Thread Lift = Buried Sutures? Find Out The Thread Lift Double Eyelid Procedure! Can It Solve 6 Common Eye Concerns?

Not everyone is born with perfect double eyelids—inner double eyelids and asymmetrical eyes are common. To make the eyes look bigger and more defined, double eyelid surgery has become increasingly popular in Hong Kong. Among the various methods, the thread lift double eyelid procedure stands out due to its many advantages. Compared to traditional cutting surgery, it has fewer risks and side effects, leaves no scars, is safer, requires minimal downtime, and delivers natural-looking results. That’s why many beauty lovers choose it as their first option. In this blog, we’ll explain what eye concerns the procedure can improve, what to expect before and after surgery, and more. Your eyes are the windows to your soul—so if you want to enhance them, now’s the time to take action!

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What Is a Thread Lift Double Eyelid Procedure? Mechanism + Duration + Cost Revealed!

The thread lift double eyelid procedure is a minimally invasive eye surgery that creates a defined eyelid crease by embedding special threads under the skin. These threads are naturally absorbed and dissolved by the body over time. Unlike traditional cutting methods that involve incisions and stitches, this technique requires no cutting, which shortens recovery time and results in a more natural appearance with no visible scarring—greatly reducing risks and side effects.

It’s ideal for those who want to improve their eye shape without undergoing traditional surgery or who are worried about pain and complications. After the procedure, there are virtually no visible signs that surgery was done. The process takes around 30 minutes to 1 hour, and prices range from HK$13,000 to HK$30,000. Results are semi-permanent and typically last 5 to 8 years. If you’re not satisfied with the outcome, your doctor can remove or adjust the threads. In contrast, traditional cutting surgery is permanent and cannot be reversed.

During the first week after the procedure, you may experience mild swelling and soreness around the eyes, but this gradually fades. Once healed, you can wear makeup and contact lenses again.

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Who Is a Good Candidate for the Thread Lift Double Eyelid Procedure?

1. Monolids or Inner Double Eyelids

People with monolids or inner double eyelids lack a distinct crease, which can make the eyes appear flat and less defined. These features are very common among Asians. Many with monolids have considered getting double eyelid surgery at some point, as it aligns more with mainstream beauty standards. While makeup and eyelid tape can create a temporary crease, the thread lift procedure offers a more lasting solution—perfect for those who want a natural, long-lasting improvement.

2. Droopy or Asymmetrical Eyelids

Some people have uneven eyelid folds, such as one single eyelid and one double, making their eyes look different in size or shape. Causes include genetics, uneven muscle tone, past eye surgeries, or structural differences. If one eyelid droops, it can make the face look unbalanced. A thread lift can adjust the fold’s position, depth, and length to create symmetry in one or both eyes.

3. Triple or Multi-Layered Eyelids

When the eyelid forms three or more creases, it creates a puffy or bulging appearance. This can be due to loose skin, uneven tissue, or aging. A thread lift can help reconstruct the eyelid structure, reduce excess skin, and streamline the overall look.

4. Eyelid Creases That Are Too Wide, Narrow, High, or Low

If the crease is too wide, the eyes can appear swollen or out of proportion with the face. Too narrow, and the eyes may seem small or dull. A high crease can give a “surprised” look, while a low one might make the eyes look tired or lifeless. With a thread lift, doctors can fine-tune the width, height, and position of the crease for a more flattering result.

5. Undefined Double Eyelids

Some people are born with double eyelids, but the crease isn’t prominent enough. This can make their eyes look flat or less expressive. A thread lift can deepen the crease, enhancing facial expressions and overall eye definition.

6. Uneven Eye Size

Eyes may appear noticeably different in size, not due to actual dimensions but due to shape, position, or eyelid height. Causes include weak levator muscles, uneven fat distribution, or asymmetrical eye sockets—often resulting from genetics, poor development, illness, or trauma. While makeup can offer temporary correction, a long-lasting solution usually requires a thread lift or inner/outer corner eye surgery.

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Thread Lift Double Eyelid Procedure: 6 Steps to Natural-Looking Results

1. Consultation and Custom Plan

The doctor will assess your eye shape, facial proportions, and desired results to design a personalized treatment plan. You’ll also be informed about potential risks and care instructions. Previous success cases may be shown to boost confidence.

