Some doctors feel that you should repair the ptosis and then do the double eyelid surgery 6 months later. Ptosis Correction with Asian or Double Eyelid Creation can be done in stages but also all at once in my hands. This has not been a problem for me. After reattaching the levator to the tarsus in the best position, I then attach the levator muscle to the orbicularis muscle or skin or whatever technique you use for the double eyelid crease. This has been okay to do for me in my hands. I think some people stage this procedure because they feel that they will have some better control of the results. But I think if you can do it in one procedure why not. You can always stage a revision if the results are not as desirable. But usually one surgery is possible to correct them both with out needing more surgery in my experience. Here is a video of an asian eyelid surgery.
Thanks for reading,
Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington