Eyelid Surgery Asian: Top Techniques & Expert Insights

Key Takeaways

  • Understanding Asian Double Eyelid Surgery: This procedure aims to create a natural-looking double eyelid crease in oriental eyes, enhancing the upper eyelids’ appearance while respecting ethnic features through upper blepharoplasties.

  • Ideal Candidates for the Procedure: Suitable for individuals seeking to enhance their upper eyelid definition with upper blepharoplasties and double eyelids, with realistic expectations and good overall health.

  • Techniques Explained: Various methods include full incision, partial incision, simple excision, and no incision, each offering different benefits and recovery times.

  • Full Incision Method: Provides permanent results and is ideal for those needing significant crease formation or excess skin removal through eyelid incisions and excision in a blepharoplasty procedure by plastic surgeons.

  • Partial Incision Approach: Balances between permanence and less invasiveness, suitable for moderate adjustments, often used by plastic surgeons utilizing the incisional method with suture techniques involving the orbital septum.

  • No Incision Technique: Least invasive with quicker recovery, best for patients requiring minimal changes without excess skin, as noted by plastic surgeons.

Understanding Asian Double Eyelid Surgery

Definition and Significance

Asian double eyelid surgery, also known as upper blepharoplasties, creates a crease in the upper eyelid, addressing the epicanthal fold and performed by plastic surgeons. This procedure is popular among individuals with monolids, which lack a natural fold in the upper eyelid, often corrected with suture folds for the patient. The surgery holds cultural and aesthetic importance. It aims to enhance the eyes’ appearance, making the upper eyelid and lid skin look larger and more defined.

Many people seek this surgery for personal reasons. Some want to achieve a specific beauty standard, while others desire improved self-esteem. The procedure has deep roots in various Asian cultures and is seen as a way to harmonize facial features, often involving the upper eyelid suture technique.

Anatomical Considerations

Anatomically, Asian eyelids differ from those of other ethnicities. The key difference lies in the presence of an epicanthal fold, thicker eyelid skin, and muscle. These features often result in the absence of a natural crease in the upper eyelid.

Traditional eyelid surgeries focus on removing excess skin or fat from the upper lid using suture techniques and addressing muscle concerns. In contrast, Asian double eyelid surgery aims to create a well-defined crease using suture techniques without altering the eye’s natural shape for the patient. Surgeons must consider these unique anatomical factors to achieve optimal patient results.

Surgical Techniques

Several techniques exist for performing this surgery. One common method involves making an incision along the desired crease line in the patient. This approach allows for precise adjustment of the eyelid muscle and removal of excess fat if needed, particularly beneficial for the oriental patient.

Another technique is the suture method, which uses stitches to create a temporary or permanent fold without incisions, often preferred by oriental patients for enhancing the muscle definition. Both methods aim to produce a natural-looking crease that complements individual facial features, considering the patient’s lid muscle in oriental cases.

Achieving Natural Results

The primary goal of Asian double eyelid surgery is achieving a natural-looking crease that enhances overall facial harmony for the patient, involving precise muscle adjustment. Surgeons strive to ensure that the new fold aligns with existing features such as brow shape and eye size, considering the patient’s muscle structure.

A successful outcome depends on careful planning and execution. Surgeons must tailor their approach based on each patient’s unique muscle anatomy and aesthetic goals. This personalized strategy helps ensure that the results look authentic rather than artificial for the patient and muscle.

Postoperative Care

Proper postoperative muscle care is crucial for recovery and maintaining results. Patients should follow their surgeon’s instructions closely, including keeping the area clean and avoiding strenuous muscle activities, et al.

Swelling and bruising of the muscle are common after surgery but usually subside within two weeks. Patients may need to attend follow-up appointments to monitor healing progress and address any concerns.

Ideal Candidates for the Procedure

Anatomic Characteristics

Ideal candidates for eyelid surgery often have specific anatomic muscle characteristics. These include eyelids covering too much of the iris or puffiness due to excess fat and muscle, et al. Many people, particularly those of Asian descent et al, may have single eyelids without a crease due to muscle structure. This can cause the eyes to appear smaller or more tired.

Realistic Expectations

Patients must have realistic expectations about the procedure. Surgery can enhance appearance but not create perfection. Discussing goals with an experienced surgeon helps set achievable outcomes. Good communication between patients and surgeons is vital for satisfaction.

Overall Health

Good overall health is crucial for successful outcomes. Patients should be free from severe health issues that could complicate surgery. Conditions like diabetes or hypertension must be well-controlled before considering surgery.

Eye Conditions

Certain eye conditions make eyelid surgery risky. People with dry eye syndrome or glaucoma should avoid this procedure. Consulting with both a plastic surgeon and an ophthalmologist ensures safety.

Age Considerations

Age also plays a role in determining candidacy. Younger patients might seek surgery to create a double lid fold, while older individuals may want to address sagging skin. Each age group has unique needs and concerns.

Psychological Readiness

Psychological readiness is essential for any cosmetic procedure. Patients should undergo this surgery for personal reasons, not external pressures. Being mentally prepared contributes to overall satisfaction and recovery.

