Are you interested in health and beauty? Do you follow all the trends in the beauty business and admire bloggers, vloggers and beauty gurus who try different products and make up every day? Then there is no way, you have not come across information about K-beauty, k-pop, double eyelid surgery and different Koran makeup tutorials.

If you also want to try new makeup or some of the K-pop trends, if you are wondering how to make your eyes look bigger or you just want to create these dolly eyes naturally then the information in this article is definitely for you!

Looking good is very important in Korea

Beautiful Asian women with flawless skin

Many Korean people believe that a beautiful vision will bring them not only self-confidence but also success in life. Expectations for a perfect appearance are huge, especially in the big cities of the country. Because of that, more and more Korean people get small beautification procedures like Botox and filler injections to shape the contours of the face and to look younger as well as undergo plastic surgery. And one of the most wanted cosmetic corrections is an eyelid surgery that creates a Caucasian crease and makes the eyes look bigger.

Koreans regularly go to beauty clinics to improve their chances - both in love and when applying for a job. In the country, attractiveness is of great importance for the job market.

In Seoul, some clinics offer lunch breaks procedures - 30 minutes of preparation, 10 minutes of hyaluronic acid injections, lip filling or Botox. You can see posters for advertisement everywhere in the city.

In South Korea, there are more than 2330 practising plastic surgeons. Applications such as Gangnam Unnie are also extremely popular among Korean people, in which users upload their photos and then receive advice from various clinics online for appropriate procedures.

What is K-beauty?

In general, Korean beauty is the way Koreans take care of their skin in order to look younger and beautiful.

Many Asian women dream of white porcelain skin without any imperfections. And for this to happen, special care needs to be taken. It is interesting to know that in the past, white skin was considered a sign of prosperity and high social status because agricultural workers spent a lot of time outdoors and their skin was naturally darker than sun exposure. In addition, in the Far East, clean skin is sometimes seen as a sign of purity of mind.

However, in the 21st century, young Korean ladies and gentlemen take care of their appearance, not only to achieve harmony with their inner self but also to have a better chance of success in life.

If you want to get closer to Korean beauty, then you need to follow 10 simple steps in your skincare:

  • Cleaning with oil-based product followed by foamer-based cleaner;
  • Exfoliating;
  • face mask;
  • Essence product;
  • Serum;
  • Eye cream. Asian ladies never miss eye care. They must look big, shiny, and childishly innocent;
  • Moisturizing face cream.
  • Sunscreen product.

Also, makeup is a mandatory part of the daily life of Korean girls.

How to create "Aegyo Sal" look?

In South Korea, eye bags are considered charming. Aegyo Sal describes the fat tissue under the eyes that is thought to create fuller, expressive and brighter eyes.

If you want to achieve that Korean Aegyo Sal look, follow the steps below:

  • Step 1:Use a light eyeshadow as a base.
  • Step 2: Apply a matte brown shade under your eyes.
  • Step 3: By using eyeliner draw a tiny line right above your upper lash line.

You can also put Aegyo Sal threads under your eyes to create a puffy effect and an illusion of having eye bags.

Here are some simple tips for creating flawless Korean makeup:

  • Choose simple neutral colours and keep it as natural as possible.
  • When using sparkles, always apply them to the middle of the eye to create a popping effect.
  • Darker eye shadows can be applied to the outer lid to get a perfect shaded effect.
  • Eyeliner is very important to get these cute eye shape.

How to create Korean dolly eyes with makeup?

Beautiful Asian woman using cosmetics

By default, Koreans have smaller eyes, and this "dolly eyes" makeup creates the vision for a larger, more defined eye shape. If you are wondering how to create those big dolly eyes, here is our simple makeup tutorial:

  • Wear circle lenses for the big dolly eyes look.
  • Put a brown eye shadow on the lower part of your eyelid.
  • Apply brown or copper eyeliner on the line the bottom half of your eyes.
  • If you want to create an illusion of thicker lashes, you may also tightline with black liner. This technique will fill out the gaps between the lashes.
  • Apply black liquid eyeliner and make it wing pointer.
  • Apply cream or white eyeshadow on the inner corner, close to your nose, to brighten up the eyes.
  • Darken lower outer part of your eyes by using a black eyeliner pencil.
  • Use lengthening mascara and then volume mascara.
  • Use false eyelashes to "open" your eyes.

K-pop style make up

Almost everyone in Korea is crazy about k-pop style. And more and more fans want to look like Korean celebrities. Although it is difficult to look exactly the same as someone else, there are some tricks that may get you closer to your Korean idol.

  • Start with toning your face with a cotton pad and wait around 5 minutes before applying makeup.
  • Don't use too much foundation -usually, one drop is enough.
  • You can apply powder around your face to make it look slimmer.
  • Use eye shadow. Current colour trends in Korea are orange, peanut butter and glittering eyes.
  • A mandatory step in everyday Korean makeup is brightening or putting sparkles on the part under the eye. Surely you have noticed it in your favourite idols!
  • Use eyeliner. According to a Korean makeup artist Cat Koh, to achieve k-pop look you need to focus on a bold and strong eyeliner.
  • Don't forget to highlit your eyelashes with mascara.
  • Curl your lashes after applying mascara.
  • To complete your look use a nice lip gloss.

How to get bigger eyes naturally?

If you have hooded, sunken eyes or you have the typical Asian eyes without a crease then the following makeup tips and tricks might help you:

  • Put eyeshadow underneath your eyes. It is kind of leaving a space where you would naturally have eye bags.
  • Don't cram your under-eye with dark colours - they will make your eyes look smaller. Also, it is good to use light eyeshadow colours or you may use a very light shade foundation as a base. Whatever you put don't forget to apply it on your nose side as well.
  • If you apply eyeliner or pencil, let it be a very thin line tightly on the eyelid, elegantly elongated at the end.
  • Eyebrows are especially important. For women with smaller eyes, the eyebrows should be plucked higher so that they do not "fall" on the eyes and further close the eyes.

How to get double eyelids?

In case you have monolid eyes (without a crease on the upper eyelids which is a typical Asian feature) you can use some techniques and products to create a visible crease and look more caucasian. A temporary solution that does not require any surgery is eyelid tape. In general, there are two approaches you can take with double tape - training your eyelid or just wearing the tape all the time.

The training technique is where you train your eyelid fold to stay higher and you don't have to wear eyelid tape during the day. Basically, you put the tape on your eyelids at night and you go to sleep with it or just wear it as much as possible. It kind of train your eyelid to crease in that shape more often.

The other alternative method is to wear eyelid tape on the regular, whenever you feel like wearing it. However, you should cover it with makeup otherwise it will be visible.

If you have sagging skin and droopy eyelids you may also try some eyelid muscle exercise or different massage techniques. You can find a lot of articles and information on the Internet as well as tutorial videos on YouTube on how to tighten the skin in this area.

If you want more permanent solution for your single eyelids you may want to undergo plastic surgery called double eyelid surgery. This is an operation where a plastic surgeon removes some fatty deposits from the upper eyelids. It creates a natural-looking crease, the eyes look bigger and your face looks younger. And the best thing about double eyelid surgery (also known as upper blepharoplasty) is that it gives permanent results.

So far, you've probably gathered most of the tips and techniques for Koren beauty and Korean makeup. So, take your make up tools, follow the methods and create these beautiful eyes. And one more tip - keep smiling. It is one of the best ways to look attractive.

Surprisingly or not, blepharoplasty aka double eyelid surgery is among the most common and most desired cosmetic surgical interventions in Singapore. This correction aims to make the eyes rounder and to create a fold on the upper lids. The effect of double eyelids is achieved by cutting a small part of the surface of the eyelid so that it does not cover the eyelid line.

In most cases, the manipulation comes as a gift from parents when their children finish school. Parents are convinced that by correcting the eye shape and improving the overall appearance, their child has a better chance of succeeding in life. When this distinctive trait of the face is eliminated, it becomes more graceful, the eyes look bigger and more open which creates a better first impression. Due to the overcrowding in Singapore and the huge competition in the job markets, the locals believe that it opens the door to development in other countries, where they will not be seen as different because of the eye shape.

According to many Asian people, double eyelids are a guarantee of beauty, as monolid eyes give the appearance of fatigue and drowsiness, even when this is not the case. However, others believe that it is a pure and simple idealization of Western norms of beauty. Last but not least, the popularity of the procedure is for the reason that it is not too expensive and the recovery is much faster than in other plastic surgeries such as rhinoplasty, breast augmentation, or liposuction.

Korean Double eyelid surgery recovery

Woman patient in hospital after blepharoplasty

The recovery time for Korean double eyelid surgery is around two weeks then the patients can resume their normal activity. However, the complete results can be seen in several months. While in recovery, most of the individuals experience temporary symptoms such as bleeding, swelling, pain, and bruising. These complaints will begin to disappear slowly after the first week after the surgery is over. Your surgeon will give you post-op instructions when you have your first consultation after the treatment. Following them strictly is essential for your healing.

