. Suitable candidates should meet the following conditions:

   1. Individuals in good health: Surgery requires a physically sound condition. Those with chronic illnesses—such as diabetes, heart conditions, or wound-healing disorders—should consult a physician before proceeding.
   2. Individuals seeking facial enhancement or correction: Procedures such as rhinoplasty, brow lifts, double eyelid surgery, or wrinkle reduction can help improve appearance and self-confidence.
   3. Individuals who are emotionally prepared: Managing stress and anxiety is crucial. Candidates should be capable of handling potential side effects and the recovery period with confidence.

APPOINTMENT

Preparing for Surgery

Proper preparation plays a key role in minimizing risk and achieving optimal surgical outcomes. Important steps include:

   1.   Consultation with a board-certified specialist: A professional assessment ensures the procedure is appropriate and safe based on your health profile and goals.

   2.   Undergo a medical evaluation: If there’s a history of heart disease, diabetes, high blood pressure, or other relevant conditions, a health screening is essential to ensure surgical readiness.

   3.   Discontinue medications that affect bleeding: This includes blood thinners or certain herbal supplements. Always follow your doctor's advice regarding medication before surgery.

   4.   Get adequate rest: Quality sleep before surgery strengthens your body and helps ensure a smoother post-operative recovery.

   5.   Avoid smoking and alcohol: These substances impair healing. Refrain from both for at least two weeks before surgery to support recovery and optimal outcomes.

At BDMS Wellness Clinic, your safety and satisfaction are our highest priorities. Our board-certified surgical specialists provide attentive, personalized care through every step—from consultation to post-operative follow-up—ensuring that your experience is smooth, and the results align with your vision.

Program Goal

Program Methodology

Eye surgery is one of the most popular forms of cosmetic surgery and can be performed in various ways—such as upper eyelid ptosis correction, brow lifts, or double eyelid surgery. These procedures help correct small or uneven eyes, asymmetrical eyelids, or wrinkles caused by aging.

1.1 Double Eyelid Surgery (Double Lid Surgery)
Double eyelid surgery is among the most commonly requested procedures because it boosts confidence—especially for individuals with monolids or undefined eyelids. This procedure not only enhances the eyes, making them appear larger and more dimensional, but also addresses issues related to eyelid structure.

1. Incision Method
This technique involves making a small incision on the upper eyelid to remove tissue and create a new, well-defined crease. It is ideal for those with monolids or excess eyelid fat.

Advantages:
   •   Suitable for those with hidden or no eyelid crease
   •   Creates a clear, lasting fold
   •   The scar is hidden along the new eyelid fold

Considerations:
   •   Recovery time required
   •   Surgical wounds may need careful care to prevent infection

2. Sutured Technique
This non-surgical method uses suturing to create clear eyelid creases by pulling tissue to form folds without tissue removal, suitable for those with single eyelids or shallow creases.

Advantages:
   •   No surgical wounds
   •   Faster recovery time
   •   Natural-looking results

Considerations:
   •   May not be suitable for those with very thick or excessive eyelid skin

Physicians will assess and design appropriate treatments for each individual.
This surgery is commonly performed on those with age-related drooping of upper eyelids and brows, which can make eyes appear dull and may cause unclear vision. This surgery improves eye appearance and makes eyes look more youthful and vibrant.

Problems Caused by Droopy Eyelids

As we age, upper eyelids and brows tend to droop, indicating deterioration of skin and tissue in this area. Drooping upper eyelids and brows may cause:
   •   Eyes to appear dull or tired
   •   Reduced vision due to upper eyelids blocking eye corners
   •   Self-confidence issues regarding appearance

Droopy Eyelid Correction Methods

2.1 Upper Blepharoplasty
This procedure removes excess drooping upper eyelid skin along with excess fat in the eyelid area to make eyelids appear tighter and clearer.

Procedure:
   1.   Remove excess upper eyelid skin and accumulated fat around upper eyelids
   2.   Suture wounds in the eyelid crease area, hiding surgical scars in natural folds
   3.   This process makes eyes appear more vibrant and adjusts eye shape to look wider and more open

Advantages:
   •   Improves eye shape for a more vibrant, tighter appearance
   •   Can correct drooping upper eyelids that cause unclear vision
   •   Natural, long-lasting results

Considerations:
   •   Wounds may have some scarring that gradually fades over time
   •   May experience swelling

2.2 Brow Lift Surgery
Brow lift is suitable for those with severely drooping eye corners or significantly drooping brows. This surgery can be combined with upper eyelid cutting for optimal results.

Advantages:
   •   Can lift drooping brows and help eyes appear more open
   •   Enhances vibrancy and confidence for those with drooping brow issues
   •   Combined with upper eyelid cutting provides more complete results

Considerations:
   •   May experience swelling around forehead or brow area    •   Surgical wounds may have some scarring
This surgery improves the appearance of under-eye fat bags and tightens lower eyelid skin, popular among those with under-eye bags that make eyes appear tired or older than their age.

