Eyes come in all shapes and sizes, and one of the most talked-about eye shapes is the monolid. If you’ve ever noticed eyelids without a visible crease, that’s a monolid. It’s a common trait, especially among East Asian populations, and carries a distinct beauty that’s often misunderstood or misrepresented. Monolids are just one of the many natural variations of eye anatomy.
In this guide, we’ll explain what monolids are, how they differ from other eye shapes, and how to care for and enhance them with simple tips.
What are Monolid Eyes?
Monolid eyes are an eyelid shape where the upper lid does not have a visible crease, resulting in a smooth surface from the lash line up to the eyebrow. This contrasts with double eyelids, which have a defined fold (supratarsal crease) that separates the eyelid into two segments.
Key characteristics:
Smooth eyelid surface: No fold or crease above the lash line.
Epicanthal fold: Often, a skin fold at the inner corner of the eye covers the caruncle (the pink part), contributing to the classic monolid appearance.
Perceived eye size: Monolids can make the eyes appear smaller or more almond-shaped, though this visual effect varies among individuals.
Who Has Monolids?
Monolids are most common among people of East Asian descent, especially those from countries like China, Korea, Japan, and Mongolia. However, they can also be found in other regions, including parts of Southeast Asia, Indigenous populations of the Americas, and occasionally in people of non-Asian descent due to genetic variation.
What Causes Monolid Eyes with Epicanthic Folds?
Monolid eyes with epicanthic folds are mostly the result of genetics, but they can also appear as part of certain medical conditions. Here are both natural and genetic causes:
1. Genetic Inheritance
Monolids are usually inherited and are most common in people of East Asian descent. However, they can also be seen in individuals from other regions, especially those with almond-shaped or elongated eyes.
The gene responsible is recessive, which means both parents must carry it for the trait to be expressed. This variation is completely natural and not linked to any disorder in most cases.
2. Medical Conditions Linked to Monolids
Blepharophimosis Syndrome
A genetic condition that directly affects eyelid development. It causes droopy lids and narrow eye openings, which often result in a monolid-like appearance.
Williams Syndrome
This condition arises from the deletion of a portion of chromosome 7. It causes unique facial features, delays in development, and difficulties in learning. Epicanthic folds may be one of the visible traits.
Zellweger Syndrome
A serious genetic disorder affecting metabolism and the brain. Babies born with Zellweger syndrome often have distinct facial features, including epicanthic folds and a wide nasal bridge.
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This inherited condition is known for its impact on facial structure and heart development. Individuals often have widely spaced eyes, low-set ears, and sometimes visible epicanthic folds.
Turner Syndrome
It impacts solely females and results from a missing or incomplete X chromosome. It results in short stature, delayed development, and sometimes subtle changes in eye shape, including folds around the eyes.
Phenylketonuria (PKU)
A rare metabolic disorder where the body can’t process phenylalanine properly. If not addressed, it may result in brain injury and changes in facial development, which may include eye shape differences.
Triple X Syndrome
This condition arises when a female has an additional X chromosome from birth. It can lead to learning challenges and mild facial changes, sometimes including slight differences in the eyelid area.
Rubinstein-Taybi Syndrome
Characterised by broad thumbs and toes, short stature, and intellectual disability. Some people with this syndrome also have downward-slanting eyes or eyelid folds.
Down Syndrome
Resulting from an additional chromosome 21, this common genetic disorder includes distinct facial features such as flat nasal bridges and epicanthic folds, along with developmental delays.
Monolids vs. Double Eyelids: The Key Differences
If you have double eyelids, there’s a natural crease or fold between your eyelashes and your eyebrows. People with monolids don’t have this crease. The skin of the upper eyelid looks smooth and flat.
The main difference is in how the levator muscle (which lifts the eyelid) connects with the skin. In monolids, this connection is either absent or much lower than in double eyelids, so the skin doesn’t fold into a crease. There’s also typically more fat under the skin of the eyelid, which can make the lid look smoother and puffier.
It’s also important not to confuse monolids with ptosis. Ptosis is a medical condition where one eyelid droops lower than normal. Unlike monolids, ptosis can block part of your vision and usually only affects one eye. In some cases, surgery might be needed to fix how the eyelid works and looks.
