Causes of having one eyelid single and the other double, and how to achieve symmetry in both eyelids.
One eyelid single, one eyelid double is a common characteristic among Asians, making the eyes and overall facial appearance less attractive. As a result, many women gradually lose confidence in daily interactions and wish to find safe solutions as soon as possible. So how can one achieve rounder eyes with symmetrical eyelid creases? The following article from Dr. Eye will help you find the answer.
1. What does one eyelid single, one eyelid double mean?
One eyelid single, one eyelid double refers to the condition where the eyelids on both sides are asymmetrical, with one side having one crease (or hidden crease, indistinct eyelid crease), while the other side has two creases. Although it does not directly affect health, it impacts aesthetics, making the face appear less vibrant and more melancholic.
Additionally, from a physiognomy perspective, while individuals with one eyelid single and one eyelid double tend to be decisive and rational, allowing them to solve problems quickly, they may also unintentionally hurt those around them. Furthermore, their romantic relationships may not be very favorable, leading some to desire changing their eye shape to enhance their appearance and change their fortune.
2. Causes of one eyelid double, one eyelid single
Below are the common causesThe variations of the condition one eyelid single and the other double for your reference:
2.1. Congenital Factors
One common reason for asymmetrical eyelid shapes is congenital factors. If someone in your family has one eye with a monolid and the other with a double eyelid, it is likely that you have inherited this trait from a relative.

2.2. Aging of the Eye Area
The natural aging process of the skin, starting from around the age of 25 to 30, is unavoidable and may lead to sagging skin around the eyes and cause ptosis. This can result in the loss of eyelid crease definition, changing from double to monolid, leading to uneven eyelids.
2.3. Poor Habits Affecting the Eye Area
Certain habits such as rubbing the eyes or applying excessive pressure are not beneficial for the eyes. These actions can accelerate aging, cause sagging, and alter the natural eyelid crease, as well as lead to discomfort and pain in the eyes.
2.4. Failed Eye Aesthetic Procedures
If you have previously undergone aesthetic procedures in the eye area (such as upper eyelid surgery, non-incisional double eyelid procedure) but the results may not be satisfactory, leading to a high risk of droopy eyelids. More seriously, poor eyelid aesthetics can potentially affect vision.
2.5. Myasthenia Gravis Issues
In cases where the eyelid lifting muscles are weak and unable to support the eyelids normally, this can also cause droopy eyelids, resulting in one eye having double eyelids while the other has a monolid. This condition can occur at any age, but it is most common in women aged 20 to 40 and men aged 50 to 80.

3. Effective Solutions for One Eye with a Monolid and the Other with Double Eyelids
Depending on the cause of one eye with double eyelids and the other with a monolid, appropriate solutions can be chosen. Below are some common methods for your reference:
3.1. Eyelid Taping
Eyelid taping is a method to temporarily create a defined eyelid crease without surgery by using eyelid tape to enhance the crease visibility. This method is suitable for cases where one eye has a monolid and the other has double eyelids; it can help define the eyelid crease but does not require surgical intervention.It is clear that one eyelid may be slightly droopy. However, continuous eyelid manipulation can lead to various eye issues such as eye pain, redness, corneal inflammation, and over time, may result in multiple eyelid creases that make the eyes appear tired and aged.
3.2. Non-Incisional Double Eyelid Procedure
In cases of uneven eyelid creases or monolids, congenital hidden eyelid creases, you may consider the non-incisional double eyelid procedure. This method uses specialized biological sutures to connect small incision points along the eyelid margin, helping to create a defined eyelid crease. If performed correctly and with careful aftercare, the results can be long-lasting. However, this procedure is only suitable when there is not too much excess skin, fat, or sagging skin.
3.3. Upper Blepharoplasty
If one eye has a double eyelid while the other has a monolid due to excess skin and fat, the optimal solution is upper blepharoplasty. This technique effectively removes all excess skin and fat, quickly defining the eyelid crease through a small incision on the eyelid. Similar to the non-incisional procedure, the new eyelid crease can be long-lasting, even permanent, depending on aftercare and individual factors.
4. What should you consider when undergoing eyelid surgery or non-incisional procedures to improve uneven eyelids?
If you choose to use modern aesthetic methods to correct uneven eyelids, do not forget to keep in mind the useful tips below to ensure safety and achieve the best results:
4.1. Choose a reputable clinicReliable Aesthetic
Performing non-incisional double eyelid procedures and upper eyelid surgery at a reputable clinic with a team of skilled doctors and modern equipment ensures a quick and gentle aesthetic process. Moreover, if the facility follows standard surgical procedures, it will yield the desired results while minimizing the risk of unsightly scars.
With many years of experience and dedication, the specialized eye-area rejuvenation clinic Dr. Eye has a team of knowledgeable doctors who will assist clients in developing a personalized treatment plan for upper eyelid surgery based on their specific conditions and needs. During the consultation, clients will have the opportunity to preview the eyelid design and visualize the results before undergoing the non-incisional double eyelid procedure or upper eyelid surgery. This ensures that the final outcome is a beautifully even eyelid crease that looks natural and harmonious with the face.
A standout case in Dr. Eye’s portfolio of treatments for uneven eyelid creases is that of Ms. Cam Thi Tu Quyen.
After listening to the doctor’s advice on the treatment plan and experiencing the combination of Upper Eyelid Surgery – Ptosis Correction – Autologous Fat Grafting to fill hollow areas, she happily shared: “I had previously made a deposit at another place but did not proceed because their consultation felt superficial. However, when I came to Dr. Eye for a consultation, I felt a difference.The highly skilled doctor explained everything in detail, advising me on what to do and what to avoid. I felt reassured and decided to proceed with Dr. Eye. After one month, I am very satisfied with the results; my eyes look beautiful and natural, and they have more expression. I feel more confident and energized.”

Additionally, there was a case of ptosis and uneven eyelid creases inherited from Ms. Thuy Giang’s mother. After undergoing upper and lower eyelid surgery with Dr. Eye, Ms. Giang’s overall facial appearance changed completely. Reflecting on her initial images, she shared: “It was truly a wise decision. I regret not having the courage to undergo the procedure sooner. The new eyelid crease looks natural and aligns with my initial expectations. The doctors at Dr. Eye are very professional and dedicated.” (view details)

Not only Ms. Quyên and Ms. Giang, many “beautiful clients” who chose to enhance their eyelid creases with Dr. Eye have achieved positive results – captivating eyes that harmonize with their overall facial features. This includes:


At the same time, many clients who have experienced other beauty services at Dr. Eye are also satisfied and ready to recommend it to friends and family.
Please contact Dr. Eye today to receive a safe and suitable consultation plan to effectively address concerns in the eye area!
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4.2. Proper Eye Care After the Procedure
How you care for your eyelid at home is one of the key factors that determine the aesthetic results in the eye area. Here are some important tips you should not overlook:
- Reduce swelling in the eyes: You should apply cold compresses (for the first 24 – 48 hours) and warm compresses (after 48 hours) gently to the eye area to help reduce swelling and pain. Also, remember to clean the eyelid crease with saline solution to minimize the risk of infection and promote healing.
- Pay attention to your diet: Establish a well-balanced diet, especially by including plenty of protein-rich foods and vitamins (such as pork, eggs, milk, vegetables…) to help the eyelids recover quickly. Additionally, you should avoid consuming alcohol, stimulants, and spicy foods… becausemay cause eyelid irritation.
- Apply scar cream: Use the appropriate scar cream as directed by your doctor to minimize scar formation.
- Maintain a balanced lifestyle and rest: In the first few weeks after the procedure, you should spend ample time resting and avoid continuous use of electronic devices to allow your eyes to relax.
4.3. Take medication and follow-up as directed by your doctor
In addition to the above notes, you should take medication as prescribed by your doctor to reduce swelling and prevent infection. Be sure to attend follow-up appointments for your doctor to check the wound and remove stitches if necessary.
Overall, one eye with double eyelid and the other with monolid can be easily addressed with the advancements in beauty techniques today. However, you should choose a reliable clinic with skilled doctors to receive accurate consultation, ensuring safety and effectiveness.
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Understanding the desire to preserve the youthful beauty of the eyes for middle-aged women, Dr. Eye offers modern solutions to address all aging issues around the eyes such as sagging eyelids, eye bags, crow’s feet,…













