Double Suturing Technique (DST)

1. The surgeon first makes 3 small punctures on the upper eyelid of each eye.

2. Then, using a specific twisting technique, two sutures are passed through those punctures and twisted around each other four to five times. 

3. After minimal suturing, the double sutures are tied together to create a fold on the upper eyelid. 

4. 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.