How long does Asian double eyelid surgery last?
Asian double eyelid surgery typically provides long-lasting results, with longevity depending on the surgical technique used and individual factors. The incisional method usually offers long-lasting results, as the crease is structurally integrated with the eyelid's underlying tissues. On the other hand, the non-incisional method can also yield long-term results but may not be as enduring, often lasting several years to decades. For longer-lasting non-incisional results, Dr. Kim offers a 3D suture technique (3DST) where the fold maintains longer and eyes look bigger and brighter (ptosis correction).
How long does it take for double eyelid surgery to look natural?
The time it takes for double eyelid surgery to look natural varies depending on the surgery method chosen.
For incisional double eyelid surgery, most patients can expect significant swelling to reduce after 1 month. The final result will be visible within 6 months or so — your eyelids will settle into their new shape, achieving a beautiful and natural appearance.
If the non-incisional (non-surgical) method was used, you can expect to see the natural appearance much faster — from two to three weeks.

A. Preoperative photos of a 28-year-old woman with excess, puffy upper eyelids: eyes open (left), eyes closed (right)
B. The patient underwent incisional double-eyelid surgery via SAJT fixation and epicanthoplasty. One month after the surgery.
C. 4-year post-op with eyes open and closed.
Is there scarring after double eyelid surgery?
Scarring after double eyelid surgery is typically non-visible and well-concealed within the natural folds of the eyelids. In the incisional method, the scar may initially appear slightly red or raised but typically fades over time to become faint and inconspicuous. Surgeons take care to place incisions along the natural eyelid crease or in other discreet locations to minimize visibility. In the non-incisional method, scarring is even less noticeable, as there are no external incisions.
Are the effects consistent over the years?
In general, the incisional method often provides more consistent and enduring results, as the crease is structurally integrated with the underlying tissues. The non-incisional method may offer long-term but potentially less enduring results, as the sutures can gradually loosen or break over time.
What is the average age to do double eyelid surgery?
The average age for double eyelid surgery, or Asian blepharoplasty, can vary depending on cultural preferences, individual aesthetic goals, and the presence of specific eyelid concerns. In many East Asian countries, where double eyelid surgery is particularly popular, individuals often undergo the procedure in their late teens or early twenties. At this age, the eyelid structures are fully developed, and individuals may seek surgery to achieve a more defined and symmetrical appearance.
However, double eyelid surgery for younger patients is not limited, and it can be performed at any age depending on the patient's needs and goals. Older adults may also choose to undergo the procedure to address age-related changes such as drooping eyelids or to rejuvenate the appearance of the eye area. Ultimately, the decision to undergo double eyelid surgery is highly personal and should be based on individual considerations, with guidance from a qualified plastic surgeon like Dr. Kim. To schedule a consultation with Dr. Kim, click here or call our Los Angeles office at 213-700-4297.