Double Eyelid Surgery With Ptosis Correction

Portrait of beautiful young woman after double eyelid surgery.

Double Eyelid Surgery With Ptosis Correction

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Conveniently located to serve Los Angeles, Orange County, and San Francisco.

Your eyes play a major role in how you look and express yourself. But if you have droopy upper eyelids, they can make you appear tired, less alert, or even impact your vision. Double eyelid surgery with ptosis correctionis a procedure that not only enhances the shape and openness of your eyes but also strengthens the muscles responsible for lifting your eyelids.

At Wave Plastic Surgery, our board-certified surgeons specialize in advanced Asian eyelid surgery techniques, ensuring that your results look natural and complement your facial features. Whether you’re looking for a more defined eyelid crease, better symmetry, or improved function, our team customizes each procedure to enhance beauty and comfort.

Contact Wave Plastic Surgery at (888) 674-3001 to schedule a consultation today and learn how double eyelid surgery with ptosis correction can help you achieve brighter, more open eyes.

Client Testimonials

Understanding Eyelid Surgeries

The goal of double eyelid surgery with ptosis correction is to address both aesthetic and functional concerns. Some patients think they just need a double eyelid procedure, only to discover that a weak eyelid muscle (ptosis) contributes to their droopy lids. If left untreated, this could affect the outcome.

At Wave Plastic Surgery, we evaluate every patient carefully to determine the best approach, ensuring that a single procedure addresses both form and function.

Why Choose Double Eyelid Surgery?

Also known as Asian blepharoplasty, double eyelid surgery is a widely sought procedure, particularly among East Asian individuals who naturally lack a defined supratarsal crease or have only a faint fold. This feature is due to unique anatomical differences in the eyelid structure compared to other ethnicities.

In East Asian eyelid anatomy, the —the muscle responsible for lifting the eyelid—attaches differently to the skin, often resulting in a smoother upper lid without a visible crease. Additionally, the orbicularis oculi muscle, which encircles the eye, tends to be thicker and more robust, contributing to a lower natural fold or the absence of one altogether.

In East Asian eyelid anatomy, the levator aponeurosis—the muscle responsible for lifting the eyelid—attaches differently to the skin, often resulting in a smoother upper lid without a visible crease. Additionally, the orbicularis oculi muscle, which encircles the eye, tends to be thicker and more robust, contributing to a lower natural fold or the absence of one altogether. Caucasian eyelids typically have thinner skin, a different fat distribution, and a more prominent supratarsal crease.

While double eyelid surgery is most commonly performed on East Asian patients, individuals of all ethnic backgrounds may seek this procedure to:

  • Enhance the definition of their eyelid crease
  • Reduce the heaviness or hooding of the upper lid
  • Improve eye symmetry and overall balance
  • Expand their options for makeup application
  • Create a brighter, more open, and youthful eye appearance

At Wave Plastic Surgery, we specialize in customized techniques that consider each patient’s unique eyelid structure, ethnic identity, and aesthetic goals, ensuring a natural and harmonious result.

Double Eyelid Surgery with Ptosis Correction eye anatomy

Why Correct Eyelid Ptosis?

Many patients seeking double eyelid surgery don’t realize they may also have ptosis, a condition where the muscle responsible for lifting the eyelid is weak.

If ptosis isn’t corrected, the new eyelid crease might be hidden under excess skin, reducing the procedure’s effectiveness. This can also lead to compensatory forehead strain, where you unconsciously lift your brows to keep your eyelids open, causing fatigue and wrinkles over time.

At Wave Plastic Surgery, we assess every patient for hidden or apparent ptosis, ensuring a long-term fix rather than a temporary cosmetic improvement.

Double Eyelid Fold Shapes

The eyelids can have three major shapes and patterns:

Tapered Crease

Eyelid crease nasally tapered and converges inside the medial canthus, runs parallel along the central portion, then flares out laterally. Natural, inside fold crease, more conservative eyelid appearance.

Parallel Crease

The Eyelid crease has equal width and runs parallel along the entire eyelid. Outside fold with a bigger, more dramatic eyelid appearance.

Hybrid Crease

This combines the tapered and parallel crease. The inner corner consists of a thin parallel eyelid that gradually widens toward the outer corner. Outside fold with an almond-shaped, natural eyelid appearance.

Combining Double Eyelid Surgery with Ptosis Correction

For patients with upper eyelid ptosis, combining double eyelid surgery with ptosis correction ensures:

  • Strengthening of the levator muscle, responsible for lifting the eyelid
  • A well-defined, natural-looking crease
  • Improved symmetry and range of motion
  • Reduced forehead strain from constantly trying to lift the eyelids

By correcting ptosis at the same time as double eyelid surgery, our minimally invasive techniques provide quicker recovery, less swelling, and a more natural result.

What to Expect Before Surgery

Proper preparation before surgery helps ensure a smooth procedure and optimal healing. Here’s what to do in the weeks leading up to your appointment:
  • Pick up any prescribed medications in advance
  • Avoid smoking and alcohol for at least two weeks before surgery
  • Stop taking anti-inflammatory medications and supplements that can increase bleeding
  • On surgery day, do not wear makeup, contact lenses, or moisturizer

Our team will provide a personalized preparation plan tailored to your medical history and individual needs during your consultation.

The Procedure

Before the procedure begins, your surgeon will review the surgery details, mark the ideal placement of your eyelid crease, assess the degree of ptosis correction needed, and administer anesthesia. At Wave Plastic Surgery, patients can undergo the procedure under local anesthesia with sedation or general anesthesia, depending on their comfort level and the complexity of the correction needed.

