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Double eyelid surgery — the creation or deepening of an upper eyelid crease — is among the most commonly performed cosmetic procedures across Asia. In BGC, Makati, and Rockwell, blepharoplasty consultations are routine. If you are considering double eyelid surgery in Manila, this guide covers the full picture: what the procedure involves, what it costs, how recovery works, and what makes the difference between an excellent result and a disappointing one.
TWO MAIN TECHNIQUES: INCISION vs NON-INCISION
The incision method involves making a precise linear incision along the planned crease line, removing any excess skin, fat, or soft tissue as needed, and creating permanent attachments between the skin and the levator. This method is recommended for patients with excess upper eyelid skin or significant upper eyelid fat. Results are permanent and the crease is reliable and stable. Recovery involves visible swelling and bruising for two to three weeks.
The non-incision method (suture method) uses two to four small puncture incisions, creating the crease using internal sutures without excision of tissue. This method is faster, produces less swelling, and has a shorter recovery — most swelling resolves in one to two weeks. It is only appropriate for patients without significant excess skin or fat, and results may fade over five to ten years.
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RECOVERY EXPECTATIONS WEEK BY WEEK
Week 1: Significant swelling and bruising. Sutures visible, removed at day five to seven. Eyes may be difficult to open fully. Most patients avoid public appearances this week. Week 2: Swelling beginning to subside but still noticeable. Most patients can return to work in a non-social setting.
Weeks 3 to 6: Visible swelling continues to diminish. The crease begins to soften and settle. Most patients feel comfortable in social settings by week three or four. Month 3 to 6: The crease reaches its final position. This is the point at which results should be assessed. Patients who do not understand this timeline often feel disappointed at six weeks, only to be delighted at six months.
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