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Asian Blepharoplasty – Double Eyelid Surgery

Upper lid blepharoplasty in the Asian population requires expert attention to the unique differences in the Asian eyelid anatomy. Tiny tendons from the muscle that lifts the eyelid reach out from the muscle and connect to the eyelid skin creating the lid crease. In the Asian eyelid, these tendons may insert further down on the eyelid closer to the lashes making the crease less prominent. Additionally, The Asian eyelid classically has fat positioned over more of the eyelid muscles and fat resting further down on the upper eyelid.

Before / After

Surgery to create a new eyelid crease or change an existing crease can go by several names. Asian blepharoplasty, double eyelid surgery, monolid surgery, lid crease formation, or Asian eyelid surgery are common terminologies use to indicate surgery for the purpose of lid crease formation.

Asian blepharoplasty is targeted at creation of a new skin crease to match a patient’s cosmetic goals for the eyelid appearance. Typically, surgery to create a lid crease alone, is not targeted at removing a significant amount of eyelid skin, but rather creating the bonds between the skin and muscles of the eyelid. In many countries throughout Asia, a temporary skin crease is made by a simple suture technique. These results create a more fixed/immobile skin crease that may last months to years, but is generally considered shorter lived. In contrast, Dr. Sweeney and Dr. McDevitt perform Asian blepharoplasty surgery through an incision to adhere the muscle directly to the skin with buried sutures to create a long-lasting skin crease that moves naturally when the eyelid moves.

The procedure is routinely performed in our office surgical suite. The surgery is typically performed under light sedation, avoiding the side effects and risks of general anesthesia. Patients can return home immediately after the procedure and resume nearly all normal daily activities the next day. After double eyelid surgery, there is minimal downtime, and you can expect 90% of the bruising and swelling to resolve by two weeks.

Trust your eyelids to the only eyelid specialty in medicine. Ensure you see an oculoplastic surgeon performing a high number of Asian eyelid surgeries, like Dr. McDevitt or Dr. Sweeney, for consultation regarding Asian blepharoplasty.

The best person to perform Asian blepharoplasty is a surgeon with a high level of expertise in eyelid surgery, a surgeon who listens to your cosmetic goals, and a surgeon who is very familiar with Asian eyelid anatomy. Working in Hawaii, Dr. Sweeney and Dr. McDevitt work with the intricacies of Asian eyelid surgery every day. As oculoplastic surgeons in Hawaii, they are some of the most highly experienced experts in the country in Asian eyelid surgery. They possess the qualities you need for a safe and reliable Asian blepharoplasty.

There are numerous types of eyelid creases that are common among Asian populations.​

  • Tapered: The crease tapes as it travels toward the inner corner of the eye
  • Lateral flare: The crease height increases as it reaches the outer corner of the eyelid
  • Partial: A subtle crease that may not be sharply defined throughout the eyelid
  • Hidden: The crease is present but very low (3-4mm above the lashes) and may only be seen with certain eye movements/expressions.
  • Multiple: The eyelid may have multiple creases.  

The type of eyelid crease you choose to have ultimately depends on what you find most attractive.

Generally, insurance companies do not cover double eyelid surgery.  

There are two ways to create a lid crease – the sutured technique and the incisional technique. The sutured technique is performed commonly in Asia and offers results that typically last months to a few years – this is considered short term treatment. The incisional technique, such as that Dr. Sweeney and Dr. McDevitt perform, offers a permanent eyelid crease and allows more shaping of the eyelid and eyelid crease.