Your customized surgery may include:

  • Adjusting the height of the eyelid crease for a balanced, natural look
  • Removing excess skin in the inner corners of the eyelids (epicanthoplasty)
  • Widening the outer corners of the eyes (lateral canthoplasty)

We carefully pre-plan adjustments to ensure maximum symmetry and long-lasting results.

Approaches to Double Eyelid Surgery with Ptosis Correction

Depending on the severity of ptosis and the patient’s desired outcome, surgeons typically offer two primary techniques for double eyelid surgery:

1. Suture Technique (Non-Incisional)

Ideal for younger patients or those with mild ptosis, the suture method is a minimally invasive approach that creates a natural eyelid fold using a specialized continuous thread beneath the skin.

  • No incisions or visible scars
  • Shorter recovery time (1-3 weeks)
  • Ideal for patients without excess skin or fat
  • Less swelling and bruising

At Wave Plastic Surgery, expert surgeons utilize refined techniques to ensure minimal scarring and recovery that is as comfortable as possible.

2. Open Technique (Incisional)

For patients with moderate to severe ptosis, an incisional approach is recommended. This technique allows our surgeons to:

  • Stronger and longer-lasting results
  • Customizable crease height and shape
  • Ability to correct moderate to severe ptosis

At Wave Plastic Surgery, expert surgeons utilize refined techniques to ensure minimal scarring and recovery that is as comfortable as possible.

3. Hybrid Technique (Incisional Double Eyelid Surgery with Suture Ptosis Correction)

For patients with mild ptosis and excess or thick upper eyelid skin, Wave Plastic Surgery offers a hybrid approach that combines the benefits of both incisional and suture techniques. This method creates a well-defined double eyelid crease while correcting ptosis using a minimally invasive suture. By preserving the Müller’s and levator muscles, this approach reduces recovery time, minimizes scarring, and provides a stable, long-lasting result with improved eyelid function.

Recovery and Aftercare

Recovery time depends on the technique used and the extent of ptosis correction. In general:

  • Suture technique patients can expect one to three weeks of mild swelling and bruising.
  • Open-technique patients may experience three to six months of gradual healing, with final results appearing after the swelling subsides.

Post-operative care includes:

  • Applying cold compresses to reduce swelling
  • Keeping the head elevated while sleeping
  • Avoiding strenuous activity and sun exposure

Most patients can return to normal activities within a few weeks, and full results will become more noticeable over time.

Cost of Double Eyelid Surgery in Los Angeles

The cost of double eyelid surgery with ptosis correction can vary depending on several key factors, including:

  • The complexity of ptosis correction
  • The technique used (suture, open, or hybrid)
  • The amount of skin and fat removal needed

We’ll provide a personalized quote based on your treatment plan during your consultation.

For a personalized estimate, call (888) 674-3001 today.

Transform Your Look with Wave Plastic Surgery

Your eyes are one of the first things people notice—make sure they reflect how you truly feel. At Wave Plastic Surgery, our expert team uses advanced techniques to create natural, balanced, and long-lasting results.

Call (888) 674-3001 today to book your consultation and take the first step toward brighter, more youthful-looking eyes.

References

  • Lee, E. I., & Ahn, T. J. (2014). Mild ptosis correction with the stitch method during incisional double fold formation. Archives of plastic surgery, 41(1), 71–76. Retrieved from https://doi.org/10.5999/aps.2014.41.1.71
  • Berlin, A. J., & Vestal, K. P. (1989). Levator aponeurosis surgery. A retrospective review. Ophthalmology, 96(7), 1033–1037. Retrieved from https://pubmed.ncbi.nlm.nih.gov/2771350/
  • Hu, J.-W., Byeon, J. H., Shim, H.-S. (2016). Simultaneous double eyelid blepharoplasty and ptosis correction with a single-knot, continuous, nonincisional technique: A five-year review. Aesthetic Surgery Journal, 36(1), 14–20. Retrieved from https://doi.org/10.1093/asj/sjv201
  • Shahzad B, Siccardi MA. Ptosis. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK546705/

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Get Your Consultation Today

Give us a call today to schedule your double eyelid surgery consultation with one of our plastic surgeons at Wave Plastic Surgery.

Our Double Eyelid Surgery Specialists

Plastic Surgeon Peter Lee

Peter Lee

M.D., F.A.C.S.

Dr. Peter is CEO and Chief Surgeon of WAVE Plastic Surgery Center with over 20 years of plastic surgery experience, overlooking 30K+ successful plastic surgery cases. He has mentored master surgeons around the world in state-of-the-art techniques, and has been inducted into the RealSelf 100 & 500 Hall of Fame.

His many accolades and shining results are evidence of Peter’s expertise.

Plastic Surgeon Ben Lee

Ben Lee

M.D., F.A.C.S.

Throughout 20+ years in aesthetic plastic surgery, Dr. Ben Lee has always been passionate about using his skills to impart a lasting, positive impact on the lives of his patients.

“Time and time again, I have witnessed dramatic improvements in a patient’s confidence and well-being after a relatively minor cosmetic or reconstructive procedure. As a surgeon, that brings me great joy.” — Dr. Ben Lee

Plastic Surgeon Denise -Wong

Denise Wong

M.D., F.A.C.S.

With a focus on Upper Eyelid Surgery, Dr. Wong has a deep understanding of the unique anatomy of the eyelid which is critical in performing this highly technical and intricate surgery. She is experienced in approaching various specific eyelid characteristics for different ethnicities, especially Asian cultures.

She uses precise microplastic surgical techniques to enhance the natural shape and inherent beauty of your eyes, making them appear bigger and brighter.

Medically Reviewed By Dr. Ben Lee

M.D., F.A.C.S.

Proudly using his creativity to help patients regain a sense of wholeness and confidence, Dr. Ben Lee takes a very patient-centered approach to care.

Learn More About Dr. Ben Lee