Eyelid Surgery for the Asian Eyes

Contrary to popular belief, Asian eyelid surgery (blepharoplasty), which is a cosmetic procedure that defines or creates new eyelid creases, does not aim to westernize the look of patients or hide their “ethnic features.”  First and foremost, it cannot change the fundamental shape of the eyes.

The result of Asian eyelid surgery is the same as the one found in about half of the Chinese population.  Aside from creating a new set of eyelid folds, this cosmetic surgery can also correct an “incomplete” eyelid creases that stop from the middle. 

The procedure, which is also called the double eyelid surgery, is also used to balance the eyes.  Ten percent of the population from the South East Asia and Far East has a natural fold on one of their eyelids while the other lack this feature.

There are many techniques used in the Asian eyelid surgery to provide patients with the most natural result possible.  The variations are also necessary because of the different goals: create a new set of eyelid folds; change the height of the existing creases; or complete an “incomplete” pleat.

One of the techniques involves the use of internal sutures that act as a support to the new eyelid creases.  Plastic surgeons make sure the devices are attached to a strong cartilage called tarsal plate so they are less likely to tear through the skin and the result can be long lasting.

Aside from suturing techniques, cosmetic surgeons also use incisions (made by scalpel or surgical knife) to create new eyelid folds or place them to a higher position.  However, this method results to longer recovery and more bruising and swelling during the first few days of healing period.

Because the incisions made by scalpel are often associated with increased bleeding, some doctors use laser beam that prevents this problem as it cauterizes the tissues and blood vessels.  However, the same principle is applied: remove a small amount of fats, skin, and/or muscle to create eyelid folds.

In general, the recovery after Asian eyelid surgery is longer than the typical blepharoplasty in which the only goal is to remove the sagging skin and fats to make the eyes appear younger and more rejuvenated.  Meanwhile, most of the healing takes place within the first six weeks following the surgery.

The cost of Asian eyelid surgery typically ranges between $3,000 and $5,000 although it still depends on the location and surgeon’s fee.