How to Prepare for Double Eyelid Surgery
- Dream Clinic
- Dec 28, 2024
- 9 min read
Updated: Jun 30
Double eyelid surgery is among the most popular cosmetic procedures in East Asia, particularly for individuals with monolid eyes who wish to enhance their natural features.
In Malaysia, this aesthetic trend continues to grow, thanks to advanced options like non-incisional double eyelid surgery, which offers faster recovery and no visible scarring.
This complete guide will give you all the information you need to prepare for your double eyelid surgery. You'll learn everything about getting ready for both the procedure and the recovery period.
Let's walk through each step together!
What are the types of Double Eyelid Surgery?
Double eyelid surgery covers two main techniques: incisional and non-incisional methods. Both methods can give excellent results when chosen for the right candidate.
The incisional technique offers more flexibility to fix multiple issues at once, including drooping eyelids and asymmetry.
Incisional Double Eyelid Surgery
The incisional technique creates a precise cut across the upper eyelid. This allows surgeons to remove excess skin, fat, and adjust the muscles underneath.
Procedure duration: 1 to 2 hours
Best suited for: Patients with thicker or droopy eyelids
Cost range: MYR 4,000 – MYR 6,000 (includes facility fees, anesthesia, and surgeon’s fees)
Incisional double eyelid surgery offers permanent results and is ideal for correcting multiple concerns like asymmetry or severe skin laxity.
Non-incisional Double Eyelid Surgery
The non-incisional or suture technique creates double eyelids through strategic stitching without major incisions. This method is often preferred for its minimal invasiveness and quicker recovery.
Procedure duration: Around 30 minutes
Best suited for: Patients with thin, elastic eyelids and no excess fat
Key advantage: Minimal scarring and shorter downtime
The Key Benefits of Double Eyelid Suture Technique
Double eyelid suture, often called the stitching method, is a popular cosmetic choice for individuals seeking natural-looking eyelid creases with less downtime.
Unlike surgical techniques that require incisions, this approach uses fine threads to create a crease, making it minimally invasive yet highly effective for suitable candidates.
This method is especially popular for those seeking a natural-looking double eyelid crease with faster recovery and lower risk.
Non-surgical Method
This method requires no cutting or removal of skin, making it a gentler and less invasive alternative to full surgical eyelid procedures. The result is a natural-looking crease achieved through strategically placed sutures, which is ideal for patients who prefer a scar-free option.
Short Downtime
Patients typically experience minimal swelling and bruising, with most of the recovery completed within 5 to 7 days. Unlike traditional surgery, there's no extended downtime, allowing you to resume regular activities much sooner.
Natural-Looking Results
This method delivers natural-looking double eyelids, enhancing your existing eye shape without overcorrection.
Customizable Eyelid Height
The height and shape of the crease can be customized based on your facial proportions and aesthetic goals. Whether you’re seeking a soft, low crease or something more defined, the outcome is designed to suit your look
Fast and Efficient Procedure
The entire process typically takes up to 30 minutes only to complete making it a quick process.
Affordable and Accessible
The double eyelid suture procedure is a cost-effective alternative to full surgical methods. For the non-incisional suture technique, it costs between MYR 2,000 and MYR 5,000.
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How to Prepare for a Double Eyelid Surgery in Malaysia?
Preparing for double eyelid surgery in Malaysia involves several crucial steps to ensure a smooth and successful experience. Here’s a detailed overview of the preparation process:
Finding the Right Aesthetic Practitioner and Clinic
When considering double eyelid surgery, it's crucial to begin by thoroughly researching and selecting a reputable clinic with experienced board-certified plastic surgeons. This step is fundamental to ensuring your safety and achieving optimal results.
The Initial Consultation Process
During your initial consultation, you'll have the opportunity to:
Express your desired outcomes
Discuss your aesthetic preferences
Ask questions about the procedure, recovery, and expected results
Your doctor will also ask about medical history, such as:
Previous surgeries
Known allergies
Current medications and supplements
Any existing medical conditions
This information is vital for identifying potential risks and tailoring the procedure to your individual needs.
Besides, these medications should be stopped at least two weeks before surgery:
Blood thinners and anti-inflammatory drugs
Aspirin-containing products
Vitamin E and herbal supplements
Hormone replacement therapy
Physical Examination
During this stage, your surgeon will conduct a detailed examination of your eyelids, assessing:
Skin type and elasticity
Eyelid structure and symmetry
Overall facial anatomy
This assessment helps the surgeon determine the most appropriate surgical technique for your unique facial features.