There are two ways in which double eyelid surgery is performed. One an incision method where the surgeon removes some off the extra fat. This is achieved by cutting the eyelid skin which creates a nice and visible crease. Another common correction method is the so-called suture technique or more commonly referred to as non-incisional double eyelid surgery. The difference in this technique is that the fold is created by creating very small in size holes on the upper lid. These small stabs are also useful for removing excess fat. What method will be used non-incision or incision method, your personal preferences and how much excess skin you have are the major determining factors.

Local anaesthesia is used for both incisional and suture technique. Also, those eyelid surgery procedures they do not require downtime so you will be able to go home after the manipulation.

In the following lines, you will find detailed information about the recovery from both types of techniques - incisional double eyelid surgery and the non-incision technique. We will also give you some tips and recommendations that may help you to speed up the healing process.

Asian double eyelid surgery recovery

The healing period from Asian double eyelid surgery or so-called Asian blepharoplasty is about 2 to 4 weeks. A large number of patients are comfortable in public after 14 days, however, the complete recovery from the procedure usually takes 4 weeks. You may experience swollen eyes as well as pain, bruising, and discolouration on the sclera (white of the eyes).

Asian blepharoplasty is basically the same as traditional blepharoplasty. The major difference between both is that traditional eyelid surgery method is used more often as a rejuvenating procedure. It means, even individuals that have a natural fold on their eyelid may want to get the operation in order to tighten their skin and “open” their eyes. Thanks to that the face looks refreshed and younger. On the other hand, Asian blepharoplasty aims to create a visible fold on the upper eyelid. This procedure, in particular, is among the most wanted corrections in Singapore as about 50 percent of Asians are monolid and they don’t have defined fold on their eyelids.

Just as traditional double eyelid surgery, Asian blepharoplasty is also done in two different ways - by using the non-incisional, or incision methods.

Non-incisional double eyelid surgery recovery time

With non-incisional (suture) double eyelid surgery method the recovery time is two weeks. However, if you feel well you may recommence your normal activity sooner - 2 to 3 days after the operation. It is important to discuss this with your surgeon. You don't have to worry if you have mild swelling and bruising following the operation. They will disappear in a few days.

The surgery is very quick as it takes less than 30 minutes. It is done under local anaesthesia with no downtime. The non-incision method is a very popular approach among Singaporeans and Asians because it not as expensive as the incision method, it is quicker, scarless, and has a fast recovery. Although this technique has its cons. One of them is that the double eyelid crease nay decrease over time and therefore it is not permanent. Another thing about the non-incisional method is that it may not be very effective for someone who has a large amount of excess skin.

Incisional double eyelid surgery recovery

The average time it takes to recover from incisional double eyelid surgery is up to two weeks. Within this time you might be able to return to your normal activity. However, the complete recovery and final results are typically seen in 5 to 6 months. The incision method is one of the most popular and desired types of double eyelid fold surgery. The end results will look natural with almost invisible scars on the incision line.

Incisional double eyelid surgery is done under local anaesthesia as well as it is an outpatient procedure. So within a few hours after the operation, you will be able to go home.

You should be prepared for the fact that the first few days after the manipulation you will be accompanied by the symptoms such as dryness of the cornea, pain, swelling, and bruising. In rare cases, this surgery method may cause side effects like infection, allergic reaction, or temporary vision changes. This can be avoided by following the surgeon's pre-op and post-op recommendations.

Double eyelid surgery post-op instructions

Smiling Asian medical doctor

Right away after double eyelid surgery, you may develop mild to severe swelling. It will disappear in seven to ten days. Most of the patients also experience bruising during the postoperative period. The bruises are usually formed around the eyes after the surgery. However, you shouldn't be worried about them because they will completely disappear after around 3 weeks (although in some cases the natural skin colour is restored in two weeks). The recovery period is also accompanied by increased sensitivity of the eyes.

Many patients complain of pain and discomfort. These feelings are natural but you should be aware that double eyelid surgery certainly requires careful care for the eyes as well as a series of preventive procedures. Post-operation, the surgeon will give you special instructions that are essential for your healing period. During the first hours, it is good to apply a cold compress on your eyelids to minimize swelling and the risk of other unpleasant complications. Your doctor may also prescribe eye drops and ointments to reduce dryness and prevent inflammation. You can take painkillers to reduce the discomfort.

If the operation is not performed using self-absorbing suture material, the sutures have to be removed. There is no deadline set for this procedure, it all depends on the individual characteristics of the skin and its recovery course. If the skin has responded well, without inflammation and pain does not appear, the sutures are removed 6-7 days after the operation. If you have any complications and problems, you will have to wait. In any case, the sutures must be removed no later than seven days after eyelid fold surgery. From that moment on, the postoperative enters a new stage. The patient must be especially careful and to avoid damaging to the wound site. The risk of bleeding is still high. Any pressure or careless movement can damage and deform the wound.

Once the sutures are removed, there is significant eye relief. But in this period it is necessary to observe the following rules:

  • do not exercise (no gym!);
  • to prevent blood flow to the eyelids you need to sleep on a high pillow;
  • you shouldn't use any makeup for ten days;
  • do not wear contact lens;
  • do not strain your eyes - avoid watching TV, using a computer, or reading;
  • you should not use "hot" procedures such as a hot bath, sauna, or steam bath;
  • do not to provoke bloating and do not worsen the situation - you should carefully monitor your diet to exclude salty, spicy, smoked foods and alcohol;
  • quit smoking during your healing period.

Full rehabilitation will take from two weeks to two months.

How much is Korean double eyelid surgery in Singapore?

The cost of Korean double eyelid surgeries in Singapore starts from $3000 and may go up to $5000 based on the method which was used. For incisional double eyelid surgery, the price can start at $5000 while the non-incisional technique is a little bit cheaper - between $3000 and $4000.

How common is double eyelid surgery in Korea?

One in five people in Korea undergo plastic surgery and among the most performed ones is double eyelid surgery. In fact, the capital of South Korea - Seoul is considered as the world's plastic surgery capital, beautifying yourself is prestigious and a good look really matters.

Plastic surgery is a daily occurrence in the country, and cosmetic surgery became a mass culture phenomenon in the late 1980s when South Korea became a "plastic republic." As we mentioned, the most popular operation now is double eyelid surgery. It turns out that many people want bigger, rounder eyes.

Metro stations in Seoul are full of posters of beauty clinics, and in the Gangnam-gu area, they are everywhere. South Korea has a population of 51 million, making it the leader in the largest number of plastic surgeries per capita. According to data from the International Association of Plastic Surgery, in 2015, 1 556 234 surgeries were performed in the country, taking into account Botox injections.

In Korea, the competition to find a prestigious job is huge, and in the hope of improving their chances during an interview, many people undergo eyelid surgery. Maybe that's why its inhabitants have high demands on their descendants in developing their careers, and they, in turn, do everything possible to meet their expectations.

The ideals of beauty in Korea today are seen at every turn. Cosmetics stores are full of miracle creams, advertising banners in shopping malls show European models and Asians with white skin. According to Koreans, the orientation to the West marked the beginning and popularity of plastic surgery and in particular to kpop double eyelid surgery.

How much is double eyelid surgery in Korea?

The starting price for double eyelid surgery in Korea is $1000. Ptosis correction is usually more expensive - up to $2000.

Can you get double eyelids without surgery?

Double eyelids can be attained without undergoing a surgery as well, thanks to some special tools - eyelid tape and eyelid glue (read our post on getting Korean eyes naturally). Both products are in high demand in Singapore and can be bought from any beauty store. However, they can be just a temporary solution and should be applied every day.

Is double eyelid surgery permanent?

The incisional approach usually gives permanent results. However, as you age your crease may be covered up by sagging skin under your eyes. Non-incisional double eyelid surgery may last-long - up to 10 years. It mostly depends on your skin and what cares you take for it.

The recovery after eyelid correction is a gradual process and the scars may remain pale pink for about 6 months. After that, they will turn into almost invisible white lines. This procedure gives very good results that are expressed in better appearance and natural-looking eyes. For many people, this effect lasts forever.

The eyes are one of the most beautiful parts of our face. Their size and colours are different for everyone and we all have unique and interesting eyes. Also, different people can have various types of eye shapes depending on where are their creases. And of course, there is a beauty in that diversity.

What is an eyelid crease?

The crease is the area on your eye where the fold is found. Some people have higher crease areas, other people don't have a crease at all. It really depends on your eye type. The eyelid crease is often confused with the brow bone area. It is because many people have their crease area that actually coincides with the eye socket or under the brow bone area. However, that's not the case for everyone.

