The term “double eyelid” refers to an upper eyelid with a visible crease, distinguishing it from a “monolid,” which lacks such a fold. This anatomical feature varies among individuals and is particularly noted in Asian populations. Research indicates that approximately 50% of Asians have monolid eyes, meaning the other half possess double eyelids. This variation is a normal aspect of human diversity and does not impact vision or eye health.

Some individuals may consider procedures to create or make this crease more noticeable. For personalised advice and information on available options, it is recommended to consult with a qualified healthcare professional.

Natural Double Eyelids

Natural double eyelids are characterised by a visible crease on the upper eyelid, which varies in prominence due to factors such as genetics, age, and individual anatomy. This crease typically becomes more apparent when the eyes are open and may diminish or disappear when the eyes are closed. The movement with the opening and closing of the eyes is a distinctive feature of natural double eyelids.

Double Eyelid Surgery

Double eyelid surgery is a cosmetic procedure aimed at creating or accentuating an upper eyelid crease. Techniques vary, including incisional methods, where a surgical cut is made to form the crease, and non-incisional methods, which use sutures without cutting. The choice of technique depends on individual anatomy and desired outcomes. Post-surgery, the crease may appear more defined and consistent, even when the eyes are closed. Results may vary among individuals. For personalised advice and to determine the most appropriate approach, consulting with a qualified healthcare professional is recommended.

Distinguishing Between Natural and Surgical Double Eyelids

Identifying whether a double eyelid is natural or surgically created can be complex, as advanced techniques often aim to closely resemble natural features. Below are general observations about double eyelid variations, which may offer some insights. However, it’s important to remember that these are not definitive indicators and individual variations exist.

• Scar Visibility: Some procedures may result in subtle scars along the eyelid crease, which could be more noticeable when the eyes are closed.
• Crease Appearance: Natural double eyelids often have a crease that changes dynamically, becoming more prominent when the eyes are open and less visible when closed. In some cases, surgically created creases may appear consistently defined regardless of eye position.
• Symmetry: Natural eyelid creases can vary between eyes in height and depth, while surgical approaches often aim for symmetry in appearance.

These distinctions are subtle, and it can be difficult to ascertain the origin of a double eyelid without a detailed examination. For personalised advice or to learn more about double eyelid variations, consulting a qualified healthcare professional is recommended.

Professional Guidance and Consultation

Understanding what double eyelids are and the distinctions between natural and surgically created ones provides insight into the diversity of human anatomy and personal choices. Whether one has a natural double eyelid or has undergone double eyelid surgery, the decision is personal and should be respected. 

For personalised advice and information on available options, it is recommended to consult with a qualified healthcare professional. It is important to remember that all cosmetic procedures come with potential risks. Patients are required to obtain a GP referral and complete BDD screening before proceeding. For detailed information and personalised guidance, consult with our Specialist Plastic Surgeon, Dr Jack Zoumaras. Book your consultation today.

Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons.

Any statements on how you will feel is based on Level V Evidence:

Level V:  How you will feel after plastic surgery varies between individuals, depending on psychological and physical factors. Our internal research is based on how patients in our practice feel after surgery.

The blogs are not a substitute for a medical consultation and do not form as part of the doctor to patient relationship.