Solutions for Uneven Double Eyelids, Monolid, Hidden Eyelid Crease

Consulting doctor:

Dr. Nguyen Thi Ly Na, Senior Specialist

Over 10 years of experience in oculoplastic and facial plastic surgery.

See more information about the doctor

Monolid, hidden eyelids, or differing eyelid creases can be natural anatomical features and do not necessarily require intervention. When clients wish to create a more defined eyelid crease or adjust the shape of their existing crease, a comprehensive examination by the doctor is essential before selecting a method.In cases of asymmetrical eyes, it is important to determine whether the difference lies in the eyelid crease line or the eye opening. One eye appearing smaller may relate to ptosis, brow position, compensatory activity of the forehead muscles, or varying amounts of skin or tissue volume between the two sides. If the cause is related to the eyelid lifting muscle, simply recreating the eyelid crease may not address the underlying issue.The doctor should also assess skin thickness, excess skin, fullness or hollowness of the eye area, eyelid folds, eyelash direction, eyelid lifting muscle function, the ability to close the eyes completely, and dry eye conditions. These factors directly influence the choice between non-incisional double eyelid procedures, short incision blepharoplasty, or full blepharoplasty.Non-incisional double eyelid procedures are often considered when the eyelid skin is relatively thin, there is not much excess skin, and deep intervention into other structures is not required. Blepharoplasty is considered when there is a need to address excess skin, adjust the eyelid crease, or access structures more clearly. Skin and fat tissue do not always need to be removed; the scope of intervention must be determined individually for each person.The appropriate goal is not to create a uniform eyelid shape for all clients, but to design an eyelid crease that has a harmonious height and curve with the eye structure. Naturally, the two eyes may differ, so the doctor should discuss the extent of this beforehand.balance can be achieved, rather than aiming for absolute symmetry on both sides.

Dr. Nguyen Thi Ly Na, Senior Specialist