This 59-year-old Asian woman presented with excess upper eyelid skin that was affecting her vision. She also admitted that she had always wanted an eyelid crease but hadn’t considered surgery until now. Dr. Amadi removed enough skin to improve her vision, but was careful to be conservative so as not to create a Caucasian appearing eyelid with a high crease. The crease he created developed into a perfectly natural “double eyelid” which was very pleasing to the patient.