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https://www.entfacialsurgery.com.sg/double-eyelid/ 

The double eyelid surgery typically takes about one hour and is performed under local anesthesia. It involves creating an incision along the natural crease of the eyelid, then removing or repositioning the excess tissue in the upper eyelid. The surgeon will then sutures the incision closed, creating a natural-looking double eyelid crease. There are two techniques used, the incisional and the non-incisional method. The incisional method involves making a small incision to remove excess skin and fats. While the non-incisional method makes use of a suture to create creases without incising.