Uneven Double Fold Eyelid is one of the main concerns for those who want to do double eyelid surgery. It has an effect on self confidence and personality. This problem can be cured by double eyelid surgery. However, there are many techniques of eyelid surgery depending on eyelid problems. Before talking about double surgery techniques, let's see causes of uneven eyelid fold.

Causes of Uneven Eyelid
Facial asymmetry
Face - bone - eyebrow asymmetry, since birth, can make the eyelid appear asymmetric. Some patients may have one eyebrow higher than the other side which causes their eyelids to appear different.
Unevenness of eyelid skin and fat between two eyelids
This is similar to the face structure asymmetric which is the nature of the body. The unevenness of eyelid skin and fat between two eyelids can cause asymmetric eyelids. It can be caused by aging or lifestyle habits such as excessive eye rubbing.
Aging
Excess skin generates from the natural process of aging which can cause droopy eyelids and can also droop in one eyelid more than in the other side.
Ptosis
Ptosis is when the levator muscle that lifts the eyelid is weak, it can cause eyes to become asymmetrical. Some patients may have ptosis on one side leading to eyelid fold appearing larger than the other side.
Sunken eyelid
Sunken or eyelid fat loss is also one cause of the unevenness of eyelids. Some causes of sunken eyelid are ptosis, aging, lifestyle habits or previous eyelid surgery. To correct this problem, it is recommended to do fat transfer, fat reposition or filler to improve the sunken.
Previous surgery
Many patients have uneven eyelids caused by their previous double eyelid surgery. This may be caused by mistake of surgery, unprofessional or inexperienced surgeon or inappropriate technique of surgery - for ex. have ptosis condition but only did threading or small incision.
Correcting uneven eyelid at Sky Clinic
As described above, uneven eyelids can be caused by many factors. Hence, surgery technique may vary in each individual. Doctors have to assess eyelid problems and wisely advise the appropriate technique of double eyelid surgery to patients.
Mini Blepharoplasty
is a technique that creates a small incision on the eyelid to make eyelid crease. This technique is suitable for patients who have monolid or hidden eyelids. Note that this will not remove excess skin.
Upper Lid Blepharoplasty
is a technique that creates a long incision along the eyelid, removes excess eyelid skin and creates a new eyelid crease to make the eyelid more symmetric.
Blepharoplasty with Ptosis Correction
is an additional technique to improve ptosis condition and droopy eyelid. Doctors will fix the muscle and adjust the overall looking of eyes. Balancing eyelids will bring more youthful looking and bigger eye appearance.
Blepharoplasty with Fat Transfer, Fat Reposition or Filler
is an additional technique to improve sunken eyes. Fat reposition is to use a fat in the other part of the eyelid and fill in the sunken area. In the case of those who have no fat to reposition, fat transfer is another option. Fat in the abdomen or thigh will be used to fill the sunken eyes. Some patients may be afraid of having scar on abdomen or thigh, so filler can be applied instead of fat.
Review mini blepharoplasty

Review Upper lid blepharoplasty + Ptosis correction + Fat transfer

Review Upper lid blepharoplasty + Ptosis correction

Double eyelid surgery techniques given above can correct the unevenness of eyelids. However technique of surgery may vary in each patient depending on eyelid problems and causes. If you are concerned about uneven eyelids, feel free to make a consultation appointment with our doctors.