Essential considerations for Double Eyelid Surgery : Recovery time & swelling progression?

14 Aug 2025

What is the expected recovery duration, and when can Patients anticipate a reduction in swelling?

Prospective patients frequently inquire about the recovery timeline and the resolution of swelling following double eyelid surgery, a prevalent cosmetic procedure. To facilitate informed decision-making, our ophthalmologist is prepared to address these common inquiries and provide comprehensive insights into the post-operative experience.

1. What is Double Eyelid Surgery, and What are Its Potential benefits?

Double eyelid surgery, also known as upper eyelid surgery, is a cosmetic procedure aimed at creating or refining the upper eyelid crease. The surgery is designed to address concerns such as underdeveloped or absent eyelid folds, particularly in individuals with monolids, asymmetrical eyelid creases, or upper eyelid skin laxity that may impact both visual acuity and facial aesthetics. The procedure can effectively address the following issues :

• Correction of sagging or drooping upper eyelids, often resulting from aging or ptosis (eyelid muscle weakness),  which can cause the eyes to appear partially closed and potentially impair vision.
• Creation or enhancement of eyelid creases in individuals with monolids or poorly defined eyelid folds from birth.
• Removal of excess skin and fat around the upper eyelids, which is particularly beneficial for older individuals experiencing significant eyelid laxity.
• Optimizing eyelid symmetry serves to enhance the overall facial structure, thereby contributing to the perception of larger, brighter, and more youthful eyes, which naturally improves attractiveness and self-esteem.
   

2. What are the Various Approaches to Double Eyelid Surgery?

Double eyelid surgery typically employs three primary techniques :

• Full Incision Technique

This method entails a comprehensive incision along the upper eyelid, extending from the inner to outer corner, to establish a well-defined eyelid crease. This approach allows for the precise removal of excess fat and skin, as well as adjustments to the eyelid muscle as needed. The outcome is a natural-appearing, prominent crease with enduring results.

This technique is particularly appropriate for individuals aged 25 and older, or those exhibiting eyelid ptosis, lax upper eyelid skin, or substantial fat accumulation in the eyelids.
 

• Partial Incision Technique

The partial-incision or mini-incision technique is best suited for younger patients who do not present with significant eyelid drooping or excessive fat. This method involves a small incision, approximately 10 millimeters in length, along the natural eyelid crease. The resulting scar is minimal and discreet, blending seamlessly with the eyelid fold. 

Recovery time is relatively brief, making it ideal for those with monolids, asymmetrical eyelid creases, or a modest amount of fat in the upper eyelid.
 

• Non Incisional Technique

This technique involves creating a new eyelid crease using 5-6 strategically placed points  along the upper eyelid, tailored to the individual’s anatomy. As no incisions are made, this method results in no visible scarring on the eyelid and necessitates minimal recovery time. 

It is most appropriate for individuals with thin upper eyelid skin, monolids, asymmetrical eyelid creases, or those without significant fat accumulation in the eyelid area
 

3.Who is a good candidate for Double Eyelid Surgery?

Double eyelid surgery is a cosmetic procedure designed to enhance the definition, brightness, and depth of the eyes. It is suitable for individuals with the following eyelid characteristics:

• Candidates exhibiting monolids, concealed double eyelids, or asymmetrical eyelid configurations.
• Individuals experiencing drooping or sagging upper eyelids.
• Individuals with excess fat on the upper eyelids causing puffiness.
• Those whose eyes appear tired or lack vitality.
• People aged 30 and above, beginning to display signs of eyelid laxity.
• Patients with prior double eyelid surgery seeking revision due to unsatisfactory outcomes, including unclear creases or retracted eyelids.
   

4. What is the typical duration of a Double Eyelid Surgery procedure?

Double eyelid surgery generally requires approximately 45-90 minutes, depending on the specific technique selected by the ophthalmic surgeon and the complexity of the condition being addressed. To ensure patient comfort, our clinic provides a mild sedative, followed by anesthetic eye drops and local anesthesia at the surgical site to minimize discomfort during the procedure.