How to Treat Monolids?
Monolids typically don’t need treatment unless someone wants to change their appearance. Many people appreciate their monolid eyes as they are. However, those who want to change or enhance their eye shape for cosmetic, cultural, or personal reasons have options to consider.
Let’s break them down.
Double Eyelid Surgery
Double-eyelid surgery is also known as Asian blepharoplasty. It is an aesthetic method that gives the upper eyelid a distinct crease. People with monolids who want an improved and symmetrical eyelid or a more open-eye appearance frequently choose it.
There are two primary methods:
Incisional Method: A tiny incision is made along the eyelid to get rid of extra muscle, fat, or skin. The skin is then stitched to create a permanent crease. This method offers long-lasting results and allows for more reshaping if needed.
Non-Incisional Method: In this less invasive option, sutures are used to create the crease without any cutting. Recovery is quicker, but the results may fade over time or need adjustments.
Recovery
Healing depends on the method used. The non-incisional approach usually involves minimal swelling and downtime, with most people resuming normal activities in about a week. The incisional method takes longer. You may have bruising and swelling for a few weeks, and it can take a couple of months for the final results to appear. In both cases, following aftercare instructions is essential for a smooth recovery & natural-looking results.
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Makeup can be tricky for monolids because the usual crease-based tutorials don’t always apply. But once you understand your eye shape, you can create some seriously bold and beautiful looks.
1. Eyeshadow Application
Use gradient layering: Apply colours in layers from the bottom to the top, rather than trying to find a crease.
Open your eyes during application: This helps you place the shadow where it’ll actually be visible when your eyes are open.
Stick to matte shadows for depth, but feel free to experiment with shimmer for bold looks.
2. Eyeliner Techniques
Tightline the upper lash line to add depth without taking up lid space.
A thin-winged liner is effective. Avoid thick lines, as they can vanish under the lid.
3. Lashes
Curl your lashes well.
Use a waterproof mascara to hold the curl, especially since monolids can press down on lashes.
4. Brow Emphasis
Strong, well-shaped brows help balance the face and draw attention upward.
Final Thoughts
Monolids are a natural eye shape, and they are beautiful in their own way. You don’t need to fix them. If someone chooses to change their look through surgery or makeup, that’s a personal choice.
Whether you proudly embrace your monolids or look for ways to change or highlight them, the important thing is that you feel good and confident about yourself.
Frequently Asked Questions
01. Are monolids rare?
No, they’re actually quite common, particularly among East Asians. They are an inherent variation in the structure of the eyelids.
02. Can monolids turn into double eyelids naturally?
In some cases, especially during puberty or with age, a person might develop a natural crease. But this isn’t guaranteed.
03. Is surgery the only way to get a double eyelid?
Surgery offers permanent results, but there are also temporary methods like eyelid tape, glue, or makeup techniques that can mimic a crease.
04. Do monolids affect vision?
Not at all. Monolids are purely a cosmetic feature. However, if someone has ptosis (a separate condition involving drooping eyelids), it may affect vision and require medical attention.
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About Dr. Raj Thethi - Medical Reviewer
Dr. Raj Thethi
Yorkshire Skin Centre in Leeds is a CQC-registered medical clinic. It is led by Dr Raj Thethi who completed his core surgical training in hospitals around West Yorkshire before branching into aesthetics.
Dr Raj Thethi is a Northern Territory Regional Expert for an international dermal filler company called Teoxane. He also sits on their National UK Faculty.
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Mr Mark Gorman
Consultant Plastic Surgeon
Dr. Mark Gorman is a consultant plastic surgeon and department lead at Salford Royal, specialising in facial plastics and complex reconstructive procedures. His expertise spans a wide range of areas, including oculoplastic, nasal, ear, abdominal, and microsurgical reconstruction, with particular focus on breast, head and neck, and lower limb reconstruction.
With a non-surgical and surgical skillet, Dr. Gorman is known for using advanced techniques to achieve natural, harmonious results. His approach often integrates dermal fillers and fat transfer to enhance facial features in combination with a range of deep plane facelifts.
