Plastic Surgery

Asian Eyelid

Creates or enhances the eyelid crease in individuals of Asian descent for aesthetic or functional purposes.

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Asian Eyelid Surgery

The biggest misunderstanding of Asian Blepharoplasty is that the goal is to reconstruct a Caucasian or “Western” eyelid, but that is not the case. Rather, the goal is to achieve a natural crease and fold that is commonly seen in normal Asian anatomy but does not always occur naturally; “double eyelid” surgery creates or defines a natural Asian eyelid crease, resulting in larger, more prominent eyes.

Some patients already have a low but defined upper eyelid crease, allowing the lid to be broken up into two visible parts known as a “double eyelid,” while the eyelids of others show little signs of a crease, referred to as a “single lid” or “monolid”.

Here are some of the key benefits of this procedure:

Creation of a double eyelid: One of the primary benefits of Asian eyelid surgery is the creation of a double eyelid. Many individuals of Asian descent have a single eyelid, which can make the eyes appear smaller and less defined. Asian eyelid surgery can create a double eyelid, which can make the eyes appear larger and more expressive.

Enhanced eye shape and symmetry: Asian eyelid surgery can also help to enhance the shape and symmetry of the eyes. The procedure can address issues such as asymmetry, drooping, or puffiness in the eyelids, which can make the eyes appear tired or aged.

Improved self-confidence: Many individuals who undergo Asian eyelid surgery report feeling more confident and comfortable with their appearance. The procedure can help to create a more youthful and refreshed look, which can boost self-esteem and enhance overall quality of life.

Long-lasting results: While results may evolve over time, Asian eyelid surgery is generally considered permanent, providing long-lasting results that most patients experience for years to come.

Minimal scarring: This procedure is typically performed using very small incisions that are hidden within the natural crease of the eyelid. This means that scarring is generally minimal and discreet, making it an excellent option for individuals who want to achieve their desired results without visible scarring.

Asian Eyelid Anatomy

There are subtle but important, differences between the Asian eyelid and those of other ethnic groups. In the past, the goal of Asian eyelid surgery was the “Caucasian look” making for an unnatural-looking appearance, but this is no longer the case. Modern Asian eyelid surgery aims to achieve a natural crease and fold that is commonly seen in normal Asian anatomy in about 50% of the Eastern Asian population. Dr. Amadi takes into account the unique ethnic features of each patient to provide a beautiful, authentic and natural-looking result.

The major differences of the Asian eyelid include the amount and location of periorbital fat, the presence of a defined epicanthal fold, and a single lid or lack of “supratarsal crease.” When a crease is naturally present in the Asian patient, it is usually at a lower position on the eyelid thus exposing a smaller eyelid platform, the so-called “tarsal platform show”, or TPS.

Periorbital fat:

In most cases, the Asian eyelid is substantially fuller than the Caucasian lid, due to a higher fat volume. The orbital fat is located at a lower position in the upper eyelid and as a result, creates a “puffier” appearance to the eyelid platform. This thicker subcutaneous fat layer also makes it more difficult for a natural crease to form. When performing double eyelid surgery, it is important to minimize the fat excision, if needed at all, in order to decrease the risk of a hollow upper eyelid/brow region (superior sulcus). It is a fine balance that requires very skilled attention and experienced hands.

Epicanthal Fold:

In Asian eyes, the lateral canthal (outside corner of the eye) position is slightly higher and the medial canthus (inside corner of the eye) often has an “epicanthal fold”, a fold of skin that extends as a continuation of the upper eyelid crease/fold to the medial canthus and sometimes the lower eyelid. This can create an “overhang” of skin that hides the inner part of the eye, making the eye seem smaller horizontally.

Supratarsal Crease:

Finally, and most importantly, the Asian eyelid crease/fold is lower (closer to the lashes) than in the Caucasian eyelid. Understanding this anatomic difference is quite possibly the most important part of creating a natural Asian crease/fold.

Some people of Asian descent, about half in some studies, will have a well-developed eyelid crease, whereas others have none at all, and still others a combination. Even within the Asian population, there are variations to the crease: tapered nasally towards the epicanthal fold versus parallel to the eyelid margin.

Dr. AJ Amadi


Dr. AJ Amadi

Focusing on a natural and age-appropriate look, Dr. Amadi will deliver the finest personalized care, giving you the results you desire.

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