Hidden eyelids, characterized by faint, indistinct creases, often make the eyes appear smaller and the face look less vibrant. With nearly 10 years of specialized experience and training in Korea and Singapore, Dr Xuan Quan Clinic will provide expert advice to help you achieve the beautiful eyes you desire and maintain lasting beauty.
What are hooded eyelids?
Hidden eyelids (also known as ptosis or double eyelids) are a condition where the eyelid crease is faint, indistinct, or obscured by excess skin and fat. As a result, the eyes may appear single-lidded or the face may look dull and lifeless.
Simple ways to identify double eyelids
According to Dr. Nguyen Xuan Quan’s in-depth examination experience, you can easily identify hooded eyelids through the following characteristic features:
- Unstable, hidden eyelid crease: This is the most common sign. The crease may appear clearly when you look down or upon waking, but disappear or hide when the eyes are wide open.
- Faint or very small eyelid crease: The crease line is very thin and close to the lash line, not creating the wide, round opening of the eyes like a standard crease.
- Multiple overlapping creases: In some cases, hooded eyelids appear as 2-3 small overlapping creases, but none are clearly defined, making the eye area look wrinkled and aged.
- Eyes that look like they have a single eyelid: When viewed directly, the upper eyelid skin completely covers the crease, causing the eyes to lose their depth and natural expressiveness.

Causes of hooded eyelids
Identifying the correct cause is key for doctors to provide the right intervention technique, resulting in clear and long-lasting double eyelids. Below are some common reasons why your eyes may have double eyelids:
- Congenital and genetic factors: This is the most common cause. The structure of the eyelid crease is formed from birth due to insufficient adhesion between the levator muscle and the eyelid skin, or the crease being too low. If parents have double eyelids, their children are also highly likely to have this characteristic.
- Aging (common in those 30+): Over time, the skin around the eyes loses collagen and elastin, leading to sagging skin and excess fat accumulation. This excess skin sags down, obscuring the original eyelid crease, turning clearly defined double eyelids into double eyelids or drooping eyelids.
- Unhealthy lifestyle habits: Frequent late nights, excessive use of electronic devices, or rubbing the eyes forcefully can damage the sensitive skin around the eyes, causing swelling and puffiness. This prolonged condition causes the levator muscle of the eyelid to stretch, resulting in the eyelid crease being hidden inward or multiple overlapping folds appearing.
- Abuse of eyelid-shaping tools: Regularly using eyelid-shaping stickers or eyelid glue as a temporary “fix” inadvertently stretches the eyelid skin, causing it to quickly lose elasticity and leading to premature drooping or sagging eyelids in young people.

Temporary home remedies for hooded eyelids
For mild cases of hooded eyelids or when not ready for cosmetic surgery, you can apply some home remedies to help your eyes look bigger, rounder, and with more defined creases.
- Using eyelid tape or glue: This is the most common method to create a false eyelid crease immediately. By fixing the skin on the upper eyelid, the tape helps push the sagging skin upwards, creating a noticeable double eyelid effect when applying makeup.
- Makeup techniques: Using dark eyeshadow to accentuate the crease and a sharp eyeliner line can create an optical illusion, making hooded eyes look deeper and more striking.
- Eye massage exercises: Gently massaging the eyebrow and eyelid area helps improve blood circulation and reduce puffiness – one of the causes of hooded eyelids.
- A balanced lifestyle: Getting enough sleep and limiting electronic devices helps prevent eye area fatigue, reduces sagging skin and the early appearance of puffiness, and keeps the natural crease of the eyelids as defined as possible.

