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How Many Steps Are Included in a Standard Medical Eyelid Threading Procedure?

Tran Thanh My
Tran Thanh My
Asked: 04/06/2026

Hello Doctor, I would like to clearly understand the steps involved in a standard medical eyelid threading procedure so that I can feel more confident before undergoing the treatment. I would like to know how the process unfolds, from consultation, measurements, and design to anesthesia and the actual procedure, so I can prepare myself mentally.

Answered: 04/06/2026

Hello, to achieve natural-looking double eyelids safely, the most important factor is that the procedure follows medical standards and is performed directly by a qualified doctor. Many people wonder how the eyelid threading procedure is carried out, whether it is complicated, and what preparations are needed before and after the procedure. I will explain each step in detail so you can fully understand the process.

Overview of a Standard Medical Eyelid Threading Procedure

When you ask how a standard eyelid threading procedure is performed, I will describe the process according to medical standards to ensure maximum safety and optimal aesthetic results. A standard procedure includes:

  • Consultation – Eyelid Examination – Eye Structure Assessment

The doctor evaluates the thickness of the eyelid skin, the amount of eyelid fat, the levator muscle function, and the symmetry between both eyes. This step helps determine whether Korean Eyelid Threading, Multi Point, or Dove Eyes is the most suitable technique for you.

  • Eyelid Crease Measurement and Design Based on Facial Proportions

The eyelid crease is designed according to the golden ratio, ensuring symmetry and harmony with the eye shape. Accurate measurements and design account for approximately 70% of the final result.

  • Disinfection – Local Anesthesia

The eyelids are thoroughly cleansed with an antiseptic solution to prevent infection. The doctor then administers local anesthesia using an ultra-fine needle to minimize discomfort.

  • Suture Placement and Creation of Fixation Points

The doctor creates suture passage points along the pre-designed line. The sutures are threaded through the superficial tissue layer, connecting the eyelid skin to the tarsal plate to form the crease. Gentle technique helps reduce swelling and creates a soft, natural-looking crease.

  • Crease Fixation – Bilateral Symmetry Check

After completing the procedure, the doctor carefully checks both eyes to ensure the eyelid creases are symmetrical, well-defined, and free from irregularities.

  • Postoperative Care Instructions – Follow-Up Visits

The doctor provides detailed instructions regarding postoperative care, cold compress application, medications, and follow-up appointments.

A standard medical eyelid threading procedure like this ensures safety, minimizes risks, and helps achieve beautiful, well-defined, and long-lasting eyelid creases.

Important Considerations After Eyelid Threading

After eyelid threading, proper postoperative care plays a crucial role in the longevity of the eyelid crease and the recovery process. You should note the following:

  • Apply cold compresses during the first 2–3 days to reduce swelling and bruising.
  • Keep the eyelid area clean with sterile saline solution and avoid contact with dirt or cosmetics.
  • Do not rub your eyes or sleep on your side pressing against the eyelids.
  • Avoid strenuous exercise, swimming, and sauna use for at least 7 days.
  • Do not apply eye makeup during the first week.
  • Limit consumption of sticky rice, seafood, beef, and stimulants to prevent prolonged swelling.
  • Get adequate sleep and drink plenty of water to support tissue recovery.

Following these recommendations helps reduce swelling more quickly, allows the eyelid crease to settle beautifully, and minimizes the risk of crease loosening.

When Should You Return for a Follow-Up Examination?

Typically, follow-up appointments are scheduled as follows:

  • Days 3–5: The doctor checks the degree of swelling and bruising and cleans the suture sites.
  • Days 7–10: Evaluation of the eyelid crease and healing progress.

However, you should seek medical evaluation immediately if you experience any of the following abnormal signs:

  • Increasing eyelid pain instead of gradual improvement.
  • Severe redness, burning sensation, or yellow discharge.
  • Noticeably uneven swelling or unnatural pulling of one eyelid.
  • Broken eyelid creases, visible sutures, or early crease loosening.

Early follow-up allows the doctor to intervene promptly and prevent any negative impact on the final outcome.

If you would like to see a personalized simulation of the eyelid threading procedure suitable for your eyelid shape or receive consultation regarding Korean Eyelid Threading, Dove Eyes, or Multi Point techniques, you can visit Gangwhoo Cosmetic Hospital for a direct examination. Gangwhoo follows a standardized medical procedure with gentle techniques, helping create natural, symmetrical, long-lasting eyelid creases while ensuring maximum safety. Whenever you need assistance, feel free to contact the doctor.


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