Double Eyelid Surgery – also known as Upper Eyelid Crease Surgery.
What is a double eyelid surgery consultation?
A double eyelid surgery consultation is an appointment with a specialist plastic surgeon or oculoplastic surgeon to discuss concerns related to the upper eyelids.
People may seek a consultation if they naturally have a single eyelid fold (monolid), have asymmetry in the upper eyelids, or wish to understand options for changes in the appearance or function of the eyelid area.
Only a qualified surgeon can assess whether this procedure is appropriate after reviewing your anatomy, medical history, and expectations.
What is discussed during the consultation?
During the consultation, the surgeon will examine the structure of your upper eyelids and discuss factors such as:
- The presence or absence of an eyelid crease
- Eyelid symmetry
- Skin thickness, position, and movement
- Fat distribution in the upper eyelid
- Any functional concerns such as heaviness or drooping
The purpose of the consultation is to help you understand whether a surgical procedure may be suitable, what alternatives exist, and whether conservative measures should be considered first.
Who may be referred for a double eyelid surgery consultation?
A GP may refer someone for a specialist opinion if they:
- Have an absent or minimally defined upper eyelid crease
- Experience mild drooping or excess upper eyelid skin
- Have concerns about eyelid symmetry
- Are seeking assessment of eyelid function or comfort
A referral does not guarantee that surgery will be recommended. Suitability is determined during the consultation after a full assessment.
How is suitability determined?
Double eyelid surgery is performed in an accredited medical facility, under either local or general anaesthesia. Suitability is based on a range of factors, including:
- Overall health and medical history
- Eyelid anatomy and muscle function
- Eye health and any pre-existing conditions
- Skin quality and structural characteristics
- Goals and expectations
Not everyone will be a candidate for surgery. Your surgeon will explain whether the procedure aligns with safety requirements and your individual presentation.
Understanding what the procedure involves
If the surgeon considers the procedure appropriate, they will explain the general steps involved in double eyelid surgery in a medical context.
This may include:
- The surgeon may give general information about where an incision is usually positioned in this type of procedure
- Whether any skin or fat adjustment is required
Details are discussed to support informed consent, not to promote the procedure.
The surgeon will also explain situations in which double eyelid surgery is not recommended.
Recovery and follow-up
If surgery is recommended, recovery guidance will be discussed during your consultation.
General considerations may include:
- Swelling or bruising in the first one to two weeks
- Instructions on caring for the incision site
- When to avoid heavy activity or extended screen use
- Signs to monitor during healing
- Scheduled follow-up appointments
Recovery varies between individuals. Your surgeon will provide personalised instructions based on your health and procedure.
Who can perform this treatment?
In Australia, double eyelid surgery must be performed by:
- A Specialist Plastic Surgeon, or
- An Oculoplastic Surgeon trained in eyelid anatomy and surgery
These procedures must be carried out in accredited medical facilities with appropriate anaesthetic and postoperative care.
Patients are encouraged to:
- Confirm the surgeon’s qualifications
- Ask about their experience with eyelid procedures
- Ensure the facility meets Australian safety and accreditation standards
Is a referral required?
Yes. People considering elective cosmetic surgery need to follow a regulated pathway designed to support informed and safe decision making. Every person must complete the following steps before any procedure can be booked:
• A current GP referral is required before seeing a surgeon. This helps ensure your broader health needs are reviewed and that cosmetic surgery is the right pathway to explore.
• You must attend a minimum of two consultations with the surgeon who would perform the operation. At least one of these appointments must occur in person. These consultations allow time to review your medical history, assess suitability and discuss risks in detail.
• A cooling off period is required after the final consent appointment. This time is set aside for you to think carefully about the information provided, ask more questions if needed and decide whether to proceed.
These steps apply to all elective cosmetic surgery in Australia. They are in place to support careful consideration and protect patient safety.
What are the risks?
All surgery carries risks.
Your surgeon will outline risks relevant to double eyelid procedures, which may include:
- Infection or bleeding
- Visible scarring
- Asymmetry
- Temporary dry or irritated eyes
- Difficulty closing the eyes during early recovery
- The possibility of further revision surgery
A full risk discussion forms part of informed consent.
Frequently asked questions
Q: Is double eyelid surgery covered by Medicare?
A: If the concern is purely cosmetic, Medicare does not usually provide rebates. If excess skin affects vision or comfort, a surgeon may assess whether eligibility criteria are met.
Q: How long do results last?
A: Ageing continues over time. Your surgeon will explain what to expect based on your individual anatomy.
Q: Will there be visible scars?
A: Scars are usually placed within the eyelid crease. Your surgeon will discuss scar care and healing.
Q: Is the procedure painful?
A: Discomfort varies. Most people find recovery manageable with simple pain relief.
Q: When can I wear makeup again?
A: Your surgeon will advise based on how your incision is healing. This is often around two weeks, but varies.
