Monolids

Monolid eyelids don't have a visible crease, which can sometimes appear flat or tired. At Perfect Eyes Clinic, we offer expert treatments to enhance and define the eye shape, if that's what you're looking for.

Monolids
What is it?

What Are Monolid Eyes?

The term monolid eyes, also known as single eyelids, describes the shape of your eyelid. If you have monolid eyes, the skin on your upper eyelid is smooth and covers the inner corner of your eye, making your eyes appear smaller. There are no creases or folds separating the eyelids.

Epicanthal folds are common, especially in people of Asian descent. They can also be a characteristic of certain genetic conditions like Down syndrome.

Clinical AssessmentWhat Are Monolid Eyes?
Understanding the trait

Causes & Related Genetic Conditions

Genetics

The gene for monolids is recessive. They are most common in people of East Asian descent, but can also be found in people of other races with almond-shaped and elongated eyes.

Down Syndrome

A condition that causes unique physical traits and developmental delays, caused by an extra chromosome.

Turner Syndrome

A condition that affects only females, causing short stature and developmental delays, caused by being born missing one of their X chromosomes.

Phenylketonuria (PKU)

A condition that causes phenylalanine to build up in the blood, leading to brain damage if left untreated.

Williams Syndrome

A condition that causes distinct facial features, developmental delays, and learning problems, caused by a missing piece of chromosome 7.

Noonan Syndrome

A condition that causes unique facial characteristics and heart problems, caused by changes in certain genes.

Triple X Syndrome

A condition that affects only females, causing developmental delays and learning problems, caused by an additional X chromosome.

Zellweger Syndrome

A condition that causes severe issues with the nervous system and metabolism, caused by a genetic mutation in any of the PEX genes.

Rubinstein-Taybi Syndrome

A condition that causes unique characteristics, including large thumbs and toes, as well as short stature and intellectual disabilities.

Blepharophimosis Syndrome

A condition that results in issues with the development of the eyelids, such as droopy and small eye apertures.

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Treatment options

Treatment for Monolids

Double Eyelid Surgery
Recommended Procedure

Double Eyelid Surgery

Double eyelid surgery, or Asian blepharoplasty, creates a natural upper eyelid crease, giving patients a refreshed or open eyes appearance, with long-lasting results for moderate to severe eyelid issues.

Procedure Time
30-60 minutes
Anaesthesia
Local or sedation
Results Last
2-10 years
Dr Sabrina Shah-Desai, Consultant Oculoplastic SurgeonAs seen in Tatler, Beauty & Cosmetic Surgery Guide, 2019-2026
About

Meet the Expert: Dr Sabrina Shah-Desai

MS, FRCS (Ed) Ophth

Dr Sabrina Shah-Desai, MS, FRCS (Ed) Ophth is a multi-award-winning Oculoplastic Reconstructive Surgeon and Aesthetic Practitioner specialising in reconstructive, revisional, and cosmetic surgery of the eyelids, as well as non-surgical treatments for the eyes and face. With 25 years of surgical and 17 years of non-surgical experience, she is globally recognised for her pioneering, minimally invasive techniques.

Named in Tatler’s Beauty & Cosmetic Surgery Guide every year since 2019, she is known as the “go-to” surgeon for discerning patients seeking subtle, natural results, and is highly sought after for revisional procedures by those who have undergone previous fillers or eyelid surgeries.

  • Listed on the Royal College of Surgeons of England register of Board-Certified Cosmetic Surgeons
  • Listed in Tatler’s Beauty & Cosmetic Surgery Guide as a top practitioner for eyes, eight consecutive years, 2019-2026
  • 25 years of surgical and 17 years of non-surgical experience
Patient questions about Monolids

Frequently asked questions

Call or email us today, we would be delighted to answer your questions.

