For patients who wish to create or redefine an upper eyelid crease that enhances the natural beauty of the eyes, Eyelid Crease Reconstruction offers a safe, precise, and customizable solution. Performed by Dr. Jaray Krainam, MD, one of Thailand’s most experienced cosmetic surgeons with over 20 years of surgical expertise, this procedure enhances eyelid shape and definition without compromising eyelid function.
This surgery involves creating a new eyelid crease at the most flattering height and attaching it to the levator muscle that lifts the eyelid. The crease can be designed in various shapes and heights to match the patient’s desired aesthetic outcome. Depending on the goals—whether simply creating a crease or removing excess skin—the procedure may be done through a single short incision, multiple micro-incisions, or a longer incision hidden within the natural eyelid fold.
📌 Operation Time
The procedure is quick and efficient, taking as little as 15 minutes.
📌 Type of Anesthesia
Performed under local anesthesia, ensuring comfort while avoiding the need for general anesthesia.
📌 Hospital/Clinic Stay
No overnight stay is required. Patients may return to their hotel immediately after the procedure.
📌 Recommended Days in Thailand
A minimum stay of 7 days is recommended for follow-up and stitch removal.
📌 Risks and Possible Complications
Although complications are rare when performed by an experienced surgeon like Dr. Jaray, all medical procedures carry potential risks. These may include:
- Infection
- Bleeding (rare but can affect vision)
- Prominent or visible scars
- Asymmetry in healing
- Temporary dryness
- Reduced eyelid sensation
- Difficulty closing the eyes
- Adverse reactions to anesthesia
- Extremely rare cases of vision loss
Following all pre- and postoperative instructions greatly minimizes these risks.
📌 Recovery Period
Recovery is generally fast:
- Minimal swelling that often subsides within 15–30 minutes
- Makeup may be applied shortly after the procedure
- One suture may be present and is removed in 3–5 days
Patients can resume most normal activities quickly.
📌 Preparation Before Surgery
To ensure optimal safety and results, the following steps are required:
✔ Medical Evaluation
A full medical history, physical examination, and possibly lab tests will be completed during consultation.
✔ Stop Smoking
Avoid smoking for 3–4 weeks before surgery to ensure proper healing.
✔ Avoid Alcohol
Stop consuming alcohol for 1 week prior to surgery and throughout the recovery period.
✔ Discontinue Certain Medications
Avoid the following for 4–6 weeks before surgery unless approved by the surgeon:
- Hormones
- Anticoagulants
- Anabolic steroids
- Supplements
Also avoid aspirin, anti-inflammatory medications, and herbal supplements that may increase bleeding.
📌 Why Choose Dr. Jaray Krainam, MD?
- Over 20 years of experience in cosmetic and reconstructive eyelid surgery
- Personalized crease design tailored to your anatomy
- Expert scar placement for natural, refined results
- Minimally invasive techniques for fast recovery


