Tapered Eyelid Surgery - Implants, Tapered or Parallel Double Eyelids

This post will dig into tapered eyelid surgery and the types of eyelids that exist. Asians were gifted with several eye shapes and sizes. Some are more popular than others but for the most part, there is a tendency toward those with upper creases. A lot of individuals who don’t have natural folds on the upper eyelids opt for cosmetic treatments that can fix the situation. If you want to learn more about the process, read on.

What Types of Eyelids are there?

close up of an open eye with double eyelids

Before we focus on the actual procedure, let’s talk about the eyelid height and anatomy first. When it comes to the Asian eye, there are a few common eyelid types that can be distinguished in different parts of the continent.

Tapered eyelid crease

What are tapered eyelids? They are one of the most desired eyelid shapes by East Asians other than parallel eyelids. Here, the outer eye corner of the crease is in parallel with the upper eyelash and the inner part merges with the medial corners (medial canthus), or inner corner. Popular tapered eyelid beauties include Sandara Park (South Korean singer) and Fann Wong (Singaporean singer, actress, and model). A subtype of this is lateral flare. The difference is that the tail of the crease, or the part that’s facing outward, is slightly more raised than the rest of the fold. Both types are considered to give a unique look.

Parallel eyelid crease

The name of this type of eyelid hints that instead of meeting at the corners of the eyes, the fold runs in parallel with the lash line, which creates an attractive appearance. This type seems to be an eyelid trend among Korean people lately. People of all ages asking for a parallel eyelid look is like the new norm now. It’s no surprise since it gives the impression that the eyes are bigger. Now, the question is, tapered or parallel double eyelids? Truth is, both are popular but one seems to have an edge over the other in different areas. When it comes to eye makeup application, both can make for an amazing look.

Monolids

This is one of the most recognised types of eyelids, which is often dubbed 'single eyelid'. There is no visible crease on the skin that well-defined double eyelids are known to have. While some people with monolids love this look and wouldn't change it for the world, others prefer the other way around and use various techniques to achieve the appearance they are after. The single eyelid is by no means a medical condition and it does not present a health concern. However, some people find it less appealing than double eyelids. They also struggle with eye makeup application.

Hooded eyelids

These are less prevalent in Asians. They have a crease but there is an extra layer of skin that falls onto the outer corners of the eyes (droopy skin). This type of eyelid makes it difficult to apply eye makeup like eyeshadow (e.g. attempt the smokey eye).

Partial eyelid crease (asymmetric eyelid crease)

With this type, there is somewhat of a crease but it stretches across in the middle section of the upper eyelid only and it never really extends into both ends.

Too many folds. It is funny how some people are born with minimal eyelid folds, whereas others develop one too many creases on their upper eyelid. This distorts the shape and ruins integrity and definition.

Tapered Eyelid Surgery with Implants

Tapered eyelid surgery aims to create a visible fold - just like the one that double eyelids have - using implants with rounded corners. They come in the form of thin prostheses made of 99.99% pure gold, about the size of an average snap clip. Weight varies from 0.6 to 1.8 g and thickness runs 1mm. For gold-sensitive patients, gold eyelid implants are anything but suitable, so there is also the option of platinum implants. They are tailored specifically to meet one’s needs. The product is sterile.

The procedure designed to insert tapered eyelid implants is carried out by a qualified surgeon under local or general anaesthesia. They have to make a horizontal incision above the eyelid. The exact placement of the implants depends on many factors and is evaluated by the specialist depending on their experience and special technique.

Some board-certified doctors choose a lower placement because this gives the lid better closure. And others are more inclined to use the higher placement as it provides the most natural results (the implant is less noticeable for superior eyelid cosmesis).

Once the position is figured out, the next step is to do the actual insertion. Upper eyelid fat is pushed away or partially removed to make space for the tapered eyelid implants. They are secured to the tissue with stitches. The pieces themselves come with holes where the sutures can be attached. The surgeon has to ensure that the prostheses do not interfere with the opening and closure of the eyelid or vision. When everything is under control, they seal the incisions with sutures.

It should be noted that implants are also used as eyelid weights to treat paralytic lagophthalmos (incomplete closure of the eyelids). Since the weight applies pressure on the muscle, it has no choice but to become stronger.

Double Eyelid Surgery

blepharoplasty double eyelid incisional surgery

The double eyelid procedure (also known as upper blepharoplasty) requires that the patient be sedated or rendered unconscious. After pre-marking the area, the surgeon makes a few small incisions into the upper eyelid, just across the lash line. They will remove part of the skin to gain access to the tissue underneath. Some of the fat tissue and extra skin will be eliminated. The size of the muscle may be reduced.

Once everything is ready, the specialist will close the wound with a pair of sutures or glue, which will have to be taken out after a few days. This is known as the incision method, or the traditional double eyelid surgery approach.

There are different techniques to use based on the case as well as the surgeon’s experience and training. Some tend to expose existing folds and create well-defined eyelid creases. Others create double eyelids in patients from scratch. The height of eyelids is unique to everyone but it can be improved with the procedure.

A newer non-incisional method emerged a few years ago. It's called the suture method. In medical jargon, it’s referred to as dubbed double suture and twist - surgery DST eyelid surgery, or simply, eyelid surgery DST. The surgeon does not make any deep incisions like in the surgical double eyelid creation. Instead, they create tiny punctures in the skin on each upper eyelid.

Then, two sutures are placed inside these microscopic holes and tightened to create the effect of a crease. There is a modified technique too and new ones keep on coming. This results in minimal to no scarring, less risk, and improved patient outcomes.

Who Makes a Good Candidate for Double Eyelid Surgery?

You may be suitable for double eyelid creases if you have droopy eyelids or lack a natural fold above the lash line. You should have adequate skin laxity and realistic expectations. Not to mention, you need to be in good physical health. People with eyelid ailments or a huge surplus of fatty tissue in their upper eyelids are not great candidates.

What are the Current Asian Beauty Standards?

Big eyes, tall height, straighter nose, white skin, and double eyelids seem to be part of the current Asian standards, although not all people desire to change their looks. When it comes down to eyelids, sometimes it's not the lack of crease that bothers men and women of all ages; rather it's having uneven eyelids. That is, one eyelid has a more defined fold while the other has no crease at all.

How come only around 50% of the Population in Asia has Double Eyelids?

The reason why there are many single eyelid girls and boys is in the various facial features. At birth, the levator muscle is either attached to the skin surface at various levels or at one uniform level. As far as the first option is concerned: when the muscle contracts, the eyelid is pulled inwards. However, with regard to the second option, the only thing that the muscle can pull in is the edge of the eyelid. This does not create the signature crease. As a result, the majority of Asian eyelids are monolids.

Sometimes, with age, excess skin droops over the peepers, obstructing vision partially and ruining the overall shape of the lids. Eye makeup and eyelid tapes to create different creases of eyelids are not effective at all. If you want to change that, you should talk to a doctor from board-certified surgeons. There are no perfect eyelids, yet you can make yours suit your facial features and skin tone.

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