Beyond facial aesthetics, his specialties include high-definition liposuction, allowing for precise body contouring.
Dr. Gorman’s approach to plastic surgery is rooted in skill, combining technical precision with a deep understanding of aesthetics to achieve refined and personalised outcomes for each patient.Dr.Gorman is a key opinion leader (KOL) for major UK aesthetic companies, also has taught at BAAPS (British Association of Aesthetic Plastic Surgeons), bringing his expertise to the next generation of surgeons.
Additionally, he runs his own aesthetic training company, further extending his influence in the field.Dedicated to total well-being, Dr. Gorman created the Look Body Mind philosophy, which blends aesthetics and wellness for a holistic approach to beauty.Whether you’re looking for subtle enhancements or comprehensive reconstructive work, Dr. Gorman’s patient-centered care, grounded in precision, skill and an exceptional aesthetic eye, ensures that you will feel confident throughout your journey.
Sophie Harrison
Administrator
Sophie brings over a decade of customer service expertise to her role as Receptionist at Yorkshire Skin Centre. With a strong foundation in retail management and the travel industry, she is recognised for her warm, approachable manner and professional attitude—ensuring every client feels welcomed and valued from the moment they arrive.
Highly organised and calm under pressure, Sophie thrives in fast-paced environments and seamlessly manages a wide range of front-of-house responsibilities.
As the first point of contact for many clients, she plays a vital role in maintaining the clinic’s high standards of service and creating a smooth, reassuring experience for all visitors.
Beyond her professional skills, Sophie brings a vibrant energy to the team. She has a passion for travel, fashion, and music, and is currently learning both Spanish and Arabic. Her dedication to personal growth, combined with her friendly and proactive approach, makes her an indispensable part of our team.
Herezel McCourt
Senior Surgical Sister(RN)
Herezel McCourt is a highly experienced Registered Nurse at Yorkshire Skin Centre, bringing over two decades of clinical expertise across diverse surgical and medical specialties. She holds a BSc (Hons) in Perioperative Practice from Huddersfield University, UK, and a BSc in Nursing from Cebu Doctors’ University in the Philippines.
Herezel has spent the majority of her career within the NHS, most recently as a Clinical Specialist in Ophthalmic Surgery at The MidYorkshire Teaching NHS Trust.
Her extensive background includes roles in operating theatres, anaesthetic care, ENT, urology, plastics, maxillofacial, orthopaedic, and podiatric nursing, among others.
Renowned for her professionalism, dedication, and compassionate care, Herezel is also a trained mentor, assessor, and ANTT trainer. She has led initiatives in recruitment, risk assessment, SOP development, and patient care pathway planning. Her leadership credentials are strengthened by a Level 3 Award in First Line Management and a strong commitment to staff development and peer support.
Herezel is a calm and supportive presence to both patients and colleagues, and her attention to clinical excellence makes her an invaluable member of the Yorkshire Skin Centre team.
Rhea Levitt
Clinical Assistant
Rhea Levitt is a highly experienced Clinical Assistant at Yorkshire Skin Centre, known for her hands-on approach, warm personality, and commitment to delivering high-quality patient care. With a solid background in healthcare settings, Rhea brings valuable clinical expertise and administrative support to the team.
Her wide-ranging experience includes phlebotomy, wound care, ECGs, diabetic foot checks, B12 injections, and assisting in minor surgical procedures. She is also skilled in patient health monitoring, spirometry, and providing support during clinics such as coil fittings and cancer care.
Rhea’s well-rounded clinical knowledge is matched by her excellent organisational skills and a calm, compassionate approach to patient wellbeing.
In addition to her clinical duties, Rhea supports the practice by carrying out internal audits and ensuring best practices are upheld throughout the clinic. She plays a key role in maintaining smooth day-to-day operations and upholding the high standards that Yorkshire Skin Centre is known for. Dedicated, professional, and always ready to help, Rhea is an invaluable member of the team who helps ensure that every patient receives attentive, safe, and seamless care.