Causes of Under-Eye Fat Bags

Under-eye fat bags (Baggy Eyelids) often occur due to several factors:
   1.   Insufficient sleep or sleep deprivation
   2.   Allergies and frequent eye rubbing due to eye allergies or swelling
   3.   Genetics in families with prominent under-eye bags
   4.   Aging, causing skin around eyes to lose elasticity and accumulate under-eye fat

Lower Blepharoplasty Method
The popular external blepharoplasty method involves surgery from the lower eyelid edge, performed when there are significant under-eye fat bags and excess skin, or in those with very loose lower eyelid skin.

Procedure:
   1.   Remove excess under-eye fat and loose skin
   2.   If necessary, perform lateral canthopexy to prevent lower eyelid turning outward
   3.   Suture external wounds with non-dissolvable thread, requiring thread removal after 5-7 days

Advantages:
   •   Effectively corrects under-eye fat bags and loose lower eyelid skin
   •   Tightens lower eyelid skin
   •   Suitable for those with significant under-eye bags and loose lower eyelid skin

Considerations:
   •   Wounds at lower eyelid edge requiring recovery time
   •   Must wait for wound healing and thread removal, may have small scars initially
Suitable Candidates
Those with Weak Eye Muscle Condition

Ptosis is a condition caused by weakness of the eye muscle (levator muscle), preventing normal eyelid lifting. This results in eyelids drooping down to cover eye edges, causing unclear vision and making eyes appear tired or faces look less fresh. This condition can be permanently corrected with ptosis surgery.

Causes of Weak Eye Muscle (Ptosis)

This condition occurs when the eyelid-lifting muscle (levator muscle) becomes weak or doesn't function normally, which may result from:

   •   Age-related deterioration
   •   Medical conditions affecting nervous system or eye muscle function
   •   Injuries from surgery or trauma to eyes or head
   •   Genetics causing congenital weak eye muscles
   •   Congenital droopy eyelids requiring childhood surgical correction

Surgical Procedure

Surgery: Surgeons make incisions in upper eyelid fold areas to hide scars, then lift eyelids by adjusting the eyelid-lifting muscle (levator muscle) or suturing to strengthen muscle function

Wound Closure: After muscle adjustment, surgeons suture wounds neatly, with scars hidden in eyelid folds
Post-eye surgery self-care is crucial for optimal results and reducing complication risks such as infection or excessive swelling:

1. Avoid Touching or Rubbing Eyes
Touching or rubbing eyes after double eyelid surgery may cause wound infection or poor healing. Avoid eye contact and let wounds rest.

2. Cold Compress to Reduce Swelling
Post-double eyelid surgery may cause swelling. Cold compresses during the first 48 hours help reduce swelling effectively.

3. Avoid Sun Exposure and Makeup Use
After surgery, avoid direct sun exposure and don't use makeup on surgical areas initially.

4. Medication and Treatment Following Physician Recommendations
Take medications as recommended by physicians to reduce inflammation and prevent infection.

5. Adequate Rest
Sufficient rest helps the body recover faster and achieves satisfactory surgical results.

Benefits of Ptosis Surgery

1. Opens Eyelids to Make Eyes Appear Larger

Surgery lifts upper eyelids for wider-appearing eyes, making corneas more visible, larger, and brighter, especially for those with drooping or covering upper eyelids.

2. Makes Eyes Appear Brighter with Clear Eyelid Creases

Lifting eyelids higher helps open eyes for a brighter appearance and clearer eyelid crease visibility, enhancing eye prominence and facial charm.

3. Enhances Personality

When surgery helps eyes open wider and appear brighter, overall personality improves. Those with drooping eyes may feel they look dim or sleepy constantly, but post-surgery they appear more youthful and lively.

4. Improves Vision

Weak eye muscles can impair patient vision, especially when eyelids obstruct sight. Surgery lifts eyelids to improve vision without needing to raise brows or forehead.

5. Reduces Forehead Muscle Tension

When eye muscles are weak, patients often try lifting eyelids by raising forehead or brows for better vision, causing tension and forehead pain. Surgery reduces excessive forehead muscle use, decreasing headaches from muscle strain.

6. Reduces Forehead Wrinkles

Raising forehead to help lift eyelids may cause forehead wrinkles from repetitive muscle use. After eyelid lift surgery, patients don't need excessive forehead muscle use, reducing forehead wrinkle formation.

7. Enhances Personality and Reduces Stress

Surgery eliminates constant forehead frowning to lift eyelids. Having wide, bright eyes helps personality appear more relaxed, not stressed or tired from excessive forehead muscle use.

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BDMS WELLNESS CLINIC

2/4 Wireless Road, Lumpini, Pathum Wan, Bangkok 10330

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