If a patient undergoes Asian eyelid surgery in their late teens or early twenties, they may need to repeat the surgery by their 40s or 50s due to eyelid skin hooding. With age, the upper eyelids can "hood" (droop over the eye) — and this can make the double lid you got to become less and less visible. The double eyelid fold can also loosen with age because the connective tissue stretches and weakens over time.