Monolids and Double Eyelid Surgery (Asian Blepharoplasty)

A natural upper eyelid crease tailored to Asian eye anatomy, creating a refreshed, wide-awake appearance while staying true to the patient's ethnicity.

Before & AfterMonolids and Double Eyelid Surgery before and after, a patient of Dr Sabrina Shah-Desai

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Monolids and Double Eyelid Surgery

At a Glance

Anaesthesia
Local
Hospital Stay
Day Case
Down time
1-2 Weeks
Final results
2-10 Years
Stitches Removed
After 1 Week
Why choose this treatment

Advantages of Monolids and Double Eyelid Surgery Treatment

No Scar

The cut is hidden in the natural eyelid crease, or not required at all if using a running stitch.

Long-Lasting Results

Results last from 2 to 10 years.

Unrivalled Expertise

Performed by a leading oculoplastic surgeon.

Causes

What Causes Monolids?

Nearly half of people with Asian ethnicity are born with no upper eyelid crease (often described as a "single" or "mono" eyelid), which can cause the lashes to droop into the visual axis, referred to as "lash ptosis". Sometimes the eyelid is droopy, or has a ptosis, and this can also cause a tired or "sleepy" appearance, while some patients also have a "mongoloid fold" or an epicanthic fold at the nasal corner.

Dr Shah-Desai is a leading international oculoplastic surgeon who performs double eyelid surgery in London, as well as providing non-surgical options for patients who want to avoid surgery.

What Causes Monolids?

What is Double Eyelid Surgery?

Double Eyelid Surgery, otherwise referred to as "Asian Blepharoplasty", is a surgical procedure designed to give a refreshed, wide-awake appearance in Asian patients. The goal of an Asian Blepharoplasty is to fashion a natural upper eyelid crease: creating a bespoke eyelid shape that stays true to the patient's ethnicity.

When it comes to correcting eyelid issues, Surgical Blepharoplasty is the gold standard: providing excellent and long-lasting results, while allowing us to treat moderate to severe cases of puffy upper eyelids and lash ptosis. Otherwise, we can perform a Non-Incisional Blepharoplasty: this uses a running stitch to tighten loose skin, enabling the correction of mild eyelid concerns. This is a gentler correction and requires less downtime, making it perfect for patients seeking a temporary, scar-free correction.

How Does the Procedure Work?

Double Eyelid Surgery helps to create a "wide awake" appearance by creating a crease in the upper lids, where it would naturally occur. Excess skin and muscle are removed, as well as fat, if they are contributing to a puffy look.

Double Eyelid Surgery, or an Asian Blepharoplasty, can be performed in two ways. The first uses an incision, which enables the scar to be hidden in the crease, and requires 2 weeks of downtime, with the scar being fully settled by 3 months. The second uses a running stitch to create the crease, and requires no incisions - and therefore does not leave a scar. The recovery is faster, approximately 1-2 weeks, however the procedure only lasts 1-4 years.

Double Eyelid Lift Surgery is performed under local anaesthetic as a day case, so you can go home the same day.

Real Patient Results

Double Eyelid Surgery Before and After Gallery

See real Double Eyelid Surgery before and after results below, achieved by Dr Sabrina. Disclaimer: your results may vary. Any specific claims or length of results vary for each patient and are not guaranteed.

8 cases

Individual results vary. All photographs are of real patients treated by Dr Sabrina Shah-Desai and are published with consent.

Dr Sabrina Shah-Desai

Meet the Expert: Dr Sabrina Shah-Desai

Dr Sabrina Shah-Desai is the founder and Medical Director of Perfect Eyes Clinic. With over two decades of surgical and non-surgical experience, she is considered one of the safest, most experienced oculoplastic surgeons in the UK.

Her extensive training, combined with her caring and empathetic nature, makes her a natural choice for patients seeking the very best care. Dr Sabrina appears consistently in Tatlermagazine as one of the UK's “Best Eye Surgeons” and “Top Doctors” since 2019.