Raman Kaur
Administrator
Raman holds a Bachelor of Science with Bachelor of Education (BSc, BEd) from India, a qualification that integrates scientific studies and teaching education, equipping her with a strong foundation in both fields. She is currently building her career in the UK healthcare industry, bringing her hardworking, compassionate, and friendly nature to the team. With valuable experience in customer service and patient care, Raman plays a key role in managing day-to-day operations, handling bookings, and ensuring a smooth and welcoming experience for all patients.
Her dedication to excellence and passion for healthcare and client well-being make her an integral part of our team.
Nichola
Practitioner
Nichola is a highly skilled practitioner with a strong background in beauty and holistic therapies. She earned her Level 3 Beauty Therapy qualification with distinction from the Yorkshire College of Beauty and further enhanced her expertise with Level 4 Specialist training. She is also CIDESCO-certified, an internationally recognized gold standard in beauty and spa therapy, ensuring clients receive the highest level of care and treatments. With 18 years of customer service experience, primarily in the hospitality industry, Nichola deeply understands the importance of building strong client relationships. She is known for her hardworking nature, punctuality, and dedication to continuous learning.
Passionate about skincare and wellness, Nichola is committed to expanding her expertise in a leading skin clinic. She believes that the knowledge and experience she gains will be invaluable in delivering the highest standard of care to her clients.
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Bailey
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Hi I’m Bailey and I live in North Yorkshire with my husband and two working spaniels. I have been seeing Dr. Raj for facial rebalancing due to trauma and anti-aging procedures for six years.
Abie Ansari
Patient Representative
I am Senior Manager currently working for a small charity based in Leeds. My role is both professionally stimulating and challenging. No two days are ever the same. It includes aspects of advocacy, client rights, individual representation and inclusivity.
One milestone that resonates deeply is the creation of support groups, safe spaces where clients can openly share their stories. Witnessing the impact of these connections has fuelled my determination to improve the journey of others.
Through my own aesthetic endeavours , I’ve developed an unparalleled understanding of the emotional nuances tied to cosmetic treatments. This empathy allows me to offer sincere reassurance and guidance, especially during moments of vulnerability, in an era of aesthetic care that marries technical expertise with genuine human understanding and a person centred approach.
In my spare time I love the outdoors, enjoying hillwalking, taking part in sport, managing my bountiful allotment, and enhancing my cookery skills trying different cuisines (..no Masterchef yet).. and travel.
Dr. Farzana Khan
Consultant and General Surgeon
Dr. Khan earned her MD from Copenhagen University in 2003 and boasts over 20 years of medical expertise. Her early career was dedicated to dermatology and gynaecology across Yorkshire, and in 2011, she became a qualified GP from The Royal College of General Practitioners in London.
Dr. Khan’s commitment to women’s health is evident through her achievements. In 2012, she earned a Diploma in Sexual and Reproductive Health.
Linda Conway
Sales Administrator
Linda comes from a sales and customer record management background.
Here at YSC she personally manages a huge volume of enquiries that come through our clinic everyday, regarding treatments and special offers. She has extensive customer service knowledge and also has wide knowledge of the beauty industry having been a successful manager for Virgin Vie cosmetics.
Dr Camila Valencia
Aesthetic Doctor
Dr Valencia has over 10 years experience in the aesthetic field. Originally from Ecuador, she moved to the UK in 2014. Dr Valencia performs a wide range of treatments at the Yorkshire Skin Centre including injectables, consultations and minor surgery.
Dr Valencia comes from a family of surgeons and is proud to have been taught by some of the best physicians both at home and at the School of Medicine in Guayaquil -Ecuador.As an entrepreneur, she founded her own Laser Hair Removal company and worked in various specialist Aesthetic Medicine clinics in Madrid for 11 years.
In 2014 she moved to the UK with her family and now works very closely with Dr Raj, as an associate doctor at the Yorkshire Skin Centre.
Dr Valencia is committed to helping her patients to understand and enhance their appearance, always with a view to achieving a natural-looking result.
Qualifications:
MSc Cordoba University 2009
PGDip Alcala University 2007
DMed University of Santiago 2003
Sophie Walker
Expert Practitioner
Sophie is a highly experienced practitioner. She passed her Level 3 Beauty Therapy with a distinction at Yorkshire College of Beauty, also completed her Level 4 Specialist training. She is also CIDESCO qualified. CIDESCO is the world standard for beauty and spa therapy meaning you are getting the very best of treatments at an internationally examined standard.