Permanent solution for hooded eyelids at Dr Xuan Quan Clinic
As an alternative to temporary eyelid lifting techniques, Dr. Xuan Quan Aesthetics applies the most advanced eye shaping technologies. Depending on eye structure and age, we offer specialized solutions to create sharp, long-lasting eyelid creases:
Multi-point eyelid lifting (eyelid creasing)
This method creates a sharp double eyelid crease by using ultra-fine surgical sutures to connect multiple points between the eyelid skin and the levator muscle or tarsal plate, without any dissection or incisions.
- Suitable for: Young people with single eyelids, hooded eyelids, or uneven eyelids with good eyelid elasticity and no sagging skin or excess fat.
- Advantages: Quick procedure (15-20 minutes), painless, no scarring, fast healing, and the sutures can be removed to return the eyes to their original state if desired.
- Disadvantages: The effect is temporary (approximately 3-5 years) and does not correct drooping eyelids due to aging or excess skin and fat.

Eyelid surgery – A complete solution for sagging skin and excess fat
This method uses a minimally invasive incision to remove excess skin and fat pockets that weigh down the eyelids. This technique not only creates a deep, defined crease but also provides overall rejuvenation, giving the eyes a youthful and radiant appearance.
- Suitable for: Individuals with single eyelids, hooded eyelids, or double eyelids that droop, along with signs of aging, excess skin, and thick fat deposits around the eyes.
- Advantages: Completely corrects drooping eyelids, creates a deep crease with ideal proportions, and provides permanent aesthetic results.
- Disadvantages: Requires a longer recovery period and swelling (approximately 5-7 days) compared to eyelid stitching, and demands a highly skilled surgeon to ensure a balanced crease without a startled look.

Advanced eyelid fat removal technique
This method removes excess fat deposits through a tiny, discreet incision in the eyelid. After releasing the pressure from the fat pockets, the original eyelid crease becomes more visible, instantly making the eyes look lighter, more refined, and less tired.
- Suitable for: Individuals who already have eyelid creases (double eyelids, hidden eyelids) but are obscured by thick fat deposits causing drooping eyelids or sunken eyes, or those with puffy eyes due to congenital or aging fat deposits.
- Advantages: Completely removes eye fat deposits through a very small incision, leaving no scars, resulting in younger, more vibrant eyes without altering the natural eyelid structure.
- Disadvantages: Only addresses excess fat and cannot remove large areas of sagging skin. It also requires a skilled surgeon to avoid removing too much fat, which can cause sunken or hollow eye sockets.

Eyelid levator muscle correction – Correcting drooping eyelids
In cases of eyelid drooping accompanied by weak levator muscle, the doctor will combine levator muscle tightening to increase pupil dilation. This is a difficult technique requiring expertise from specialist Dr. Xuan Quan to ensure the eyes appear large and round without bulging.

Why choose Dr. Xuan Quan Aesthetics for eyelid correction?
Correcting double eyelids requires extreme precision to ensure the new crease isn’t too large, doesn’t appear wide, and most importantly, harmonizes with the facial features. Dr. Xuan Quan Aesthetic Clinic proudly stands as a leading destination for achieving radiant double eyelids thanks to its outstanding advantages:
Performed directly by Dr. Nguyen Xuan Quan: Clients will be examined and operated on by a new generation expert who graduated from Hanoi Medical University. With nearly 10 years of in-depth experience and further training in Korea and Singapore, the doctor is capable of accurately handling all types of double eyelids, from congenital to severe aging.

State-of-the-art, medical-grade equipment: We invest in advanced machinery and a strictly controlled, one-way sterile operating room. The application of modern technology ensures millimeter-precision dissection, minimizing invasiveness, reducing swelling and bruising, and promoting faster wound healing compared to traditional methods.
Reliable warranty and lasting results: Dr. Xuan Quan is committed to delivering long-lasting beauty with results lasting 5-10 years. In particular, our comprehensive 6-month warranty is a testament to our quality and dedication, giving customers complete peace of mind when entrusting their beauty to us.