Caucasian double eyelids vs. Asian double eyelids

asian girl with single eyelids

Asian people usually have small eyelids with less visible crease or without any crease. About 90% of East Asians have epicanthic fold which is a skin fold of the upper eyelid that covers the inner corner. And about 75 % of Korean people have no crease. That can make the eyes look smaller, slanted and often monolids.

Unlike Asians, caucasian people usually have a well-defined crease on the eyelids and epicanthic fold is rare. Their eyes are most likely to look more open and bigger.

In fact, the size of the Asian eyes does not differ from that of the other races. This "contraction" is due to the fold of the upper eyelid. Unlike European eyes, Asian eyes have a layer of fat on the eyelids that gives the impression of some swelling of the eyes. That is one of the main reason double eyelid surgery to be so popular in Singaporean and the other Asian countries.

5 types of Asian eyelids

Though there are some people who hold the stereotypical notion that all Asian eye somehow all look the same, nothing is further from the truth. In reality, the eyelids have a variety of unique characteristics in every individual of Asian descent. Here are some of the types:

  1. This kinds of eyelids are typical for Asian people. They are distinguished by this that the eyelid has no fold in it at all so there is no crease. This is one of the main reason why most Asian eyes look smaller.
  2. Partial eyelid crease. The main characteristic of this type of eyelids is that they have a crease but it is not well-defined. That's usually acquired through age. As you get older the crease of your eyes drops and it starts to cover the lids. Partial eyelids have a small crease which is close to the lash line. There is a very small visible area underneath the fold. This is very predominantly found in Asian culture but you can see this represented in many European eyes as well. Because this eyelid shape is different many Asian undergo a surgery to make their eyes look more flattering.
  3. Multiple creases. This type of double eyelids is where you can see multiple creases on your lids. Often these folds are accompanied by excess skin. Multiple creases can occur due to the weakening of the connection between skin and muscle that gives a defined crease. This condition can be successfully correct by non-incisional blepharoplasty.
  4. Tapered eyelid. There are two types of tapered eyelids. If the crease is more visible in the outer edge but tapers into a single in the inner corner it is called nasally tapered and this is very common for East Asians. If the platform is wider than the central part it is called a lateral flare.
  5. Parallel eyelid crease. This is when the crease is parallel with the lid line. These kind of eyelids are very popular among Korean and Singaporean. They can make the eyes look brighter and bigger. Many Asian people undergo double eyelid surgery in order to get parallel eyelid crease.

Can your eyelids change over time?

Yes your eyes can change with time and some of the reasons for that can be:

  • age - with age, the skin in the eye area loses its elasticity and begins to shrink;
  • allergic reactions that may occur after consuming an allergen in food or when applying allergen-containing products to the face;
  • fatigue, lack of sleep;
  • weight loss;
  • improper nutrition also leads to swelling of the face - this can happen after eating large amounts of salt, spices, soda;
  • bad habits - drinking alcohol and smoking speed up the ageing process and cause swelling.

Double eyelid surgery for better appearance

Double eyelid surgery, or Asian blepharoplasty, is a popular cosmetic procedure that can create folds in the upper eyelid in people who have Asian eyes, small eyes and single eyelids. It significantly improves the appearance of the eyes as makes them look bigger and brighter.

Small eye types and monolids are considered physical characteristics that are not preferred by some Asian women, so they undergo double eyelid plastic surgery to have a more beautiful appearance. The upper crease of the eyelid creates the impression of wide open and expressive eyes. This procedure also makes it easier to apply makeup, such as eye shadow and mascara.

Double eyelid surgery or upper blepharoplasty involves the removal of a small amount of skin tissue and fat from the eyelids. The procedure is usually carried out under local anaesthetic as a day case. The surgical cutting line is hidden behind the folds of the new eyelid. In some cases, this operation is performed on both the upper and lower eyelids. Upper eyelid surgery is a very satisfactory procedure that produces a nice result.

Statistics claim that over the past decade in Singapore, South Korea, China and Japan, plastic surgery has become very popular. Residents of Asian countries are increasingly taking advantage of the services of plastic surgeons. In Singapore each year, the number of performed surgeries for correcting the appearance is growing exponentially, and a large number of surgery clinics are opening.

Double eyelid surgery: the most desired correction in Singapore

Although statistics apply to all types of surgery, from nose correction to breast augmentation, there are several procedures that are considered the most popular among the youngest people in Singapore. The most desired and most common is upper blepharoplasty, also known as double eyelid surgery. This intervention is to the Asian community what breast augmentation is to Americans. Those who have undergone the procedure have their own reasons for doing it but the main one is to create a crease on their eyelids.

About 50% of Asians are born without a double crease of the eyelid. Many believe that the desire for a double fold is actually an attempt to move closer to a "more Western" appearance while others say there is evidence of the procedure as early as the 1800s, long before Western rule began.

Today, double eyelid surgery is the most sought-after procedure in Singapore and among Asians in the world. What is the reason for that? Many people report, they desire this operation because they want to feel pretty. According to Asians, good looking people provide a better first impression and that makes them feel happier and more comfortable. Let's look at some of the other reasons why this surgery is so popular.

Double eyelid surgery for more Western appearance

caucasian woman close up on double eyelid

We all know that the structure of the European eyelids is different from the Asian ones.  Roughly 50% of Asian people are born with what we refer to as a double eyelid where a small crease separates the upper eyelid into segments. The other 50 % of Asian people inherit a single eyelid where there is no crease separating the upper eyelid into two segments. Both types of creases are variations of normal, attractive and simply occur randomly. People with single eyelids often complain that their eyes look small or heavy.  Many people that have requested a double eyelid surgery report that they want their eyes to look more like Caucasian. The presence of the fold to a significant number of Asian is a sign of beauty.

People are trying to be the best version of themselves

If you look at beauty standards, it is fairly mathematical, there are trends that go in and out but it is basically meant on proportions. The face is divided into thirds - upper third, middle third and lower third. It is also divided into left and right sides. Whoever has more balance in their face across time has generally been considered more attractive. So what people are normally looking for is more balance. Blepharoplasty is not only limited to correcting single eyelids it can also create symmetry between the eyes.

Bigger eyes provide better balance and appearance of the overall face. If your eyes are fairly small it doesn't fit into balance. So what blepharoplasty does is, it doesn't make people into another race, it just makes face balanced to fit you so you can be the best you can be.

Double eyelid surgery for a more youthful appearance

Blepharoplasty is not only performed in people without a crease on the lids. It can be done to make the existing eyelid crease more prominent or remove fat to create a more open and youthful appearance.

One of the things that happen with us as we age is that there are changes with the skin. It gets thinner and stretches. We also lose volume on the face and facial soft tissue droops because of gravity and rubbing. Because of a significant amount of volume loss, the eyes look hollow and the eyelids lose strength and drop. Thanks to blepharoplasty, this sagging can be corrected. The procedure removes the excess fat from the upper eyelids to tighten the skin and soft tissue around the eyes.

Double eyelid surgery for droopy eyelids

Congenital ptosis

Double eyelid surgery is often used as a solution for a medical condition known as ptosis or a droopy eyelid. It is a condition characterized by an unusually low position of the upper eyelid as a result of which the eye closes partially or completely. This leads to a significant limitation of peripheral vision, and in more severe cases of central vision.

Double eyelid surgery techniques in Singapore

Most plastic surgeons use incisional or suture techniques to correct Asian eyes. Here are the differences between both:

Incisional blepharoplasty

  • The crease is permanent;
  • The crease is created by permanently attaching the eyelid to the muscle;
  • The crease behaves naturally.

Suture technique

  • The crease may be temporary;
  • The crease is created by sutures that stay in the eyelids;
  • The crease does not behave naturally.

Whatever the reason is, the decision to undergo surgery should not be taken lightly. Blepharoplasty can be performed for cosmetic reasons or to improve vision by lifting the loose eyelids out of the patient's field of vision. The procedure is performed under local anaesthetic and involves the removal of excess fat and skin. The healing period takes about a week, and risks include infection, inability to close your eyes after surgery, and scarring. However, the risk of complications is significantly reduced if the operation is performed by a qualified surgeon in a strictly hygienic environment. The problem is that the procedures are often performed in dangerous conditions and there are many unlicensed "specialists" that put patients at risk. You can avoid or reduce the risk of complications by choosing a plastic surgeon with the appropriate experience and qualifications.

Double eyelids without surgery

In order to avoid surgery, many Asian beauties choose less radical methods to improve their appearance, the so-called non-invasive methods. One of the most popular products in cosmetic stores in Singapore is eyelid glue. It is applied just above the lash line. Using a special tool, the composition is spread on the skin and forms the desired fold. The effect lasts until the first wash. A worthy alternative to the glue are stickers that fix the skin of the eyelids to create a fold. These products are usually noticeable on the skin, so they need to be covered with makeup.

