Where should I get Zetith eyes? Will they assess my eyelid characteristics and address post-operative eye discomfort?

For Zetith eyes (non-incisional double eyelid), the benchmark is a clinic that examines age, eyelid thickness, and fat before explaining the anchoring method, and can address post-operative eye discomfort. The main reason for revision of non-incisional double eyelid surgery is thread loosening, and the likelihood of this occurring varies depending on the anchoring method and eyelid condition, according to reports.[1][2][3].

Why is eyelid assessment important at the start?

Even with the same non-incisional double eyelid technique, the longevity of the crease varies depending on eyelid condition. In research on 2-point anchoring non-incisional surgery, revision rates were high at 41% in people under age 20, and also elevated in those aged 60 and older.[2].

This research recommends pre-operative measurement of skin thickness, fat volume, and eyelid-closing muscle function.[2]It also suggests considering methods beyond thread alone, such as skin removal or fat reduction when needed.[2].

One report found fewer revisions of 2-point anchoring in people who had eyelid fat removal.[3]However, all such studies reviewed past records and do not mean that fat removal is beneficial for everyone.[3].

Will they explain the differences in anchoring methods?

Different anchoring methods can affect crease longevity. In a study following 1,000 cases over about 4 years, revision rate was 13.4% for continuous thread technique and 26.2% for 2-point anchoring.[1]Thread loosening accounted for 81.87% of revision reasons.[1].

However, this is a retrospective study from a single facility.[1]Which anchoring method is best depends on eyelid condition and desired crease width. Ask why they recommend a particular method.

Why is explaining left-right asymmetry important?

The most common complaint after double eyelid surgery is asymmetry. In a study of 138 complaints about eye area surgery, double eyelid procedures (initial and revision) accounted for over 60% of complaints, with asymmetry being the most frequent reason.[4].

The left and right eyes are naturally slightly different in most people, and it is recommended to document this difference pre-operatively and share it with the patient.[4]Check whether they will review current left-right asymmetry with you in pre-operative photos. Some experts note that repeated surgery increases the risk of eyelid ptosis.[4].

Can they address post-operative eye discomfort?

Rarely, the thread can protrude behind the eyelid and scratch the cornea.[5][6]In a report of 12 cases of eye injury after non-incisional double eyelid surgery, symptoms included redness, foreign body sensation, light sensitivity, pain, tearing, and blurred vision.[5].

Most of these 12 cases had superficial corneal scratches, but there were also cases of corneal ulceration and corneal perforation.[5]The corneal scratch healed once the protruding thread end was removed.[5].

Thread knots can easily be missed with simple eyelid eversion on examination.[6]If post-operative eye discomfort persists, checking for protruding threads and removing them if necessary is the primary management approach.[6]When choosing a clinic, also confirm that they have a system for easy post-operative consultation.

Where should I get it done? Checklist for when you're unsure

During consultation, ask about the following points:

Assessment: Do they decide on a method based on eyelid thickness, fat, and age?[2][3]

Anchoring method: Do they explain which anchoring method they recommend and why?[1]

Left-right asymmetry: Do they review current left-right asymmetry with you in photos?[4]

Post-operative consultation: Can they check the thread if redness or foreign body sensation persists?[5][6]

Whether non-incisional double eyelid surgery suits your eyelids and which anchoring method is best cannot be decided from an article alone. During your consultation, tell the doctor your desired crease width and your eyelid thickness, puffiness, and surgical history, and discuss the method and revision possibility with them.