Natural appearing double eyelid fold

What is considered a natural appearing double eyelid fold? There are few important aspects of a natural appearing double eyelid fold. One is that the surgically created double eyelid fold is uniform. There shouldn’t be intermittent depression. Often, surgically created incision double eyelid fold leave marks. These marks are indentations where connections are made from the skin to the eye elevating muscle — the levator aponeurosis.

The next important component to creating a natural appearing double eyelid fold is that the double eyelid fold must not be depressed with when the eyes are closed. This can be achieved if a correct amount of tension is applied when the double eyelid fold is made. It is important to create enough tension so that the double eyelid fold will occur but not too deep where when one closes her or his eyes, the double eyelid fold depression is noticeable.

Lastly, the skin below the double eyelid fold (between the double eyelid fold and the eyelashes) should not be puffy. A puffy eyelid skin appears as if the patient recently had double eyelid surgery. And of course, it looks unnatural. One of the key points of preventing this is to design the double eyelid fold at the ideal height where the tension applied to the double eyelid fold will transmit to the double eyelid fold skin without creating a puffy appearance.