A naturally defined upper eyelid crease can make the eyes appear larger, more open, and more expressive. Double eyelid surgery creates or enhances this fold with precision, whether you have a monolid, a partial crease, or asymmetric folds. The procedure takes around an hour, the recovery is straightforward, and the result is a subtle enhancement that looks entirely natural and lasts for years.
What Is Double Eyelid Surgery?
Eyelid crease creation is one of the most commonly performed cosmetic procedures in Asia. It forms a supratarsal fold in the upper eyelid, giving the eyes a wider, more defined appearance without altering their natural character.
The procedure can be tailored to create a subtle, low crease for a natural look or a more pronounced fold for greater definition. Our partner surgeons specialise in creating eyelid creases that complement your individual facial features and personal preferences.
Common Concerns Double Eyelid Surgery Can Address
- Absence of an upper eyelid crease (monolid)
- Asymmetric eyelid folds that differ between the two eyes
- A partial or faint crease that disappears throughout the day
- Desire for a more open, defined eye shape
Are You a Good Candidate?
- In good general health with realistic expectations
- Non-smoker or willing to quit before surgery
- Unhappy with the appearance of their upper eyelids or crease
Techniques & Options
Upper eyelid anatomy varies significantly between patients — the amount of skin, fat, and muscle above the tarsal plate all affect which technique will create the most natural crease. Your surgeon will assess your eyelid structure, skin thickness, and aesthetic goals during your consultation to recommend the best approach. The procedure can create a new crease from scratch, enhance a partial fold, or correct asymmetry between the two eyes.
There are two main techniques:
Incisional Technique
A small incision is made along the desired crease line. Excess skin, muscle, and fat are removed or repositioned, and the skin is sutured to the underlying tissue to form a permanent crease. This is the most common and reliable method.
- Creates a permanent, well-defined crease
- Allows removal of excess skin and fat for a cleaner result
- Best for patients with thicker eyelid skin or significant excess tissue
- Scar hidden within the new crease and virtually invisible once healed
Non-Incisional (Suture) Technique
Small buried sutures create a crease by attaching the skin to the deeper eyelid tissue without removing any skin or fat. This technique is less invasive and offers a faster recovery, though results may be less permanent.
- No visible scarring as sutures are placed through tiny puncture points
- Faster recovery with less swelling and bruising
- Best suited for younger patients with thin eyelid skin and minimal excess fat
- Crease may loosen over time in some patients
Recovery Timeline
Days 1–3
Swelling and bruising around the eyelids are normal and expected. Your eyes may feel tight and slightly puffy. Cold compresses and prescribed medication help manage discomfort, and you'll have daily check-ins from your care coordinator.
Days 5–7
Sutures are removed at your follow-up appointment. Swelling reduces significantly and the new crease begins to take shape. Most patients feel comfortable resuming light social activities, though the eyelids may still appear slightly swollen.
Weeks 2–3
The majority of swelling and bruising has resolved and the eyelid crease becomes more defined. You can return to work and normal daily activities. Most patients feel comfortable being seen in public by this stage and can wear eye makeup once cleared by their surgeon.
Months 1–3
Final results emerge as residual swelling subsides and the crease settles into its natural position. The eyelid fold looks soft and well-defined, and incision lines fade to virtually invisible. Results are long-lasting and typically permanent with the incisional technique.
What to Expect
Safety & Risks
Double eyelid surgery is a safe, well-established procedure, but like all surgeries, it carries some risks.
- Temporary swelling and bruising
- Crease asymmetry between the eyes
- Over- or under-correction of the fold
- Difficulty closing eyes (temporary)
- Infection or bleeding (rare)
- Loss of crease over time (suture method)
Because eyelid crease creation involves precise positioning relative to your tarsal plate and unique lid anatomy, your surgeon will assess your eyelid structure, skin thickness, and aesthetic goals in detail and explain every potential complication before you decide to proceed.
How Much Does Double Eyelid Surgery Cost in Thailand?
Our pricing is transparent and all-inclusive — your quote covers everything from surgeon fees to hospital stay.
Double Eyelid Surgery
All-inclusive surgical package- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
Common Questions About Double Eyelid Surgery
Everything you need to know before your procedure
Dr. Pichaya Suwanprasert
MEDICALLY REVIEWEDDr. Pichaya Suwanprasert
MEDICALLY REVIEWEDPlastic Surgeon · Bangkok
Last reviewed: February 18, 2026
Medical References
- American Society of Plastic Surgeons — Eyelid Surgery
- NHS — Eyelid Surgery (Blepharoplasty)
- Chen WPD. Asian Blepharoplasty and the Eyelid Crease — Elsevier (2015)
- ISAPS International Survey on Aesthetic/Cosmetic Procedures (2022)
- Lam SM. Asian Blepharoplasty Techniques — Facial Plastic Surgery Clinics of North America (2005)
Medical disclaimer: This information is for educational purposes only and does not replace professional medical advice. Individual results, recovery times, and suitability vary. Always consult a qualified surgeon before making decisions about treatment.
What's Included
- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
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