In conclusion

Many Singaporean girls admit they want to look like “pretty Western celebrities”. However, it is really not possible to look that close to someone else because just their eye appearance is not just a function of some tissues or let's say the skin, the muscle, the fat but also the bone structure. So very important thing to understand is when you are looking to get an improved appearance, think about it more in a context of what looks like with you or for you and is a little bit more realistic.

It’s very likely that up until this point you haven’t heard of xanthelasma. It sounds scary but it’s one of the generally common skin conditions around the eyes that doesn’t hold huge health risks. Xanthelasma (also called xanthelasma palpebrarum) may look like small yellowish patches on the upper eyelids. A lot of people connect those patches to ageing or sun exposure but it is in fact caused by cholesterol under the skin.

If you do have xanthelasma or other skin conditions, you might be wondering about possible ways to treat it. This article will help you with just that. In this article, you’ll read the most important information on the treatment of xanthelasma palpebrarum options in Singapore. We hope it’s helpful and you’ll find the information you’re looking for.

What causes xanthelasma?

The main culprit for xanthelasma is high cholesterol. These small benign patches on the eyelids serve as organic repositories of cholesterol esters. Xanthelasma (sometimes spelt xanthelesma) is a natural reaction of the body to high levels of “bad” LDL cholesterol. This is not a cause of concern in most cases but it may be a sign that you’re at a higher risk of heart disease. In some cases, the xanthelasma and thyroid function are connected. In some patients, xanthelasma occurs when the thyroid doesn't produce enough hormones (which may cause high cholesterol).

These spots can also appear on other parts of the body or can occur in only the upper eyelid, or the lower eyelid or in both at the same time.

In many people, it is noticed on the knees, palms, or feet. In these cases, they are better known as xanthomas.

Who gets xanthelasma?

It can happen to everyone but there are several factors that may contribute to developing xanthelasma. Xanthelasma may occur at a higher frequency if:

  • You’re a woman between the ages of 30 and 50
  • You smoke
  • You’re overweight
  • High Blood Pressure
  • Diabetes

If you notice xanthelasma on your eyelid, consult a doctor about your cholesterol levels possibly suggest removal methods.

Is Xanthelasma dangerous?

It’s important to know that xanthelasma alone is not a dangerous condition – they don’t impede the movement of the eyelids or the eyesight, or have direct health consequences. It’s a benign growth appearing due to high levels of cholesterol. Although it’s not a dangerous condition, it’s still a good idea to go to your doctor and make sure everything is alright. The doctor will diagnose you by visually determining the nature of the yellow patches and may assign additional blood tests or a patch test to measure your lipid and cholesterol levels. After that, they will suggest a treatment plan if necessary.

In most cases, you won’t have to do anything about the xanthelasma but you’d be interested in cosmetic removal treatments that may reduce them or completely remove them.

What is the best treatment for xanthelasma removal?

Fortunately, there are many xanthelasma treatment removal options in Singapore. A lot of cosmetic clinics provide both surgical and non-surgical treatment options to remove these cholesterol deposits from your eyelids. Here is more detailed information on the treatments you can get in Singapore.

First Step to treating xanthelasma

The first step to treating xanthelasma is to visit a xanthelasma removal clinic or doctor to diagnose the cause of this problem. They may assign a lipid level test or an allergy patch test.

And precisely because cholesterol is associated with various subcutaneous abnormalities, the most important thing, in this case, is to follow the prescribed treatment.

Only then can you think from a cosmetic point of view. Remember that xanthelasmas mainly affect your appearance.

Xanthelasma Removal Surgery

The surgery to remove the xanthelasma may be one of the most effective treatments, given that sometimes the skin growths can reach a bigger size. During the surgery, a plastic surgeon will remove the patches with excision or laser surgery, or radiofrequency. The laser surgery and the radiofrequency one allow for more precision than the traditional xanthelasma removal surgery. There are some downfalls to this method, however. First, it can leave scars as the skin around the eyes is very sensitive. Also, there’s a limited number of surgeries you can have for xanthelasma deposits as the skin is finite. Another important factor is that as surgery it does carry a risk of having side effects such as bruising or bleeding.

It’s overall a very safe way to remove the cholesterol patches but some patients may feel anxious about a full surgery.

How much does a xanthelasma removal surgery in Singapore cost?

The overall price for the xanthelasma excision removal surgery in Singapore will vary depending on several factors. The most important factor is whether you treat both eyes and both the upper and the lower eyelids. It will also depend on the surgical method being used on your (either radiofrequency or laser). The final cost may also depend on the surgeon’s fee and any additional tests and medications you might need. That being said, you can expect the price for a xanthelasma removal surgery to vary anywhere between $400 and $1200.

Chemical peels

Chemical peels prove to be an effective yet safe method to remove the yellow patches. It also lowers the chance of getting scars following the treatment. The chemical peel works by removing the top layer of the skin. Your dermatologist will put the peel only on the xanthelasma patches. This will reduce the risk of side effects such as irritation or uneven pigmentation. You might need additional chemical peel sessions, however.

How much does a chemical peel for xanthelasma in Singapore cost?

The prices depend on a variety of factors including the brand of chemical peel, the clinic’s pricing policy, and the number of lesions you’re getting treated. Usually, the cost is around $100.

Laser Treatment

The laser an effective way to treat the yellow cholesterol patches. The laser will provide heat and thus remove the layer of the fat deposit until it’s gone. The laser does have some risks such as scarring and irritation. There are many benefits to the laser treatment – first, you avoid surgery, and second, there is virtually no downtime. You can go back to your daily schedule as soon as possible.

How much does laser treatment for xanthelasma cost in Singapore?

The final cost will depend on the type of laser machine used and whether you need treatment on both eyelids. Ultimately, you can expect the cost to be between $150 and $300.

Freezing the xanthelasma away with Cryotherapy

The treatment called cryotherapy will freeze the fat deposits and remove them with liquid nitrogen. This is an effective method preferred by patients who don’t want to undergo surgery or try laser treatments. The treatment is very short and has little risk to the patient. Still, there might risk of side effects such as swelling or discoloration.

How much does cryotherapy for xanthelasma cost in Singapore?

The final cost will depend on the size and number of cholesterol deposits as well as the clinic’s individual pricing policy. Usually, a session costs around $100 and $300.

Can xanthelasma go away on its own?

Sometimes it can go away on its own but the reasons for that haven’t been researched in detail. It’s also possible that after you’ve removed them, they recur. This would mean that you’d need another therapy to remove them or try other methods that may work for you.

How do you treat xanthelasma naturally?

There are some natural ways people recommend removing xanthelasma. The most commonly quoted natural remedy is an improved diet. If you eat lots of unhealthy fats such as fried foods or saturated fat you might have high cholesterol levels. You can switch to healthier sources of fat and try to avoid processed foods and eat more whole foods such as fruits and vegetables, whole grains, nuts, and seeds.

Switching to a healthier lifestyle might be beneficial overall. This means cutting back or completely stopping smoking, reducing alcohol, and implementing regular exercise.

Image source: Klaus D. Peter, Gummersbach, Germany; This file is licensed under the Creative Commons Attribution 3.0 Germany license.

Through the eyes, we receive almost all of the information about the world around us. They are also one of the parts that make the first impression of us. Normally, we all have the same eyes structure. However, it is difficult to find people with completely identical eyes. At different times, fashion and celebrities dictate their own criteria for beauty. Also, the different nations have their own ideas about good looks.

There is still controversy between make-up artists and beauticians over what is the perfect eye shape. In the end, it is necessary to recognize that there is no answer to this question because this factor is extremely individual and each person has a shape and size of eyes that are unique to him.

What are the different types of eyelids?

asian girl with single eyelids

Basically, the eyes can be divided into large and small. Also, people of different ethnicities and heritages have different eyes' shape. For example, most Asians have mono eyelids while Europeans have double eyelids, and as weird as it may sound some people have one single eyelid and one double eyelid. Often the shape of the eyes does not depend on their size. It is considered large eyes are ideal for both men and women. However, both small and large eyes have their charm and dignity.

Most make up artists claim the shape of the eyes matters. As your body shape is important when it comes to choosing your clothes it is the same thing that comes to the eyes' shape. According to them, if you want to look beautiful you need to know your shape first.

Maybe more than once you have convinced yourself that makeup that looks amazing on your friend it doesn't look great on you. But how to find your eye shape? Here is a simple guide that might be helpful to you.

  • monolid - eyelid without a crease;
  • parallel eyelid - it has a partial crease which is not defined well;
  • tapered eyelid - the crease is parallel to the upper eyelash and merge with the inner corner of the eye;
  • hooded eyelid - when the eye has a crease but it is not visible due to excess skin;
  • v eyelids or uneven eyelids - when one eye is bigger than the other.

What is the difference between a monolid and a double eyelid?