Medication Review and Adjustments
Next, your surgeon will carefully review your current medications and may recommend:
Discontinuing certain medications temporarily
Adjusting dosages of ongoing treatments
Avoiding specific supplements or over-the-counter drugs
Special attention is given to blood-thinning medications to minimize the risk of excessive bleeding during and after the procedure.
Setting Realistic Expectations
This is a crucial part of the consultation where your surgeon will explain what the double eyelid surgery can and cannot achieve.
What the double eyelid surgery can achieve
Limitations of the procedure
Potential risks and complications
This discussion is crucial for setting realistic expectations and ensuring your satisfaction with the results.
Some surgeons use advanced imaging technology or before-and-after photos of previous patients to help you visualize potential outcomes. This can be incredibly helpful in aligning your expectations with realistic surgical possibilities.
You'll also receive comprehensive information about:
The expected recovery timeline
Post-operative care instructions
Follow-up appointments
After your consultation, you should feel well-informed and confident in your decision-making process. Take time to:
Reflect on the information provided
Discuss with trusted friends or family members
Schedule a follow-up consultation if you have additional questions
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How long does it takes to recover from double eyelid surgery?
Recovery after double eyelid surgery varies slightly depending on the technique used — whether it's a non-incisional method or a full incisional procedure. However, the typical healing process follows a predictable pattern.
The original recovery phase takes approximately two weeks, and most patients return to work within 5-10 days, depending on the degree of swelling and the nature of their job.
However, you may need to refrain from driving during the early days, especially if your vision is blurred or your eyes are sensitive to light.
Additionally, it is normal for bruises and redness to take several weeks to fully fade. Scarring can also be visible, and the area may feel tight for a few months as your body heals.
Week 1
Your eyes will show swelling and bruising with a 'black-eyed' appearance. These care instructions will minimize discomfort and promote healing:
Keep your head elevated while sleeping using 2-3 pillows
Apply cold compresses for 10-15 minutes at intervals
Avoid rubbing your eyes or applying pressure
Stay hydrated and maintain a balanced diet
Weeks 2-4
Most of the initial swelling and bruising will have disappeared, and the shape of your new crease will start to look more defined and natural.
Most people can return to light daily routines during this stage, but it’s still important to take it easy, as your eyelids are still sensitive at this stage
Avoid intense workouts
Avoid sifting heavy items
Avoid swimming and hot steam treatments
Wear sunglasses and stay out of strong sunlight
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Who Is Not A Good Candidate for Double Eyelid Sugery?
While double eyelid surgery (Asian blepharoplasty) is a popular and generally safe cosmetic procedure in Malaysia, not everyone is an ideal candidate. Understanding who should avoid or reconsider this surgery is crucial for safety and satisfactory results.
1. Individuals with Problematic Eyelids
Candidates who have asymmetrical or sagging eyelids, or those with a significant amount of fatty tissue around the eyelids, are typically not suitable for certain non-incisional techniques such as the Double Suture & Twist (DST) method. These problematic eyelids often require more comprehensive correction that non-incisional methods cannot adequately address. For such cases, conventional incisional blepharoplasty is usually recommended to achieve the best and most lasting results1.
2. People with Pre-existing Eye Conditions or Medical Issues
Patients with certain pre-existing medical conditions or eye diseases should inform their surgeon prior to surgery. Conditions that affect healing, increase the risk of complications, or impair eye function may disqualify someone from undergoing double eyelid surgery or require special precautions2.
3. Those Who Smoke or Are Unable to Stop Smoking Temporarily
Smoking can significantly impair wound healing and increase the risk of complications. Patients are generally advised to stop smoking at least one week before surgery to minimize these risks. Those unwilling or unable to stop smoking may not be ideal candidates.
4. Individuals with Unrealistic Expectations or Inadequate Understanding of the Procedure
Candidates must have realistic expectations about the outcomes and understand the differences between the suture and incision techniques, including recovery times and potential risks. Those expecting instant or perfect results without understanding the surgical limitations may be disappointed and should reconsider.
5. Patients Seeking Surgery at Non-certified Facilities or Without Proper Medical Supervision
Double eyelid surgery should only be performed by qualified medical professionals in certified clinics. Undergoing surgery at beauty salons, spas, or non-medical establishments without proper supervision can lead to severe complications and poor outcomes. Patients must ensure their chosen clinic is certified by the Ministry of Health Malaysia and the surgeon is properly credentialed.