2. Local Anesthesia

A local anesthetic is applied to the eyelid area. You may feel a slight pinch, but it minimizes pain and discomfort during the procedure.

3. Marking the Eyelids

Precise markings are made to guide thread placement and ensure symmetry and accuracy based on your desired eye shape.

4. Inserting the Threads

Using a specialized needle, the doctor inserts threads beneath the skin in a 3-point, 5-point, or 8-point pattern—this refers to how many insertion points are used. The thread passes through these points in a figure-eight pattern.

5. Adjusting and Securing the Threads

The doctor adjusts the thread tension and checks whether the fold shape is balanced and symmetrical. Once satisfied, the threads are tied off, trimmed, and completely hidden under the skin, leaving no visible marks.

6. Recovery and Aftercare

Follow your doctor’s aftercare advice—avoid strenuous activity, massage, or eye makeup. A follow-up may be scheduled after one month to monitor healing. There’s no need to remove the threads, as they will be naturally absorbed by the body.

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Things to Watch Out for on the Day of the Thread Lift Double Eyelid Procedure

Before the procedure

1. Remove contact lenses if you're wearing them
2. Prepare some cotton swabs to stop bleeding if needed
3. Remove all makeup, including false eyelashes
4. Avoid getting eyelash extensions for at least one week before the procedure
5. Bring sunglasses and a hat for sun protection after the treatment

After the procedure

1. Avoid driving within 24 hours—arrange for a friend or family member to accompany you
2. Don’t touch or rub your eyes, and try not to blink too hard
3. Use an ice pack to reduce swelling. Wait until the swelling fully subsides before wearing contact lenses or applying makeup—this can take 1 to 3 months
4. Avoid drinking too much water before bed; elevate your pillow to help reduce swelling
5. If fluid seeps from the wound area, gently dab it with a cotton swab
6. Avoid strenuous exercise, swimming, or hot spring baths for two weeks
7. Cut back on spicy or greasy food, alcohol, and smoking
8. If your doctor prescribes any medication like saline solution or anti-inflammatory ointment, apply it as directed using a cotton swab
9. Protect your eyes from the sun—not with sunscreen, but with sunglasses and a hat to shield from sunlight, dust, and wind
10. When washing your face, use clean water around the eyes and avoid applying face wash or exfoliants near the area
11. If you notice redness, pus, bleeding, or a fever at the treatment site, contact your doctor immediately

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Who Should Avoid the Thread Lift Double Eyelid Procedure?

1. Those with eye inflammation or bacterial infections
2. People with severe glaucoma or dry eye syndrome
3. Individuals with serious chronic conditions like diabetes, high blood pressure, liver/kidney/heart disease, or blood clotting disorders
4. People with thyroid disorders
5. Patients with brain-related illnesses
6. Those prone to keloids or excessive scarring
7. People who have had prior eye surgeries resulting in uneven eye contours
8. Women who are menstruating, pregnant, or breastfeeding

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Lost Confidence in Your Monolids or Hidden Double Eyelids? — Try The Perfect Medical R6 Miracle Eye Rescue Treatment To Brighten Your Look!

Flat or indistinct eyelids can make your eyes appear less dimensional, and excess fat or puffiness under the eyes can make them look small and dull. Don’t worry—Perfect Medical’s team of experts can tailor a personalized solution for you. It’s ideal for busy professionals or students who want noticeable improvements in a short time. Want to change your eye shape but fear the pain? This treatment is a great alternative!

The R6 Miracle Eye Rescue Treatment uses triple RF (radiofrequency) energy to dissolve fat around the eyes and stimulate collagen production. It helps shrink eye bags, smooth fine lines and tear troughs—all without the need for prep work before the procedure. Aftercare is as simple as your usual skincare routine.

This treatment can also brighten the skin around the eyes and eliminate stubborn dark circles. It tightens loose, aging skin and lifts the eyelids for a more youthful, captivating gaze.

Although thread lift procedures are considered minimally invasive, the R6 treatment is non-invasive and painless, with no skin damage, redness, or swelling. It also requires a much shorter recovery time and comes with a quality guarantee. Before starting, a professional consultant will assess your skin and eye condition to ensure safe and effective results.

If you're interested in the treatment, simply click the link below to fill out your details and enjoy a free trial session!