Woman Eyelid

What differentiates a double eyelid from a single or eyelid is the attachment zones between the levator muscle and the connections to the eyelid skin. The levator muscle which is responsible for lifting the upper eyelid has fibres that attach to the skin. If you have visible eyelid crease it means that these fibres have a strong attachment and vice versa - if your fold is less defined your attachments and levator muscule are weak or you don't have any attachment at all.

Double eyelids are one of the facial features that refer to Europeans. They normally have a natural upper lid crease. It makes their eyes look more open and bigger.

What are monolids? A double eyelid crease is a rare feature of Asian people. East Asians, Southeast Asians, Central Asians, and others have their unique eyelids which are identified as monolid eyes or more formally - epicanthic fold. This type of eyelids is less common in Europeans and western Asians.

Epicanthic folds are skin folds of the upper eyelids that cover the inner corner of the eyes, making them look smaller and more sloping. It is a very common feature among East Asians including Chinese, Japanese, Koreans, Mongols and they have the highest frequency of its occurrence. However, although it is the most common among East Asians, there are some populations that also have this feature without being Asian. For example, the most common example of a non-Asian group of people with epicanthic folds is the Hoysans, who inhabit the Kalahari Desert in South Africa - they are not of Asian descent and they are one of the oldest communities in the world. Also, unlike the European eye shape, Asians have a small orbit, thick eyelid skin, excess orbital fat, and higher eyebrow location.

Double eyelids are thought to allow the eyes to look more open and larger, while the overhanging eyelid "weighs" on the eyes and makes them smaller. Many people with no crease admit that they want double eyelids. Most of them explain their desire by saying that their face becomes more expressive and their eyes - more beautiful.

How to get double eyelids?

All eyes' shapes are beautiful. If your personal preference is to have larger eyes and a more defined crease in the eyelid, you can use some techniques to create that look. Usually, few options are used to achieve double eyelids.

Eyelid tape and glue are very popular methods for creating a crease. These products are usually placed on the upper eye skin to give a temporary double eyelid look. The downside here is that you will have to apply the tape every day to maintain your appearance. Some people may also be allergic to the glue.

One of the most popular methods for getting double eyelids in Singapore and South Korea is plastic surgery. The procedure is also called upper blepharoplasty or double eyelid surgery. It is performed on the upper lids and the deep tissues to remove the excess skin and create a crease. Asian blepharoplasty can be done on both upper and lower eyelids. Lower blepharoplasty is recommended for those who have pronounced bags under the eyes, hanging upper eyelids, as well as deep wrinkles.

The operation is normally performed under local anaesthesia with no sedation. The surgeon makes small incisions on the skin fold in the upper eyelid that separates the moving part from the fixed part of the eyelid. After making them in the right places, the surgeon carefully removes the excess skin. Lastly, the incisions are closed with sutures. As a result, the eyes become larger and the gaze becomes clear, fresh, and open.

The procedure is quick as it takes less than one hour. The recovery time is around 2 weeks. The scars after the operation are not noticeable. Often the operation is performed through the body of the conjunctiva and there is no trace of the procedure at all.

Blepharoplasty can be also done by using a non-incisional technique where small holes are made on the eyelid through which stitches are passed in order to connect the skin and the muscle.

The basic principle of both incisional and non-incisional techniques is to achieve a double eyelid fold and natural look shape. If you decide to have plastic surgery, it is very important to find a qualified and experienced plastic surgeon.

One double eyelid and one monolid

About 50 % of Asians people have natural double eyelids or the crease occurs later with age, most often during puberty. As we mentioned there are many people with one double eyelid on one eye and one monolid on the other eye or having intermittent fold (sometimes they have a single eyelid and other times a double eyelid). This variability is not unusual and the explanation for it is found in the underlying anatomy and other factors. One of the best solutions that give effective and long-lasting results is double eyelid surgery.

How to make double eyelids look like monolids?

As many people, especially women want to go from monolid to double eyelids, a lot of caucasian girls desire having single eyelids. Many times this is because they've seen really pretty makeup tutorials that are from monolids and they want the same looks. Although going from a single eyelid to double eyelid is more difficult than the opposite, it is still possible. What you have to do is basically you need to undo your double eyelid crease that's above your eyelash and then create a new crease next to your lash line. You can do that by using the same techniques such as eyelid tape or glue. The difference here is that you have to place the tape right on your lash line. Keep in mind that these methods might not work for everyone. If you want to achieve better results you will need to undergo plastic surgery but you need to understand that it may lead to unwanted scars.

To finish with...

Many people claim that the appearance of the eyes even affects a person's character. This concept is often used in physiognomy as a method of determining personality type. Psychological experts believe that people with big eyes are usually subject to excessive sensitivity and emotionality. They have a fine mental organization and often have a creative beginning. But even here, there are some reservations, for example, the eyes can look big only because of the small features of the face. Such people are distinguished by their hardness of character. On the other hand, the owners of small eyes are characterized by purposefulness, self-sufficiency, perseverance, and firmness of character. However, all of these beliefs are only approximate but one thing is for sure all types of eyes are beautiful and unique in their own way.

Located in front of the eyeball, the eyelids are a barrier that protects it from the effects of harmful environmental factors such as various chemical agents, ultraviolet rays, mechanical particles, and others. In addition, with each blink, the eyelids ensure the spreading of tears on the anterior surface of the eye and thus provide comfort and normal conditions for the realization of visual perception. Therefore, any change in their condition and position could lead to disease of the ocular surface and be a threat of vision loss.

The normal position of the eyelid with a calm open gaze is at the upper level of the cornea or colour circle - iris. In various conditions, the upper eyelid may cover the eye completely or partially. It's called eyelid ptosis or blepharoptosis, which means drooping of the eyelids.

In most cases, the condition does not improve and ptosis correction surgery is required.

What is ptosis?

Ptosis (blepharoptosis) is essentially the result of a condition affecting the levator muscles. Ptosis of the eyelids is a drop in the upper eyelid to a level below normal. In this way, the eyelid can close part of the pupil and this can lead to vision problems and eye strain.

Blepharoptosis can affect one or both eyes. It can be present at birth or appear later with ageing. In some cases, ptosis may not be accompanied by other complaints and may not lead to any deterioration in the patient's health. In other cases, ptosis may be a sign of a more serious disease affecting the muscles, nerves, or brain.

When diagnosing ptosis of the eyelids, it is very important to clarify the cause of its occurrence so that the underlying process can be cured, which will also lead to an improvement in the condition of the eyelids.

What causes droopy eyelids?

This medical condition can be due to various causes and is mainly divided into congenital and acquired, unilateral, or bilateral.

Congenital ptosis of the eyelids is when the child is born with this problem due to a disorder in the development of the muscles that raise the upper eyelids. In 70% of cases, only one eye is affected where bilateral ptosis surgery is required to lift the eyelid and return it to its normal position.

Acquired ptosis can be caused by external causes such as injuries and burns, as well as by age changes and diseases. The most common acquired ptosis occurs in the elderly due to the so-called degenerative tissue changes. The muscles that raise the upper eyelids weaken and "relaxes". This condition can be successfully treated with blepharoplasty or ptosis repair surgery.

Pseudoptosis or false blepharoptosis include conditions where the sagging is apparent but it is not true dropping of the eyelids. However, often the sagging and overhanging skin of the upper eyelid is considered ptosis. This is not a disease, but a natural ageing process and depends a lot on facial structures. Surgical correction is considered an aesthetic procedure and is called blepharoplasty or double eyelid surgery. Other causes of pseudoptosis can be trivial inflammation of the eyelids, as well as other various diseases.

Ptosis treatment options

Eyelid Surgery or Blepharoplasty

Up to now, the most common and successful eyelid correction methods are blepharoplasty and ptosis repair. These are special plastic surgeries that are used for treating both - ptosis as a medical condition and pseudoptosis as a cosmetic defect.

Congenital ptosis usually required surgery. There are three operative procedures used for correcting it - levator resection by the skin approach, levator resection by the conjunctival approach, and eyebrow suspension of the eyelids.

Drooping eyelids caused by weakness of the muscle or damage of the nerves that control those muscles may not be associate with disease. Surgery can be done to improve the eyelids and milder cases if the patient wants it. In more severe cases ptosis surgery may be necessary to correct interference with vision.

Pseudoptosis around the eyelids (dermatochalasis) and drooping of the eyebrows (brow ptosis) can be also treated surgically. Excess skin can be removed by a procedure called blepharoplasty and brows can be elevated by a brow ptosis surgery.

The type of surgery that will be done depends on the ptosis as well as the strength of the levator muscle. Every individual needs unique treatment and care. If you or somebody from your family have ptosis we advise you to learn as much as possible about the latest medical treatment and approaches as well as healthy lifestyle choices. The best way to do it is to find a good specialist in Singapore who will inform you about the most appropriate treatment options for your case.

