Eyelid surgery in Asian patients requires a thorough understanding of the anatomy that makes Asian eyelids unique. Approximately 50% of Asians have an eyelid crease giving the appearance of a “double eyelid.” Although there is a crease present in these 50% of patients, the eyelid crease is much lower than in “western” eyelids. It is critical that the eyelid crease remain low when performing Asian blepharoplasty to avoid an unwanted “westernized” appearance.
The Asian eyelid can have a crease of various shapes and up to 50% have no visible crease. It is important to talk to your surgeon about the height and type of eyelid crease you desire before undergoing surgery. The goal of surgery is to create a natural crease and eyelid that fits with the unique face of the patient.
Asian blepharoplasty is performed either under local anesthesia or IV sedation and typically takes under 1 hour. Patients usually take about 5-7 days off from work while the majority of swelling resolves.