Double Eyelids: Frequently Asked Questions

Double eyelid surgery does not necessarily result in dramatic facial features. The overall impression depends on factors such as the width of the double eyelid crease, any asymmetry between the eyes, and the balance with the thickness of the eyelids. At YAYOI CLINIC, we discuss the look you’re hoping to achieve for your eyes and adjust the crease line down to the millimeter to suit your facial features. Since results vary from person to person, please let us know the extent of the change you’re hoping for during your consultation.

Even if you are not looking for dramatic changes or a more youthful appearance, you are welcome to consult with us about double eyelid procedures. At YAYOI CLINIC, we begin by discussing the look you’d like to achieve for your eyes and the extent of the changes you desire. Based on this, our doctors will assess the thickness of your eyelids and the condition of your double eyelid crease, and then consider both surgical and non-surgical options to meet your specific needs.

The downtime for double eyelid surgery varies depending on the surgical method and the patient’s physical condition. At YAYOI CLINIC, swelling typically subsides within a few days to a week, and bruising usually becomes less noticeable within 1 to 2 weeks. However, with the incision method, bruising and swelling may take several months to fully subside. Please check the recovery timeline for each procedure in advance to ensure it fits with your work and personal schedule.

The suture method for double eyelids involves securing the eyelid with fine sutures, while the incision method involves making an incision in the skin to create the crease. With the incision method, it is also possible to address excess skin or fat, but sutures must be removed after the procedure. At YAYOI CLINIC, we assess the condition of your eyelids and your desired results to recommend the most suitable method. For more details, please see our page on double eyelid surgery.

During double eyelid surgery, you may experience some pain from the anesthetic injection or the procedure itself. At YAYOI CLINIC, we use methods such as topical eye drops and local anesthesia, and our doctors perform the procedure while carefully assessing the thickness of your eyelids and the shape of your eyes. Since pain tolerance varies from person to person, please let us know during your consultation if you have any concerns about injections or surgery.

The crease created by the double-incision suture method may not last indefinitely. Since this procedure involves securing the eyelid with sutures, the sutures may loosen over time, causing the crease to become less defined or even disappear. At YAYOI CLINIC, we offer 2-point and 4-point fixation methods, as well as the natural adhesion method, and we will recommend the best approach based on the condition of your eyelids and your preferences.

If you undergo the double incision method, sutures are typically removed about one week after the procedure. At YAYOI CLINIC, we’ll inform patients who need to have their stitches removed of the appropriate timing, and our doctors and nurses will explain how to care for yourself after the procedure. On the other hand, with the sutureless method—which secures the eyelid with threads—stitch removal is generally not necessary, unlike with the incision method. Since follow-up visit schedules vary depending on the procedure, please confirm the details during your consultation.

Eyelid surgery carries risks such as swelling and bruising, as well as infection, bleeding, asymmetry, and scarring. At YAYOI CLINIC, a physician will assess the condition of your eyelids and discuss your goals to determine if the procedure is appropriate for you. After surgery, the operating physician will monitor your progress either at our clinic or online. If you have any concerns about your symptoms or the results, please let us know during your follow-up visits.

We also offer consultations for triple eyelids. At YAYOI CLINIC, we may recommend hyaluronic acid injections to address concerns about deep-set double eyelids or triple eyelids. Since the reasons why eyelids appear triple vary from person to person—such as due to indentations, thickness, or position—our doctors will assess your current condition and desired outcome to determine whether this treatment is appropriate for you.

If your double eyelid crease has narrowed due to sagging eyelids, we can explore treatment options tailored to your specific condition. At YAYOI CLINIC, our doctors will examine the overhang and thickness of the skin, as well as how wide your eyes open, to determine whether procedures such as double eyelid surgery are appropriate. The recommended method will vary depending on the degree of sagging. For more details, please visit our page on sagging eyelid treatment.