Patients often are puzzled by the fact that suture technique double eyelid folds tend to loosen
over time. And they wonder why the double eyelid fold gets smaller or loosens over time. The
main reason is that suture technique double eyelid surgery does not form a direct connection
from the skin to the eye elevating muscle (levator muscle). That is because there is soft tissue
that is between the skin and the eye elevating muscle. This phenomenon is called a mass
effect. A mass– soft tissue impedes a permanent double eyelid fold from occurring.
Are there cases where suture technique double eyelid surgery will last many decades? Yes.
These are patients who have great eye elevating muscle function and thin upper eyelid tissue.
The powerful eyelid elevation increases the chance of double eyelid fold formation. And thin
upper eyelid tissue minimizes mass effect impediment of double eyelid fold formation.
Therefore, it is important to determine whether one is a candidate for a suture technique
double eyelid surgery.