Narrow-Eye / Double Eyelid Surgery: Procedures and Considerations

Medically reviewed by Dr. Enrina Diah, Sp.BP-RE(K) & dr. Grace Boaz, Sp. BP-RE
Ultimo Clinic — Plaza ASIA SCBD, 18th Floor, Jakarta · Last updated: 2026

SUMMARY
Double eyelid surgery is a procedure to create a crease in the upper eyelid, making the eyes appear more open. It can be performed using either a suture or an incision technique by a plastic surgeon specializing in reconstructive and aesthetic surgery (Sp.BP-RE).
This article explains the procedures, techniques, and important considerations.

Double eyelid surgery is popular for creating a more defined eyelid crease. Understanding the techniques and considerations helps you make an informed decision.
This procedure is related to blepharoplasty; the two are sometimes combined.

What is double eyelid surgery?
Double eyelid surgery is a procedure that creates a crease in an upper eyelid that previously lacked one (a monolid), making the eyes appear more open and refreshed.

This differs from blepharoplasty, which focuses on excess skin or fat, although both procedures can be performed simultaneously.

What are the techniques?
Two common approaches are the suture technique (no large incision, faster recovery) and the incision technique (involving an incision for more permanent results, especially when there is excess skin or fat).

What to consider?
Consider eyelid anatomy, the goal of achieving a realistic shape, appropriate techniques, and the doctor's experience. A consultation will determine the approach best suited to your eyes.

CONSULTATION TIPS
Discuss a natural crease shape that suits your facial proportions, rather than simply imitating someone else's eye shape.

ATTENTION
Make sure it is handled by a Sp.BP-RE doctor. Actions on the eye area by unqualified personnel carry serious risks.

Frequently Asked Questions (FAQ)

What is double eyelid surgery?
Double eyelid surgery is a procedure to create a crease in the upper eyelid so that the eyes appear more open, performed using either a suture or an incision technique.

What is the difference between suturing and incision techniques?
Suture techniques avoid large incisions and offer faster recovery but may be less permanent, whereas incisions yield more permanent results, especially when there is excess skin or fat.

Are the results permanent?
The incision technique tends to be more permanent, whereas the suture technique may fade over time. The doctor will help you choose the option that suits your condition.

What is the difference between a double eyelid procedure and blepharoplasty?
Double eyelid surgery focuses on creating an eyelid crease, whereas blepharoplasty addresses excess eyelid skin or fat. The two procedures are sometimes combined.

How long is recovery?
Depends on technique; Suture techniques generally heal more quickly, whereas incisions take longer. The initial swelling subsides within a few days to weeks.

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