Cost of eyelid surgery at Dr. Xuan Quan Aesthetic Clinic
Dr. Xuan Quan Aesthetic Clinic bases the cost of eyelid surgery to correct double eyelids on the actual condition of each client (congenital double eyelids, double eyelids due to aging skin, or double eyelids accompanied by ptosis). We are committed to competitive pricing along with medical-grade service quality and professional after-sales support.
| Category | Specific services | Price |
| Upper eyelid surgery | Upper eyelid surgery / Lower eyelid lift / Under 40 years old | 300$ |
| Upper eyelid surgery (40–49 years old) | 340$ | |
| Upper eyelid surgery (50–59 years old) | 380$ | |
| Upper eyelid surgery (≥60T) | 418$ | |
| Eyelid surgery | Difficult eyelid surgery (eyelid revision, scarred eyelids, drooping eyelids) | 450$ |
| Lower your eyes wide open | Lowering the head | 570$ |
| Eyelid fat grafting | Eyelid fat grafting | 300$ |
| Lower eyelid surgery | Chin muscle blepharoplasty – Lower eyelid lift with fat repositioning | 570$ |
| Eyebrow lift | Eyebrow lift and frontal muscle suspension | 450$ |
| Eyebrow lift | 300$ | |
| Eyelid surgery | Eyelid surgery | 190$ |
| Remove the sutures from the eyelid lift | 70$ |
Customer benefits:
- Transparent, all-inclusive cost: All costs, from examination and consultation on eyelid crease proportions to surgery and follow-up appointments, are clearly disclosed by Dr. Nguyen Xuan Quan, with a commitment to no hidden costs throughout the process.
- Rapid recovery, suture removal in 7 days: Thanks to minimally invasive techniques and the skillful hands of a doctor who graduated from Hanoi Medical University, wounds heal quickly and swelling and bruising are minimized.
- Reliable 6-month warranty: To affirm quality and responsibility, Dr. Xuan Quan applies a comprehensive 6-month warranty policy. Any technical issues or balance problems during the stabilization period are handled with dedication, providing absolute peace of mind for customers.
- Natural, beautiful results lasting 5-10 years: With precise intervention into the structure of the levator muscle and removal of excess skin in the correct proportion, the new eyelid crease here is not only sharp but also highly durable.

Frequently asked questions about double eyelids
During the in-person consultation, Dr. Nguyen Xuan Quan compiled the most common concerns of clients with hooded eyelids to provide the most objective answers:
Should I get eyelid surgery or eyelid lift if I have double eyelids? Which is better?
The choice of method depends on your age and the structure of your eyelid skin.
- Eyelid creasing: Suitable for young people with good eyelid elasticity, minimal sagging skin, and little excess fat.
- Eyelid surgery: The optimal solution for hooded eyelids accompanied by aging, excess skin, or thick fat pockets.
Will eyelid surgery leave scars?
This is a concern for many people. At Dr. Xuan Quan Clinic, the incision is made ultra-thin and perfectly matches the natural eyelid crease.
Combined with the technique of concealed sutures, the healed wound will leave absolutely no unsightly scars or any signs of intervention.
What method should men with hooded eyelids choose?
Unlike women who need large, round eyelids, men undergoing eyelid surgery often prioritize a masculine, natural look.
Dr. Xuan Quan will design a thinner eyelid crease with a moderate opening to make the eyes look deeper and more expressive without losing the sharp, strong features of masculinity.

Does eyelid surgery affect vision?
Many clients worry that eyelid surgery will weaken their eyesight. In reality, surgery at Dr. Xuan Quan Aesthetic Clinic only affects the outer skin and levator muscle of the eyelid, and does not invade the eyeball or the optic nerve system.
On the contrary, addressing sagging skin helps to improve vision, resulting in brighter and healthier eyes.
The above information details the condition of hooded eyelids, how to identify it, its causes, and the most effective solutions currently available. If you are wondering whether to choose eyelid lifting or eyelid surgery to address hooded eyelids, please contact Dr. Xuan Quan Aesthetic Clinic for a direct consultation and the most optimal aesthetic treatment plan.
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