Sophie works in the clinic 5 days a week and performs many treatments such as HydraFacial, Forma, Laser Therapy, Morpheus8, UltraClear Laser, fat freezing, ThermaVein, chemical peels, derma planning and much more. Rest assured you are in safe, experienced hands.
Nationally recognised leader in the field of Aesthetics
Yorkshire Skin Centre in Leeds is a CQC registered medical clinic. Led by Dr Raj Thethi who completed his core surgical training in hospitals around West Yorkshire before branching into aesthetic medicine.
Dr Raj Thethi is a Northern Territory Regional Expert for an international dermal filler company called Teoxane. He also sits on their National UK Faculty. He is nationally recognised leader in the field of Aesthetics and a skilled trainer up..Yorkshire Skin Centre in Leeds is a CQC registered medical clinic. Led by Dr Raj Thethi who completed his core surgical training in hospitals around West Yorkshire before branching into aesthetic medicine.
Dr Sharan Thethi
Clinic Director
Dr Sharan BDS has a bachelor’s degree in Dentistry and Oral Surgery. She is married to Dr Raj and has taken a step back from dentistry to help run the family venture. She is the Manager of the Yorkshire Skin Centre.
Gemma Elliott
Patient Care Coordinator
Gemma is a highly experienced and versatile practitioner with experience in both performing treatments and running a busy aesthetic clinic.
At YSC, Gemma is Dr Raj Thethi’s clinical assistant but also works as a practitioner in the clinic and is fully experienced with all the technologies to a very high standard. Rest assured you are in safe, experienced hands.
Dr Raj Thethi
Founder and Medical Director
Dr Raj is the Founder and Clinical Director of the Yorkshire Aesthetic Clinic. With a successful career in aesthetics and a passion for patient care, Dr. Raj found that his expertise in facial aesthetics was a natural progression where he could showcase his warm and friendly demeanour alongside his exceptional skills.
Dr Raj specialises in advanced facial aesthetics, offering a wide range of treatments and skin procedures. With his extensive training and experience in both medical and aesthetic fields, he brings a unique perspective to delivering exceptional results.
Driven by his passion for patient satisfaction, Dr Raj established the Yorkshire Aesthetic Clinic. Located in a comfortable and welcoming environment, the clinic provides a luxurious and refined setting for patients seeking aesthetic treatments…. Read More
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I love to travel, have a passion for interior design and enjoy sharing all that life has to offer with my beautiful family and fabulous friends.
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Mr Jeeva
Consultant Ophthalmologist & Oculoplastic Surgeon
Mr Jeeva is celebrated for his mastery in aesthetic eyelid surgery. By adopting a patient-centric ethos, he delivers personalised treatments that amplify natural beauty and revive youthful vitality.
He has completed a prestigious fellowship at the Royal College of Surgeons, specialising in cosmetic plastic surgery. This rigorous training has endowed him with advanced techniques in aesthetic surgery, ensuring outcomes that are both beautiful and natural.
With a specialised fellowship in oculoplastic surgery, Mr Jeeva has honed his skills in delicate eyelid surgeries, tear duct disorders… Read More
Alana Hunter
Independent Nurse Prescriber
Alana embarked on a career in nursing in 2008, following her comprehensive training and graduation. Since then, she has accrued a wealth of experience working in a variety of roles within both the NHS and private healthcare sectors. Known for her dedication and exceptional skills, Alana rapidly ascended into management, and for the past seven years, has been serving as a matron.
Throughout her career, she has consistently maintained her clinical competencies and academic studies. She initially earned a Bachelor’s degree in Nursing, later advancing her studies to become an Advanced Nurse Practitioner and Independent Prescriber. Her commitment to continuous professional development led to the completion of her full Master’s degree.
