The Double Suture and Twisting Technique (DST)

Double Suture and Twisting Technique

Non-Invasive Double Eyelid Surgery

The Double Suture and Twisting Technique (DST)

Known in Asia as the ‘double-eyelid’, this procedure has become increasingly popular in Australia over the past decade.

It’s relatively simple surgery that creates a soft natural looking upper eyelid crease, making the eyes appeared larger, brighter and better defined. 

Non-Invasive Double Eyelid Surgery

A Double eyelid procedure is generally divided into two main categories – incisional and non-incisional. As the name indicates, incisional blepharoplasty involves a significant incision to be made on the upper eyelid where skin and fat is removed and the incision sewn up to create a crease. Meanwhile, non-incisional procedures involve the use of sutures in place of cutting to create a fold on the eyelid. This is DST. 


What is DST?

DST is a technique that was invented in 2001 by Dr Akihiro Minami, a renowned plastic surgeon in Japan. Designed to be a minimally invasive procedure, DST does not require significant incisions to be made, hence does not leave behind significant scars on the patient’s eyelids.

As such, DST has become quite a common technique that, especially for Asian patients since its invention. A relatively simple procedure, it can take about 30 to 40 minutes for both eyes.

 How is it performed?

The surgeon first makes 3 small punctures on the upper eyelid of each eye. Then, using a specific twisting technique, two sutures are passed through those punctures and twisted around each other four to five times. After minimal suturing, the double sutures are tied together to create a fold on the upper eyelid. The result of this procedure is that when the patient opens his or her eyes, the underbelly of the skin is pulled inwards, resulting in a natural looking crease. This procedure is generally performed under local anaesthetic.

The results

Studies have shown DST to be both a safe and durable procedure, with results lasting about five years or more. Besides that, the results are also reversible in case patients change their minds.

The Downtime

Furthermore, downtime for the patient is also shorter than incisional double eyelid surgeries which usually require a longer period swelling. Because of its twist technique, it takes on average seven days for recovery with DST for most patients.

For more information, or to book an appointment please call our clinic today on (08) 9368 6888.