Techniques Explained

Full Incision

The full incision technique is suitable for those with excess skin or fat. This method involves making a complete cut along the eyelid crease. Surgeons then remove or reposition fat and skin. This technique ensures a durable result because it tightly fixes the new crease.

However, it may leave more visible scars compared to other methods. The full incision is ideal for people seeking long-lasting results despite potential scarring.

Partial Incision

Partial incision works well for patients needing moderate correction. Surgeons make smaller cuts at specific points along the eyelid. They address issues like excess fat but leave most of the skin intact. This approach reduces scarring while still providing noticeable improvements.

The partial incision offers a balance between durability and scar visibility. It’s less invasive than a full incision but more effective than no incision techniques.

No Incision

No incision, or suture technique, is best for those wanting minimal scarring. Surgeons use stitches to create the eyelid crease without cutting the skin. This method leaves almost no visible scars but may not be as durable as incisions.

Patients with thin eyelids and little excess fat benefit most from this technique. The results can be less resilient, requiring touch-ups over time.

Addressing Specific Concerns

Each technique targets different concerns:

  • Full Incision: Best for significant excess skin and fat.

  • Partial Incision: Suitable for moderate corrections.

  • No Incision: Ideal for minimal scarring needs.

Surgeons assess individual anatomy to choose the right method. Factors like levator muscle strength and existing crease location influence their decision.

Durability of Results

Durability varies across techniques:

  1. Full Incision: Long-lasting with potential scars.

  2. Partial Incision: Balanced durability and scar visibility.

  3. No Incision: Minimal scarring but less resilient.

Trade-offs exist between scar visibility and crease resilience. Patients must weigh these factors when choosing their procedure.

Full Incision Method

Process Overview

The full incision method involves making a complete cut along the eyelid. This technique is also known as the incisional method. Surgeons remove excess fat and skin to create a new eyelid fold. The incision goes through the full thickness of the skin, allowing for precise fold creation.

The procedure starts with marking the desired height of the new eyelid fold. Anesthesia is applied to ensure comfort during surgery. The surgeon makes an incision along the marked line.

Removal of Excess Fat and Skin

After making the initial incision, surgeons identify and remove excess fat and skin. This step helps in achieving a more defined eyelid crease. Removing extra tissue prevents sagging and puffiness.

Surgeons use fine instruments for this delicate task. They carefully excise only what is necessary to avoid complications. Precision in this step ensures natural-looking results.

Permanence of Results

One significant advantage of the full incision method is its permanence. Unlike other methods, this technique provides long-lasting results. The new eyelid fold remains stable over time.

Scars are inevitable with any surgical procedure. However, scars from eyelid incisions usually fade well over time. Proper aftercare can minimize their visibility further.

Visibility of Scars

While some scarring occurs, it generally becomes less noticeable as it heals. The scar hides within the natural crease of the eyelid, making it less visible when eyes are open.

Patients can use scar creams or treatments recommended by their surgeons to aid healing. Over time, most patients find that their scars blend seamlessly into their natural skin fold.

Suitable Candidates

The full incision method suits individuals with significant excess skin and fat on their eyelids. These candidates benefit most from this surgical approach due to its comprehensive nature.

People with thick or droopy lids often see dramatic improvements with this technique. It’s also ideal for those looking for permanent solutions rather than temporary fixes like sutures or non-incisional methods.

Partial Incision Approach

Small Incision

The Partial Incision approach uses a small incision. This method is less invasive than the Full Incision technique. Only a tiny cut is made in the eyelid skin. This reduces the risk of visible scars.

Simple Excision

During the procedure, doctors perform a simple excision of some fat and tissue. The goal is to create a new supratarsal fold. This helps achieve a natural appearance without removing too much skin.

New Supratarsal Fold

A key part of this approach is forming a new supratarsal fold. This fold gives the eyelid a more defined look. It also helps balance between natural appearance and longevity.

Reduced Visible Scar

One major benefit is the reduced chance of a visible scar. Because the incision is small, scarring is minimal. This makes it appealing for those concerned about their looks post-surgery.

Target Group

This method suits patients with no excess skin but some fat in their eyelids. Ideal candidates are those who want subtle changes without drastic alterations.

Local Anesthetic

Doctors often use local anesthetic during this surgery. Patients stay awake but feel no pain in the area being treated. Recovery time is usually shorter compared to other methods.

Lid Margin and Lash Line

The incision typically follows the lid margin or lash line. This placement helps hide any minor scars that may form after healing.

Orbital Septum and Fibrous Attachments

Surgeons sometimes adjust the orbital septum and remove some fibrous attachments to create a smooth contour. These adjustments help maintain a natural look over time.

Medial Canthus Area

In certain cases, surgeons address issues around the medial canthus area to improve overall eye shape and symmetry.

Epicanthal Folds Consideration

For patients with prominent epicanthal folds, additional procedures might be needed to achieve desired results.

No Incision Technique

Method Overview

The No Incision technique uses stitches to create an eyelid crease. It does not involve cutting the skin. The surgeon places sutures through tiny punctures in the eyelid. These sutures are then tied to form a natural-looking crease.

