Double Eyelid Surgery in Singapore

Double Eyelid Surgery Singapore

Double eyelid surgery is one of the most popular cosmetic procedures in Singapore and across Asia. It's a sought-after solution for individuals who desire a defined upper eyelid crease, brighter-looking eyes, and an overall more refreshed appearance.Whether you're considering surgery for aesthetic reasons or to improve visual function, this guide will walk you through everything you need to know—from types of procedures, risks, and recovery timelines.

Medically Reviewed by Dr Colin Tham

Consultant Plastic & Reconstructive Surgeon
MB ChB (Aberdeen), FRCS (Ireland), FAMS

What is Double Eyelid surgery?

Double eyelid surgery is a cosmetic procedure that creates a visible crease in the upper eyelid, resulting in a “double eyelid” appearance. This crease is naturally present in many individuals, but for others—especially those of East Asian descent—the upper eyelid may appear smooth or “monolid” due to skin anatomy and the absence of a distinct fold.

This surgery can:

  • Create or enhance a natural-looking eyelid crease
  • Make eyes appear larger, more open, or alert
  • Improve symmetry between both eyes
  • Address functional concerns like eyelid hooding or visual obstruction

Why Do People Get Double Eyelid Surgery?

In Singapore, people choose to undergo double eyelid surgery for a mix of aesthetic and functional reasons, including:

  • Aesthetic preference for bigger or brighter eyes
  • Improving facial harmony and balance
  • Making makeup application easier, especially for eyeliner or eyeshadow
  • Correcting asymmetry between eyes
  • Reducing upper eyelid heaviness or drooping

In some cases, individuals may undergo the procedure after aging leads to a loss of natural eyelid definition or skin sagging.

Types of Double Eyelid Surgery

There are two main techniques for double eyelid creation:

Incisional (Cutting) Method

This is a permanent and more comprehensive approach. It involves:

  • Making a small incision along the eyelid
  • Removing excess fat, skin, or muscle
  • Creating a new eyelid crease using sutures

This method is best for:

  • Those with thick, oily, or saggy eyelids
  • Individuals seeking long-lasting, dramatic results
  • Patients with significant asymmetry or excess skin

Pros of the Incisional Method:

  • Permanent results
  • Allows reshaping of the eyelid
  • Suitable for revisional or complex cases

Cons of the Incisional Method:

  • Longer recovery time (1 to 2 weeks of visible bruising/swelling)
  • Slightly higher cost

Non-Incisional (Scarless) Method

Also known as the suture or DST (Double Suture and Twist) method, this technique uses buried stitches to form the crease without cutting skin.

This method is best for:

  • Patients with thin skin and minimal excess fat
  • First-time eyelid surgery candidates
  • Those seeking a quicker recovery

Pros of the Non-Incisional Method:

  • Less invasive
  • Minimal scarring
  • Shorter downtime (3 to 5 days)

Cons of the Non-Incisional Method:

  • Results may not be as long-lasting (especially for oily or thick eyelids)
  • Not ideal for patients with saggy or droopy skin

What to Expect: Consultation to Recovery

Consultation
Step 1
Consultation

At your first consultation, your double eyelid surgeon will:

  • Assess your eye anatomy, skin thickness, and muscle tone
  • Discuss your goals and desired eyelid style (natural, defined, parallel, tapered)
  • Recommend the best technique based on your features

In Singapore, most plastic surgeons offer 3D simulation or imaging to help visualise potential results.

Surgery Day
Step 2
Surgery Day

The procedure typically takes 30 minutes to 1.5 hours, depending on the technique used. It's usually performed under local anaesthesia, sometimes with sedation. You'll be able to return home the same day.

Recovery
Step 3
Recovery

Swelling and bruising are normal and peak in the first 3 days. Most people return to work or school within 5 to 7 days, especially with the stitching method. Final results become more refined over 2 to 3 months as swelling resolves.

Post-op care includes:

  • Keeping the eyelids clean and dry
  • Applying antibiotic ointments if prescribed
  • Avoiding contact lenses and eye makeup for 1–2 weeks
  • Sleeping with your head elevated

Risks and Complications

While double eyelid surgery is generally very safe, especially when performed by an accredited plastic surgeon in Singapore, all surgeries carry some risk. Potential complications may include:

  • Asymmetry between the eyelids
  • Excessive scarring or keloids
  • Incomplete crease formation or fold disappearance
  • Infection or bleeding
  • Dry eyes or temporary discomfort when blinking

Choosing an experienced double eyelid surgeon significantly reduces these risks.

How Long Do the Results Last?

The incisional method provides permanent results in most cases, although natural aging may affect the appearance over time. The non-incisional method can last 5 to 10 years, depending on skin type, lifestyle, and post-op care.

Some patients may opt for a revision later in life, particularly if they want to change the crease shape or address sagging due to aging.

Who Is a Good Candidate for Double Eyelid Surgery?

You may be a good candidate for double eyelid surgery if you:

  • Are in good overall health
  • Have realistic expectations
  • Are bothered by the appearance of a monolid or asymmetrical crease
  • Are not currently experiencing active eye conditions (e.g., infection, conjunctivitis)

The procedure is suitable for both men and women, with a growing number of male patients in Singapore opting for subtle enhancements.

Frequently Asked Questions

Mild discomfort is expected, but the procedure is generally painless due to local anaesthesia. Post-op soreness is manageable with prescribed medication.
The incisional method may leave a faint scar hidden in the crease. The non-incisional method typically leaves no visible scar.
You should wait at least 7 to 10 days before applying makeup near the eyelid area to avoid irritation or infection.
There is no strict age limit, but most candidates are between 18 and 50. Older patients may need additional procedures like skin or fat removal.

Double Eyelid Surgeon in Singapore

Dr Colin Tham

Consultant Plastic & Cosmetic Surgeon MB ChB (Aberdeen), FRCS (Ireland), FAMS

Dr Colin Tham is an experienced plastic surgeon skilled in performing double eyelid surgeries. He is accredited by the Ministry of Health in Singapore and has over 20 years of experience in the field.

Dr Tham received extensive plastic surgery training in Scotland, Taiwan, and Singapore; and is committed to providing beautiful and natural-looking outcomes for all his patients.

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