What is eyebrow ptosis and what is the treatment of it?

Quite often patients are confused about whether they have lid ptosis or brow ptosis. To treat accurately they need to know exactly which it is.

What is eyebrow ptosis? Age, heredity, and sun exposure contribute to drooping or bird eyebrows. This is usually most noticeable near the tail of the forehead (where the forehead narrows to the temple) in the area where the forehead muscle that raises the forehead is weakest.

What is the treatment? There are many surgical techniques designed to raise the eyebrows and each of them has its advantages and limitations and must be tailored to the appearance and anatomy of each individual.

Droopy eyelid surgery in Singapore

Ptosis repair is a surgery that improves the appearance of the eyelids. This is a procedure that can be performed by itself or it can be performed in combination with upper and lower eyelid surgery or brow lift, or other facial plastic procedures. There are different types of ptosis repair that can be done in Singapore:

  • Internal repair. It is when the plastic surgeons shorten the eyelid muscle inside. There is no visible incision made;
  • External repair. The levator aponeurosis is approached from the outside of the eyelid through the upper eyelid crease. This is suitable for people who have strong levator muscle function.
  • Frontal siling fixation is performed if the patient has ptosis and poor muscle function.

The operation is usually done as an outpatient procedure under local anaesthesia. The incision is made in the crease of the upper eyelid skin or on the inside of the eyelid. One of the muscles is tightened or reattached to the upper eyelid by stitches. The final position of the eyelid depends on how the tissue heals.

When is Blepharoplasty performed?

Upper blepharoplasty (or double eyelid surgery) is a surgical procedure that aims to remove the excess skin on the upper eyelid, which forms a fold, sometimes quite large so that it almost covers it all and interferes with vision. At the same time, the fatty sacs formed under the skin and causing it to relax are removed. The point of the surgery is to repair droopy or puffy eyelids and to create a natural double eyelid crease. Most commonly the procedure is performed on patients with pseudoptosis and a large amount of excess skin.

The first step of this surgery is the very careful and precise marking of the upper eyelid crease. One of the most important parts of the operation is not removing to much skin. If it happens the eyelid won't be able to close. The procedure is normally performed under local anaesthesia that actually creates a little plane of dissection. It is called a hydro dissection where the anesthetic itself separates the skin from the underlying muscle. After that, the small incisions are made and the excess skin is removed. Then the incisions are closed again with sutures.

Double eyelid surgery is one of the most desirable procedures in Singapore.

Eyelid surgery in Singapore: consultation and preparation

The plastic surgeon himself, who will perform the operation, will assess the extent of excess skin and tissue around the eyes. This is necessary so that the surgeon can find the most appropriate method for the operation. That is why the doctor evaluates the following parameters:

  • Determines the degree of excess skin on the upper eyelids;
  • Evaluates the direction of the outer third of the eyelids and the degree of possible eyelid ptosis;
  • Determines the condition of wrinkles in the corners of the eyes;
  • Evaluates the area of eyelid depth and excess adipose tissue in the centre;
  • With light pressure on the eyeball, the doctor assesses the amount of excess fat and its exact location.

The surgeon will be interested in your general health to make sure that you will tolerate the operation well and will not suffer from the worsening of chronic diseases if any. If you have diabetes or impaired blood clotting, it is better to warn your doctor, as in these diseases, performing any surgery is associated with significant risk.

Typically, recommendations for preparing for eyelid surgery include abstinence from medication and certain foods for two weeks before surgery, as well as smoking, which increases the risk of bleeding. Also, if possible, it is good to avoid exposure to direct sunlight and ultraviolet rays on the skin and eyelids.

Ptosis surgery recovery

After the operation, patients may experience minor swelling and bruise around the eyes, for several days. It is advisable to stay at home, to keep your head up when you sleep, and often to apply cold compresses. During the recovery process, do not lift heavy things. If you go out, it is advisable to use sunglasses.

It can take up to a month for the bruises and all swelling to go away. You will not be able to wear contact lenses or makeup for two weeks after the operation. Sutures are usually removed about a week after the surgery. You can return to work in a few days to a week, but you will need to avoid exercise and strenuous activities for at least two weeks.

The final result of ptosis repair or blepharoplasty can be seen 3 months after the surgery.

What are the risks of drooping eyelid surgery?

Ptosis surgery risks include under-correction where the eyelid still droops, overcorrection where the eyelid still open as well as undesirable eyelid appearance, scarring, and other causes of inflammation and infection. There are different methods for ptosis correction so it is important to discuss the post-surgery risks with your doctor and how to minimize them.

How long does ptosis surgery last?

Will the results of eyelid surgery be permanent? The results are considered long term but not permanent. This is due to the fact that the face and body continue to change throughout your life. Most facial cosmetic procedures can be estimated for last from 5 to 10 years. A healthy lifestyle, proper sun protection, and some maintenance procedure are recommended to maximize the long term benefits of the surgery.

Is it possible to treat the pathology of the upper eyelids without surgery?

Conservative treatment without surgery, which is the reception or topical application of drugs in a given pathology has virtually no effect. This can be said for gymnastics and even more so for home remedies. The only exception is the treatment in such cases of ptosis in young children and only if the muscle that raises the eyelid is only partially non-functional. But the effect of such treatment is minimal and it is more a way to prevent further lowering of the eyelid than a full treatment.

How much does ptosis eye surgery cost in Singapore?

The cost of any surgery is based on factors such as surgeon's fee, anaesthesia, facility cost, and aftercare. Ptosis surgery cost in Singapore is between $5000 and $12000. The average cost for double eyelid surgery in Singapore is $2500 to $5000.

Does insurance cover ptosis surgery in Singapore?

Ptosis has been classified as a medical condition by the ministry of health so it is Medisave and insurance claimable. However, if you are getting eyelid surgery in Singapore due to cosmetic reasons as your vision is not affected then your insurance company may not cover it.

Have you heard of the Mongolian fold? The Mongolian fold – also called epicanthal fold and epicanthus - is the inner corner of the eyelids – a feature commonly seen in Asian eyes. One of the most popular cosmetic surgeries in Asia and across the world is a procedure used to make the eyes look bigger and wider - the epicanthoplasty. Singapore is no exception in the popularity of the epicanthoplasty method. Epicanthoplasty is becoming increasingly more popular among people. So much so that there are a lot of cosmetic products and makeup techniques used to imitate the effect of an epicanthoplasty or a double eyelid surgery.

In this article we’re going to talk in much detail about epicanthoplasty in Singapore - what is it, what can you expect during the procedure, what’s the difference with a double eyelid surgery and costs you can expect in Singapore.

What is Epicanthoplasty?

Before we explain everything about the surgery in detail, it's a good idea to talk more about the eyes and why some people would like to make them look bigger.

  • The canthus:  this is the corner of the eyes where the upper eyelid meets the lower eyelid. The inner corner of the eyes is called a medial canthus. The outer corner of the eyes is called the lateral canthus.
  • The epicanthal fold:  This is a trait commonly seen in people of East Asian descent. It's the fold on the upper eyelid that covers the medial canthus.

So what exactly is epicanthoplasty?

This is a plastic surgery procedure performed to create wider and bigger eyes. It’s a method that releases the Mongolian fold (also called the epicanthus or an epicanthal fold)- and ultimately widens the inner corner of the eye. A lot of people prefer to get an epicanthoplasty because the Mongolian fold can create the illusion that the eyes are spaced too widely. With the surgery, the distance between the eyes will be corrected. A lot of the time, the procedure is done while the patient is receiving a double eyelid surgery.

It’s a permanent way to achieve the look patients want. There are several methods to the surgery and several sub-types of epicanthoplasty. Surgeons may opt for the so-called medial and lateral epicanthoplasty depending on the goals the patients have.

What happens during an epicanthoplasty?

Eyelid Surgery or Blepharoplasty

Before the epicanthoplasty procedure itself, you and your plastic surgeon will have a consultation in which your epicanthal or Mongolian fold will be assessed – he will calculate its width and decide how to make an incision. The surgeon will make marks with a pen on the incision line.

During the plastic surgery, you can be under local anaesthesia or the so-called twilight anaesthesia. During the whole procedure, you won’t be able to feel a thing due to the anaesthesia but will be able to talk to the surgeon. He will remove excess fat and skin and after the procedure is done the surgeon will close the area with sutures.

The surgery will take around 30 minutes and you won’t have to stay in the hospital after. You’ll only need around 2 hours for your eyes to relax slightly before going home. Your surgeon will remove the stitches in 5-9 days depending on your speed of recovery.

What’s the epicanthoplasty recovery and healing process like?

It will take roughly two weeks to recover from the surgery and go back to daily activities. For a full recovery, it can take a couple of months until everything settles. After the procedure, you’ll have follow-up consultations to make sure your recovery is going okay.

