Double Eyelid Surgery

About the treatment

Known in Asia as the ‘double-eyelid’, this procedure has become increasingly popular in Australia over the past decade.

Single eyelids are a common characteristic for people of East Asian descent. The ‘monolid’ look is caused by the absence of an upper eyelid or supratarsal crease, which often results in smaller, puffy or droopy-looking eyes.

Asian eyelid surgery, or Asian blepharoplasty, is a relatively simple in-office procedure designed to create a soft, natural-looking upper eyelid crease that makes the eyes appear brighter, larger and more defined. 

Dr Liew performs this procedure by paying meticulous attention to the anatomical shape of the Asian eye. He aims to preserve the beauty of this feature by enhancing the eye according to the specific structural needs of each patient rather than creating ‘cookie cutter’ outcomes. The result is a beautifully natural outline of the eyes that enriches your entire facial profile.

Since over 50% of East Asian people are born without the supratarsal fold, Asian eyelid or double eyelid surgery is common for those of East Asian descent. It’s a highly advanced procedure that can provide truly transformative results.


Dr Steven Liew is one of Sydney’s leading specialist plastic surgeons. He’s recognised globally for his technical and aesthetic skills in Asian eyelid surgery. Dr Liew’s personalised surgical technique draws on an in-depth understanding of the Asian perception of what constitutes a beautiful eyelid.

Rather than trying to mirror or copy a Western look, Dr Liew’s primary objective is to capture and preserve your natural beauty and reveal its greatest aesthetic potential.

  • Makes eyes look bigger and more expressive
  • Improve symmetry and facial harmony
  • Raise and redefine the eyelid
  • Reduce puffiness
  • Improve the results of eye makeup and application
  • Treat ptosis (upper eyelid droopiness) and improve vision

What to expect from Double Eyelid Surgery

Asian eyelid surgery is a specialised form of blepharoplasty designed to create a crease in the upper eyelid that brightens and enhances the contour of the eyes.

There are two primary variants of Asian blepharoplasty, known as the ‘open incision’ and ‘closed suture’ technique. The surgical method used depends on each patient’s individual needs and aesthetic goals. During your consultation, Dr Liew will discuss each option and work with you to determine the most suitable approach to treatment.

The Open Incision Technique

The open incision technique is generally performed under local anaesthetic and sedation. While this method is slightly more invasive, it is also considered the most effective and longest-lasting technique. 

During this procedure, Dr Liew places single or several small incisions in the upper eyelid. He then puts extremely fine stitches to support the newly made crease and the double eyelid contour. He will identify all anatomical layers and remove any connective tissue that creates multiple or unstable folds.

The Closed Suture Technique

Some patients may achieve their desired crease from the suture technique. During this procedure, Dr Liew will make tiny punctures in the upper eyelid area before passing sutures through these holes to connect the upper eyelid muscle layer to the new skin fold, creating the desired crease. This method is slightly less invasive and is generally performed under local anaesthetic. 


Open incision technique

Procedure time 60 minutes (local anaesthetic and sedation)
Downtime required 5-7 days
Results duration Long-Lasting*
Pair this treatment with Facial injectibles
*Individual results may vary

Closed suture technique

Procedure time 35 minutes (local anaesthetic)
Downtime required 48 hours
Results duration Up to 5-10 years*
Pair this treatment with Facial injectables
*Individual results may vary

Which technique is right for me?

During your consultation, Dr Liew will take the time to understand your needs and reasons for treatment. Based on your unique features and aesthetic goals, he will determine which technique will most effectively address your concerns. 

  • The open incision may be suitable for patients with more complex needs or those seeking a thorough and long-lasting eyelid enhancement. 
  • The closed suture is a quicker and less involved approach for younger patients not requiring skin or fat removal. It produces less swelling and bruising, requires less downtime, and is effective for the right candidates. 

Benefits of Asian Eyelid Surgery


Asian eyelid surgery aims to create an upper eyelid crease that re-defines the eyelid yet preserves its unique ethnic morphology, producing results that look like you were born with it. 

For optimal outcomes, this operation requires the skills and experience of a specialist plastic surgeon with an in-depth understanding of the anatomy of Asian eyes. 


Pairing this treatment with facial injectables

At Shape Clinic, many patients have benefitted from a combination of treatments. 

Since the eyes are one of the most defining and expressive facial features, when considering surgery of the eye, it is essential to address the area holistically to ensure a smooth, naturally convincing transformation. 

As the skin thins over time, the lower eyelid can become baggy or drop vertically, disturbing the youthful curvature between the eyelid and cheeks, leading to a tired or worn appearance. 

Asian eyelid surgery is often combined with:

  • A lower eye-lift for a more comprehensive improvement of the eyes.
  • Dermal fillers can also help correct these issues and revitalise the eyes for a more vibrant, well-rested profile.

Like to know more about your treatment options?

Email us at or contact us on (02) 8356 2888 to book your consultation.

Double Eyelid Surgery Enquiry

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