Non Incisional Double Eyelid Surgery - What is the Procedure like?

It’s not a secret that some Singaporeans visit plastic surgery centres across the city in an attempt to correct their single eyelids. It’s also not surprising that the majority of these are hesitant to get eye surgery for obvious reasons; and so, they are rather seeking minimally invasive alternatives like the non-incisional double eyelid surgery.

The latter procedure has been on patients’ radar for a long time because of its simpler nature and minimal downtime as compared to the incisional method, plus the ability to achieve natural-looking double eyelids. Of course, it has its downsides as well. The next few paragraphs will provide more information on the aesthetic treatment that has captivated so many. Read on to find out if it’s something you want to try.

What is Non-incisional Double Eyelid Surgery?

Double eyelid blepharoplasty, as its name suggests, is used to create a fold in the upper eyelid so that the eye appears more open and defined. The non-incisional technique, also dubbed the suture method, resorts to sutures that are placed under the skin through small incisions (tiny holes). They are attached to the underlying muscle in a way that they can form the desired crease.

Since no actual incisions are made with a scalpel, there is less swelling and bruising, and the recovery process is much faster than with the traditional approach. Local anaesthesia (or sometimes twilight anaesthesia) is employed to ensure the person undergoing the procedure is relaxed.

The majority of Asian patients have small eyes; thus, they sometimes go for horizontal or vertical enlargement methods, depending on what they need. The incision and non-incision double eyelid surgery is one way to bring more depth to the eyes by giving them a double eyelid line/fold (if they don't have it at birth). The entirely invasive treatment can also tighten drooping eyelids and remove extra skin or excess fats as needed. When targeted at the Asian eyelid, it has a different purpose than when performed on a Caucasian patient since most Caucasians have double eyelids naturally.

Carrying out thousands of eyelid surgeries a year, cosmetic surgeons have enough experience under their belt to transform someone’s look.

Who can Have Non-incisional Double Eyelid Surgery?

close up on asian woman's eyes

People who tend to get non-incisional surgery on the upper eyelids are concerned about swelling and scar formation, so they want a treatment with minimal side effects like this one. The perfect candidate does not have thin eyelids, is healthy, and is also of age. They aspire to achieve more definition in the eyelid region and are willing to subject themselves to a minimally invasive procedure.

You may be unable to get the non-incisional double eyelid surgery and instead could be a better candidate for the surgical procedure if you wear thick contact lenses or happen to have thick upper eyelid tissues. Another problem that will stop you from undergoing the desired treatment is if you have protruding eyeballs. For any of these, your doctor may be able to recommend other surgery options.

How Much Does It Cost to add an Upper Eyelid Crease?

Non-incisional double eyelid surgery is not the most affordable cosmetic treatment. In Singapore, a lot of plastic surgeons charge around $3,400 for the non-incision method. Compared to the price of the actual surgery - approximately $4,500 - it is less expensive. It’s worth noting that neither double eyelid procedure is covered by insurance, so the expenses are left in the hands of the patient.

What goes into the bill of eye surgery of this type are things like surgeon's skills, clinic fees, products and medications used, local anaesthesia, geographical area, and other individual characteristics.

Pros and Cons of Non-Incisional Double Eyelid Surgery

Non-incisional double eyelid surgery has its pros and cons just like every other cosmetic procedure and you should be well aware of them before you begin your journey.


  • There is no incision; instead tiny holes are used to create the eyelid crease
  • Less scarring occurs with the non-surgical method
  • The procedure promotes minimal downtime and faster recovery time
  • It is more affordable than the incisional double eyelid surgery
  • There is almost no swelling with the non-incision procedure (as opposed to more swelling with the surgical method)


  • It cannot remove excess skin, excess fat and/or connective tissue
  • The minimum-incision technique doesn’t work for drooping eyelids
  • The eyelid crease is not as distinctive as it is with real (incisional) surgery

Are There Any Side Effects to the Non-incisional Procedure?

Well, no cosmetic treatment is without side effects. The sooner you get that, the better. Yet - it has to be said - non-incisional double eyelid surgery bodes well for most people and side effects are rarely seen. Except for swelling and bruising, which seem to be the most common offenders - and the most normal thing to happen after any surgery, for that matter - the biggest problems that you can encounter as a patient are visible punctures, tissue damage, and asymmetry of the double eyelid fold.

And just so you know, this is pretty much down to how experienced and trained your plastic surgeon is. There may also be infection and suture irritation.

