What is Asian Blepharoplasty?
Asian eyelids are anatomically different than Caucasian eyelids. The upper eyelid orbital fat is more prominent and the upper lid crease is lower or nonexistent in Asian eyelids. About half of all Asians are born without an top eye fold crease (“single eyelid”) while the other half are born with an upper eyelid crease (“double eyelid”). The eye skin crease, when present, can be broken or continuous, partial or complete, nasally-tapered, parallel, or multiple, in contrast to classic semi-lunar shape of Caucasian upper eyelids. The shape and the eye fold corners (canthus) of Asian eyelids are also different from Caucasian eyelids. Asian double eyelid cosmetic surgery can be performed simultaneously with epicanthoplasty, which is a procedure for aesthetic correction of the medial epicanthal (Mongolian) fold. Epicanthal fold results from redundant or abnormally distributed skin at the inner corner of the eyes of many Asian patients.
The goal of Asian blepharoplasty should be to be achieve a natural, symmetric result and preserve the Asian features of top eye skin, with or without formation of a “double eyelid,” as desired by the patient. Making the eye crease to look like Caucasian or “Westernized” is unnatural and unpleasant. The goal is to preserve the natural prominent upper lid orbital fat while creating an aesthetically pleasing Asian eyelid crease comparable to natural born Asian eye fold with double eyelid crease.
Eyelid Correction Procedure
Asian eyelid crease surgery can be performed to create a “double eyelid” appearance in those with poorly defined creases or to even out asymmetric creases. Following a similar procedure to eye skin malposition, there are two main types of techniques for Asian blepharoplasty or eye fold crease formation, namely incisional and non-incisional. In short, non-incision (suture) technique is faster with quicker recovery but its effects are less predictable and likely not long-lasting. The incisional technique, on the other hand, is more predictable and long-lasting. Both operations are usually performed under local anesthesia with or without sedation. Similar to most lid surgeries, there is a recovery period of about 7-10 days with swelling and bruising.
Before & After Surgery Photos
*See disclaimer below
Before (left) Young female, with asymmetry upper eye folds and top eyelid ptosis. After (right) 3 months after upper blepharoplasty and left top eye skin ptosis surgery (droopy eyelid surgery). Note natural, more symmetric eyes.
Asian man underwent cosmetic Asian upper blepharoplasty with crease formation. Asian blepharoplasty needs to consider the natural Asian eye shape and eyelid structures to provide natural results. Before and 3 months after cosmetic eyelid surgery photos are shown.
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Next, read about Canthoplasty Treatment.
*Disclaimer: Results vary from patient to patient. Results are not guaranteed.