Learn About Dr Sabrina
Royal College of Surgeons of England - register of Board-Certified Cosmetic SurgeonsBest Aesthetic Doctor - Safety in Beauty 2023Consultant Surgeon of the YearBest Surgical Result - Aesthetic Awards 2021Tatler Best Eye Surgeon 2019-2026
Transparent pricing

Monolids and Double Eyelid Surgery Cost in London

Prices are a guide; your surgeon confirms the total during consultation.

  • Non-Incisional Double Eyelid Surgery - £5,500

  • Double Eyelid Surgery - £5,500

Important: all cosmetic procedures incur 20% VAT. Fees are estimates and will be confirmed after medical consultation.

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Patient Questions About Monolids and Double Eyelid Surgery

Frequently Asked Questions

The questions patients ask most often, answered by the clinic. If yours isn’t here, ask us directly - we would be delighted to help.

  • Asian patients often have an upper eyelid crease, however it is so close to the eyelashes that it is not visible. They can also have fat or excess skin in their upper lids, which can cause the lashes to turn inwards and touch the eyeball - and, if left untreated, this can cause scarring of the front surface of the eye, light sensitivity and ocular discomfort. Asian patients often have a droopy eyelid called ptosis, and sometimes a nasal fold of skin called an epicanthic or mongoloid fold.

    Double Eyelid Surgery can correct these issues by creating a more visible upper eyelid crease and removing excess fat and/or skin.
  • There are also options to have a non-incisional double eyelid treatment, for patients looking for reduced downtime and a temporary procedure without scars. The surgical procedure can be customised to retain ethnicity with a "lateral flare crease", "nasal slant crease" or a "parallel crease". Some patients desire a more "westernised look" and the crease can be modified accordingly. For the epicanthic fold, a "magic epicanthoplasty", hidden inside the inner corner of the eye, can help to open up the eye a bit more.

    A Surgical Blepharoplasty is the gold standard in correcting eyelid issues. It provides excellent, long-lasting results and allows Dr Sabrina to treat moderate to severe cases of puffy upper eyelids and lash ptosis. Meanwhile, a Non-Incisional Blepharoplasty uses a running stitch to tighten loose skin, allowing for the correction of mild eyelid concerns. This is a gentler correction and requires less downtime, making it perfect for those seeking a temporary, scar-free correction.
  • For a Surgical Double Eyelid Treatment, it takes one week to recover from the initial surgery. During that time you can go about your normal activities while healing, though you will not be able to exercise or put your body through extraneous strain. After one week the stitches will be removed.

    For a Non-Incisional Double Eyelid Surgery, the eyelids will swell temporarily. However, this settles in 48-72 hours, and can be lessened through use of oral anti-inflammatory tablets.
  • The risks of Double Eyelid Lift Surgery include:

    Infection: this is very rare; however, occasionally the stitches may become infected or inflamed. This can be swiftly settled with oral and topical antibiotics.

    Scarring: generally, scars are hidden in the skin fold. Stitches are normally visible for the first week, then, when they are removed, a faint scar is visible. While the scar may seem thickened and red for 6 to 12 weeks, it will gradually become almost invisible after that period.

    Large bruise or haematoma: this is minimised by regular use of ice packs, avoiding heavy exercise for 2 weeks after surgery, and stopping aspirin and other anticoagulants (if safe to do so) 2 weeks pre-operatively.

    Theoretical risk to vision: any eyelid surgery carries the risk that an undiagnosed infection or bleed could damage the optic nerve. This is so rare that, by comparison, a normal car journey poses a much greater risk to your vision.

    Asymmetry of eyelid shape, height, upper lid fold or fullness: this is rare, but can occur, and often settles as swelling resolves. Rarely, this may require revision surgery.

    Temporary poor blink: this can occur as the muscle responsible for closing the eyelid has been cut in order to access the muscle that lifts the eyelid. Generally, blinking returns to normal within 12 weeks.

    Droopy eyelid or lash ptosis: this can happen rarely and will need to be corrected by re-operation.

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

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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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