Alana’s passion for skin spurred her to further specialise in this field. In 2017, she pursued training in facial aesthetics, a decision that marked the beginning of a significant new chapter in her career. Since then, she has been affiliated with several leading skin clinics across the UK, where she has honed her expertise and built a reputation for excellence. Her extensive knowledge and experience in skin led her to become an expert medical trainer and since 2021, Alana has been imparting her knowledge at an award-winning training academy. Previously, she held the prestigious position of National Trainer for SKN Clinics, where she educated a variety of medical professionals, including plastic surgeons.
While Alana enjoys all aspects of skin, she has a particular fondness for medical-grade skin care, which she believes offers unparalleled benefits to patients. Her dedication to patient care and her professional knowledge and skills, make her a standout figure in this field. Through her work, Alana has positively impacted numerous lives, helping patients achieve their best skin health and aesthetic goals. In her trainer role, Alana is known for her meticulous approach and her ability to convey complex information in an accessible manner, ensuring that her trainees are well-equipped to deliver high-quality care. Her leadership and mentorship have been crucial in elevating the standards of practice within the industry.
Alana’s career is a testament to her unwavering commitment to excellence in nursing and aesthetics. Her professional journey reflects a blend of clinical expertise, academic achievement, and a genuine passion for improving patient care. As she continues to advance her career, Alana remains dedicated to staying at the forefront of the field, continually enhancing her skills and knowledge to provide the best possible care to her patients and to train the next generation of skin care professionals.
Mr Nikos Lymperopoulos
Consultant Plastic & Reconstructive Surgeon
With over 15 years of experience in the NHS, Mr Nikos Lymperopoulos specialises in reconstructive and cosmetic plastic surgery. He graduated from the University of Athens Medical in 2009 and completed his basic surgical training in Liverpool. After earning a PhD with honours in DIEP clinical anatomy research in 2013, he completed advanced surgical training in plastic surgery across Yorkshire and Liverpool, including a cosmetic fellowship in the North West.
Mr Lymperopoulos further honed his expertise with two prestigious breast reconstruction microsurgical fellowships at The Royal Marsden Hospital in Chelsea and Guy’s & St Thomas’ Hospitals in London. His extensive experience in breast reconstruction after mastectomy provides a profound understanding of surgical anatomy and aesthetics, benefiting procedures such as breast augmentation, reduction, and uplift. Additionally, he is highly skilled in abdominoplasty, often enhanced with liposuction or muscle repair, especially post-pregnancy.
Specialising in skin cancer treatment, he adeptly handles Basal Cell Carcinoma, Squamous Cell Carcinoma, and Melanoma. He offers a comprehensive range of breast and body cosmetic surgeries, including breast augmentation with implants or fat transfer, breast reduction, uplift, tummy tucks, and liposuction. Combined procedures, such as “mommy makeovers,” are also available to restore post-pregnancy body contours.
Trained in both surgical and non-surgical facial rejuvenation, Mr Lymperopoulos performs eyelid surgery (blepharoplasty), as well as toxin and filler injections. Currently, he serves as a Consultant at Mid Yorkshire Teaching Hospitals, specialising in breast reconstruction and skin cancer surgery, and holds an Honorary Senior Lecturer position at the University of Leeds.
An advocate for education and research, Mr Lymperopoulos has over 20 publications in peer-reviewed journals and a PhD in microsurgical breast reconstruction. As an Education Lead, he developed “The Yorkshire FRCS (Plast) Course” to aid UK trainees in their exit exams. His innovative training simulator was awarded first place in Innovation at the BAPRAS meeting in 2021.
Blepharoplasty
Blepharoplasty, also known as an eye lift, is a surgical procedure performed on the eyelids to improve their appearance. It can address concerns like:
Excess skin on the upper eyelids: This can obstruct vision and create a hooded appearance.
Bags under the lower eyelids: These can make you look tired or aged.
Drooping lower eyelids: This can also obstruct vision and contribute to a tired appearance.
Types of Blepharoplasty:
Upper blepharoplasty: This addresses concerns with the upper eyelids, removing excess skin and sometimes fat or muscle tissue.
Lower blepharoplasty: This addresses concerns with the lower eyelids, removing excess fat or skin and sometimes repositioning tissues.
Asian blepharoplasty: This addresses specific concerns related to the anatomy of Asian eyelids, creating a more defined crease.