What Zetith eyes (suture technique) can and cannot do. Do thread double eyelids last forever?

Zetith eyes is a suture technique that creates a double-eyelid line with thread without cutting the eyelid. While scarring is less noticeable and recovery is quick, the line may become shallower or disappear.[1][2]Suitability varies depending on age, eyelid shape, and whether ptosis (drooping eyelids that make eyes harder to open) is present.[3][4][5].

What can the suture technique accomplish?

The suture technique creates a double-eyelid line with thread without removing skin.[6]Recovery is quick, scarring is barely visible, and bruising is reported to be minimal.[1].

Another feature is the possibility of removing the thread and returning to the original shape if you are not satisfied.[1][2].

Zetith eyes has multiple methods with different thread placement techniques. However, among the papers reviewed, there were no studies directly comparing each method.

Do double-eyelid lines last forever?

They do not necessarily last forever. It is reported that with the suture technique, a certain number of people experience the line fading within months to years, requiring revision.[6].

Weaknesses of the suture technique include line shallowing, partial or complete fading, asymmetry between eyes, and drooping appearance of the eyelid.[2].

Even with the open technique, line loss can occur, with recent reports showing 2.1–6.7%.[4]With any method, the possibility of loss is never zero.

In what types of people does the line tend to disappear?

Differences appear based on age and eyelid shape. In studies of the Japanese two-point suture technique, revision surgery due to thread loosening increased in those under age 20 and over age 60.[3].

Particularly in those under age 20, the revision rate was reported to be as high as 41%.[3].

People with high eyebrows, sunken eyes, and thick eyelid muscles also show a trend of easier line fading.[4]People with excess eyelid fat showed better line longevity when fat-reduction procedures were combined, according to one report.[6].

In what cases is the suture technique alone difficult?

If ptosis is present, eyelid-lifting treatment is required alongside double-eyelid surgery.[5]Creating a double-eyelid line with thread alone will not improve difficulty opening the eyes.

If there is excess eyelid skin, the open technique may be chosen. An advantage of the open technique is that excess skin and fat can be removed during surgery.[7].

What changes should you watch for after the procedure?

The most common complaint is asymmetry. In a study examining 138 complaints, asymmetry was the most frequent reason for dissatisfaction with double-eyelid surgery, particularly differences in double-eyelid height.[8].

Thread-related complications include thread loosening, asymmetry, and small cyst-like formations around the thread.[9].

If thread protrudes through the eyelid underside, it can damage the cornea.[2]If eye pain or a gritty sensation persists, contact the clinic where you had the procedure right away.

What does the doctor check during your consultation to see if it is right for you?

From an article alone, you cannot determine whether the suture technique suits your eyelids or which anchoring method is best.

During your consultation, have your provider check eyelid thickness and fat amount, presence of ptosis, degree of skin excess, and the plan if your line fades.