  • If you have double eyelids, you'll notice a curved crease between your eyelashes and eyebrows. On the other hand, monolids don't have this visible crease.
  • Approximately 50% of Asians have monolid eyes, meaning one in two Asians does not have an arc-shaped crease in their upper eyelid.
  • No, they are different conditions. Hooded eyes refer to the condition where excess skin directly under the brow line folds over the upper eyelid, covering it like a hood.
  • No, they are different conditions. Ptosis is the drooping of an upper eyelid that would be in a more elevated position. It causes droopy eyelids that can affect vision, and it usually affects one eye.
  • Monolid eyes are typically a harmless trait. However, monolid eye shape with epicanthic folds may be characteristic of some genetic conditions, including Down, Turner, and Noonan syndromes.
  • To check if you have monolids, look at your eyelids and see how much of the eyelid and crease are visible. If you can't see much of a crease, then you probably have monolids.
Patient stories

Rated five stars by patients across the globe

4.8out of 5 from 240+ Google reviews

Desi StevensRated 5 out of 5 on Google
Simply the best dermatologist for skin care and eye surgery. She is a safe and skilled doctor who is highly experienced and will meet your needs, her approach is a soft and natural aesthetic. She listens and communicates clearly, professionally and in a kind and personable manner. I have been looked after by Dr Sabrina for many years have always been extremely happy with her advice, procedures and results. Highly recommend, she is a talented Dr you can trust.
Kealey HesseyRated 5 out of 5 on Google
Dr Sabrina is the magic eye fairy. Only 10 days after my lower lid bleph and midface lift and nearly all bruising and swelling has gone. After a lot of research, I knew after my initial consultation with Dr Sabrina she was the one I trusted. Such a warm & kind woman. I am so pleased I put my Trust in Dr Shah. Immensely happy with the results and will be back to get my upper eyes done in the future. Thank you to the whole team.
Jo KirbyRated 5 out of 5 on Google
I had been recommended Dr Sabrina by a medical colleague & am extremely glad I made the journey from Southampton to the Perfect Eye Clinic in London to discuss blepharoplasty. The team were all so friendly & very professional and most importantly, Dr Sabrina informed me that I had a bilateral eye ptosis. This explained a number of issues I was experiencing. I will definitely be booking to have a correction of bilateral eye ptosis and upper blepharoplasty. Can't recommend enough.
Shirley FordRated 5 out of 5 on Google
I am so very happy with my experiences at Perfect Eyes. Dr Sabrina is an absolute Star. Extremely talented, very personable I just couldn't be happier with my results and her overall professionalism. But a big part of my review is how lovely the support staff are too. Namely Safiya and Lisa who greet you with such warmness and respect. I highly recommend this clinic as I have done so with many friends.
Radhika RajanRated 5 out of 5 on Google
Top notch surgeon. Dr.Sabrina Shah is the best. Very meticulous and focused. Very experienced and very skillful. Supported by a great team, Irvana at the office is efficient and directs empathy as well towards nervous patients like myself . All in all a great experience.
Tina StonelyRated 5 out of 5 on Google
Dr Sabrina is so so kind and thorough in really assessing and understanding my needs and explaining in detail what works and the pros on cons of each treatment. I trust her implicitly and know she is the best physician in the UK and trainer to physicians for all aesthetic treatments. I cannot recommend her enough. You will not be disappointed choosing Sabrina.
Tanya Del FedericoRated 5 out of 5 on Google
Perfect Eyes provides an exceptional experience from start to finish. The team is warm, professional and highly knowledgeable, and every aspect of the consultation feels thorough and personalised. Sabrina combines outstanding surgical expertise with a genuine commitment to achieving natural, elegant results, taking the time to explain every option and ensure patients feel completely at ease. The care, attention to detail and standard of service are second to none. I would highly recommend Perfect Eyes to anyone looking for expert oculoplastic and aesthetic care.
Minda WangRated 5 out of 5 on Google
I am so happy with my experience. The results look natural, and I feel like a fresher version of myself since having my Biostimulation treatment with Doctor Sabrina. The whole experience was comfortable and professional, and I felt supported and well cared for throughout. I would definitely recommend this treatment to anyone looking for a natural-looking boost.
Samantha AndrewsRated 5 out of 5 on Google
Amazing. I’m so happy with the results. Sabrina is a master. She also has a wonderful bedside manner. I can’t recommend Sabrina and her team enough. Worth double the money. 👏🏻
Hayley PearsonRated 5 out of 5 on Google
I was lucky enough to first meet Sabrina 9 years ago & have never used anyone else since. She has helped transform my appearance; with natural looking aesthetics. I currently live abroad, however remain dedicated to stay a patient of Sabrina. What’s 3,500 miles when you have found the best in the business!

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