This method is less invasive than traditional surgery. There is minimal trauma to the tissue. Patients often prefer this technique due to its simplicity and quick recovery time.

Scarring and Recovery

One of the main benefits is the absence of incisional scars. Since there is no cutting, there are no visible marks left behind. This makes it ideal for those worried about scarring.

Recovery is also faster compared to other methods. Patients usually experience less swelling and bruising. Most can return to normal activities within a week.

Ideal Candidates

The No Incision technique suits specific candidates best. Those with minimal fat and no excess skin in their eyelids are ideal. Individuals with thicker or heavier lids might not get optimal results from this method.

Patients seeking a subtle enhancement often choose this approach. It’s perfect for those who want a natural look without drastic changes.

Durability of Results

While this method has many advantages, it may offer less durable results compared to incisional methods. The sutures can loosen over time, causing the crease to fade.

e patients might need touch-up procedures later on. However, many find the trade-off acceptable given the reduced recovery time and lack of scarring.

Expert Insights

Dr. Del Campo, a renowned specialist in eyelid surgery, endorses this method for suitable candidates. He emphasizes that proper patient selection is crucial for success.

He notes that while some might experience loosening of sutures, careful technique can minimize this risk. His patients report high satisfaction rates with the No Incision approach.

Pre-Surgery Assessment

Thorough Evaluation

A thorough evaluation by the surgeon is crucial. The surgeon will examine your eyelid anatomy. This helps in determining the most appropriate technique for your eyelid surgery. They will consider factors like the presence of preaponeurotic fat and skin elasticity.

Discuss your desired outcomes with the surgeon. Clear communication ensures that both you and the surgeon have aligned expectations.

Medical Conditions

Discuss any medical conditions with your surgeon. Certain conditions can affect surgery or recovery. For example, thyroid problems or dry eye syndrome may increase risks.

List all medications you are taking. Some medications might interfere with surgery or healing. Blood thinners and certain supplements could pose a risk during surgery.

Questions to Prepare

Prepare questions for your consultation. Knowing what to ask can help ease concerns and clarify details about the procedure.

You might want to ask:

  • What technique will be used?

  • What are the risks involved?

  • How long is the recovery period?

These questions ensure you are well-informed about your eyelid surgery.

Recovery Insights


Recovery from eyelid surgery involves several stages. Stitches are typically removed within 5-7 days after the procedure. Most patients can return to daily activities in about 10-14 days. Bruising and swelling usually subside within two weeks. Complete healing may take a few months.

Managing Swelling

Swelling is common after eyelid surgery. Use cold compresses for the first 48 hours to reduce it. Keep your head elevated, even while sleeping, to minimize swelling. Avoid strenuous activities that can increase blood flow to the face.

Addressing Bruising

Bruising often accompanies swelling. Cold compresses help with bruising as well. Arnica, a natural remedy, may also reduce bruising when applied gently around the eyes. Avoid taking aspirin or ibuprofen as they can worsen bruising.

Post-Surgery Care

Follow all post-surgery instructions carefully for optimal results. Clean the surgical area as directed by your doctor to prevent infection. Use prescribed eye drops or ointments regularly. Attend all follow-up appointments to monitor healing progress.

Emotional Well-being

e patients experience emotional changes during recovery. Feelings of depression or anxiety are not uncommon due to temporary changes in appearance and discomfort. Support from family and friends can be very helpful during this time.

Long-Term Results

The final results of eyelid surgery become apparent after complete healing, which may take a few months. The success rate is high when post-surgery care instructions are followed diligently.


Asian double eyelid surgery offers a range of techniques tailored to meet your specific needs. Whether you opt for the full incision, partial incision, or no incision method, understanding each approach helps you make an informed decision. Pre-surgery assessments and recovery insights ensure you’re well-prepared for the journey ahead.

Ready to enhance your look and boost your confidence? Consult with a qualified surgeon to explore your options. Don’t wait—take the first step toward achieving your desired appearance today!

Frequently Asked Questions

What is Asian double eyelid surgery?

Asian double eyelid surgery creates a visible crease in the upper eyelid. This enhances eye appearance and makes them look larger.

Who are ideal candidates for this procedure?

Ideal candidates are those with monolids or asymmetrical creases. They should be in good health and have realistic expectations.

What is the full incision method?

The full incision method involves a cut along the eyelid to remove excess skin and fat. It offers permanent results.

How does the partial incision approach work?

The partial incision approach uses small cuts to create a crease. It’s less invasive than the full incision method but still effective.

Is there a no incision technique available?

Yes, the no incision technique uses sutures to create a crease without cutting. It’s best for those with thin eyelids and minimal excess fat.

What should I expect during a pre-surgery assessment?

During the pre-surgery assessment, your surgeon will evaluate your eyelids, discuss goals, and explain risks. This helps ensure you’re a good candidate.

How long is the recovery time for Asian eyelid surgery?

Recovery usually takes about 1-2 weeks. Swelling and bruising subside within this period, revealing more defined eyelids.