To avoid a severe outcome after your surgery for double eyelids, you should: 1) find yourself an expert that knows their way around aesthetic corrections; and 2) have them explain everything in plain language so you understand the consequences of this journey. They should not only give you a full picture of what to expect but also provide a comprehensive physical exam, with lab work as needed, to ensure you are a good match for double eyelid surgery.

Warning: If a doctor rushes you to go under the knife, this is a major red flag. You should not feel pressured to do any kind of plastic surgery, let alone double eyelid surgery, be it incision method or non-incision method.

Non-incisional Double Eyelid Surgery Recovery Time

asian girl

The entire healing process of your eyelids stretches across months post-op and this is perfectly normal for any cosmetic or surgical procedure, but the initial recovery time is known to be 2 weeks overall. This means that you are likely to have certain discomfort and experience side effects for no more than 14 days after your non-incisional double eyelid surgery. After that, you will gradually begin to feel better.

While you are at this phase, it is normal to feel pain in the eyelids. You may find yourself dealing with some dry eyes and bruising. Upper eyelid skin sensation may change, as you experience swelling.

To help manage these symptoms, you can apply a cold compress (ice packs) over the treatment area. Do not apply ice directly on the skin. It is best to wrap a cloth around it before applying to the double eyelids. Also, go by the directions that your doctor gave you. When outside, make sure to wear sunglasses and wide-brimmed hats. You want to shield yourself from the sun as much as you can to prevent irritated eyes from happening. If you got prescribed oral medications, don’t forget to take them as instructed.

Is the Upper Eyelid Created by the Non-incisional Double Eyelid Surgery Permanent?

What’s absolutely certain about the non-incisional procedure of creating double eyelids is that it offers temporary results, which are evident after a few weeks post-treatment and tend to be gone within the first year or so. The problem with this technique is that it uses sutures that can migrate or break over time. Needless to say, this ruins the aesthetic outcome.

If you want the effects to last years, you need to create a stronger bond between the eyelid skin and the tendon responsible for the raising abilities of the upper eyelids. And this is possible via the incisional method. On that note, if you have made up your mind to stick with the suture technique, it means you need to have revision surgery every year or so (your physician will give you more details on that). If you have thin eyelids, though, and if they get thinner over time, this option might not be best for you.

How to Find the Best Double Eyelid Surgeon?

best double eyelid surgery clinics in singapore

These days, there are plenty of surgeons who will do decent work but if you want the top of the top, you need to dig deeper. You can read our article on the best double eyelid clinics in Singapore here. Even though non-incisional double eyelid surgery seems like a light procedure that can be carried out by any beautician, don’t be fooled. This treatment affects your eyes - an area that is abundant in nerves and other tissue. One step gone wrong and you can part with your vision or get the worst outcome.

Like you would do with any other plastic surgery, you have to choose your doctor with great precision. When doing your research, it’s important that you hit the following points:

  • They have a good reputation. It’s not difficult to get this one right but you need to be careful, as some reviews people leave on the Internet may as well be fake. Do your homework and ask around. Don’t just rely on their online presence. If possible, arrange to meet with real patients and get their narratives on their experiences.
  • Their communication skills rock. You may be wondering, “What difference does it make? I just want someone who knows what they are doing.” Yes, proper training and experience are vital but if the specialist fails to communicate with patients, that’s going to translate into poor results even though they may be superb at handling the scalpel.
  • They are a board-certified plastic surgeon. Now, depending on where you are located, there may be other certificates that matter, so be sure to check out all their license work. For starters, they should be approved by the Ministry of Health, Singapore.
  • They have performed incision and non-incision double eyelid surgery hundreds of times. We can’t stress enough how important this is. The more procedures your doctor has done before, the better outcome you can expect. Practice goes a long way. Keep in mind it has to be someone who focuses on the Asian type of eyelid.

Selecting the right plastic surgeon for your non-incisional double eyelid surgery makes all the difference in the world. It means experiencing fewer complications if any at all. That’s why you shouldn’t make a decision lightly. Don’t let the high costs of non-incisional double eyelid surgery put you off. If you come across doctors who offer discounts and special prices, this is a red flag. Talented and experienced specialists operate high-quality equipment and use the best brands. If the price you have to pay to get double eyelids seems too good to be true, then you could be exposing yourself to uncalled-for risk.

All in all, if you are lacking that natural crease in the upper eyelid and incisional surgery is not your cup of tea, you can get non-incisional double eyelid surgery at many clinics across Singapore. It will be much more effective than the skin glue and eyelid tape you've been using on your eyelids. But you need to remember that it's not just up to you whether you have it or not. There are certain criteria to adhere to, as eye surgery is not suitable for everyone. Therefore the person responsible for your eyelid surgery will have the final say on whether that is doable.

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