6. Individuals with Significant Eyelid Ptosis or Functional Issues Needing More Complex Correction
Those with eyelid ptosis (drooping eyelid) or other functional eyelid problems may require additional procedures such as levator muscle tightening or ptosis repair, which are only possible with the incision method. The suture technique is not suitable for these corrections.
Make your Eyes Attractive with Dream Clinic
Double eyelid surgery is a life-changing procedure that needs proper planning. Whether you choose the incisional route or the non-incisional double eyelid surgery, our certified surgeons at Dream Clinic will guide you with care and expertise.
If you wish to make your eyes more attractive, we’re here to help you! Dream Clinic's surgeons are experts in double eyelid surgery in Malaysia and provide tailored care throughout your treatment.
We’re proud to be recognized as one of the top aesthetic clinics in Malaysia, serving clients from across the country, including those seeking a skin specialist in Penang or a trusted skin clinic in Kuala Lumpur.
Ready to get started? Schedule a consultation with our team and take one step closer to the eyes you’ve always wanted.
FAQs
Q1. How long before the surgery should I stop taking certain medications?
Stop taking blood thinners, aspirin, anti-inflammatory drugs, vitamin E, and herbal supplements at least two weeks before the surgery. Consult with your doctor about any prescription medications you're currently taking.
Q2. How much does it cost to get double eyelids in Malaysia?
The cost varies depending on the technique. Non-incisional (suture) methods generally cost between RM2,000 and RM3,000, while the incisional method ranges from about RM3,500 to RM5,000. Additional fees for anesthesia, operating room, and aftercare may apply. More comprehensive blepharoplasty procedures can cost between RM7,550 and RM12,300.
Q3. Is eyelid surgery painful and high risk?
Double eyelid surgery is usually not painful during the procedure because it is performed under local anesthesia with sedation. Post-surgery, patients may experience mild discomfort, tightness, or pressure, which is manageable with pain medication. Risks include infection, numbness, dry eyes, or dissatisfaction with results, but these are minimized when performed by experienced surgeons.
Q4. Can double eyelid surgery fix droopy eyelids?
Yes, the incisional method of double eyelid surgery can correct mild to moderate droopy eyelids by removing excess skin and creating a defined crease. However, for significant eyelid drooping (ptosis), a specialized ptosis surgery may be required to lift the eyelid margin and improve vision.
Q5. What should I avoid after double eyelid surgery?
After surgery, avoid strenuous activities such as heavy lifting, swimming, jogging, or aerobics for at least one week. Do not smoke, rub your eyes, or wear contact lenses for about two weeks. Also, avoid medications that increase bleeding risk during recovery unless approved by your doctor. Protect your eyelids from sun exposure and follow your surgeon’s aftercare instructions closely.
References
Kim, K. (n.d.). Various types of double eyelid surgery. Dr. Kenneth Kim. Retrieved January 28, 2025, from https://www.drkennethkim.com/blog/various-types-of-double-eyelid-surgery/
NextMed Asia. (n.d.). What is the price of double eyelid suture or surgery in Malaysia? Retrieved January 28, 2025, from https://nextmedasia.com/double-eyelid-surgery-price-malaysia/
Schrader Plastic Surgery. (n.d.). How much does blepharoplasty cost? An insight into prices. Retrieved January 28, 2025, from https://www.schraderplasticsurgery.com/blog/how-much-does-blepharoplasty-cost
Mayo Clinic. (2023, June 19). Blepharoplasty. Retrieved January 28, 2025, from https://www.mayoclinic.org/tests-procedures/blepharoplasty/about/pac-20385174
Camp, S. (2024, August 22). Blepharoplasty pre- and post-operative instructions. Steven Camp MD Plastic Surgery & Aesthetics. Retrieved January 28, 2025, from https://www.campplasticsurgery.com/blog/blepharoplasty-pre-and-post-operative-instructions/
Cleveland Clinic. (2023, June 19). Eyelid surgery (Blepharoplasty). Retrieved January 28, 2025, from https://my.clevelandclinic.org/health/treatments/8409-eyelid-surgery-blepharoplasty
Phuket Plastic Surgery Institute. (n.d.). Pre/Post-operative instructions for blepharoplasty or eyelid surgery. Retrieved January 28, 2025, from https://www.phuketpsi.com/_faq/pre-post-operative-instructions-for-blepharoplasty-or-eyelid-surgery/
Guy's and St Thomas' NHS Foundation Trust. (2023, December). Preparing for your surgery: Blepharoplasty. Retrieved January 28, 2025, from https://www.guysandstthomas.nhs.uk/health-information/blepharoplasty/preparing-your-surgery