5. What is the expected recovery timeline following Double Eyelid Surgery?

Prospective patients frequently inquire about the duration of the recovery period before committing to double eyelid surgery. Typically, patients can anticipate a recovery period of approximately 5-7 days, which may vary based on the surgical technique used, individual physical condition, and adherence to post-operative care instructions.

6. When will the swelling subside after Double Eyelid Surgery?

In general, swelling following double eyelid surgery begins to subside within 4-5 days after the procedure, with continuous improvement over the next two weeks. However, some patients may experience minor residual swelling or bruising during the first month, depending on their individual healing process. The final results typically become apparent between 4-6 months post-surgery, varying from person to person.
 

7. How soon can I wash my face and wear makeup after Double Eyelid Surgery?

After double eyelid surgery, extra care must be taken when washing your face or applying makeup to avoid irritation or infection around the incision area. For the first 4-7 days post-surgery, or until sutures are removed, it is recommended to avoid getting the surgical area wet. Use a cotton pad or clean cloth to gently cleanse the face, and clean the incision area with light care.

As for makeup, it is best to wait approximately 5-7 days or until the incision has begun to dry and swelling has significantly reduced. This helps prevent irritation from cosmetic products. Healing timelines vary from person to person, so patients should assess based on whether the incision is dry and intact, and consult with their ophthalmic surgeon for individual guidance.

8. Self-care after Double Eyelid Surgery?

While many people focus on how long recovery takes after double eyelid surgery, they often overlook the importance of proper postoperative care. In reality, self-care is a critical factor that contributes to a smooth recovery, faster wound healing, reduced risk of complications, and longer-lasting results. To ensure the optimal outcome, it is essential to follow these recommended guidelines.
 

• Apply cold compresses around the eyes regularly during the first 1-3 days after surgery to help reduce swelling and bruising.
• Switch to warm compresses twice daily, and continue for up to 2 months.
  Maintain dryness of the incision site until the stitches are removed, and avoid  rubbing, scratching, or picking at the incision site for at least 2 weeks.
• Refrain from consuming fermented foods, seafood, and alcoholic beverages during the first month of recovery.
• Elevate the head with a pillow during sleep for at least 3 consecutive nights to promote proper blood circulation and reduce swelling.
• Take all prescribed medications strictly as directed by your doctor to ensure maximum effectiveness and safety during the healing process.
  
   

9. Do stitches need to be removed after Double Eyelid Surgery?

This depends on the surgical technique and the type of suture material used, which can be either absorbable or non-absorbable :

• Absorbable sutures: These dissolve naturally on their own and do not require removal.
• Non-absorbable sutures: If non-absorbable sutures are used, patients will need to return to the clinic for stitch removal, typically within 5-7 days after surgery.
   

10. How to choose the clinic for Double Eyelid Surgery?

Selecting the right clinic is a crucial first step toward achieving the bright and beautiful eyes you envision. To ensure that your decision is both worthwhile and well-informed, it is essential to consider the following key criteria.

• Verify the clinic’s possession of a valid medical license, with services covering consultation, treatment planning, and surgery performed by a board-certified ophthalmologist who specializes in double eyelid surgery, has received advanced training, and possesses extensive experience.
• Check previous patient reviews and before-and-after results of double eyelid surgeries performed at the clinic.
• Prioritize a clinic that maintains a clean, safe environment, equipped with modern technology and standardized surgical instruments to ensure high-quality care.
• Confirm that the clinic offers comprehensive postoperative care, including scheduled follow-up appointments, proper wound care guidance, a home-care recovery kit, prescribed medication, and a sufficient aftercare guarantee period.
  
   

If you are considering double eyelid surgery but still have questions or need more information to make an informed decision, you are welcome to schedule a consultation with our board-certified ophthalmic surgeon at Bangkok Eye Aesthetics (BEA Clinic), a dedicated eye surgery clinic conveniently situated in the vibrant Asoke district. 

Our expert ophthalmologist is prepared to offer a personalized assessment, craft a natural-appearing eyelid crease, and suggest the most appropriate treatment plan, tailored to your needs.

📍 Book a consultation via LINE Official : @beaclinic
📞 Or Call : 064-196-3635
 

Reference:
Eyelid surgery. Retrieved on June 18, 2025, from https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/cosmetic-surgery/eyelid-surgery/