The recovery period may look different for each patient. While after an epicanthoplasty surgery, most patients can go back to work and their daily life within two weeks, for some it may take longer. You will be able to wear eye makeup within a few days.

The best thing you can do for fast recovery is to follow your surgeon's instructions. They will likely tell you to apply cold compress on your eyes to reduce the swelling and avoid sun exposure. During the recovery period, you may feel some pain, but your surgeon will prescribe you mild pain medication for it.

Are there any side effects from an epicanthoplasty surgery?

While this is a very safe surgery with a high success rate, just like any other plastic surgery there are some possible side effects that can occur. The side effects of epicanthoplasty correspond to the ones that can occur during any other surgery – such as an infection and irritation. These are rare side effects, however.

Other side effects that may occur are:

  • Scars: scar lines may be noticeable for months following the surgery
  • Uneven results

What is medial and lateral epicanthoplasty?

As we’ve mentioned previously there are two subtypes of epicanthoplasty – medial and lateral.

Medial Epicanthoplasty

With the medial epicanthoplasty method, the surgeon makes a mold on your natural Mongolian folds. He will make sutures at the inner corner of the eye. This reduces the risk of scars and creates a more natural look. This is often done while the patient is getting double eyelid surgery. The surgeon will remove the stitched around a week after the surgery.

Lateral Epicanthoplasty

With the lateral epicanthoplasty, the surgeon will make incisions on the outer corner of the eye. This is a method suitable for patients that complain about droopy eyelids. The lateral method a wider look. It can also be done during double eyelid surgery. The surgeon will remove the stitches in 5-7 days following the surgery.

What’s the difference between Epicanthoplasty and Blepharoplasty?

While the two surgeries may sound similar, they are two separate procedures. The double eyelid surgery, also called blepharoplasty, is a plastic surgery performed to create a double eyelid. During the surgery, the surgeon will make incisions along the eyelid to create the eyelid crease. There is also a non-incisional surgery, in which the surgeon opts for small sutures which will create the same effect on the upper eyelid crease.

On the other hand, epicanthoplasty is a surgery performed on the Mongolian fold, also called the epicanthal fold. It’s also a surgery that can be during a double eyelid surgery so that eyes are even bigger.

Epicanthoplasty Cost You Can Expect in Singapore

There are several deciding factors when it comes to the final cost of an epicanthoplasty procedure in Singapore. First, the most important thing is whether you’ll be receiving it alongside a double eyelid surgery. If you do, the cost is likely to increase and be more expensive.

The other important factors to the final cost of the surgery are the doctor’s expertise, the anaesthesia, whether you get prescribed medications, and the facilities’ fee. Ultimately, the final cost will depend on your personalized treatment plan. Once your treatment plan is done, you’ll also receive the final cost for the surgery. That being said, the epicanthoplasty surgery in Singapore may go from 850$ to 2000$ for the procedure alone.

A lot of people are concerned that their eyes are getting more ‘droopy’ with age. That’s not a cause for any medical concern but a lot of people just prefer to do something about their droopy eyelids. Having loose eyelids is something completely normal with age because as we get older we also lose some skin elasticity. That happens because, with time, we start to lose some of the naturally occurring collagen that usually keeps our skin tight. That’s also the reason why we get wrinkles too.

But the question remains – what do we do about droopy eyelids. Well, there’s not so much we can do about them besides cosmetics or plastic surgery. The surgery is called upper blepharoplasty but is also referred to as eye lift as well. Another, cosmetic use, of the surgery is the creation of a double eyelid. This is such a popular procedure in Asia, and Singapore in general, that it is commonly known as Asian Blepharoplasty.

In this article, we’re going to talk about everything you would want to know about upper blepharoplasty in Singapore. Like who can get it, how to prepare for it, and the costs you can expect.

What exactly is Upper Blepharoplasty?

Blepharoplasty is a plastic surgery used to reduce droopy eyelids or to remove eye bags (also called lower blepharoplasty). This eyelid surgery is not a ‘necessary’ surgery but rather one that people choose to get if they feel unhappy with their look.

During the procedure, the surgeon will remove excess skin from the upper eyelid. This will create a more youthful look. During some procedures, the surgeon might remove some of the excess fat in the upper eyelid if need be. After the procedure is done, the doctor will close the incisions. The surgery is done under general anaesthesia (although sometimes it can be done under local anaesthesia as well).

Can anyone get upper blepharoplasty?

Generally, healthy people are suitable for surgery. That reduces the risk of complications and side effects from the surgery. It’s also important that the patients are nonsmokers and don’t have serious eye problems (in this case, if have glasses or something that doesn’t require medical help, you’re good for the surgery).

During your first consultation with a plastic surgeon, they will ask you questions about your general health and your expectations. It’s important to stay honest with them because they can offer you options suitable for your case, specifically. So, don’t hesitate and talk to one!

What about the results?

Eyelid Surgery or Blepharoplasty

The results from upper eyelid surgery will last a long time. But you still have to know that your eyes will continue to age even after the surgery. That being said, the results last around 5-7 years after surgery. That means that after a while, you might want to do another upper eyelid procedure or another type of ‘lift’ (like a brow lift or even a facelift).

When it comes to lower eyelid blepharoplasty, you’d rarely need another surgery. The results are permanent but your eyes are still bound to change a little as you age.

What’s the recovery like from Upper Blepharoplasty?

It usually takes around two weeks to fully recover after Korean upper eyelid blepharoplasty. That’s around the time when patients feel comfortable going out. It takes around 10 days for all the swelling and bruising around the upper eyelid area to heal. Your doctor might tell you to avoid makeup for around 2-3 weeks following the surgery.

During your recovery, you should follow your doctor’s advice. He’s likely going to tell you to avoid wearing contacts for a few weeks after the surgery and to avoid any strenuous exercise. You’d also have to avoid smoking or drinking alcohol, especially if you take any prescription medicine. Another thing you’d have to follow is to always keep your eye (both upper eyelid and lower eyelid) area clean. The most important thing you have to do after the surgery is to… rest. Rest will help you recover faster and with minimal complications.

Some of the things you might experience during your recovery are mild swelling and pain, sensitivity to light and blurry vision. Your doctor might give you some non-prescription pain relief medications. The blurry vision and light sensitivity should resolve on their own in a day or two. If they don’t you should call your doctor!

What are the risks?

Even though the eyelift is considered a safe procedure there are some risks involved with it. The risks associated with upper eyelid surgery are rare but they still occur sometimes. They include the risks typically associated with surgery such as bleeding and infections. Other risks involve unsatisfactory results such as not being able to close your eyes or abnormal-looking upper eyelids. Those risks are possible especially if the plastic surgeons you go to are inexperienced.

To avoid some of the risks of upper blepharoplasty you should spend a lot of time researching and choosing plastic surgeons with over 10 years of experience.

How do I prepare for upper eyelid surgery?

You’re likely going to have some medical tests before going in for surgery. The medical tests include some blood work and an eye exam. A couple of days before the surgery you shouldn’t take any medicines or supplements that have an effect on bleeding risks (such as aspirin, ibuprofen, or vitamin E). Smoking is also a no-go for the same reason (for at least a week before surgery). On the day before the surgery, you shouldn’t have any alcohol either. Generally, your doctor will advise you on what to do before the surgery so you can prepare well and thus limit the risk of complications.

How to choose the right surgeon for your surgery?

As we mentioned already, the risks of complications from the upper eyelid blepharoplasty are often due to inexperienced plastic surgeon. That’s why we’ve gathered some tips on how to choose the best possible surgeon for you.

  • If possible (if your country has a qualification like this) always choose board-certified surgeons.
  • With at least 10 years of experience in surgery and if possible they have to specialize in eye cosmetic surgeries.
  • Check their portfolio. An experienced surgeon should have a portfolio of his work.
  • Research their facility. The facility they perform surgeries in should be credible and certified.
  • Ask your friends and family for suggestions. If some of them had an eye lift then maybe they can recommend a surgeon.
  • Look at doctor directories online and reviews. While that’s not the most accurate way to choose a surgeon (given that there are paid reviews these days), it’s still an option.

Cost of Eyelid Surgery

The final cost for upper blepharoplasty depends on a lot of factors. First and foremost it would depend on the area you live in – if you live in a high-cost area then the surgery itself would also be more expensive. Other than that there are other factors that contribute to the final cost of the surgery. Those include the surgeon’s fee, facility fee (if any), anaesthetics, anesthesiologist’s fee, any medication you might get prescribed, and consultation fees. That being said, in most cases an upper eyelid surgery is around 2000$ or more.

Your health insurance is likely not going to cover any of the costs as it is a plastic surgery procedure. In some cases, however, they might. But it all depends on the insurance company and their policy.

