This is also called traditional double eyelid surgery. It is different from Korean-style mini-invasive double eyelid surgery in the correction objective and technique and is mainly indicated for middle-aged and older populations patients having eyelid laxity or drooping. This surgery is conducted by making an incision from the medial canthus to the lateral canthus at the upper eyelid to first resect the excess lax or sagged skin and then remove orbital fats before fixating new double eyelid folds. Its effects are improving eyelid ptosis; solving correcting skin laxity and, fat bulging, making profound and loss of double eyelid folds; and also enjoying a longer duration of results than mini-invasive (Korean-style) double eyelid surgery, the effects of which generally lasts for at least 10 years. Regarding the disadvantages, because the relatively long surgical incision poses greater trauma to tissues and partial eyelid skins and muscles should be excised before re-stitching, the postoperative recovery time is relatively longer than that of mini-invasive double eyelid surgery. Besides, because stitching procedures are subtle and complex, the accuracy of stitching and measurement by the physician decides the surgical results, so patients are more vulnerable to have complications such alikes asymmetrical eyelids or scar adhesion. Generally, it will take 3–6 months of observation on average to finally confirm the shape and symmetry of the double eyelid folds.
Type of anesthesia: IV sedation + local anesthesia
Surgical incision: An incision from the medial canthus to the lateral canthus at the upper eyelid
Recovery: Approximately 3 months
Removal of stitches: 7 days
Fast from food and water on the day of operation
Avoid smoking, alcohol, and irritating foods for 1 month postoperatively.
Apply a warm pack for 3 months postoperatively for the eyelid swelling to subside.
Middle-aged and old patients with eyelid laxity or drooping (blepharochalasisblepharochlalsis)
Patients with severe eyebrow compression to the eye
Those desiring profound, distinct, and persistent double eyelid folds
Those having compensatory ptosis that needs to be corrected, but who are unsuitable for micro-invasive double eyelid surgery