Double eyelid surgery creates or defines an upper eyelid crease to give a natural-looking fold and more definition to the eye. Surgeons individualize crease height/shape to your anatomy and goals, and may combine procedures (e.g., ptosis repair or epicanthoplasty) when appropriate.
The technique is chosen to suit the eyelid rather than to a single template, and the suture and incisional methods differ in how long they last and how long the swelling takes to settle. Most people are back to desk work inside two weeks, with the final shape becoming clear over several months. Where the main concern is excess upper-lid skin rather than the absence of a crease, surgeons often weigh this against eyelid surgery.


A cosmetic eyelid procedure that creates or enhances a natural-looking upper lid crease. The crease height/shape is customized to facial anatomy and preference.
Adults in good health seeking a defined crease and symmetry, with realistic expectations. Your surgeon will assess skin thickness, fat, any ptosis (droopy lid), and whether combining ptosis repair or epicanthoplasty would improve results.
Suture has a smaller access and faster recovery but a higher chance of the fold loosening/relapsing over time.
Incisional allows precise crease design and removal of extra skin/fat, and is more durable for many patients. Your anatomy and goals drive the choice.
Not always. When a prominent epicanthal fold crowds the inner corner and limits crease shaping, a carefully planned medial epicanthoplasty can lengthen/open the inner corner and harmonize the crease. Decision is individualized.
No. Ptosis repair lifts a droopy eyelid margin by tightening the levator; double eyelid surgery creates a crease. They can be done together if both shape and lid height need correction.
Asymmetry or crease irregularity, over/undercorrection, visible scar, transient dry eye/irritation, infection/bleeding, and rare lid malposition. Selecting an experienced oculoplastic or facial plastic surgeon and following after-care lowers risk.
Fees vary by city, surgeon, and technique (suture vs. incisional; add-ons like epicanthoplasty or ptosis repair). Public clinic references place many double-eyelid quotes roughly in the ~C$5,500–$10,000+ range across major cities, with suture techniques on the lower end and comprehensive incisional/combined cases higher. (Examples: Vancouver clinic notes C$5,500–$7,000 averages; a Toronto practice lists upper eyelids from ~C$8,999.) Your consultation provides an exact quote.
Yes—Beautifi offers flexible monthly payments. Use the Loan Calculator to estimate payments or Apply Now to check options with no obligation.
Yes. It is commonly staged or combined with ptosis repair when the lid sits low, or with epicanthoplasty when the inner corner limits the crease. Patients whose upper lids feel heavy because the brow has descended are sometimes better served by a brow lift, either instead of or alongside eyelid work. Your surgeon will assess brow position, lid skin, and muscle function together before recommending a plan.