Final Thoughts

The upper blepharoplasty is a plastic surgery procedure that a lot of people go through every year. Whether you decide to get it, it’s up to you. The surgery might help with your confidence and self-esteem, especially if you feel insecure about the way your upper eyelids look. A lot of people actually get another surgery or procedure while having upper eyelids blepharoplasty – either with a brow lift or a full facelift.

But overall, the most important thing is to keep yourself informed about the surgery, especially if you’re currently considering it. Being informed will help you choose a suitable doctor and will also help you prepare for the surgery mentally. That’s why we hope this article was helpful!

The eyes are not only a window to the external, but also to the inner world of people. They are one of the most expressive facial features that show vitality, emotion, and character.

Many factors such as age, heredity, skin type, sun exposure, etc can affect the eyelids and cause them to sag or make them swollen and heavy.

You don't have to live with eyes that look sad, tired, and old. In these modern days, there is an easy way to fix this problem. The solution is eyelid surgery called blepharoplasty. It can be done on the lower eyelid, upper eyelid, and both at the same time.

Blepharoplasty aims to "open" and refresh the look of the face. During the procedure are removed excess skin, fat tissue, and in some cases muscle tissue from the eyelid area. Blepharoplasty is divided into two separate procedures - upper blepharoplasty and lower blepharoplasty, which means it corrects lower and upper eyelids. Very often both procedures are performed together. In addition to treating certain conditions like drooping eyelids or ptosis, Asian blepharoplasty is also being used for the creation of double eyelids.

Here we will focus on lower blepharoplasty eyelid surgery.

What does a lower blepharoplasty do?

Lower eyelid surgery can rejuvenate puffy and tired eyes by removing excess fat, correcting the eyelid skin and muscles in the lower eyelids. The operation can remove the bags around the eyes and create a smooth contour of the face. As a result, the eyes look better and more youthful.

What can you achieve with lower eyelid plastic surgery?

tappered crease and parallel crease

Lower blepharoplasty is ideal for the correction of:

  • Loose, excess or wrinkled skin on the lower eyelids;
  • Bags under the lower eyelids;
  • Hanging lower eyelid;
  • Excess skin on the lower lid;
  • Fine wrinkles on the lower eyelid.

Blepharoplasty cannot raise the eyebrows and reduce the appearance of deep wrinkles, or dark circles under the eyes, but it can be combined with other procedures, such as forehead lifting and Botox.

How is lower blepharoplasty performed?

It is performed under local anaesthesia. The duration is about an hour or two, depending on whether the plastic surgery is made, only on the lower eyelid or both together, upper and lower. The operation can be also performed under general anaesthesia. In the lower eyelid surgery, the incision is around 2 millimetres below the lash line. The procedure includes removing the excess skin, fat tissue, and in some cases, muscle tissue.

There are two options for the incision - external (transcutaneous) and internal (transconjunctival). The first type of incision removes the fat under the eyes, as well as cuts the excess skin from the external incision, beneath the eyelashes. The second is normally used in cases when there is a minimal amount of excess skin.

Both procedures work to reduce the puffiness of the eyelids and remove bags under the eyes. The results are long-lasting and achieve a refreshing look, youthful appearance, and expressiveness.

The traditional (transcutaneous) surgery is performed in the following steps:

  • The surgeon will make sure that your eyes are nice and numb;
  • Making a small incision under the eyelashes;
  • Finding the fat pocket;
  • Removing the excess fat;
  • Closing the incisions by using sutures.

Transconjunctival blepharoplasty is more gentle and is suitable for people who don't have too much excess fat under the eyes. The incision is not made in the skin of the eyelid but it is made in the conjunctiva. In general, this method is used to remove excess fat under the eyes. It is only suitable for young patients when the skin still has sufficient elasticity.

Transconjunctival blepharoplasty has a number of significant advantages. The operation does not require general anaesthesia, it is enough to use it locally. In this way, many side effects associated with systemic anaesthesia can be avoided, so the recovery time will be faster and easier. The procedure is quite fast and takes around an hour.

However, if there are deep wrinkles and sagging skin, this method will not work and the doctor will have to use the transcutaneous method.

What is the recovery process like after a lower blepharoplasty?

There is no downtime. In the first days after the operation, swelling and bruising under the eyes are observed. Cold compresses can help these symptoms to go away faster. Discomfort and pain are affected by the most common painkillers. The sutures are removed on the 4-5th day, but for complete recovery and disappearance of discomfort, it is good to be off of work for two weeks.

The scars should not be exposed to direct sunlight or if this happens, they should be covered with a high sun protection factor. It is recommended to wear glasses for the first 7 days.

Complications and risks of blepharoplasty

After the operation, you may experience tearing, itching, burning in the eyes, dry eyes, sensitivity to light, and blurred or double vision that may persist for several days. Eye drops and ointments can very successfully affect these symptoms.

In very rare cases, bleeding may occur. Another rare complication is lower eyelid drooping after blepharoplasty. It is possible because in many cases the nerves that go to the muscles of the lower lid are stretched during the surgery. It can take about 6 weeks to get better and nerve to start working again. Drooping eyelids after surgery can be also associated with other eye problems. If you have any of these complications it is important to consult with your surgeon.

To avoid complications, it is necessary to follow simple recommendations. For a quicker recovery, drinking alcohol, exercising, lifting weights, and stress are not recommended. It is not desirable to tire your eyes, watch TV, and read books. It is necessary to protect the area around the eyes from direct sunlight by wearing sunglasses for at least two weeks after the operation.

With choosing a good plastic surgeon and proper technique, complications can be minimized.

Preparation for the operation

The first step is to go for a consultation.

What to expect during the examination?

  • A photo of your eyes will be taken, reflecting their current condition.
  • Your surgeon will decide if this procedure is right for you.
  • You will discuss the results you want and how it can be achieved.
  • You will be shown where the incisions will be made, as well as before and after photos of the surgeon's past work.
  • You will be informed about the recovery period and about the possible risks and complications related to the upcoming procedure.
  • You will receive instructions on what to do before the operation and what tests you will need.

What is expected of you during the consultation:

  • Ask the surgeon if you have any questions about the upcoming procedure.
  • Inform your doctor if you have any illnesses, as well as if there are any medications you are currently taking.
  • You can avoid or reduce the risk of complications by choosing a plastic surgeon with the appropriate experience and qualifications.

How long does a lower blepharoplasty last?

Is it going to be one year, six months, ten years? When you are doing surgery, you are looking at five-ten years even longer than that. But the truth is that it has to do with your lifestyle. If you are someone who is very active and you are constantly rubbing your eyes, you are pulling on things, and given your genetic makeup (some people just age a little bit differently), that will affect the results. But in the big picture of things whenever we talk about surgery, we are looking at five, ten years, or even longer for that.

double eyelid surgery

You can do little things like using the right skin products to make sure your results last longer, avoiding sun exposure, wearing a sun hat, SPF protection. Protecting your skin and taking care of it with some procedures like facials micro-needling, skin resurfacing, and so on, will allow the results to last longer.

Lower blepharoplasty and other procedures

Blepharoplasty treats problems of the upper and lower eyelids, but not deep wrinkles on the sides of the eyes. Very often blepharoplasty is performed together with other surgical procedures on the face, most often with a facelift, brow lift, or laser skin resurfacing. If several procedures are performed at the same time it will achieve a more complete rejuvenation of the face.

These options should be discussed with your surgeon during the consultation to choose the best one for you.

Most common questions

Is lower blepharoplasty good for someone with under-eye hollowness?

The procedure can be a very useful technique to fill the under eye hollowness in a long term natural fashion. If there are enough fat bags there they can be repositioned to be filed the hollow part underneath.

Does blepharoplasty help dark circles?

The procedure typically removes fat deposit and excess skin around the eyes but it does not necessarily lighten dark circles. If the circles are due to fat deposit blepharoplasty will help to get rid of them.

How safe is lower blepharoplasty?

Lower eyelid surgery is a delicate operation because the area around the eyes is really sensitive. In good surgeon hands, blepharoplasty is an effective and safe procedure.

Does lower blepharoplasty change your eye shape?

You shouldn't expect drastic changes. The eye shape will change slightly with blepharoplasty. The procedure has very good aesthetic effects such as age-reducing, more youthful eye shape, more rested look, no loose, and wrinkled skin.

Can eye bags return after blepharoplasty?

If you don't take care of your eyes and the skin around them, it is possible eye bags to return after surgery. Procedures like fillers, facelift, lasers can be very useful if you want to avoid this problem.

To conclude

Whenever you choose a plastic surgeon, make sure that he has the necessary education. Ask him to show you his certificates if they are not displayed in his office. Be careful not to fall into the hands of a pseudo-surgeon or one who does not have the necessary qualifications to perform the procedure you want.

A positive change in the look of the face affects the overall vision and appearance. The results of blepharoplasty are impressive and long-lasting. The scars are small and become invisible over time.