Understanding Different Types of Eyelids and Plastic Surgery Options

Published on: January 28, 2024
Different types of eyelids

The eyes are often considered the windows to the soul, and eyelids play a significant role in framing and defining their appearance. There are many different types of eyelids, contributing to the uniqueness of each individual’s facial features.

One aspect that has gained attention in cosmetic procedures is the variation in eyelid types, specifically double eyelids. In this article, we will look into the different types of eyelids, the variations in double eyelids and the plastic surgery options available for those looking to alter their eyelids.

Understanding Eyelid Types

Eyelids are not one-size-fits-all; they vary in terms of shape, structure and crease patterns. The primary eyelid types include:


Monolids are characterized by a smooth, single eyelid without a distinct crease. This eyelid type is often associated with a smoother and less defined upper eyelid. Monolids are prevalent in East Asian populations, contributing to the diversity of facial features.

Double Eyelid

Double eyelids have a crease that creates a visible fold on the upper eyelid. The crease divides the eyelid into two sections, creating a more defined upper eyelid. Double eyelids are found in a variety of ethnicities, and their appearance can vary in terms of height and depth.

Hooded Eyelid

Hooded eyelids have excess skin that partially covers the natural crease and may appear to “hood” the eyes. The excess skin can give the eyes a partially closed or heavy-lidded look. Hooded eyelids are found in diverse populations, and this eyelid type can become more pronounced with age.

Upturned Eyelid

Upturned eyelids have outer corners that are higher than the inner corners. This creates an upward-slanting or cat-eye appearance. Upturned eyelids can be found in various ethnicities, contributing to different eye shapes.

Downturned Eyelid

Downturned eyelids have outer corners that are lower than the inner corners. This can give a more drooping or sad appearance to the eyes. Downturned eyelids are found in individuals with diverse facial features.

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Types of Double Eyelids

Within the category of double eyelids, there are further variations based on the height and depth of the crease. Understanding these variations is crucial for individuals considering plastic surgery to alter their eyelid appearance. The main types of double-lidded eyes include:

  • Low Double Eyelid: The crease in low double eyelids is closer to the lash line. This creates a subtle and natural-looking fold. Low double eyelids are often associated with a more delicate and understated appearance.
  • Medium Double Eyelid: The crease in medium double eyelids is positioned slightly higher on the eyelid. This creates a more defined fold, providing a balanced and versatile look. Medium double eyelids offer a middle ground between low and high double eyelids.
  • High Double Eyelid: The crease in high double eyelids is positioned significantly above the lash line. This creates a more pronounced and open appearance of the eyes. High double eyelids are often associated with a bold and captivating look.

For individuals seeking to enhance or change their eyelid appearance, plastic surgery, specifically blepharoplasty or double eyelid surgery, offers various options. These procedures are designed to create or alter eyelid creases, providing a more desired aesthetic. The main plastic surgery options include:

Double Eyelid Surgery

Double eyelid surgery, also known as Asian blepharoplasty, creates a crease in the upper eyelid for those with monolids. This surgery enhances the definition of the upper eyelid, creating a double-eyelid appearance. The following are various double eyelid surgery options.


Epicanthoplasty focuses on reshaping the inner corners of the eyes. This procedure can be combined with double eyelid surgery to create a wider and more open appearance of the eyes. Surgeons may remove excess skin and adjust the inner corner of the eye to achieve the desired result.

Ptosis Correction

Ptosis correction addresses drooping or sagging of the upper eyelid. This surgery lifts and tightens the upper eyelid to improve vision and restore a more youthful appearance. Surgeons may adjust the levator muscle to correct the position of the eyelid.

Hooded Eyelid Surgery

Hooded eyelid surgery removes excess skin and fat to address hooding of the upper eyelids. This procedure opens up the eyes and restores a more refreshed and youthful appearance. Surgeons may use different methods, including traditional surgery or laser techniques, depending on the extent of correction needed.


Canthoplasty focuses on reshaping and repositioning the outer corners of the eyes. This procedure can be combined with other eyelid surgeries to achieve a more lifted and upturned appearance. Surgeons may adjust the lateral canthal tendon to alter the outer corner of the eye.
Eyes of a woman after double eyelid surgery.
Before considering eyelid surgery, individuals should seek a consultation with a board-certified plastic surgeon experienced in eyelid surgery. This is a good time to discuss your goals, expectations and any concerns you may have about the procedure.

Understanding the nuances of different types of eyelids, variations in double eyelids and the available surgical options empowers individuals to make informed decisions about their aesthetic journey. The first step is to contact an experienced plastic surgeon to discuss cosmetic eyelid surgery.

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